Plastic Surgery, Cosmetic Surgery, laser surgery and Hair Transplant : Breast Augmentation Indore,India

 
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Patients Gallery
Reconstructive Surgery
 NOSE RECONSTRUCTION
This lady lost her tip of nose and part of right alae.This was reconstructed using naso labial flap.
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Part of right alae was cut off. This was reconstructed using naso labial flap.  
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This lady had complete loss of nose. One stage reconstruction of nose, columella and nasal lining done using fore head flap.
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LID RECONSTRCTION---COMPOSITE LID GRAFT / Lid replant  
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Total loss of upper lid. Lid was implanted back after excising muscles .Conjuctiva to conjuctiva, then levator palpabaris muscle was dissected and sutured to tarsal plate of amputed lid. Patient showed excellent lid function.  
 lid-reconstruction02  
This patient had severe post burn ectropion. Release of lid and skin grafting done.
CLEFT LIP  
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  CLEFT LIP  
65 yrs, Female, Bil. CL. Single stage repair.  
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Unilateral cleft lip. Modified Mellard’s repair.  
BILATERAL CLEFT LIP  
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Bilateral cleft lip.     Single stage repair.
CLEFT PALATE
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Bilateral cleft palate. Palatoplasty  
PRE OPERATIVE   POST OPERATIVE  
 
 CLEFT PALATE  
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  Unilateral cleft palate. Palatoplasty done.
BED SORE / PRESSURE SORE---  
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Large Ulcer over Ischeal tuberocity.Wide excision,Gluteous Maximus Myocutaneous inferiorly based flap done.  
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CASE---Large sacral pressure sore in a young paraplegic patient. Treated with bilateral Gluteous maximus myocutaneous flap.Ucer healed uneventfully without any donor side defect.  
This man of post traumatic paraplegia had multiple (sacral, bilateral tronchatric, heel) deep pressure sore. Previously his large sacral sore was covered with bilateral gluteius myocutaneous flap. Negligence caused to recurrence of pressure sore. His trochantric sore were covered by biceps femoris myocutaneous flap and sacral sore covered by very large local rotation flap. His all wounds healed and went home well.  
 bed-sore-03  
 DIABETIC FOOT ULCER / TROPHIC ULCER / NON HEALING ULCER  
 CASE I----- Patient of diabetes having ulcer foot for 8 yrs. After control of diabetes, and infection, wide excision of margins and floor including removal of dead Bone .Then local instep flap based on planter vessel was done to cover the ulcer.  
  diabetic-foot01 CASE II----- Patient with diabetes for 20 yrs, was on Insulin. Ulcer in feet for 10 yrs. Treated with Instep flap based on Medial planter vessels.  
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  CASE III----- Patient with leprosy. Amputation was planed because of fowl smell from wound. But after control of infection, flap done and foot was salvaged successfully.  
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CASE IV----- Diabetic Ulcer foot. Wide excision and rotation flap.  
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  CASE V----- Patient of diabetes with large injection abscess in gluteal region. Treated with Gluteus maximus myocutaneous flap.
SALGAGE OF SEVERLY CRUSHED LIMBS  
Near total amputation at elbow. Repair of neurovascular structures. Return of function after one year.  
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CASE I----- This young boy forearm got badly crushed in ganna machine. Shortening of bone, fixation of bone vascular graft, nerve repair, abdominal flap, bone grafting, tendon grafting, he attained very good function. He can write and he can button his shirt.
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CASE II----- His had got badly crushed in a machine. Thumb was reconstructed using radial artery fore arm flap, rest of proximal phalynx were covered by groin flap. Then in three stages proximal phalynx were separated. Now this boy can do his entire required job.  
  crushed-limbs03
CASE III----- He sustained near total amputation at arm level by a machine. Crushed mid arm segment was excised and replant was done. He recovered with good function but intrinsic minus hand. He refused surgery for this and he is back to his job and able to do all required functions.  
  crushed-limbs04
REPLANT / MICROVASCULAR SURGERY  
  CASE I—Amputation of thumb in printing machine. Replant done after 16 hrs of cold Ischemia.Patient had venous Congestion. Leech were used for 4 days to reduce venous Ischemia.Patient did well with good movement at IP joint.  
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This young man had amputation of upper limb at mid arm level while working in factory. After 3 hrs of amputation replant surgery was started.
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AFTER SUCESSFUL REPLANT FUNCTIOS RETURN.After one year of replant Good elbow ,wrist flesion and extension,Lateral pinch and flesion power was average with some clawing.Patient did not return for followup and refused for further surgery for clawing
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CASE ---- This young man had bilateral hand amputation .His both hands were chopped off in assault Patient did not return after discharge from hospital
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  CASE —---- Amputation of index at middle phalynx level. Replant after 10 hrs of Ischemia. Repair of Neurovascular structures and tendons done.He did not come for followup.  
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CASE —---- Amputation of four fingers by paper cutting machine. Replant of three fingers done. Repair of digital vessels for each finger done with tendon repair. I do Bone fixation in digit replant using stainless steel wire no 26 by box fixation technique. Fixing bone by K wire causes more damage to tissue and micro movement over repair site of vessels. Replant failure following dressing is largely because of movement over repair site. I lost three digital replant after doing dressing.
 replant-microvascular02  
  CASE —---- Amputation at wrist in a jeep accident. More element of crushing at amputation level.Replant done. Patient achieved good flexion . Waiting for tendon graft for extensors.
 replant-microvascular03  
  CASE —---- While working on wood cutting machine, his wrist joint got amputed with loss of tendons and avulsion of median and ulnar nerves. Replant of joint done. Followed by tendon grafts, sural nerve cable graft for median and ulnar nerve. Patient achieved good protective sensations and average flexion and extension. He is back to job and refused for further surgery.  
 replant-microvascular04  
  CASE —---- This is a boy of 11 yrs of age. His trouser got trapped in fan of generator. His distal half of penis got imputed along with skin of rest of penis. His skin of upper thigh also got avulsed. Dissection of deep dorsal vein with artery and nerve was done. Catheter was passed through amputed penis. First repair of urethra was done followed by repair of c. spongiosum and c. cavernosa.Then artery ,vein and nerve were repaired. Patient underwent skin grafting of shaft of penis and thigh. Patient passed urine successfully with a very fine ventral fistula.
 replant-microvascular05
UPPER LIMB  
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 UPPER LIMB  
 upper-limbs02
UPPER LIMB  
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UPPER LIMB  
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LOWER LIMB RECONSTRUCTION  
 MICROVASCULAR FREE VASTUS LATERALIS MUSCLE TRANSFER  
  lower-limb-reconstruction01
SALVAGE OF BELOW KNEE STUMP  
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lower-limb-reconstruction03
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GENITOURINARY RECONSTRUCTION
PSEUDO HERMAPH PHRODITE
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  Phallus construction / aphalia /penis construction
This is a boy without penis. Investigated and treated by endocrinologist for 5 yrs before penis construction. Then his phallus was constructed using micro vascular free radial artery flap. His sensation was restored by joining lateral cutaneous nerve of forearm to dorsal nerve of penis. His testis are functioning. Two year after surgery penile implant will be inserted and then he can have his normal sexual life.
  phallus-reconstruction
CASE IV
 MICROPHALLUS  
 This young boy had very small penis. He was investigated and treated by endocrinologist before penis construction. Then his phallus was constructed using micro vascular free radial artery flap. His sensation was restored by joining lateral cutaneous nerve of forearm to dorsal nerve of penis. His testis are functioning. Two year after surgery penile implant will be inserted and then he can have his normal sexual life.
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MIRACULUS SURGERY
 CASE I  
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CASE II  
 Wrist joint Replant  
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CASE III  
 Bilateral hand replant  
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Phallus construction / aphalia /penis construction  
This is a boy without penis. Investigated and treated by endocrinologist for 5 yrs before penis construction. Then his phallus was constructed using micro vascular free radial artery flap. His sensation was restored by joining lateral cutaneous nerve of forearm to dorsal nerve of penis. His testis are functioning. Two year after surgery penile implant will be inserted and then he can have his normal sexual life.  
phallus-reconstruction
 
