Liposuction – Pros & Cons – Curls & Curves, Bangalore, India

Many men and women find themselves struggling to get rid of stubborn pockets of unwanted fat. Even with exercise and a healthy diet, some areas of fat remain. If you have problem areas caused by stubborn fat and seek a smoother body contour, liposuction may offer the enhancement you seek.

Improvement will become apparent after several weeks when most of the swelling has subsided. After liposuction, you will see a noticeable difference.

Liposuction (lipoplasty) removes problem deposits of fat from specific areas of the body, face or neck. It can be used to contour the thighs and hips, smooth the abdomen, shape the calves or eliminate a double chin.

Though basic information on liposuction is provided on this blog, the best way to get answers to specific questions about your needs is to schedule a personal consultation with our certified Plastic Surgeon Dr.Girish.A.C, at www.curlsncurves.com. He will gladly address any questions and concerns you may have during consultation.

Am I a good candidate for liposuction?

Men and women of all ages and body types can benefit from liposuction treatments. It should be noted, however, that liposuction is not a weight loss program, but a procedure used to contour the body. Candidates should already be fairly close to their ideal weight before undergoing liposuction. The procedure is commonly sought by people who have deposits of excess fat making certain areas appear disproportionately large.

The best candidates for liposuction are of normal weight with localized areas of excess fat—for example, in the buttocks, hips and thighs.

Though people of almost any age can be good candidates for liposuction, good skin elasticity is needed to achieve a smooth contour. You may be a good candidate for liposuction if you seek fat removal or contouring in any of the following areas:

Abdomen (Abdomen Liposuction).
Buttocks and hips (Buttocks & Hips Liposuction).
Inner and Outer Thighs, Anterior and Posterior Thighs (Thighs Liposuction).
Flanks (Love Handles Liposuction).
Inner knees.
Back and breasts.
Chin and neck.
Arms (Arms Liposuction).
Calves.

Though liposuction offers great benefits to the look and contour of the body, there tends to be some confusion as to what the procedure can and cannot do.

Liposuction can:

Be performed in conjunction with other cosmetic surgery procedures or in several areas at once. Though their may be additional risks involved with combining procedures, your Plastic Surgeon can help you evaluate these risks and decide which combinations are safe to undergo.
Be used as a treatment for Gyencomastia (male chest reduction).

Women may have liposuction performed to flatten the abdomen, remove fat from the arms, eliminate a double chin and contour the face and neck. Liposuction can slim the hips and thighs and provide a more shapely contour for the inner knees and calves.

Liposuction can’t:

Serve as a substitute for dieting and exercise.
Treat cellulite.

A personal consultation with your surgeon is the first step for any patient considering liposuction. Plastic Surgeons believe in careful patient consultation to assess your physical and emotional health, discuss your aesthetic goals and address any questions or concerns you may have.

Issues you should be prepared to discuss during consultation with your plastic surgeon include:

Medical conditions, both past and present.
Current medications, including nutritional supplements and herbal remedies.
Previous surgeries.
Weight loss history and goals.

Since some medical conditions may complicate a liposuction procedure, you should be prepared to discuss any conditions you may have such as high blood pressure, diabetes or heart disease. Any surgeries you’ve undergone near the targeted area may also complicate the procedure and should be discussed with Dr. Girish A. C.

Depending on the areas in which you would like treatment, you may be asked to undress for assessment of the extent of correction needed. Be prepared to discuss your specific treatment goals and to point out the exact areas where you would like to see improvement. Dr. Girish A. C will likely assess your skin elasticity the thickness of the underlying fat in the target area. He will also check your weight and ask if you are planning to lose or gain weight in the future. Weight fluctuation after liposuction can affect the contouring results achieved.

For men, common sites include under the chin and around the waist. “Love handles” and a large abdomen, typical problems for men, respond well to liposuction. Liposuction may also be used in male chest reduction, a condition known as Gyencomastia, through gynaecomastia surgery.

What does liposuction entail?

Liposuction uses small incisions made near the treatment area. These incisions are concealed within the body’s natural folds whenever possible. A thin, hollow tube, called a cannula, is then inserted through the incisions and used to break apart and suction out unwanted fat using a vacuum-pressure unit, or in some cases, a hand-held syringe.

There are currently several variations to the basic liposuction technique. The method Dr.Girish.A.C uses with you depends upon your individual features, physical needs and aesthetic goals.

Tumescent Liposuction: a technique where fat is pre-injected with a dilute solution of saline and small amounts of adrenaline. This technique reduces bleeding, swelling and fluid loss and offers a shorter period of recovery than traditional methods.
Ultrasound assisted lipoplasty: a two step technique using sound waves to liquefy the fat before it is suctioned out. This approach makes is easier for the surgeon yet may result in greater risk to the patient regarding injury to the skin and nerves so Dr.Girish.A.C does not typically recommend it.

Are there safety concerns associated with liposuction?

Though thousands women undergo liposuction each year and experience no major complications, the procedure does carry some degree risk. It is important you be well informed of these risks when considering liposuction. Cosmetic Surgeon Dr.Girish.A.C sees the discussion of potential risks and complications as one of the most important aspects of patient consultation. During your consultation, he will discuss these potential complications with you, listen to your safety questions and offer instructions on how to minimize your risk.

The surgeon inserts a cannula through small incisions in the skin. At the other end of the tube is a vacuum-pressure unit that suctions off the fat.

How should I prepare for my liposuction procedure?

It is important to follow Dr.Girish’s instructions when preparing for liposuction surgery to ensure the best possible results. Those instructions may include:

Refraining from smoking for several weeks before and after surgery.
Avoiding certain medications.
Arranging for help following surgery, such as a ride home and in-home care for the first 24 hours.

