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Plastic Surgery’s Did You Know ?

TMJ Anlylosis – TemporoMandibular Joint Ankylosis

TMJ Ankylosis (जबड़े का जोड़ जाम हो जाना) is a jaw joint disorder that refers to bone or fibrous adhesion of the jaw joint. In this condition, patients have difficulty in opening their mouth. This interferes with mastication, speech, oral hygiene, and normal life activities, and can be potentially life threatening when struggling to acquire an airway in an emergency. The most common causes of TMJ ankylosis is previous trauma, with the second being infection while others may be local or systemic infections, TMJ arthritis, and neoplasm. Fill the Inquiry form here to get customized details.

Is it normal to exercise like crazy and still have tummy bulge?

Exercise is not the only factor when it comes to achieving and maintaining a healthy weight. Even if you log several hours exercising each week, you most certainly can have belly bulge due to other factors like stress/mental wellbeing, hormones, age, sleep and diet etc. But if your lifestyle already consists of a healthy diet, exercise, sleep, and mental well-being and still have the belly bulge then the “separated abdominal muscle, hanging skin with reduced elasticity” might be the cause. This situation often comes in most women’s life after childbirth and major weight-loss. And if this is the situation in your case, you cannot “spot-reduce” the tummy bulge even if you add 100 crunches to your daily workout. It clearly needs additional help.

If you want to know what is causing stubborn tummy bulge in your case, consider scheduling a consultation with Dr. R. K. Mishra and you may benefit from a little additional “help” in the form of tummy-tuck.

The Bigger the better- Well, Not for Breast Implants

One of the many reasons of having breasts augmentation is that you want to get noticed by people, but you certainly do not want people to notice your enhancements. So, when it comes to breasts implants, “a little goes a long way” applies more aptly.

While choosing the breasts implants size, it is important to rememer that it’s not just about breast volume but the projection also. Today’s advanced implants are made in certain shapes that can add to the projection all the way around by adding volume to both at top and bottom parts of the breasts for a more natural looking shape (unlike what implants used to look decades ago- like two stuffed melons under your shirt! A big NO-NO). This is why if you choose a LOT bigger size implant with this effect, you might end up getting more than you bargained for in terms of overall aesthetics. Unnatural looking results is the TOP reason most women choose a revision surgery as the bigger size implants make a difference that is too obvious for everyone to notice. And, you want people to notice you, not your enhancements after all!

“Modest increase in breast size is usually what most women desire to achieve an ideally balanced figure, and smaller implant can have big impact” -Dr. R. K. Mishra

Do the Tummy Shapers Really Work?

Tummy shaper, bodysuit, shaping top, tummy-tucker, extended-brief and waist slimmer etc. are some Fancy names for shapewears.
A shapewear is worn under the dress as a temporary means of altering the shape of the body, and gives an illusion of a flat stomach and a curvy waist (hourglass figure, as the ads claim). But how useful they actually are? 🤔 Let’s get in to it! 🧐

These elasticised garments claim to reduce the body to fit into one to three sizes smaller, instantly. However, the effect is temporary and long term use can do some serious damage to the body, such as:

Weaken Abdominal Muscles- The abdominal muscles work as an INSIDE support for our abdominal wall that holds the FLAT shape of the tummy. It is the same muscles that get loose (sometimes separated) during major weight loss and/or pregnancy. With regular exercise and a healthy diet, you can improve the muscles’ strength again, but it takes time (years may be!). A shapewear may be your rescue when attending a social event to help hide the tummy flab, but if you use it regularly, you are telling your abdominal muscles to stop doing their job (i.e. provide internal support) and depend on the OUTSIDE support provided by the shapewear. This way, those muscles will never return to their normal, tighter position!👎

Apart from that, the constant outside pressure can also affect your lung function, digestion, bowel movements, blood circulation and bladder function, and can cause numbness and meralgia paresthetica (compression of peripheral nerves in the thighs and causes tingling, numbness and pain).

Final Verdict- If you want to wear these shapers occasionally (like for parties etc.) then it should be okay, but beware not to make these your short-cut to get a flat tummy because there is no substitute to a healthy lifestyle

Ageing and The Need of Cosmetic Surgery

It is quite understandable that when you don’t have the same problem, you don’t understand the need of those who have it. Most younger people are often against any form of physical self-change, because, well, they cannot yet imagine themselves as ever being old. Hence, they cannout understand the need that people feel at or after 40. Age and the development of the problem frequently change people’s perception.

