Wednesday, 2 January 2019

Why Do I Have Gynecomastia (Male Breasts)?

Almost every third man faces this condition called “Gynecomastia” during puberty and it usually disappears with time. But if the condition persist for more than two years, a surgical intervention in needed. While heredity, consumption of certain drugs, obesity or hormonal changes can be one of the various other reasons, the answer of the question “why” is still uncertain because the reasons are usually unknown and many researches are still going on to find out them.

Though it has no direct relation with men’s general health, and Gynaecomastia surgery is basically sought for aesthetic purpose yet it is true that it helps in elevating the mental illness that refers to the individuals who are more consumed with their physical appearance that they let it affect their peace of mind. There are even some mental disorders which solely relate to the body image such as body dysmorphic disorders and anorexia. Many men experience emotional turmoil and alienation because of the dissatisfaction with their not-so-manly appearance. But with the availability of simple and safe surgical options, Gynaecomastia is no more a matter of great mental stress.

Gynaecomastia surgery involves the removal of tough fibro glandular component of the breast through a unique incision following liposuction. The main advantage of having surgical correction is- there are no chances of recurrence in whole life because the glands are removed, while almost pain free, rapid recovery, zero down-time, no requirement of admission in the hospital as the surgery in done on out-patient basis etc are other positive factors. By improving the shape of chest; gynaecomastia surgery installs confidence and adds to the sense of well-being.

For more details, Contact:
Dr. R. K. Mishra
Plastic & Cosmetic Surgeon
SIPS Hospital, Lucknow
Ph: 9795 800800

Friday, 28 September 2018

5 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 24x7 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. It is true that certain exercises help in tone and tighten the muscles but breasts have no muscle, which means there is nothing for you to tighten or tone. Chest exercises can strengthen the ligaments surrounding your pectoral area which will help your breasts to appear elevated longer than usual but no exercise can directly address the sagginess of breasts as they are purely made of fatty tissue and glands.

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. Breast lift can easily and safely correct the sagging, and combination of breast lift with augmentation (implants) can be very rewarding if you have sagging skin with loss of upper pole fullness. This procedure can restore fullness and revitalize your appearance and permanently addresses sagging breasts, dropping nipples and stretched areolas. It also restores breast projection, cleavage and improves natural breast shape.

For more details, Contact:

Dr. R. K. Mishra

Plastic & Cosmetic Surgeon

SIPS Hospital, Lucknow

Ph: 9795 800 800

Tuesday, 4 September 2018

Minor facial changes can bring Huge Opportunities

In a society where beauty is often measured by attractive face and youth, it is no wonder that people get help from cosmetic surgery for a chiselled look. The top rated and in-demand cosmetic surgery procedures are: Nose Surgery (Rhinoplasty) that can improve disproportionately large or small nose or very depressed & flat nose, a tip that lacks definition or is poorly positioned or bulbous tip etc. Cheek implants can increase the projection of the cheekbones as well as Buccal Fat Pad Removal gives sleek appearance to people with chubby (rounded) face. Women and Men both frequently seek out these procedures to get “high cheek boned” look for a more sportive appearance like Kareena Kapoor, Shahrukh khan and many other actors. Dimples like Preity Zinta and Anshuman Khurana; is another fantasy that many people dream to have and it is now easily achievable through dimple creation. A sliding Genioplasty or chin advancement surgery can define your jaw-line by increasing projection of otherwise recessed chin and bring balance and better proportion to the structural appearance of your face. Cosmetic lip augmentation consists of the enhancement and reshaping of otherwise normal lips to improve their appearance in relation to the facial structure through Fat-Grafting (inserting your own fat into your lips) to achieve the desired fullness. On the other hand, oversized and bulky lips can be reduced to aesthetically pleasing size & shape by Lip reduction technique. Baggy Eyelid surgery eliminates the bulge and puffiness by tightening the lower eye-lid to make you appear young and fresh. Moles or scars on face can also be removed in a single day for a spot-free face.

For more details, Contact:
Dr. R. K. Mishra
Plastic & Cosmetic Surgeon
SIPS Hospital, Lucknow
Ph: 9795 800 800

Monday, 11 June 2018

How to Plan Your Nose Surgery?

Step-1: Set Your Expectations Right

Call it a nose job, nose reshaping, or rhinoplasty (the scientific term), the expectations remain same — a nose of your choice.
If you are thinking about getting a nose job, it is best to set up an appointment with a qualified and experienced plastic surgeon to discuss about your goals and tell him what bothers you about your nose and how you would like to change it. Identify the specific aspect of your nose that troubles you such as a hump on the bridge, tip looks like a ball, crooked nose, deviated septum, big nostrils and so on.
Your expectations are key to the success of your nose job. However, success also depends on matching your expectations with your physical characteristics, such as skin thickness and bone structure. People do sometimes bring in photographs of celebrity noses and expect to have a nose like them, but this is a dilemma because another person's nose may or may not fit your other facial features or be achievable with your skin type and nasal bone.
 If you approach rhinoplasty with such an ideal in mind, you’re setting yourself up for a potential disappointment. With a better understanding of the procedure, and a more thoughtful approach to your results, you’ve got a better chance of achieving your desired results and complete satisfaction.