What will happen the day of my surgery?

Liposuction is generally performed on an outpatient basis, allowing patients to return home the day of surgery.

During surgery, medications will be administered to ensure comfort. General anesthesia will most likely be used to allow you to sleep during the procedure. Dr.Girish.A.C uses only doctors (anesthesiologists)-not nurses (CRNA’s or anesthetists)-to administer anesthesia to his patients. He will carefully monitor your physical status throughout the operation and during your recovery.

A snug compression garment worn after surgery helps reduce swelling. After liposuction, you will see a noticeable difference. After swelling subsides, your results will be even more apparent.

What should I expect during my recovery?

When the procedure is complete, you will be taken to a recovery area wearing a compression garment over the treatment area. The garment is used to aid healing and control swelling and should be worn continuously throughout your first stage of healing. Though you may experience some soreness, it is generally well-controlled with medication.

You will be encouraged to get out of bed shortly after the surgery. Keep in mind that the speed of your recovery depends largely on the extent of your surgery. Though everyone heals at a different pace, you can expect your recovery to roughly follow this general time line:

Within the first week

The swelling will reach its peak and then begin to subside.
You may return to non-strenuous work.
Your stitches may be removed

After several weeks

Bruises will fade and eventually disappear,
You should regain normal sensation in treatment areas
Normal exercise and activities may be resumed
Swelling will continue to subside.

Women may have liposuction performed under the chin and arms and on their stomach, hips, thighs, knees and calves.

When will I begin to see my results?

After liposuction, your results will emerge gradually as your swelling and fluid retention subsides. Though you may notice some improvement in shape after a couple of weeks, it may take three months or more for your final results to appear.

Liposuction results are permanent, as long as you maintain you postoperative weight. Even if you do gain a few pounds, you may find that the weight distributes itself more evenly on you body after the procedure. Patients report great improvement to their body contour after liposuction, rejoicing in their smooth, sleek appearance and their boost in self-confidence.

As healing progresses, a more proportional look will emerge. You may notice that clothes fit more comfortably and you feel more confident about your new, slimmer appearance.

What should I expect from the consultation?

A personal consultation with your surgeon is the first step for any patient considering Liposuction-and-abdominoplasty. Plastic Surgeon Dr.Girish.A.C believes in careful patient consultation to assess your physical and emotional health, discuss your aesthetic goals and address any questions or concerns you may have.

Issues you should be prepared to discuss during consultation with Dr.Girish.A.C include:

Medical conditions, both past and present
Current medications, including nutritional supplements and herbal remedies
Previous surgeries
Weight loss history and goals

During your initial examination, Dr.Girish.A.C will evaluate:

The quality and elasticity of your abdominal skin
The status of the underlying abdominal muscles
The amount of excess fat in the area
The location of any existing scars

In men and women with limited issues to correct, Dr.Girish.A.C may suggest alternate treatment options, such as liposuction or a mini-tummy tuck. Patients are encouraged to ask Dr.Girish.A.C any questions they might have while exploring their cosmetic treatment options before surgery.

When will I see my results and how long will they last?

Soon after surgery, you may begin to notice an improvement to your body shape. As you heal and your swelling subsides, your firmer, sleeker contour will begin to emerge. Many patients report a boost in their confidence and a heightened body image after surgery.

Generally, you can expect long-lasting results from your Liposuction procedure. If you maintain a fairly steady weight, you can expect to keep your new contour for many years. Gravity, aging and weight fluctuation may loosen the abdominal skin somewhat. If this occurs, additional surgical treatment can be used to restore your sleek contour.

How long will I continue to see my Plastic Surgeon?

Dr.Girish.A.C believes in the importance of follow-up visits, to answer any questions you may have and monitor your healing process. Rather than delegating all of these visits to a nurse, he enjoys seeing his patients as they heal over time. Your first post-operative visit will be scheduled after the initial healing period, during the first few days after surgery. In the following months, Dr.Girish.A.C may ask you to return for periodic checkups. Keeping these appointments is important to allow him to assess your long-term results and address any questions or concerns you may have.

Hair Transplantation – Hair Loss Causes Curls & Curves, Bangaore

Hair Transplantation – Hair Loss Causes

40% of men have noticeable hair loss by age 35 and 65% by age 60. Why does hair loss occur?

Your hair loss has little or nothing to do with shampooing, hats, or any other practices. Hair loss is largely genetic.

Main Causes Of Hair Loss

There are many causes of hair loss in men and women, including disease, nutritional deficiency, hormone imbalance and stress. By far the most common cause, however, is what is called androgenetic alopecia. Alopecia is simply the medical term for hair loss. Androgenetic refers to the fact that both genetic predispositions to balding and the influence of androgens, or male hormones, play a part in this type of hair loss.

There is a third factor, which is the passage of time, or aging.

So, in order for androgenetic alopecia to occur, there must be:

1. Genetic propensity for balding.
2. Presence of androgens or male hormones.
3. Aging time to allow the first two factors to exert their influence on the hair follicles.

Both men and women produce “male” hormones. The most common of these are testosterone, androsteinedione and dihydrotestosterone (DHT). Androgens are produced by the testicles and adrenals in men and by the ovaries and adrenal glands in women. These hormones are important in both sexes, but occur in different concentrations, being much more predominant in males than in females. This, in part, is responsible for the typical differences between the genders.

The exposure of hair follicles to DHT over a period of time can lead to androgenetic alopecia, male and female pattern baldness, in people who are genetically susceptible to balding. The balding process can occur at any age and move at any rate. It can start in the teen years or late in life, develop rapidly, slowly or even tabilize.