It is usually around the 40s that people begin to think that one of the cosmetic surgery procedures may be inevitable. What once appeared to be a big No-No, now no longer seems like a bad idea. This becomes most relevant with the aging related concerns around the eyes and mouth as people start to get fine lines and wrinkle near these areas as the first signs of ageing. As people step in their 50s, those so inclined towards cosmetic surgery may have already had some form of it, even if they will not openly admit it.

The key to look young is to prevent yourself from looking old

If you ask anyone who is in their 40s, 50s or 60s but look youger than their actual age about how come their skin looks flawless, the most common answer will be: start taking good care of skin and protect it from the sun-light. This means applying good quality and quatity of SPF 30+ daily, using a sunscreen that includes zinc mechanical blocker and is free from oxybenzone chemical blocks is highly recommended for people ALL age groups to avoid early appearance of fine line, wrinkes and delay ageing. But do this religiously, eveen if the weather is cloudy because UV light is still there and keeps damaging the DNA of your skin (smoking does the same). And unfortunately, once the damage has been done, it is permanent. With damage skin comes the appearance of ageing spots (brown spots) and fine lies that are linked with old age.

But it better late than never. If you haven’t been taking care of skin, it’s never too late to start applying sunscreen regularly to prevent future DNA damage. Do not wait for the summer to start applying sunscreen, because SUN is Always THERE, in ALL weathers! No matter its cloudy, winters, fall or summer, Never leave your house without applying sunscreen on all the sun exposed parts of your body to save it from early ageing.

Breast Reduction Pays-Off even After Decades (Study Reveals)

Women who had Breast Reduction before the age of 25 years exeperienced lasting results even after 10-30 years of having the surgery done, according to the study issued in the November issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS). These women (who had breast reduction at a young age) reported a higher satisfaction level in sexual well-being and satisfaction from breasts size/shape (among other numerous long-term benefits) than those women who never had this surgery done (despite having large breasts). A Breast Reduction Surgery can have a dramatic impact on your overall quality of life, as seen in the women who were included in the study

The Results of Breast Reduction are Life-Changing

Very few people acknowledge the discomfort, pain and unwanted attention that women with large breasts have to live with. Breast reduction surgery is a life changing procedure for such women that reduces the overall size of bigger breasts to make them proportionate with rest of their body. Apart from better and improved appearance, breast reduction surgery also improves physical symptoms such as back/shoulder/neck pain, sore-ness due to digging bra straps in shoulders, poor posture of body. After breast reduction, women feel a new boot of confidence in wearing whatever clothes they want without worrying about unwanted attention to their breasts as one of my patients revealed that after having breasts reduction surgery, breasts are not the only thing people notice about her! Be sure to consult with an specialist, board certified plastic surgeon to get satisfactory results from this surgery, no matter the city because it is easy to travel for having medical procedure to nearby cities these days for the sake of better facilities and services.

Sushruta – The First ever Surgeon, who was Indian

Saint Sushurta who lived 600 BC in Kashi (today known as Varanasi or Benaras) is regarded the “Father of Plastic Surgery” and Father of Medicine” wrote one of world’s earliest works on medicines named as “Sushruta Samhita”. In this book, he documented the instructions to perform scores of surgical procedures including reconstructions of nose and 3 types of skin grafts. Sushrut Samhita is the first written record of the forehead flap rhinoplasty – a surgical method (by using forehead skin to form the nose, today known as pedicle flap) which is still used to reconstruct a nose. Sushruta took the art of surgery to admirable heights in the medieval India which was later regarded as the “Golden Age of Surgery”.

Surgical Face Lift Vs. Fillers

A facelift, technically known as a “Rhytidectomy” (from Ancient Greek word rhytis which means “wrinkle” + ektome which means “excision”, surgical removal of wrinkles, is a type of cosmetic surgery procedure used to give a more youthful facial appearance and decrease signs of ageing. Despite the ever-increasing popularity of nonsurgical facial rejuvenation procedures and fillers, the traditional surgical facelift still remains the most popular gold standard and sought for procedure for people wanting to get rid of signs of early ageing such as Deep wrinkles and smile lines, Loose skin on neck and jaw, Signs of aging in the lower & middle third of the face, Heavy jowls,Sagging cheeks etc.because of the fact that the results of nonsurgical treatments such as artificial fillers rarely come close to those of an expertly performed facelift. And artificial fillers often come with certain risks and possible complication because they are a foreign material which can have disasterous outcomes if it fails.

