BREAST RECONSTRUCTION: A LIFE SALVAGE PROCEDURE

 

BREAST RECONSTRUCTION: A LIFE

 SALVAGE PROCEDURE

POST BREAST CANCER RECONSTRUCTION

Body image is akin to self esteem for the woman of Today. Diagnosis of breast cancer once considered a death sentence has now transformed into a nearly curable disease with surgery, neo adjuvant chemo- radio therapy, hormonal treatment and prophylactic mastectomies.

Once all is done and the disease is gone, the lady standing infront of the mirror is left with a choice: To Behave Normal or To Become Normal. 

Acting to be normal after the psychological and surgical trauma of the disease takes its toll over time.

Today’s woman chooses to Become Normal and Plastic Surgery aids in achieving her Goal to Become Normal. The choices are numerous and the lady chooses with the surgical team what she desires. 

Immediate reconstruction of the breast as soon as the mastectomy is performed or delayed formation of the breast mould once all the treatment modalities have resulted in remission.

NUMEROUS OPTIONS FOR COMPLETE RECONSTRUCTION OF BREAST

We can recreate what is lost to disease with tissues that our own like Lat- dorsi Flap, TRAM Flap, Free Flaps from the abdomen and thighs or institute the help of silicone implants and/ or expanders.

AUTOLOGUS FLAPS AND MORE

The answer to your doubts is in discussion and the best decision shall ensue.

DR ASHISH GUPTA

SENIOR PLASTIC SURGEON

LUDHIANA

+91-9779771111

DOCASHISH2001@YAHOO.COM

 

Surgical Wound Cleaning

"It is never too late" hold true only for first 24 hours of injury to the Face.

Early dermabrasion of the facial abrasions and surgical cleaning results minimal visible scarring and no traumatic tattooing.

Results after 3 months of appropriate surgical cleaning of the abrasions received on 2 wheeler accidents.

Dr Ashish Gupta

Senior Consultant Plastic surgeon 

Ludhiana

Email: docashish2001@gmail.com 

Mobile: 9779771111

RUBBER BAND: FUN TO CATASTROPHY

 

RUBBER BAND (DHAGA) SYNDROME

https://rdcu.be/cFwDk

Children have a tendency to try on anything and everything and one

such object is a colourful and innocently docile looking RUBBER 

BAND. 

In children less than 4 years old it has been seen to cause 

Catastrophic damage as it burrows through the skin, cutting across 

the nerves and tendons causing loss of function of the hand. 

Unfortunately the child cannot give a reliable history and in this 

growing phase the skin grows over it leaving behind a circular scar 

which may pour out pus at various intervals. 

Total of 15 cases are reported in literature and we have been able to

restore function in two such children.

Warning Signs:

1.      Circular scar across the wrist of the child.

2.      Child keeps complaining of pain in hand.

3.      Child stops using one hand and does not allow anyone to touch it.

4.      Frequent ulcers or pus discharge from the scar around the wrist.

5.      Paralysis of the hand.

Treatment:

1.      High degree of suspicion is needed for making a diagnosis of Rubber band Syndrome.

2.      MRI is Gold Standard Investigation of Choice.

3.      Surgical Exploration and removal of the Rubber band.

4.      Exploration and repair of the Nerves to prevent residual neurological deficit.

DR. ASHISH GUPTA

SENIOR CONSULTANT PLASTIC SURGEON

LUDHIANA

+91-977977-1111

DOCASHISH2001@GMAIL.COM

WHAT SAY MY LIPS

" WHERE LIPS ARE SILENT, 
   HEART HAS A THOUSAND TONGUES"

   RUMI

    After eyes, lips are the second most impressionable part of the human body which is geometrically designed to perfection. As soon as one is born, the cry of  the baby brings a sigh of relief to the mothers' lips, excitement on the fathers', exhilaration on the grandparents lips. 

    Through the decades these beautiful assets are fraught with vexations (problems)

1. First decade/ New Born: Cleft lip deformity

1. Childhood: Prone to Injuries, Falls and Scars

1. Second decade: Adolescents: Contagious infections like Herpes simplex are common

    Medicines and Ointments play a role with precautions that these    don't recur.

1. Third decade/ Young age: As the body image undergoes transformation lips may feel too thin, too thick, too fat.

Lower Lip Reduction surgery with scar revision chin

1. Fourth decade/ Middle Age: With Smoking and chronic abuse of cosmetics dark color starts to seep in, and the lips start to loose their pink sheen.

Microblading for rejuvenation of lips is an OPD procedure with minimal down time. 

1. Fifth Decade and beyond: The wrinkles around the eyes and neck seem to migrate to over the lips.....

Short of Surgical lift of upper lips, Dermapen 4 therapy is effective in early wrinkling of the lips

To maintain what is Beautiful and to Preserve their Aesthetic Grace; Plastic Surgery is one such specialty that has answers to all the above and many more.....

DR. ASHISH GUPTA

Senior Consultant Plastic Surgeon

Ludhiana 

+91-977977-1111

docashish2001@gmail.com

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

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

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