Hair Loss in Men

Some men gradually lose their hair over the front, top and crown of their head, but most men still do not understand the root cause of hair loss. This is a natural phenomenon called “male pattern baldness” or androgenetic alopecia. “Andro” refers to the androgens (testosterone, dihydrotestosterone) necessary to produce male-pattern hair loss (MPHL). “Genetic” refers to the inherited gene necessary for MPHL to occur.” The hair follicles in these areas react negatively to the hormone testosterone, resulting in gradual hair loss. The hair on the sides and lower back of the head is genetically programmed not to be affected and does not fall out. Because of this genetic programming, this hair can be permanently transplanted to the thinning and balding areas. This donor hair will not fall out and can be cut, combed and styled just as the hair it has replaced. It will continue to grow for the rest of your life and will not be affected by any hormone changes.

represents a normal head of hair with no visible hair loss.
is characterized by the beginning of a receding hairline and a “widow’s peak” on the forehead.
patients exhibit a more significant decline in hair above the temples as well as receding from the forehead. In Class 3 Vertex, hair loss is starting to become significant on the crown.
hair loss may become more noticeable on the crown or patients may have significant hair loss above the temples and or front anterior areas.
hair loss approaches significant levels with most hair loss occurring on the top of the vertex and crown. Hair transplantation for this Class and higher Class levels may require more grafts to provide coverage and density.
patients show major hair loss, but still have areas with donor hair available. Transplanting this hair can still have excellent results.
patients show the most significant loss of hair. There may still be sufficient donor hair for transplantation; however, results may be limited.
In men who develop male pattern baldness the hair loss may begin any time after puberty when blood levels of androgens rise. The first change is usually recession in the temporal areas, which is seen in 96 percent of mature Caucasian males, including those men not destined to progress to further hair loss.
Hair loss in men is likely to occur primarily between late teen-age years and age 40-50, in a generally recognizable “male-pattern” baldness known as androgenetic alopecia. Men with male-pattern hair loss may have an expectation of hair loss if they have male relatives who lost hair in a recognizably male pattern. Although the density of hair in a given pattern of loss tends to diminish with age, there is no way to predict what pattern of hair loss a young man with early male pattern baldness will eventually assume. In general, those who begin losing hair in the second decade are those in whom the hair loss will be the most severe. In some men, initial male-pattern hair loss may be delayed until the late third to fourth decade. It is generally recognized that men in their 20s have a 20 percent incidence of male pattern baldness, in their 30s a 30 percent incidence of male pattern baldness, in their 40s a 40 percent incidence of male pattern baldness etc. Using these numbers one can see that a male in his 90s has a 90 percent chance of having some degree of male pattern baldness. The onset, rate and severity of hair loss are unpredictable. The severity increases with age and if the condition is present it will be progressive and relentless.

Best aesthetic surgeon / surgery centre in bangalore

What is Aesthetic Surgery or Cosmetic Surgery?

Aesthetic surgery is a sub-specialty of plastic surgery. It is Focused on Repairing Defects to Reconstruct a Normal Function & Appearance. The procedures, techniques, and principles of cosmetic surgery are entirely focused on enhancing a patient’s appearance. Improving aesthetic appeal, symmetry, and proportion are the key goals. Aesthetic surgery can be performed on all areas of the head, neck, and body. Because the treated areas function properly, aesthetic surgery is elective. Cosmetic surgery is practiced by doctors from a variety of medical fields, including plastic surgeons.

While both aesthetic surgery and plastic surgery deal with improving a patient’s body, the overarching philosophies guiding the training, research, and goals for patient outcomes are different.

Curls & Curves – the Best Aesthetic Surgery Centre in Bangalore

Curls & Curves is the best option for people seeking a Cosmetic Surgery in Bangalore. Our customers, their support and the stories of successful surgeries speak and stand for us. Dr. Girish A.C, the best Aesthetic Surgeon in bangalore, is the founder and backbone of Curls & Curves Cosmetic Surgery Centre.

Breast Augmentation (Breast Size Increase Surgery) — curlsncurvesblog

If you wish your breasts had more volume, for a fuller, or more shapely look, breast augmentation surgery may offer the enhancement you seek. Breast augmentation (augmentation mammoplasty) uses breast implants to increase a woman’s breast size. It can also improve the shape of the breasts for a curvy, sexy look. Though basic breast enlargement […]

via Breast Augmentation (Breast Size Increase Surgery) — curlsncurvesblog

Best Plastic Surgeon & the Best Plastic Surgery Centre in Bangalore

What is Plastic Surgery?

Plastic surgery is defined as a surgical specialty dedicated to reconstruction of facial and body defects due to birth disorders, trauma, burns, and disease. It is Focused on Repairing Defects to Reconstruct a Normal Function & Appearance. Plastic surgery is a medical procedure with the purpose of alteration or restoring the form of the body. Though cosmetic or aesthetic surgery is the most well known kind of plastic surgery, plastic surgery itself is not necessarily considered cosmetic; and includes many types of reconstructive surgery, craniofacial surgery, hand surgery, microsurgery, and the treatment of burns.

Plastic surgery is intended to correct dysfunctional areas of the body and is reconstructive in nature. While many plastic surgeons choose to complete additional training and perform cosmetic surgery as well, the basis of their surgical training remains reconstructive plastic surgery.

The term “plastic” in plastic surgery is derived from the Greek word “plastikos,” which means to mold or shape. There are several specialized fields under plastic surgery including reconstructive surgery which involves the restoration of almost any body part that is abnormal due to a trauma/accident, cancer or birth defect; and aesthetic surgery, (sometimes referred to as cosmetic surgery), which is the aesthetic enhancement of the body or re-shaping normal tissue to improve appearance.