Facts About Sagging Breasts

The firmness of the breasts is related to the skin quality and the size of the glandular tissue. Women experience sagging breasts as they age, because the skin becomes less elastic and the size of the glands decrease over time. There are number of facts that you should be aware of when it comes to breasts sagging:

1- Smoking can cause your Breasts Sag -Smoking and alcohol contribute sagging because they breakdown your skin’s collagen, this affects your skin elasticity which leads to sagging of your breasts

2- Breast-feeding doesn’t cause sagging – Breastfeeding should always be recommended because it has many benefits on woman’s and kid’s health, and contrary to popular belief, it does not cause the breasts to sag. Actually, the pregnancy itself is probably the bigger culprit. Breasts grow to make room for the expanding milk ducts during pregnancy and after breastfeeding is stopped; the glands shrink back and the breasts lose fullness. This expansion of breasts also stretches skin to store the volume but expansion of skin does not shrink back when this volume is lost, that result in breasts sagging.

3- Wearing Bra 24×7 cannot Prevent Sagging – Although a bra holds the breasts up, giving you the shape and look you desire, it cannot prevent the inevitable drooping because once it’s removed, breasts will return to their natural position. The constant pull of gravity on the breasts causes them to droop.

4- No Exercise Can Prevent or Promote Breasts Sagging – Exercise is always recommended because it contributes to a healthier lifestyle. However, high impact exercises cause the breasts to bounce, which can eventually cause damage to the connective tissues in your breasts. This is why it is very important to wear a sports bra while performing all high impact activities such as running or aerobics.

5- Sagging Breasts can be Restored to Youthful Shape – A breast lift is the only way to permanently reposition your breasts back to youthful position. Breast lift (sometimes performed with implants) is a very effective for those women who would like to restore a firm, more upright position of their breasts.

Safe & Scientific Rejuvenation for Women’s Nether Region

Vaginal Rejuvenation is popularly known for physical benefits of vaginal rejuvenation – to plump, tighten or reduce the shape- whatever is desired for more youthful, uniform, aesthetically pleasing appearance private parts, and these intangible effects greatly impact woman’s quality of life as well. This procedure can help women enjoy physical activities more, move on after a relationship ends, and feel more self-assured and attractive. Vaginoplasty is done for vaginal rejuvenation and tightening and Labiaplasty is done for labia reduction and beautification. Hymenoplasty (reconstruction of the hymen) returns the ruptured hymen to a pre-sexual state. Labiaplasty and Vaginoplasty can be performed at the same time or in combination with other common Plastic and Cosmetic procedures such as Rhinoplasty, Breast Enhancement or Reduction, Abdominoplasty, or Liposculpting.

Facial Profile can be Enhancement by Combination of Nose & Chin Surgery

The shape of the nose, chin and neck in relation to one another determine whether an individual has “aesthetically proportionate” profile of the face. To create a pleasing facial profile, the projections of each element should be balanced. For example, a small chin can make a moderately-sized nose look large, while a large nose might overshadow a normal sized chin. This is largely due to the relationship between your nose and chin. It is always worth discussing a combination of chin correction and a rhinoplasty with your surgeon. The procedures can safely be performed together as it is just a minor extension of the overall duration of any one procedure. Doing a combined procedure to benefit both areas is not uncommon and very rewarding in enhancing the overall facial profile.

Can Anyone Figure out that You have implants in your breasts?

This might be the biggest fear that women have regarding breast augmentation (implants) procedure but if you choose a dexterous plastic surgeon, the results will be a natural, fuller and real bust line without any hint of unnatural or fake appearance. US FDA approved High-Cohesive Silicone gel filled Textured implants are the ideal & most commonly used implants for Breast augmentation worldwide because of its natural feel. Even you can conceive & breast feed your baby as normally as any woman after having implants. The procedure should be performed an experienced plastic surgeon only as the roles of surgeon and implant are important.

Do You Look Older than Your Age?

