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#dr. sachin rajpal #plastic surgeon in delhi #cosmetic surgeon in delhi #delhiplasticsurgery

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#dr. sachin rajpal #delhiplasticsurgery #hair transplant (surgical restoration of hair) #plastic surgeon in delhi #cosmetic surgeon in delhi

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#dr. sachin rajpal #plastic surgeon in delhi #cosmetic surgeon in delhi #delhiplasticsurgery #abdominoplasty in delhi

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#dr. sachin rajpal #plastic surgeon in delhi #cosmetic surgeon in delhi #liposuction surgery in delhi #delhiplasticsurgery

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#dr. sachin rajpal #delhiplasticsurgery #Male Gynecomastia Surgery / Gynecomastia Surgery in Delhi #plastic surgeon in delhi #cosmetic surgeon in delhi

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#dr. sachin rajpal #breast augmentation in delhi #cosmetic and plastic surgeon #delhiplasticsurgery

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#Dr. Sachin Rajpal #cosmetic surgeon in delhi #plastic surgeon in delhi #cosmetic and plastic surgeon

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#breast reduction in delhi #plastic surgeon in delhi #cosmetic #delhiplasticsurgery #dr. sachin rajpal

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#dr. sachin rajpal #delhiplasticsurgery #cosmetic surgeon in delhi #plastic surgeon in delhi

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#dr. sachin rajpal #plastic surgeon in delhi #cosmetic surgeon in delhi #delhiplasticsurgery #Rhinoplasty surgery in Delhi

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#dr. sachin rajpal #cosmetic and plastic surgeon #plastic surgeon in delhi #blepharoplasty #cosmetic surgeon in delhi #delhiplasticsurgery

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#delhiplasticsurgery #dr. sachin rajpal #cosmetic surgeon in delhi #plastic surgeon in delhi

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Abdominoplasty In Delhi

Abdominoplasty in Delhi

It is one of the most common aesthetic procedures in which we deal with both aesthetic and structural reshaping of abdominal wall. This surgery is done to get rid of unwanted excess skin and fat from your abdomen along with tightening of your abdominal muscles. Post-surgery one can expect a firmer and more toned abdomen.

Candidates for Abdominoplasty

Men and women with healthy body conditions.

After weight loss procedures leading to loss of fat and loosely hanging skin

Post multiple pregnancies leading to flabby abdominal skin

Who should not undergo Abdominoplasty?

Individuals with chronic medical conditions like chronic heart disease, uncontrolled DM, HTN

Individuals with unrealistic expectations

Chronic smokers as it may impair healing and compromised results

Women who have still not completed her family and plans to become pregnant.

Types of Abdominoplasty

Each patient has specific indication for type of procedure for which it is necessary to consult your plastic surgeon for proper assessment and examination so as to formulate the best plan for you. For knowledge purpose :

Standard Abdominoplasty : When there is excess of skin and loose musculature in middle and lower abdty : when loose skin is localized over lower abdomen only. It is done with smaller incision as compared with the standard one and may or may not require muscle tightening.

Lipoabdominoplasty : 

omen like after massive weight loss or multiple pregnancies.

Mini Abdominoplas

This is a modern abdominoplasty which is more popular these days and is safe and there are less chances of skin necrosis. It consists of combination of liposuction and surgery. It gives more definition to abdomen post-surgery.

High tension lateral abdominoplasty (HLT) : This combines additional contouring of lateral thighs and hips along with abdomen shaping

Post-operative recovery

We prefer early ambulation of patient post-surgery

Immediately after surgery patient will be given a firm dressing over abdomen and which is to be changed to compression garment in 3 to 4 days. Compression will help in controlling the swelling and seroma collection and also in redraping of skin

Lifting of heavy things of any kind to be avoided for about 6-8 weeks

Patients are advised to refrain from smoking in post op period to prevent delayed healing

Final results may take up to 6 months to show final results. This is the time body requires to get rid of swelling and skin redrapping

Residual minor contour irregularities can be present which can be taken care of with minor procedure if patient wishes to.

Risks of procedure

Seroma: Fluid collection underneath the skin flap is the most common complication after the procedure. Though it does not require and special treatment but regular evacuation by your surgeon and gradually it should settle

Bleeding

Infection

Scarring of suture site

Altered sensation in operated area of abdomen which is usually temporary and should recover mostly in due course of time. 

