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Friday, May 7, 2021

WHY NOT STITCH (SUTURE) A CUT?

 WHY NOT STITCH (SUTURE) A CUT?

We witness and experience numerous injuries during our lifetime 

but the ones that leave us in a dilemma are the ones that our little 

angles get during their endless sessions of mischief. 

Then the Dharm-Sankat starts, whether to get the CUT stitched or 

NOT.




1.      NOT ALL CUTS NEED STITCHES (SUTURES)

Wounds that are not long, not gaping; not bleeding; not near joints; not on scalp, face, hands and feet can and shall heal without suturing. But the decision should be taken with the Plastic Surgeon’s opinion.


2.      DISSOLVING STITCHES (SUTURES) ALSO LEAVE SCARS

It’s the injury that leaves a scar. When the cuts are in the skin creases and are sutured by an expert the resulting scar is almost invisible. Use of Fine Sutures and their early removal hold more importance than Dissolving vs Removable Sutures.


3.      SCARS IN CHILDREN STRETCH WITH TIME

With the growth of the child the cells in the skin multiply but the scar stretches. It makes it more important to suture the wound so that there is minimal stretching over the years till child is 16 -18 years of age.




4.      STITCHED (SUTURED) CUTS SCAR BETTER THAN GLUE

An invisible scar depends on the accurate approximation of the cut ends of the skin which can best be achieved by Suturing. In selective cases where skin is not gaping; the wound is small and superficial; skin glues too give good results.




5.      AFTER CARE IS MOST IMPORTANT

Treatment does not end with removal of bandages, it Starts from there. Avoiding sun exposure, religiously massaging of the scar and regular follow up with your Plastic Surgeon gets you the best possible results.



Coming up next : THE GOOD, THE BAD, THE UGLY ABOUT SCARS


DR. ASHISH GUPTA

SENIOR CONSULTANT PLASTIC SURGEON

LUDHIANA

+91-977977-1111

DOCASHISH2001@GMAIL.COM

Saturday, April 17, 2021

DOG BITE & THE PLASTIC SURGEON

 DOG BITE DEFORMITY AND THE PLASTIC SURGEON

Newspapers and our Neighborhood gossip are usually ripe with the incidents of mauling of kids by stray or pet dogs. The penetrating and crushing nature of these bites can lead to lifelong deformities. What to do in such an event and how we as Plastic Surgeons can help are often lost in the mayhem that follows.



Q. How are Dog Bites Different?

A. Dogs tend to shake their heads around during an attack. It causes tearing of skin, loss of soft tissue, and crushing damage to the surrounding skin.

 


                        At time of Injury     3 Months after repair

Q. How are Dog Bites more dangerous than normal cuts?

A. The Dog’s mouth is full of bacteria which enter deep in the wound with the teeth and cause damage to vital structures like nerves, tendons, blood vessels leading to deformity as well as BAD SCARRING.

 




Q. What are the common areas of Dog Bite?

A. Most common areas involved are face, lips, ears, nose, neck, hands and legs.

 

Q. What to do Immediately in case of Dog Bite?

1.       Wash the wounds with soap and water for 15 minutes by watch.

2.       Cover the wounds with a clean cloth or Gauze piece.

3.       Apply direct pressure over actively bleeding wounds.

4.       Elevate the part where Dog Bite has happened

5.       Report to the nearest hospital.

 


Q. Should the Dog Bite wounds be left open or Sutured?

A. To prevent infection and for regular monitoring daily dressings have to be done. In case the wounds involve vital areas like Face, Hands or Injury to blood vessels, nerves the wounds have to be surgically cleaned and then repaired.

 

Q. What to do for Scars of Dog Bite?

A. A lot can be done to reduce the scarring:

         Early and proper suturing of the wounds gives Best Results

        Medical Management by silicon gels, coconut oil massage with avoidance of sun exposure

        Microneedling, Microdermabrasion, CO2 Laser Ablation

        Scar Revision Surgery


    Loss of half lip                1 Year after Repair

        domestic Dog bite 


Q. What the complications of Dog Bite?

A. The common complications of Dog Bite are;

a)      Infection

b)      Damage to important structures

c)       Deformity: Functional and Cosmetic




Q. Why go to A Plastic Surgeon?

A. A plastic surgeon is specialty trained to take care of wounds, which means being able to properly debride a wound free of dead tissue and foreign bodies, which would inhibit healing and cause infection. Although an important goal is to reduce deformity from the injury, the primary goal in treating dog bites is to prevent infection and promote good healing functionally and cosmetically.