Curls & Curves – the Best Plastic Surgery Centre in Bangalore

Curls & Curves is the best option for people seeking a plastic surgery in Bangalore. Our customers, their support and the stories of successful surgeries speak and stand for us. Dr. Girish A.C, the best plastic surgeon in bangalore, is the founder and backbone of Curls & Curves Cosmetic Surgery Centre.

Best Cosmetic Surgeon & the Best Cosmetic Surgery Centre in Bangalore – Curls & Curves

Dr. Girish A.C. has distinguished himself among his peers at every level of his academic career. He graduated from JJM Medical College, Davanagere, Karnataka. Later he did his post graduation in General Surgery from JN medical College, Belgaum, Karnataka. He did his Superspeciality Course (M.Ch) in Plastic Surgery from one of the reputed Medical College – Bangalore Medical College & RI, Bangalore, Karnataka.

His interest in surgery grew from his fascination with Human Anatomy. Dr. Girish’s surgical career is shaped by many highly acclaimed surgeons. During his many years of surgical residency in two specialties, he was also fortunate to have trained under several world-renowned Plastic Surgeons.

Dr. Girish.A.C was further recognized for his achievements in Medical College, a distinction reserved for the top students in each class. Dr.Girish.A.C is in the field of Cosmetic Surgery for several years & his results speak more than him. Excellent results are tell tail evidence for his master craft.

Curls & Curves is the Best Cosmetic Surgeon in Bangalore that has been honoured by various awards and certificates, and is run by the Best Cosmetic Surgery Centre in Bangalore, none other than Dr. Girish A C.

Fat Removal Surgery / Treatment in Bangalore – Curls & Curves

Many people find it difficult to get rid of unwanted fat. Even with exercise and a healthy diet, some areas of fat remain. If you have problem areas caused by stubborn fat and seek a smoother body contour, fat removal surgery or fat removal treatment may offer the enhancement you seek. Fat removal is achieved through Liposuction.

Fat removal Treatment (surgery) removes problem deposits of fat from all the areas of the body, face or neck. It can be used to contour the thighs and hips, smooth the abdomen, shape the calves or eliminate a double chin.

Though basic fat removal treatment information is provided in this blog, the best way to get answers to specific questions about your needs is to schedule a personal consultation with our expert Plastic Surgeon, Dr.Girish.A.C, through www.curlsncurves.com. He will gladly address any questions and concerns you may have during consultation.

Am I a good candidate for Fat removal?

Men and women of all ages and body types can benefit from fat removal treatments. It should be noted, however, that this is not a weight loss program, but a procedure used to contour the body. Candidates should already be fairly close to their ideal weight before undergoing fat removal. The procedure is commonly sought by people who have deposits of excess fat making certain areas appear disproportionately large.

The best candidates for fat removal surgery are of normal weight with localized areas of excess fat—for example, in the buttocks, hips and thighs.

Though people of almost any age can be good candidates for fat removal, good skin elasticity is needed to achieve a smooth contour.

Though fat removal offers great benefits to the look and contour of the body, there tends to be some confusion as to what the procedure can and cannot do.

Fat removal can:

Be performed in conjunction with other cosmetic surgery procedures or in several areas at once. Though there may be additional risks involved with combining procedures, your Plastic Surgeon can help you evaluate these risks and decide which combinations are safe to undergo.
Be used as a treatment for Gyaencomastia (male chest reduction surgery).

Women may have fat removed to flatten the abdomen, remove fat from the arms, eliminate a double chin and contour the face and neck. Fat removal can slim the hips and thighs and provide a more shapely contour for the inner knees and calves.

Fat removal can’t:

Serve as a substitute for dieting and exercise.
Treat cellulite.

A personal consultation with your surgeon is the first step for any patient considering fat removal. Discuss your aesthetic goals and address any questions or concerns you may have, with your plastic surgeon.

Issues you should be prepared to discuss during consultation with your doctor includes:

Medical conditions, both past and present.
Current medications, including nutritional supplements and herbal remedies.
Previous surgeries.
Weight loss history and goals.

Since some medical conditions may complicate a fat removal procedure, you should be prepared to discuss any conditions you may have such as high blood pressure, diabetes or heart disease. Any surgeries you’ve undergone near the targeted area may also complicate the procedure and should be discussed with the doctor.

Depending on the areas in which you would like treatment, you may be asked to undress for assessment of the extent of correction needed. Be prepared to discuss your specific treatment goals and to point out the exact areas where you would like to see improvement. Your doctor will likely assess your skin elasticity the thickness of the underlying fat in the target area. He will also check your weight and ask if you are planning to lose or gain weight in the future. Weight fluctuation after fat removal can affect the contouring results achieved.

For men, common sites include under the chin and around the waist. “Love handles” and a large abdomen, typical problems for men, respond well to fat removal. Fat removal surgery may also be used in the reduction of enlarged male chests, a condition known as Gyencomastia.

Male Chest Reduction (Gynaecomastia Surgery)

A much more common condition that most people realize, Gynaecomastia is a medical term for overly-developed male breasts. The condition affects an estimated 40 to 60 percent of men and may affect one or both breasts. The cause of the majority of Gynaecomastia surgery cases is unknown, but certain drugs and medical problems have been linked to some. Though the condition is purely cosmetic, it can cause great self-consciousness and emotion in men. For men who feel their breasts are too large, male chest reduction surgery can offer a “more masculine” looking chest.

Male chest reduction surgery removes fat and or glandular tissue from the breasts and sometimes excess skin for an improved chest contour.

Though basic information on male chest reduction surgery is provided on this website, the best way to get answers to specific questions about your needs is to schedule a personal consultation with a certified Plastic Surgeon. He will gladly address any questions and concerns you may have during consultation.

