TIME TO TURN YOUR BACK

 

Time To Turn Your Back,        

                                To Make Necks Turn……

Summer is the time when people practice the idiom to the core, 

“You Got It, You Flaunt It.”

Numerous times little to big flaws keep us from baring our backs for the morning dip at the beach, a Merlot dress for the high tea event, or a Sabyasachai Saree at a Friend’s Wedding.

 

People do ask us for these and we made a list:

1. Discolouration/ Dark Pigmentation
2. Pimples/ Acne on the back
3. Hair
4. Stretch Marks
5. Wrinkles
6. Moles and Nevi
7. Folds and Grooves (Excess Fat)
8. Skin tags and small swellings

 

Its mentioned in the textbooks: 

Plastic Surgery is a Problem Solving Specialty.

So we present to you the various solution to the above mentioned problems. 

But the treatment has to be individualized. One size doesn’t fit all……..

Discolouration/ Dark Pigmentation:

              Creams (Cetaphil)

              Microdermabrasion (Diamond polish)

              Peels (Chemical)

              Microneedling (Dermapen 4)

 

Pimples/ Acne on the back:

              Benzoyl Peroxide Body Wash

              Gentle  Cleaning of the Skin (No scrubbing)

              Avoiding backpacks, Oily skin care products

              Avoid Sun Exposure

 

Hair:

              Laser hair Reduction

 

Stretch Marks

              Microneedling (Dermapen 4)

              Excision (Surgical)

 

Wrinkles

              Microneedling (Dermapen 4)

              Excision (Surgical)

 

Moles and Nevi

              Micronutrients (Dietary supplements)

              CO2 Laser Ablation

              Excision (Surgical for big moles)

 

Folds and Grooves (Excess Fat)

              Liposuction

              Back Lift Surgery

 

Skin tags and small swellings

              CO2 Laser Removal

              Excision (Surgical)

 

WE GOT YOUR BACK.

 

DR ASHISH GUPTA

SENIOR PLASTIC SURGEON

LUDHIANA

+91-9779771111

Plastic Surgery Suturing Vs Suturing

 

Plastic Surgery Suturing Vs Suturing

What we use and why:

FINE SUTURES:                            To prevent train track scars

MULTILAYERED CLOSURE:       To prevent stretching of scar as it takes the tension                                                                                     off the skin sutures

EARLY REMOVAL:    To prevent suture marks to become permanent.

                                                        Normal duration in which we take off the stitches is 5-7 days.

ZERO TENSION CLOSURE:        Leads to early healing

                                                                                 "As they say, Stress is Bad"

AFTER CARE:                                 Massage, avoiding sun exposure, Regular Follow up

ORIENTATION OF SCARS IN SKIN LINES:    To camouflage in plain sight

QUALITY OF SCAR:              All this leads to a  better quality scar which is nay visible J

DR. ASHISH GUPTA

SENIOR PLASTIC SURGEON, LUDHIANA

A Simple Take on Plastic Surgery

https://fb.watch/93io-S7Y4Y/

ANECDOTAL FIRST AID IN BURNS: LOG KEHTE HAIN (लोग कहते हैं)……

 ANECDOTAL FIRST AID IN BURNS: 

LOG KEHTE HAIN (लोग कहते हैं)……

Winters, Diwali and Farm Fires all have one thing in common; Men, Women & Children reporting to Clinics and Hospitals with Burns. And the common denominator amongst them all is the statement, “Log Kehte Hain, Eise Jaldi Aaram Milta Hai”.

Lets Take a look at the last 11 years of what 7 most common things people have applied and come to the Plastic Surgeon as First Aid in Burns and their logic behind it apart from Log Kehte Hain.

1.      Toothpaste: Commonest ointment to be applied

a.      Advantages: Ready at Hand in every home

b.      Disadvantages:

                                                              i.      Increases Pain,

                                                            ii.      Increases chances of infection,

                                                          iii.      Painful to take off from burnt area,

                                                           iv.      Seals in heat underneath your skin layers, causing more damage in the long run,

                                                             v.      Baking Soda in tooth paste delays healing.

c.       Cosmic Tip: Teeth Don’t get Burnt

2.      Mehndi/ Henna: Almost all Indian households have a packet lying somewhere

a.      Advantages: Antiseptic, Soothing effect

b.      Disadvantages:

                                                              i.      It Itself Causes Chemical Burns,

                                                            ii.      Better for wounds and fungal infections than burns,

                                                          iii.      Crusting and difficult to remove once dry

c.       Cosmic Tip: Looks Beautiful on Hands

3.      Halwaii Ki Dawai

a.      Advantages: Log Kehte Hain

b.      Disadvantages:

                                                              i.      Infections,

                                                            ii.      Delay in healing,

                                                          iii.      In one child we had to amputate 2 toes because of the infection

c.       Cosmic Tip: Halwaii’s creations should be Ingested not Applied

4.      Rattanjot: A Powerful Ayurvedic Herb

a.      Advantages:

                                                              i.      Cooling effect,

                                                            ii.      Antiseptic properties

b.      Disadvantages:

                                                              i.      Causes of extension of surface and depth of burn wounds in acute stage,

                                                            ii.      Black tattooing of the skin if not removed in  time

c.       Cosmic Tip: Not First Aid, it’s the Last Aid (Better with oils and for burn scars)

5.      Babaji Ka Lep: Wrapped in a specific kind of cloth

a.      Advantages: Trust Heals

b.      Disadvantages:

                                                              i.      Infections,

                                                            ii.      Extension of burns, Sepsis, Prolonged healing  

c.       Cosmic Tip: India Runs on faith, Do You?

6.      Egg White

a.      Advantages: Soothing efect

b.      Disadvantages: Causes Salmonella Infection

c.       Cosmic Tip: Its healthier when you eat it.

7.      Leaves

a.      Advantages: Covers the wounds

b.      Disadvantages:

                                                              i.      Infections,

                                                            ii.      Local Allergies

                                                          iii.      Extension of burn wounds,

c.       Cosmic Tip: Even Mud Has Healing Powers………

One Often Feels at a Loss as to if none of the above should be done,

Then what should actually be done.

You may refer to https://drashishgupta.blogspot.com/2020/11/how-to-build-first-aid-kit-for-minor.html for  what all things in the house you may actually use as First aid in Minor Burns.

Help is Always at Hand.

DR. ASHISH GUPTA

Senior Consultant Plastic Surgeon

Ludhiana 

+91-9779771111

1.    

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