Tag : Abdominoplasty In Delhi,Cosmetic Surgeon in Delhi,Dr. Sachin Rajpal,Plastic Surgeon in Delhi,

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Liposuction Surgery in Delhi

Liposuction in Delhi

Liposuction is one of the most popular cosmetic procedure in both men and women. It is nowadays known by many different terms like Liposculpture, Lipo or Lipoplasty. It is a surgical procedure which evacuates excess fat deposits from the body that have not been responding to diet and exercise. This procedure helps in improving body contours and proportions and can safely be performed on most of the body areas including face, neck, arms, abdomen, back, thigh, chest and thighs.

When a person gains weight, the size and volume of fat cells increases and these large fat cells are sucked out by liposuction thereby decreasing the number of fat cells in that particular area. The changes after liposuction are generally permanent as long as your weight remains stable.

For best results of liposuction surgery an individual must be healthy with good skin elasticity so that the skin contracts and re-drapes after surgery to provide better contour.

People having excess skin following massive weight loss, old age and after multiple pregnancies, will need to undergo excision procedures rather than liposuction to get satisfactory contour.

Candidates for Liposuction

Healthy individual

Localized fat pockets that don’t go away with diet or exercise

Not having lot of excess hanging skin

Have good muscle tone

Do not smoke

Good skin elasticity

Procedure

Before the surgery, the areas to be sucked are marked out carefully in erect position. Once patient is under anesthesia the procedure involves the removal of fat through small incisions approx. 0.5 -1 cm which are given in the hidden areas of body through which the hollow tubes (cannulas) are inserted and fat is removed with the help of vacuum and suction.

Types of liposuction techniques

Suction assisted liposuction (SAL) : Most common type where tumescent solution is infiltrated into affected area which contains an anesthetic agent and medicine to decrease bleeding. Fat is sucked out with the help of long hollow cannulas attached to suction apparatus with appropriate negative pressure.

Power Assisted Liposuction (PAL) : Here the cannula moves rapidly in back and forth position and the vibrations generated by rapid motion helps in breaking the fat cells which are then sucked out. PAL is more useful in more fibrous areas.

Ultrasonic assisted Liposuction/Vaser/ High definition Liposuction : Here ultrasound energy is used to emulsify the fat first which is then sucked out using the suction cannulas. Vaser has nowadays gained popularity as it helps in achieving the precise definition of body contours and also causes less trauma to tissues.

Anesthesia

Liposuction is usually performed under general or regional anesthesia. For small areas it can be done under IV sedation or local tumescent anesthesia.

Duration

Duration of surgery depends upon the extent of area to be treated and is usually between 1 to 4 hrs.

Immediate Post Operative

In the immediate post Operative period one may experience some pain and bruising. Pain killers will be prescribed by your treating surgeon but the bruising may take upto 4 week to get settled.

One need to wear compression garment over the operated area for some weeks which will help in controlling swelling and skin draping and also to prevent fluid collection underneath skin.

Early mobilization is encouraged after the surgery and patient are usually mobilized on the same day of surgery.

Post Operative complications

Contour irregularities :  This can occur in some area if there is uneven removal   of fat or if there is poor skin elasticity leading to bumpy or wavy appearance.

Fluid accumulation : Collection of fluid (seroma) under the skin can happen which is usually temporary & which usually resolves on its own in some days. It may sometime require needle aspiration. Wearing compression garments can also help in preventing fluid collection.

Skin discoloration/ Bruising : This is common and can take about 4-6 weeks to settle completely.

Decreased sensation/Numbness : Affected area may have decreased sensation or numbness after the surgery but it is usually temporary and settles down in weeks to month time.

Infection : Skin infections are rare after liposuction surgery but can occur which may sometime require surgical intervention for wound management.

Results

Results depend on the quality of skin elasticity and the amount of fat that is suctioned out and the expectations of the patients. For final results it takes anywhere between 3 – 6 months.

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Hair Transplant Surgery in Delhi

Hair loss treatment (PRP treatment) in Delhi

Getting bald can be very distressing to anybody, and if it happens at an early age it may severely affect your confidence. Hair loss can occur both in men and women though it is more common in men.

One of the most common cause of hair loss in men is androgenic alopecia which is hereditary. Other causes include trauma, chemotherapy, scalp infections, medical conditions and stress.

Hair treatment can be broadly classified into 2 categories:

Prevention of hair loss

Surgical restoration of hair

Preventive therapy

This therapy is offered to those patients who are in initial stage of hair thinning & falling of hair.

In this patient medical condition, risk factors for hair loss is assessed and treated accordingly. In this line of treatment patient is prescribed multivitamins, hair booster vitamins, topical minoxidil, oral 5 alpha reductase inhibitors. These products can either be prescribed as a monotherapy or in combination depending on severity of hair loss.