DR ASHISH GUPTA

Senior Consultant Plastic Surgeon

Ludhiana

9779771111

docashish2001@gmail.com

Insta: docashish2001

Saturday, April 3, 2021

WHY LET OUR HANDS AGE: LETS REJUVENATE

 HAND REJUVENATION: 

NEED OF THE HOUR

With our traditional “Namaste” coming back into vogue and on an International Level, the most unassuming yet invaluable assets have come to the lime light; Our HANDS.


Majority of us take concerted efforts to keep our faces and necks looking youthful but often unknowingly neglect our very visible HANDS. 

The skin on our hands reveals telltale signs of aging just as much as our facial skin.




Q. What are signs of ageing in Hands?

A. Thin Skin, Wrinkles, Age spots, 

     Excessive show of Veins and tendons, 

     Loss of Shine and Tone.

 

Q.  Who should not get it done?

A. People who are Smokers, with Allergies, Bleeding disorders, 

     Women who are Pregnant and Breast feeding and 

      People with Unrealistic goals




 

Q.  What are the procedures to slow/ conceal the ageing process?

A. There are numerous procedures for delaying ageing of hands and each has to be individualized according to the needs of the patient. The procedures are

1.      Microdermabrasion

2.      Dermapen 4 (Microneedling)

3.      Chemical Peels

4.      Fillers and Fat Injections

5.      Lasers: IPL, Fractional CO2

6.      Sclerotherapy or Vein Removal

7.      Surgical excision of excess Skin

 



Q. Are they safe?

A. These procedures are time tested and safe provided they are done by a specialist 

      and at a medical facility.

 

Q. Do I need to get them regularly?

A. Few of these procedures like Microdermabrasion, Dermaapen4, Laser resurfacing                 require multiple sittings. 

The Surgical procedures like fat grafting, skin excision are usually single step procedures.

 


Q. Is Admission required for these procedures?

A. Majority of these procedures are office procedures and with minimal downtime. For details consult your Plastic Surgeon.

 



DR. ASHISH GUPTA

Senior Plastic & Microvascular Surgeon,

Ludhiana

M: 9779771111

Email: docashish2001@yahoo.com

Insta: docashish2001

Tuesday, March 23, 2021

Underarm Bulge: Axillary Breast?

 DO YOU HAVE AN UNDERARM BULGE?


2 TO 6% Women have Accessory Axillary (Underarm) breast tissue which is usually seen as an unsightly bulge.




Reasons why women come for Plastic Surgery Consult:
  1. Inability to wear Proper Clothes
  2. Swelling, Sticky Skin and Discomfort
  3. Cosmetic Concerns
  4. Pain in the Lump
  5. Fear of Malignancy/ Cancer

How does it Develop?

It is a common occurrence in women. This swelling can develop anywhere along the line known as Milk Line and the commonest region is the axilla.






When does it present?

It usually becomes enlarged during Pregnancy and Lactation but can become noticeable during Puberty and during the menstrual cycle.


What are the Treatment Options?
  1. Open Excision
  2. Liposuction
  3. Injection Lipolysis
  4. Axillaplasty


Is there Risk of Developing Cancer in it?

Incidence of developing cancer in Axillary Accessory Breast is very uncommon (0.2% to 0.6%).


What is the Best Treatment for Me?

The treatment has to be individualized. It is recommended that you visit your Plastic Surgeon for the same.