Many men have Gynecomastia – enlarged, female-like breasts – causes by excess glandular tissue or fat (or both).

Am I a good candidate for Gynaecomastia surgery?

Men of all ages undergo gynaecomastia correction, though they should be healthy, emotionally stable. Those with fairly good skin elasticity will see the best results. Though teen-age boys may benefit from the procedure, they may eventually need a second procedure down the road if the condition persists or recurs.

For obese or overweight men, exercise and a healthy weight loss plan may correct the condition without surgery. It is recommended that you attempt to correct the problem through these methods before undergoing male chest reduction. Since alcohol and marijuana use may cause gynaecomastia, as well as the use of steroids and other specific drugs, you will be asked to stop using these drugs before surgery to see if the condition subsides.

All surgeries carry some uncertainty and risk

Though many men undergo breast reduction surgery each year and experience no major complications, the procedure does carry some degree risk. It is important you be well informed of these risks when considering male breast reduction. Dr.Girish.A.C sees the discussion of potential risks and complications as one of the most important aspects of patient consultation. During your consultation, he will discuss these potential complications with you, listen to your safety questions and offer instructions on how to minimize your risk.

Risks are similar to those in all surgical procedures and include:

Injury to the skin
Excessive bleeding
Reaction to anesthesia
Excessive fluid loss
Accumulation of fluid

It should also be noted that scarring may occur, as well as changes in skin pigment, temporary sensation loss and slight asymmetry between the breasts or nipples. Before surgery, these risks should be carefully weighed with the benefits offered by the procedure.

What to expect from your consultation?

A personal consultation with your surgeon is the first step for any patient considering male breast reduction Dr.Girish.A.C believes in careful patient consultation to assess your physical and emotional health, discuss your aesthetic goals and address any questions or concerns you may have.

First, Dr.Girish.A.C will explore the cause of your condition, to check for medical conditions that may need to be treated by an appropriate specialist. These include issues with liver function, use of estrogen-containing medications, or anabolic steroids. He may also a recommend a breast x-ray or mammogram to rule out the possibility of breast cancer and to study the composition of your breasts.

Based on your breast composition, Dr.Girish.A.C will evaluate your gynaecomastia treatment options and discuss them with you during the consultation.

Glandular tissue must be cut out, usually through a small incision near the edge of the areola.

Preparing for surgery

It is important to follow Dr.Girish’s instructions when preparing for gynaecomastia correction to ensure the best possible results. Those instructions may include:

Refraining from smoking for several weeks before and after surgery
Avoiding certain medications
Arranging for help following surgery, such as a ride home and in-home care for the first 24 hours

The day of surgery

Male chest reduction surgery may require a short hospital stay, though most are performed on an outpatient basis, allowing patients to return home the day of surgery.

What does male chest reduction surgery entail?

For chest enlargement caused primarily of excess glandular tissue, the tissue may rarely be removed with a scalpel though incisions on the edge of the areola (the dark skin surrounding the nipple). For major reduction procedures, larger incisions may be needed. In most cases however, liposuction will be used to remove any excess fatty tissue as well as the glandular tissue. In these instances, the liposuction cannula will be inserted through a very small incision at the edge of the areola.

Gynaecomastia primarily caused by excessive fatty tissue requires smaller incisions to correct- less than a half-centimeter in length along the edge of the areola. Through these incisions, liposuction will be performed to remove the fatty tissue. Liposuction uses a slim tube called a cannula attached to a vacuum pump to break up and suction out excess breast fat. If a large amount of fat or glandular tissue is removed, excess skin may need to be removed as well to create a firm, flat contour.

At the end of your procedure, a small drain may rarely be inserted to prevent the accumulation of excess fluids. The chest will be wrapped in a dressing to keep the skin firmly in place.

After your surgery

Your chest will feel sore for a few days after gynaecomastia surgery. This discomfort is generally well-controlled with pain medications. You will need to have someone drive you home after surgery and to help you out for the first day or two.

You will need to wear an elastic pressure garment for the first few weeks to reduce swelling in the chest. Though the swelling will go down greatly during the first few weeks, it may be months before the final results of your surgery emerge.

You will be encouraged to get up and walk around on the day of surgery. Non-strenuous work can be resumed within one or two after surgery, though heavy exercise, including sexual activity, should be avoided for several weeks. Any stitches you have will be removed approximately 1 to 2 weeks after surgery. Sports or strenuous employment may need to be avoided for the first four weeks. After the first month, however, most patients are able to resume all of their normal activities.

Fatty tissue can be removed by liposuction. A small, hollow tube is inserted through a tiny incision, leaving a nearly imperceptible scar.

Your new look

Gynaecomastia surgery offers a high rate of patient satisfaction to those who go into it with realistic expectations. Though it doesn’t offer perfection, it can offer dramatic improvement to the contour of your chest creating flatter, firmer look. The results of the procedure are generally permanent, though teen boys may need a second procedure later if the gynaecomastia returns.

How long will I continue to see my Plastic Surgeon?

Dr.Girish.A.C is fully trained in Plastic and Reconstructive surgery. He invites potential patients to fully explore his training, experience online or during a personal consultation.

Following surgery for gynaecomastia, the patient has a more masculine chest contour.

All you want to know about Face Lift Surgery

The face often shows some of the most visible signs of aging. And though these changes appear gradually, they can impact the way you feel about yourself. If your reflection in the mirror is starting to look older than you feel, a face lift surgery (rhytidectomy) may help you look younger and more refreshed. A face lift tightens underlying facial tissues, removes excess fat and smoothens loose skin on the face and neck, offering a fresher, more youthful appearance.

A face lift surgery can improve the deep cheek folds, jowls and loose, sagging skin around the neck that come with age.

