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.