Dr. Ashish Gupta
Senior Consultant Plastic Surgeon
Ludhiana
M: +91-977977-1111
docashish2001@yahoo.com

Tuesday, January 12, 2021

STING OF THE STRING (CHINESE DOR)

 STING OF THE STRING


The festivals of Lohri and Vasant Panchami are synonymous with kite flying in the northern states of India. Lohri is celebrated for numerous reasons one among them is that it falls on the eve of winter solstice, that is the longest night of the winters and as the beginning of a financial new year for the Punjabi farmer. Over time, people have associated Lohri to the tale of Dulla Bhatti. The central character of most Lohri songs, who lived in Punjab during the reign of Emperor Akbar. He was regarded as a hero in Punjab for he rescued Hindu girls being forcibly sold in the slave market of the Middle East. He arranged their marriages to Hindu boys with rituals and provided them with dowries. So every other Lohri song has words to express gratitude to Dulla Bhatti. For Punjabis, this is more than just a festival, it is also an example of a way of life. Lohri celebrates fertility and the spark of life.



Vasant Panchami too is a famous festival that marks the end of the winter season and ushers in the springtime. Goddess Saraswati is the one who gives the essence (sara) of our own self (swa). She is considered the personification of knowledge. Vasant Panchami has a specific meaning, Vasant means Spring, whereas Panchami means the fifth day of the spring. It falls on Panchami - on the Waxing Moon. The color yellow celebrates the brilliance and the vibrancy of life.




The vibrance of these two festivals is witnessed in the sky filled with innumerable shapes and colors of KITES.  The history of kite flying is equally engrossing as is the recreation itself. Kites were used approximately 2,800 years ago in China, where materials ideal for kite building were readily available: silk fabric for sail material; fine, high-tensile-strength silk for flying line; and resilient bamboo for a strong, lightweight framework. The kite was said to be the invention of the famous 5th century BC Chinese philosophers Mozi and Lu Ban. Ancient and medieval Chinese sources list other uses of kites for measuring distances, testing the wind, lifting men, signaling, and communication for military operations. The earliest known Chinese kites were flat (not bowed) and often rectangular.



After its introduction into India, the kite further evolved into the Fighter kite known as the PATANG in India. In India annual kite running competitions are held every year in the month of January. Lohri & Vasant Panchami are the times when the skies are filled with hues of different colors and forms of kites.

The science behind these graceful flybys presented us with a volte face (the darker side) in the form of the glass laced, polyethylene fiber blended with the metal zinc thread; in common verbatim labeled as “The Chinese Dor”. The accurate constituents of the string are still not known. It was January of 2012 that the Indian people had a taste of its true potential; a kite string that would cut all Indian threads that were hand woven called “Manjha” but also have property to stretch without breaking leading to extensive cuts on people caught in its tangles; leading to partial amputations and injuries to the face and neck as populace of Amritsar found out the hard way; Electrocution, an unheard entity, but the metal content would transmit current in the vicinity of high voltage wires or when wet leading to fatalities in the states of Punjab and Jammu in the year 2011.



The newsprints were full of incidences of fatalities resulting from the string that had created ripples in the kite flying ways. The infamous Chinese Dor was then banned in Punjab, Gujrat & Maharashtra; but it still finds favor with the ill-informed and the un-repenting. Even with its fatal outcomes, traders are stock piling it as the demand fuels its sales.

Human nature is to strive for material things that are forbidden and the tragedy is that we find what we are looking for and are left to fend ourselves while facing the consequences of our selfish actions.



The Chinese Dor is not to be blamed in its entirety as it was intended to be used to fly large kites for Kite flying Competitions not the usual “duels” that we witness in our skies during Lohri and Vasant Panchami. The polyethylene fiber used in making the string has a large breaking load and stretches before breaking giving it a unique nature to resist all attempts of the Indian made Dor to break it. The lacing of glass adds the teeth to the Dor.


Accidents happen when we are not careful. A learned decision as to which string (dor) you will buy might make a difference of life and death for you, your family member and/ or for an unknown passerby who was just admiring the view. As a doctor, I would say, “If you have a bleeding wound, give pressure over the part from where it is bleeding and rush to the nearest hospital.” But as a concerned citizen, I would say, “Prevention is better than cure. Make a wise decision and keep the playing field even.”

Have a Happy Lohri and a joyous Vasant Panchami. 

Wednesday, November 25, 2020

INTIMATE SURGERY

 Intimate Surgery
Cosmetic Gynaecology

Holistic Happiness comes when we have no qualms about ourselves, our body image, our self esteem. Yet there are always some delicate subjects too uncomfortable to discuss even with our own mothers or best girlfriends. There is a solution for everything and for any intimate concerns, increasingly popular Intimate Cosmetic Surgery often provides the answer.