Step-2: Know The Procedure

The first thing that you need to know, is that rhinoplasty surgery isn’t exactly a series of same steps to be followed in each procedure. Many surgeries tend to involve steps, but rhinoplasty needs to be fitted to the individual rather than the textbook. That being the case, each operation is going to be entirely unique and customized for your anatomy. Not only that, it will be customized specifically for the individual’s goals. A nose job is not necessarily a straight forward operation and it’s different for each person.
Generally, rhinoplasty is performed inside your nose (known as closed rhinoplasty) but there can also be a small external incision made (known as open rhinoplasty), which will allow your surgeon to readjust the bone, as well as cartilage beneath the skin. This, however, is a very simplified way of putting it, and there are definitely more complex procedures out there.
Your surgeon will be able to augment your nasal bone or nasal cartilage in many different ways. For smaller alterations, the surgeon will be able to use cartilage harvested from inside your nose or even your ear. And if your nose requires bigger changes, then your surgeon will more than likely to harvest cartilage from other parts of your body such a from around your ribs or back of your elbow. Chances are you’ll never even miss it.

Step-3: Learn about Recovery
After a nose job, you will be asked to wear a nasal splint for the first week. You can expect swelling and some bruising around the eyes after surgery that will begin to improve after the third day. This will go away over the next six months. The final shape of your nose will be apparent after it has completely healed.
You may return to your social activities as soon as within two to three weeks without any recognizable signs that you had a procedure done.

The First Several Days

During the first 48 hours after surgery, it is important to get plenty of rest. In particular, people should:
  • ·       Sleep with their heads elevated
  • ·       Wear clothes that button, rather than go on over the head
  • ·       Brush their teeth gently to avoid irritating the upper lip and nose
  • ·       Keep their faces still as much as possible
  • ·       Apply cold compresses to the nose and mid-face
  • ·       Eat soft foods that still have plenty of nutrients and fiber
  • ·       Take baths, rather than showers, while the bandages remain in place
  • ·       Avoid blowing their noses
  • ·       Change bandages and gauze, as instructed by their doctors

The First Several Weeks

Typically, patients can return to work within two weeks of their surgeries. However, they should continue to monitor their activity level and protect the tender nasal tissues. Among other things, patients should:
·       Avoid strenuous exercise until otherwise instructed by their surgeons
·       Limit sodium intake to reduce post-surgical swelling
·       Wear sunscreen with at least 30 SPF whenever they go outside
·       Not wear glasses or sunglasses for at least four weeks (if needed, patients can use chin rests to support the frames)

Step-4: Understand the Risks

When performed by a qualified plastic surgeon, rhinoplasty is a safe procedure with few long-term complications. However, all surgeries do carry some risks. It is important for patients to be aware of these risks so that they can monitor their healing and contact their doctor if they notice anything unusual.

Step-5: Find Out The Benefits

Among the aesthetic rhinoplasty benefits are:
Facial Symmetry - The slightest imbalance in a person's nose can make a distinct difference in their appearance. Rhinoplasty can create a more balanced look.
Improved Shape- Altering the bridge or tip of the nose can draw attention to other areas of the face.
Proportionate Size - Reducing the width of the nose, even by a small amount, can have a significant effect on how the nose fits in with the rest of the facial features.
Removal of Bumps or Crookedness ­- Whether congenital or caused by past injury, rhinoplasty can correct imperfections on the bridge of the nose.

The two main functional rhinoplasty benefits are:
Improve Breathing Difficulties - Rhinoplasty can open narrow nasal passages and correct structural abnormalities, improving a patient's breathing abilities
Correct Birth Defects - Nose surgery can address external abnormalities, as well as internal birth defects, such as a deviated septum.

Step-6: Discover the Results

Rhinoplasty is unique in that the final results of the surgery can take up to one full year to develop. In the months following surgery the nose will begin to settle in to its final shape. Because the final results of rhinoplasty take a significant amount of time, doctors usually discourage patients from undergoing revision rhinoplasty until a full year has passed.
As far as guaranteeing those results goes, keep in mind that rhinoplasty is a highly complicated and complex surgery requiring expert knowledge, experience, and top-notch skills. To get the best results you can, start with the best plastic surgeon plan your surgery. While you can’t get a guarantee on any surgery you’ll have, choosing your surgeon wisely is your best chance for success.