Though basic face lift information is provided on this website, the best way to get answers to specific questions about your needs is to schedule a personal consultation with a certified Plastic Surgeon. For individuals considering a face lift, Dr.Girish.A.C will gladly address any questions and concerns you may have during consultation.

Am I a good candidate for face lift surgery?

Most commonly performed on patients in the 40-60 age range, face lifts can also produce great results for people in their 60s, 70s and 80s. Good candidates for a face lift include healthy men and women with any of the following conditions:

Deep nasolabial folds-the lines that runs from the corners of the nose to the corners of the mouth
Sagging skin and deep wrinkles in the cheeks and cheekbone area
Loss of jaw line definition
Redundant skin, wrinkles, or excess fatty tissue in the neck.

Though face lift surgery offers great benefits for many, it should to be approached with extra caution for those with any of the following medical conditions:

High blood pressure
Blood-clotting issues
Problems healing causing excessive scarring

If you have any of these medical conditions, be sure to alert Dr.Girish.A.C during consultation.

What should I expect from my face lift consultation?

A personal consultation with your surgeon is the first step for any patient considering face lift surgery. Plastic Surgeon Dr.Girish.A. C believes in careful patient consultation to assess your physical and emotional health, discuss your aesthetic goals and address any questions or concerns you may have.

Issues you should be prepared to discuss during consultation with Dr.Girish.A.C include:

All medical conditions, both past and present
Current medications, including nutritional supplements and herbal remedies
Past surgeries
Other treatments received in the past

Because significant weight loss after surgery can affect your surgical results, it is also important to discuss any weight loss goals of 10 Kgs or more with Dr.Girish.A.C during consultation.

Your physical evaluation with Dr. Girish.A.C will include an assessment on your bone structure and underlying facial tissues as well as the thickness, texture and elasticity of your skin and the severity of the wrinkles and folds being addressed. Your hairline will be carefully examined as well to create a plan for discreet incision placement.

For a more complete rejuvenation, Dr. Girish.A.C may discuss additional procedures that can be performed along with face lift surgery. Men and women frequently combine face lift surgery with:

Eyelid Correction surgery, to address upper eyelid droop or bags beneath the eyes
Brow lift, to smooth forehead lines or furrows
Rhinoplasty (nose reshaping)
Skin treatments, such as chemical peels, to improve skin tone and minimize fine wrinkles

Incisions usually begin above the hairline at the temples, follow the natural line in front of the ear, curve behind the ear lobe, into the crease behind the ear and into the scalp. After deep tissues are tightened, the excess skin is pulled up and back, trimmed and sutured into place.

What does a face lift entail?

There are many variations to the face lift procedure. The technique Dr. Girish.A.C uses for your procedure depends upon your individual features and aesthetic goals. Dr. Girish.A.C will discuss your options with you during your pre-op consultation. Typically, the incision is hidden in the natural contour of your ear and extended around the earlobe and into the hairline for easy concealment. A small incision hidden beneath your chin may also be needed.

Using these facial incisions, Dr.Girish.A.C will separate the facial skin from the underlying tissues, pulling it back. He will then remove any excess skin and may reposition deeper tissues if needed to improve your facial contour. If necessary, an incision may be made beneath the chin to remove fatty tissue in that area and decrease the appearance of muscle bands in the neck.

Are there safety concerns associated with face lift surgery?

Though thousands of men and women undergo face lifts each year and experience no major complications, face lift surgery does carry some degree risk. It is important you be well informed of these risks when considering face lift surgery. Cosmetic Surgeon Dr.Girish.A.C sees the discussion of potential risks and complications as one of the most important aspects of patient consultation. During your consultation, he will discuss these potential complications with you, listen to your safety questions and offer instructions on how to minimize your risk.

Most of the scars will be hidden within your hair and in the normal creases of your skin. After surgery, you’ll present a fresher, more youthful face to the world.

How should I prepare for my face lift surgery?

It is important to follow Dr.Girish.A.C instructions when preparing for face lift surgery to ensure the best possible results. Those instructions may include:

Refraining from smoking for several weeks before and after surgery
Avoiding certain medications
Arranging for help following surgery, such as a ride home and in-home care
Growing your hair to cover your incisions as they heal

What will happen the day of my face lift surgery?

For your comfort and convenience, may require a one or two night stay in the hospital.

During surgery, medications will be administered to ensure comfort. General anesthesia will most likely be used to allow you to sleep during the procedure. Dr.Girish.A.C uses only doctors (anesthesiologists)-not nurses (CRNA’s or anesthetists)-to administer anesthesia to his face lift surgery patients. He will carefully monitor your physical status throughout the operation and during your recovery.

What should I expect during my recovery?

Dr.Girish.A.C uses new advanced techniques to foster faster recovery for all his patients come for face lift surgery. Directly after surgery, you’ll be taken to a recovery area. A bandage may be used around your face to control swelling and small drainage tubes may be placed beneath the skin to prevent the accumulation of fluids. Though post-surgical discomfort is typically minimal, your pain can be controlled with medication. Though everyone heals at a different pace, you can expect your recovery to roughly follow this general time line:

The day of face lift surgery

You can expect to experience some bruising and swelling which
can be reduced by keeping your head elevated.

The first week

Bandages will be removed
Bathing and showering will be permitted
Stitches will be removed or dissolve
Applying makeup to hide bruising and discoloration
Swelling will reach its peak, then begin to subside
Light activity will be permitted
Sleeping with elevated head will continue to aid in the reduction of swelling

Within two weeks

Most bruising will subside
Normal activities and non-strenuous work will be permitted

After several weeks

Swelling will continue to subside
Numbness will diminish greatly; though some may persist for several months
Exercise may be resumed

Direct sunlight should be avoided throughout the entire healing process. Sun block should be used long-term to protect your skin.