MICROPHALLUS
CASE IV
microphallus
Cosmetic Surgery
LIP
This young boy had bulky lips. His lower lip was trimmed by wedge excision and tightening of orbiculis muscle.
cosm-sur-lip01

cosm-sur-lip02
This patient had bilateral cleft lip and palate. Large defect of vermilion, Anterior palatal fistula, vellopharyngeal incompetence. All defects were treated in one stage. To correct vermilion defect, bilateral vermilion advancement flap was used.
cosm-sur-lip03
This patient had vermillion defect i.e. whistle deformity Post operative pictures shows complete correction. I use vermilion advancement flap to correct defects.
 
NOSE
SUPRA TIP NASAL DEPRESSION ----- Nasal septal cartilage used
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Severe saddle nose deformity. Augmentation using iliac crest bone graft.
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SHORT COLUMELLA
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Absent columella with flaired alae.  
 cosm-sur-nose05  
  Long nasal tip with supra tip depression .  
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Congenital cleft nostril .Correction using Conchal cartilage  
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 SADDLE NOSE  
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This boy had severe cleft lip nasal deformity. Septoplasty, collumelar strut, reconstruction of alae by conchal graft, and nasal tip augmentation with conchal graft done.  
 
LID and PTOSIS  
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Severe Ptosis, with no action of LPS. Frontalis sling using Tensor facia lata.
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Severe ptosis corrected with TFL sling.
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Bilateral severe ptosis, First medial canthoplasty followed by bilateral Facia lata frontalis sling. Result at two weeks.
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Severe ptosis. Silicone band used as sling.
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Moderate ptosis with moderate levator function. Levator muscle resection and its advancement done. Early result.
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Severe ptosis.TFL sling.  
   
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MAXILLOFACIAL
Extensive facial injury
Facial injury in an accident. Repaired in one stage
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Extensive facial injury with lip avulsion
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Extensice maxillofacial injury by sharp weapon
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After Sugery 
 

Fracture Nasal Bone
 Before surgery   After surgery
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Fracture maxilla with Fracture Zygoma
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Before surgery         After surgery

Fracture mandible with fracture maxilla. Plating and arch bar done
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Extensive avulsion of scalp. Immediate skin grafting done
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FACIAL RESURFACING
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Large naevus. Cheek rotation flap with skin grafting over nose
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Large hairy naevus .serial excision done.
After II ed stage excision After IV th stage excision
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FACIAL IMPLANTS
Large frontal defect with ptosis developed after head injury.
Cranio plasty using Methyl meth acrylate.
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 MICROGNATHIA
Augmentation of mandible using Porex implant
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Frontal depression after head injury. Correction using free fat graft.  
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 NIPPLE CONSTRUCTION
Total loss of nipple after burn in childhooh  
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 MALE BREAST—GYNACOMASTIA  
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 VITILIGO  
Stable and resistant to medical treatment hypo pigmented patches are excised and skin grafted.  
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White patch.  
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 ABDOMINOPLASTY WITH LIPOSUCTION ( TUMMY TUCK )  
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