Tuesday, 1 May 2018

Breast Lift For Youthful Breasts

Sagging or droopy breasts can occur in a number of circumstances. Losing weight can cause the breasts to sag since volume is lost. There’s a lot of fat in the breast and if you tend to lose weight in your breasts, you’ll probably lose volume too. It’s also believed that larger breasts (more volume i.e. more weight) tend to sag more quickly due to gravity and other contributing factors. When pregnancy is coupled with weight gain and loss, there is noticeable drop in the breasts. Age also affect breasts in terms of sagging, but is not as much of a factor as pregnancy and genetics because fluctuating hormone levels and breast-feeding are the main causes of breast changes during and after pregnancy. Breast tenderness can start as early as a few weeks into pregnancy. After about eight weeks, your breasts begin to enlarge. Many women increase by as much as two cup sizes. Breasts grow to make room for the expanding milk ducts during pregnancy and after breastfeeding is stopped; the glands shrink and the breasts lose fullness. This expansion of breasts also stretches skin to store the volume but expansion of skin does not contract back when this volume is lost that result in breasts sagging. In fact, most sagging results from overstretched skin. These changes experienced during pregnancy can leave breasts on the saggy side making you look unconfident about your physique. Some women start to feel so conscious about their figure after childbirth that they tend to feel depress and hesitate being social. Young women with loosely hanging breasts may especially feel self-conscious wearing swimsuits and other types of clothing and it makes them feel that they are no more as young and attractive as they used to be. If you want a long-lasting solution to this unattractiveness, you may want to consider a breast lift. A breast lift, also known as a mastoplexy, is the only way to reposition the breast back to where it belongs. The goal of a breast lift is to restore the breasts to a higher, more youthful position.

Breast lift or mastopexy is a procedure designed to bring the drooping breast back up to a more youthful position. This is accomplished by removal of excess skin in a fashion that cones the breast into an attractive, more upright shape while elevating the position of the centre part of the breasts.  There are different approaches to achieve this depending upon the extent of sagginess.

For more details, Contact:

Dr. R. K. Mishra
Plastic & Cosmetic Surgeon
SIPS Hospital, Lucknow
Ph: 9795 800 800


Saturday, 10 March 2018

Vitiligo or White Patches - Is there any way to get rid of them?

Vitiligo (white patch or SAFED DAAG) is a skin condition in which loss of skin color (pigment) occurs; resulting in irregular white patches that feel like normal skin but looks different is color. White patches never harm you physically but unattractive appearance is always undesirable. It may appear at any age and any part of body. Vitiligo most often affects the face, elbows and knees, hands and feet, and genitals. Though difficult to treat, proper medication & surgery by good hands results into satisfactory results.

Is there any permanent treatment to get rid of white patches?
Vitiligo is often difficult to treat. Early treatment options are medication by experienced dermatologist. But once the spots become stable, the white skin can be removed and replaced by new normal coloured skin by dextrous plastic surgeon.

What is the right time to perform surgery on vitiligo?
Once the white spots become stable (neither increasing nor decreasing) for at least one year, this is the right time to under go for plastic surgery. Small patches can be directly excised & repaired, while large spots need removal of white layers & its replacement by normal coloured skin.

What precautions would you suggest after vitiligo surgery?
Massage of the area by prescribed ointments, compression garments and adequate sun-protection is needed for at least one year to get a good result. With proper post-operative precaution you can get a nearly normal looking skin.

For more details, Contact:
Dr. R. K. Mishra
Plastic & Cosmetic Surgeon
SIPS Hospital, Lucknow
Ph: 9795 800 800

Saturday, 27 January 2018

मस्से को हटाने का सबसे सुरक्षित तरीका क्या है?

किसी भी प्रकार के तिल या मस्से को प्रशिक्षित प्लास्टिक एवं कॉस्मेटिक सर्जन के द्वारा निकाला जाना सबसे सुरक्षित व आदर्श तरीका है. मस्से आकार में धीरे धीरे बढते ही रहते हैं इसलिए इन्हें शुरुवात में ही निकलवा देना उचित रहता है. हालांकि मस्से को सर्जरी से निकालने की प्रक्रिया सुनने में कष्टप्रद लगती है किन्तु सर्जरी के दौरान दर्द का कोई एहसास नही होता क्योंकि इसे सुन्न करने के बाद निकाला जाता है और यही मस्से निकालने का सबसे सुरक्षित, स्थायी व तीव्र माध्यम है। इस प्रक्रिया में तिल/मस्सा को त्वचा के अंदर तक छांटा जाता है और फिर टांके लगाकर उस जगह बंद कर दिया जाता है जिसपर एक छोटी सी टेप लगा दी जाती है. इस प्रक्रिया के तुरंत बाद ही मस्से से छुटकारा मिल जाता है और इस तरह मस्सा जड़ से खत्म हो जाता है. ये एक फास्ट प्रोसीजर है अर्थात इसमे हॉस्पिटल में एडमिट रहने की ज़रूरत नही होती और मस्से को निकलवाने के बाद आप उसी दिन घर जा सकते सकते हैं और अपना रोज़मर्रा का सारा काम शुरू कर सकते हैं.
अधिक जानकारी के लिए संपर्क करें:
डॉ आर के मिश्रा
प्लास्टिक और कॉस्मेटिक सर्जन
सिप्स अस्पताल, लखनऊ
फोन: 9795 800 800