Eye-bags and creases are probably the first thing people notice when they guess your age because these things are usually associated with advancing age, and can make you look older than your age. The main benefit is that reduction of ‘bags under the eyes’ immediately improve your appearance. You will no longer have that tired look and if your vision was affected by drooping, puffy upper eyelids then this will no longer be a problem. Your eyelids will be both firmer and tighter. If you have noticed any of the below conditions, a blepharoplasty may benefit you and fulfil your eye rejuvenation goals.

Sagging upper eyelid skin
Puffiness or bags above or below the eyes (baggy eye-lids)
Excess skin and creases of the lower eyelid

Sagging Breasts? No More..

Sag comes with age. The firmness of the breasts is related to the skin quality and the size of the glandular tissue. Women experience sagging breasts as they age, because the skin becomes less elastic and the size of the glands decrease over time. However, it doesn’t mean you have to accept this unattractive shape of your once most admirable body part. There is a permanent solution- Breast lift surgery which is an aesthetic procedure that permanently addresses sagging breasts, dropping nipples and stretched areolas. It also restores breast projection, cleavage and improves breast shape. Learn More about Breast Lift

Things to Know if you’re considering Plastic Surgery Vacation in India

The lure of India as a vacation destination and it’s growing popularity draw cosmetic surgery tourists from all over the world. If you’re the once considering travel to India for you cosmetic surgery needs, then you must remember few important things. First and most important thing is to look for credentials of your cosmetic surgeon. Look for his or her board certifications and experience. Do not be lured by social media or advertising and look for as many as before & after picutres and old patients reviews because the are always most helpful. Second things is to ensure that the facility where your surgery is going to take place has qualified anesthesiologist available all the time. And lastly, you should check for liscences, hospital registrations and also do not hesitate to ask questions until you get satisfactory answers.

Why getting Breast Reduction is a Best Decision

Larger breasts come with their share of drawbacks; back pain, neck pain, sports sore, difficulty in finding clothes that fit properly among them, self-consciousness. A large cup size that cannot be supported by your frame, can cause health problems, that become become chronic concerns when ignored. When your breast size limits your life, reduction is the best option.

The Benefits of Breast Reduction Surgery-

Say goodbye to pain – With your breasts weighing relatively lesser, they will not strain your shoulders, neck and back.
Start exercising again -You will be able to run, swim, walk & play without your breasts getting in the way.
Improve your posture -You will no longer slouch. You will be able to pull back your shoulders and straighten your spine, and throw your chest out, finally.
Shop easier -​You don’t have to hide in mumus. Clothes that fit, support and flatter will be easier to find.
Boost your confidence – An improved posture will enhance your self-confidence as well.

People with BDD don’t need Cosmetic Surgery

It is important to know why doctors administer a mental health screening before putting a BDD suspected patient under the knife. It clearly doesn’t mean that the patient has lost it or is a psycho, it is just to rule out body dismorphic disorder becasue such people with BDD don’t need cosmetic surgery, they need psychiatric care & counselling. If a surgeon performs the desired surgery on a BDD affected patient without mentla counselling, it is more than sure that he/she will NOT be satisfied with the results and it will affect both (the surgeon and the patient) because it is not a matter of face/body correction, it the the mind that need fixation.

People with BDD may pick at a skin defect only perceptible to them until a real scab appears. They might lose hours in front of a mirror, meticulously working to camouflage their purported flaws, or they might compulsively avoid mirrors at all costs, terrified of what they’ll see. Some develop eating disorders or social anxiety.

Still, the psychiatric condition is surprisingly common: according to the Body Dysmorphia Disorder Foundation, one in 50 people has it. The advocacy group lists several famous names who may have had the disorder, though none were ever diagnosed, including Sylvia Plath, Michael Jackson and Franz Kafka.

Liposuction and Weight Loss

People often start watching their body weight right after liposuction and wonder why the numbers are not going down as they expect. First of all, it’s important to remember that liposuction is not a weight-loss procedure. Best for removing small pockets of fat, liposuction gives patients better body contour and a shapelier silhouette, but is not meant to help you lose pounds. I tell patients to avoid the weighing scale for 1-2 month after surgery because the body is in healing mode from surgery stress and can cause you to retain water (which could translate to increased pounds). Once the body realizes you are fine the water will come off. Maintaining a balanced diet and following your doctor’s prescribed post-op instructions will also help you on the right track toward a healthy recovery.