How soon will I see my results and how long will they last?

Most people who undergo face lift surgery are very pleased with their results. The healing, however, will take some time, so you may not see the final results of your surgery for several months.

After surgery, you’ll present a fresher, more youthful face to the world.

How long your face lift results will last depends upon a number of factors, including your genetics and the lifestyle you lead. Though a face lift cannot stop the aging process, patients are typically very happy with their facial appearance for many years following their procedure. Additional improvements, such as a neck lift or brow lift can be performed at a later time to maintain a more youthful look.

How long will I continue to see my Plastic Surgeon?

Plastic Surgeon Dr.Girish.A.C believes in the importance of follow-up visits, to answer any questions you may have and monitor your healing process. Rather than delegating all of these visits to a nurse, he enjoys seeing his patients as they heal over time. Your first post-operative visit will be scheduled after the initial healing period, during the first week after surgery. In the following months, Dr.Girish. A.C may ask you to return for periodic checkups. Keeping these appointments is important to allow him to assess your long-term results and address any questions or concerns you may have.

Breast Enhancement Surgery

What is breast enhancement?

Breast Enhancement is achieved through several plastic surgery techniques that attempt to restore a breast to near normal shape, appearance and size following mastectomy.

Although breast enhancement can rebuild your breast, the results are highly variable

An enhanced breast will not have the same sensation and feel as the breast it replaces.
Visible incision lines will always be present on the breast, whether from reconstruction or mastectomy.
Certain surgical techniques will leave incision lines at the donor site, commonly located in less exposed areas of the body such as the back, abdomen or buttocks.

A note about symmetry: If only one breast is affected, it alone may be reconstructed. In addition, a breast lift, breast reduction or breast augmentation may be recommended for the opposite breast to improve symmetry of the size and position of both breasts.

Beauty for life – Enhancing your appearance with breast reconstruction

Breast enhancement is a physically and emotionally rewarding procedure for a woman who has lost a breast due to cancer or other condition.

The creation of a new breast can dramatically improve your self-image, self-confidence and quality of life. Although surgery can give you a relatively natural-looking breast, a reconstructed breast will never look or feel exactly the same as the breast that was removed.

Is it right for me?

Breast enhancement is a highly individualized procedure. You should do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image.

Breast enhancement is a good option for you if:

You are able to cope well with your diagnosis and treatment
You do not have additional medical conditions or other illnesses that may impair healing
You have a positive outlook and realistic goals for restoring your breast and body image

Breast enhancement typically involves several procedures performed in multiple stages. It can:

Begin at the same time as mastectomy, or
Be delayed until you heal from mastectomy and recover from any additional cancer treatments

It’s important that you feel ready for the emotional adjustment involved in breast enhancement. It may take some time to accept the results of breast reconstruction.

What to expect during your consultation

The success and safety of your breast enhancement procedure depends very much on your complete candidness during your consultation. You’ll be asked a number of questions about your health, desires and lifestyle.

Be prepared to discuss

Why you want the surgery, your expectations and desired outcome
Medical conditions, drug allergies and medical treatments
Use of current medications, vitamins, herbal supplements, alcohol, tobacco and drugs
Previous surgeries
The options available in breast enhancement surgery
The likely outcomes of breast enhancement and any risks or potential complications
The course of treatment recommended by your Plastic Surgeon, including procedures to achieve breast symmetry

Your surgeon may also

Evaluate your general health status and any pre-existing health conditions or risk factors
Examine your breasts and take detailed measurements of their size and shape, skin quality and placement of nipples and areolae
Take photographs for your medical record
Discuss your options and recommend a course of treatment
Discuss likely outcomes of breast reconstruction and any risks or potential complications

Breast enhancement risks and safety information

The decision to have breast reconstruction surgery is extremely personal. You’ll have to decide if the benefits will achieve your goals and if the risks and potential complications are acceptable.

Your Plastic Surgeon and/or staff will explain in detail the risks associated with surgery. You will be asked to sign consent forms to ensure that you fully understand the procedures you will undergo and any risks or potential complications.

The possible risks of breast enhancement include, but are not limited to, bleeding, infection, poor healing of incisions and anesthesia risks. You should also know that:

Flap surgery includes the risk of partial or complete loss of the flap and a loss of sensation at both the donor and reconstruction site.
The use of implants carries the risk of breast firmness (capsular contracture) and implant rupture.

Breast implants do not impair breast health.

Where will my surgery be performed?

Surgery for your breast reconstruction is most often performed in a hospital setting, possibly including a short hospital stay and your doctor will likely use general anesthesia.

Some follow-up procedures may be performed on an outpatient basis and local anesthesia with sedation may be used.

These decisions will be based on the requirements of your specific procedure and in consideration of your preferences and your doctor’s best judgment.

Preparing for surgery

Prior to surgery, you may be asked to

Get lab testing or a medical evaluation
Take certain medications or adjust your current medications
Stop smoking well in advance of surgery
Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding

Special instructions you receive will cover

What to do on the day of surgery
The use of anesthesia during your breast enhancement
Post-operative care and follow-up
Breast implant registry documents (when necessary)

Your Plastic Surgeon will also discuss where your procedure will be performed. Breast enhancement surgery may be performed in an accredited office-based surgical center, outpatient/ambulatory surgical center, or a hospital.

You’ll need help

If your breast enhancement is performed on an outpatient basis, be sure to arrange for someone to drive you to and from surgery and to stay with you for at least the first night following surgery.

Breast enhancement procedural steps

What happens during breast reconstruction surgery?

Step 1 – Anesthesia

Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you.