 Women turning towards Intimate Surgery before marriage are usually dealing with physiological issues with excess skin over the labia, discoloration as well as ruptured Hymen. Where as post pregnancy and in the late 40's women require rejuvenation via tightening and fat grafting for retaining the youthful look,  appearance and feel of the private parts.





Frequently Asked Questions:

Q1.        What is Intimate Surgery?

Ans:      Intimate Surgery are a set of procedures performed on the female private parts (genitalia) to correct, improve and repair the effects of childbirth, ageing and frequent sexual intercourse. No matter how good you feel in your own body, there are always some delicate subjects too uncomfortable to discuss even with your own mother or best girlfriends. But there is a solution for everything and for any intimate concerns.



Q2.        Who Needs Intimate Surgery?

Ans:      There is a powerful deep connection between the appearance and function of a woman’s genitals and her self-perception, self-esteem, and sense of well-being which is tied to her sexual health and wellness. It is beneficial for women suffering with:

1.      Loose vagina

2.      Excess and dark skin of Labia

3.      Loss of normal fullness and young look

4.      Loss of normal feel and sexual gratification

5.      Embarrassing exposure of labia in Yoga pants, Swimsuits, and Leggings

6.     Dribbling of Urine on exertion, coughing, straining


Q3.        What Procedures are done under Intimate Surgery?

Ans:       Intimate surgery includes:

1.      Hymenoplasty

2.      Labioplasty

3.      Clitoral enlargement

4.      Clitoral piercing

5.      Vaginoplasty and Rejuvination




Q4.        What are the benefits of Intimate Surgery?

Ans:      Intimate surgery helps women to recover their self-confidence and to have a more secure and fulfilled sex life. It is imperative for each woman to feel good about themselves within each moment, including the most intimate moments.

Q5.        Do I need to get admitted for Intimate Surgery?

Ans:      Intimate Surgery is a Day care procedure and the patient is sent home shortly after completion of the procedure.



 Q6.       Can anyone know that I underwent Intimate Surgery?

Ans:      Intimate surgery usually does not leave any scars and it is up to you whether you disclose to your partner about it.

Q6.        What is the Cost for Intimate Surgery?

Ans:      Intimate surgery is unique for every patient according to her requirements and expectations. A detailed discussion and examination is needed to plan out the procedure for you.

No woman should ever simply accept their insecurities. Dissatisfaction with one’s intimate areas may also end up creating intimacy and general confidence problems in relationships. As such, to ensure a fulfilled life, it is imperative for each woman to feel good about themselves within each moment, including the most intimate ones!



DR. ASHISH GUPTA
Senior Consultant Plastic Surgeon,
Ludhiana
+91-9779771111
email: docashish2001@yahoo.com
INSTA: DOCASHISH2001 

Sunday, November 8, 2020

How to Build a First Aid Kit for Minor Burns

Medical First Aid Kit for Burns:



1. Sterile Gauze and Pads: To cover the burns
2. Diluted Savlon with Saline: To Clean the burn
3. Xylocane 2% jelly: For immediate relief of pain
4. Ointments: To prevent infections
5. Vaseline Gauze: To prevent dressing from sticking to burn area
6. Bandages

READY AT HAND THINGS IN KITCHEN AS FIRSTAID IN MINOR BURNS


1. Cool Water: To sooth the skin and stop the burning process
2. Honey: Antiseptic and soothing effect
3. Haldi/ Turmeric: Antiseptic 
4. Atta/ Dry Flour: Hygroscopic prevents blisters and soothing effects 
5. Sterile Plastic Wrap: Prevents infections from dirty environments. Do not put on face burns.

WHAT NOT TO USE IN CASE OF BURNS

1. Ice: It sooths initially but causes more skin damage
2. Egg white: Spreads more bacteria into the wounds
3. Toothpaste: Unsterile and spreads bacteria into the wound
4. Oils: It traps more heat and increases the burns
5. Butter: Also traps heat

FOR YOUR INFORMATION AND NECESSARY ACTION

DR ASHISH GUPTA 
Insta: docashish2001 
9779771111