PRP (Platelet rich plasma): This procedure is helpful in both preventing hair fall and can also be used as an adjunct therapy after hair transplant for improving the growth of transplanted hairs. In this procedure patient own blood is taken and processed to get the platelet rich plasma which is then injected into the affected area of scalp after numbing it. This PRP has numerous growth factors which helps in prevention of hair fall, improving the thickness of hair and may also help in growth of hair follicles. It is a short procedure and can be done on opd basis. Multiple sitting is required for satisfactory results to be seen.

Hair transplant (Surgical restoration of hair)

Hair transplant is the surgical procedure in which patient’s own hair from back of scalp is harvested and placed in the bald region over front and side of scalp. Hair transplant is offered to those patients who present with chronic hair loss, receded hair line, medically fit patients, in which hair loss has become stable.

As the procedure uses the own natural hair, the transplanted hair grow naturally and the result are permanent. The donor area is chosen from back of scalp as that area has inherent resistance to effect of androgen and do not fall so hairs taken from this area gives permanent results.

Techniques of hair transplant

FUT (Follicular unit transplant): In FUT the strip of hair is taken from back of your scalp and then under microscope small slices of that strip is made and then each follicle is cut and separated. The donor site closed by a special technique of trichophytic closure which leave very thin and fine scar and due to this technique hair regrow through the scar thus leaving almost invisible scar. This advantage of this technique is that we get large number of hair follicles with better yield and chances of trauma to hair roots is minimal as harvesting of follicle is done under vision.

FUE (Follicular unit extraction): In this procedure the donor area on back of your scalp is marked and shaved. Now the special motorized punch is used to core out individual hair follicular unit keeping normal hair in between. Though this technique is propagated as a scar less technique but there are multiple punch holes which are present which gradually heals but may leave small multiple scars.

In case where bald area is large then it may be necessary to combine both FUT and FUE to achieve more no. of follicles. It may sometime be necessary to harvest follicles from beard and neck area.

Procedure

Once the decision of hair transplant is finalized after all consultations with your plastic surgeon, the procedure is planned which could be either FUT or FUE or combined depending upon requirement. The day of the surgery starts with marking of areas over scalp which need to be transplanted and discussed with the patient.

Hair transplant procedure is a 6-8 hours surgery depending upon the area to be covered. The procedure is done under specially prepared long duration local anesthesia. Once the scalp in anesthetized, the patient is made to lie down in prone position and if FUT is planned then the donor strip is harvested from back of scalp and the donor area is closed very neatly by a special trichophytic closure which has the advantage of barely visible scar after healing. In FUE technique, follicles are harvested from the backside of scalp with help of motorized punch.

Once the hair follicles are harvested, patient is given a break during which time the hair follicles are prepared and separated in the single, double, and triple units. After refreshment patient is made to lie down in supine position and slits are made in proposed area over scalp. Once the follicles are ready for transplantation the transplant of hair is started starting from frontal hair line area and progressing backward. The dressing is applied to the donor area and a band is applied over forehead region to prevent swelling. The patient is discharged on the same day with discharge medications and is reviewed in 3rd day.

What to expect after hair transplant procedure?

After your hair transplant surgery is done there might be some swelling which usually settles in 3-4 days. Sutures if any will be removed in 10 days’ time. You may be given topical medication as well as oral medication for improved hair growth.

One might notice the fall of transplanted hair at around 2 to 4 weeks of transplant but the root of hair remains inside. The new hair growth usually starts from 3rd to 4th month after the procedure and continues to grow till 6-8 months and may take up to 1 year for final results.

#Hair Transplant Surgery in Delhi #plastic surgeon in delhi #cosmetic surgeon in delhi #dr. sachin rajpal

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Breast Reduction in Delhi

Breast have a very important role in female beauty. They help to give an attractive feminine look but at the same time if they grow out of proportion to rest of the body then they become the cause of embarrassment and frustration.

It is generally observed that females with very large breast suffer great deal of uneasiness. It is embarrassing for any female when the overly large breasts become a prominent noticeable thing. It limits the activities and clothing choices as well. In addition there are problems like chronic neck and shoulder pain, skin irritation and rash due to rubbing of skin.

What is Breast Reduction?

Breast reduction technically called as “Reduction Mammoplasty” is a plastic surgical procedure which involves excision of excess fat, breast tissue and skin. This procedure makes the chest lighter and smaller and relieve the patients from the discomfort and problems associated with it.

Ideal Candidates for a Reduction Mammaplasty

Candidates include patients who are unhappy with the physical appearance or are self-conscious by their large breast size. Women opt for breast reduction surgery both for functional and cosmetic reasons which include:

Large saggy and pendulous breast.