Step 2 – Flap techniques reposition a woman’s own muscle, fat and skin to create or cover the breast mound.

Sometimes a mastectomy or radiation therapy will leave insufficient tissue on the chest wall to cover and support a breast implant. The use of a breast implant for reconstruction almost always requires either a flap technique or tissue expansion.

A TRAM flap uses donor muscle, fat and skin from a woman’s abdomen to reconstruct the breast. The flap may either remain attached to the original blood supply and be tunneled up through the chest wall, or be completely detached and formed into a breast mound.

Alternatively, your surgeon may choose the DIEP or SGAP flap techniques which do not use muscle but transport tissue to the chest from the abdomen or buttock.

A latissimus dorsi flap uses muscle, fat and skin from the back tunneled to the mastectomy site and remains attached to its donor site, leaving blood supply intact.

Occasionally, the flap can reconstruct a complete breast mound, but often provides the muscle and tissue necessary to cover and support a breast implant.

Step 3 – Tissue expansion stretches healthy skin to provide coverage for a breast implant.

Reconstruction with tissue expansion allows an easier recovery than flap procedures, but it is a more lengthy reconstruction process.

It requires many office visits over 4-6 months after placement of the expander to slowly fill the device through an internal valve to expand the skin.

A second surgical procedure will be needed to replace the expander if it is not designed to serve as a permanent implant.

Step 4 – Surgical placement of a breast implant creates a breast mound.

A breast implant can be an addition or alternative to flap techniques. Saline and silicone implants are available for reconstruction.

Your surgeon will help you decide what is best for you. Reconstruction with an implant alone usually requires tissue expansion.

Step 5 – Grafting and other specialized techniques create a nipple and areola.

Breast enhancement is completed through a variety of techniques that reconstruct the nipple and areola

Breast enhancement recovery

Following your surgery for flap techniques and/or the insertion of an implant, gauze or bandages will be applied to your incisions.

An elastic bandage or support bra will minimize swelling and support the reconstructed breast. A small, thin tube may be temporarily placed under the skin to drain any excess blood or fluid.

A pain pump may also be used to reduce the need for narcotics.

You will be given specific instructions that may include: How to care for your surgical site(s) following surgery, medications to apply or take orally to aid healing and reduce the risk of infection, specific concerns to look for at the surgical site or in your general health and when to follow up with your Plastic Surgeon.

Be sure to ask your Plastic Surgeon specific questions about what you can expect during your individual recovery period.

Where will I be taken after my surgery is complete?
What medication will I be given or prescribed after surgery?
Will I have dressings/bandages after surgery?
When will they be removed?
Will there be drains? For how long?
When can I bathe or shower?
When can I resume normal activity and exercise?
When do I return for follow-up care?

Healing will continue for several weeks as swelling decreases and breast shape and position improve. Continue to follow your Plastic Surgeon’s instructions and attend follow-up visits as scheduled.

Results and outlook:

The final results of breast enhancement following mastectomy can help lessen the physical and emotional impact of mastectomy.

Over time, some breast sensation may return and scar lines will improve, although they’ll never disappear completely.

There are trade-offs, but most women feel these are small compared to the large improvement in their quality of life and the ability to look and feel whole.

Careful monitoring of breast health through self-exam, mammography and other diagnostic techniques is essential to your long-term health.

When you go home:

If you experience shortness of breath, chest pains, or unusual heart beats, seek medical attention immediately. Should any of these complications occur, you may require hospitalization and additional treatment.

The practice of medicine and surgery is not an exact science. Although good results are expected, there is no guarantee. In some situations, it may not be possible to achieve optimal results with a single surgical procedure and another surgery may be necessary.

Be careful:

Following your physician’s instructions is key to the success of your surgery. It is important that the surgical incisions are not subjected to excessive force, abrasion, or motion during the time of healing. Your doctor will give you specific instructions on how to care for yourself.

Breast reconstruction words to know:

Areola: Pigmented skin surrounding the nipple.
Breast augmentation: Also known as augmentation mammaplasty; breast enlargement by surgery.
Breast lift: Also known as mastopexy; surgery to lift the breasts
Breast reduction: Reduction of breast size and breast lift by surgery.
Capsular contracture: A complication of breast implant surgery which occurs when scar tissue that normally forms around the implant tightens and squeezes the implant and becomes firm.
DIEP flap: Deep Inferior Epigastric perforator flap which takes tissue from the abdomen.
Donor site: An area of your body where the surgeon harvests skin, muscle and fat to reconstruct your breast – commonly located in less exposed areas of the body such as the back, abdomen or buttocks.
Flap techniques: Surgical techniques used to reposition your own skin, muscle and fat to reconstruct or cover your breast.
General anesthesia: Drugs and/or gases used during an operation to relieve pain and alter consciousness.
Grafting: A surgical technique to recreate your nipple and areola.
Hematoma: Blood pooling beneath the skin.
Intravenous sedation: Sedatives administered by injection into a vein to help you relax.
Latissimus dorsi flap technique: A surgical technique that uses muscle, fat and skin tunneled under the skin and tissue of a woman’s back to the reconstructed breast and remains attached to its donor site, leaving blood supply intact.
Local anesthesia: A drug injected directly to the site of an incision during an operation to relieve pain.
Mastectomy: The removal of the whole breast, typically to rid the body of cancer.
SGAP flap: Superior Gluteal Artery perforator flap which takes tissue from the buttock.
Tissue expansion: A surgical technique to stretch your own healthy tissue and create new skin to provide coverage for a breast implant.
TRAM flap: Also known as transverse rectus abdominus musculocutaneous flap, a surgical technique that uses muscle, fat and skin from your own abdomen to reconstruct the breast.
Transaxillary incision: An incision made in the underarm area.