Chronic neck, shoulder and back pain.

Development of skin irritation and rashes due to constant rubbing of skin.

Persistence of deep shoulder groove due to bra strap.

To decrease the breast size in proportion to body profile.

To achieve balance of asymmetric breast.

To enhance their self-image.

Prerequisite for breast reduction surgery:

Healthy and stable body weight

Not planning for further pregnancies

Fully developed breast

Anesthesia and Duration

Breast reduction surgery is usually done in general anesthesia and takes about 2.5 to 3 hours.

Procedure

There are many techniques of breast reduction surgeries like vertical reduction, wise pattern, liposuction etc.  All the aforesaid methods give excellent outcomes. Irrespective of the technique chosen all breast reduction surgeries involves pattern-based skin incision for accessing your breast tissue which is followed by excision of excess fat, breast tissue and skin. This will decrease the overall size of the breast thereby giving it new improved and proportionate shape. In this procedure the size of areola is also reduced, and repositioning of nipple and areola is also done.

The technique best suited to the patient is decided depending on their needs and the ideal outcomes.

Recovery time

Many patients feel immediate sense of relief from breast burden immediately after surgery. One may expect little pain which can be taken care of with oral medications. After a breast reduction, one may experience temporary numbness of the nipples and breasts which can last from 2 to 3 months but may last longer. Patient will have to wear sports bra for support for 2 to 3 weeks. Normal routine work can be resumed in 2 weeks’ time, but strenuous activity must be delayed for about 4 -6 weeks.

Tag : Breast Reduction in Delhi, Plastic surgeon in Delhi, Cosmetic Surgeon in Delhi

#Dr. Sachin Rajpal #breast reduction in delhi #delhiplasticsurgery

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Breast Augmentation ( implant/ fat grafting ) in Delhi

 Breast Augmentation also called as “Augmentation Mammoplasty”, is a cosmetic surgery procedure done to increase the volume and contour of female breast. This procedure helps in restoring the breast harmony in relation to her overall body contour without any significant risk. This can be done using implants made of silicone or saline or by use of one’s own fat.

Indication of Breast Augmentation

Small breast size in relation to overall body configuration

Loss of breast volume post massive weight loss

Deflated appearance of breast post pregnancy and lactation

Asymmetry of breast visible prominently

Benefits of Breast Augmentation

Restoring volume of breast making it more projected

Symmetricalbreast

Improves cleavage

Improve breast to hip ratio

Boost your confidence and self esteem

Techniques of Breast Augmentation

Implants : In this technique high quality silicone implants (US FDA approved) are used which are inserted beneath your breast tissue to increase the breast volume. Implants can either be placed below the chest muscle or above it. The decision regarding the correct placement of implant will be taken by your plastic surgeon according to your needs and tissue characteristics.

Fat grafting/ Fat transfer : In this technique your own fat is used for volumizing the breast. The fat is aspirated by liposuction from the body areas having excess fat. The excess fat harvested is processed and used for injecting into the breast tissue. This process is therefore called as Autologous fat transfer. The main benefit of this procedure is that there in no insertion of any foreign body implant inside your body.

Procedure

Breast Augmentation surgery is a short duration procedure and takes about 2 to 2.5 hrs. and is usually done under general anesthesia. Patient can usually be discharged on the same day.

Incisions Used : Placement of incision depends upon patient’s requirement and body structure.

Inframammary incision

Peri-areolar incision

Axillary incision

Inframammary incision is the most commonly used incision. This is approximately 4-5 cm in length and is placed in the crease underneath your breast to make it unnoticeable. It further becomes invisible in due course of time.

Recovery time

Immediately after surgery one can feel little pain and soreness in the chest region which usually settles down in couple of days. There might also be some swelling and redness which settles in 2 – 3 days time.

You will be advised to wear a supportive bra immediately after your surgery which is to be continued for about 4-6 weeks which helps to maintain the contours.

Though you can start you daily routine work within 2- 3 days but strenuous physical activities will have to be avoided for about 6-8 weeks.

As the swelling keeps on reducing the breast continues to settle down in its final position.

Complications

Though the complication rates are minimal in this type of procedure but all surgeries are associated with some risk:

Hematoma or Seroma (Fluid collection)

Infection

Altered sensation

Scarring

Implant specific Risk

Implant rupture

Implant infection

Capsular contracture

Interference in mammography due to implant in situ.

Tag : Breast Augmentation In Delhi, Plastic surgeon in delhi, Cosmetic surgeon in delhi

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