F.A.Q.s

Reconstructive Plastic Surgery is a branch which helps to rectify abnormalities in parts of the body that are the result of birth defects, trauma, developmental difficulties, infection, cancer, or other diseases. It helps to restore or improve the functioning of the affected body part. Actually it is the specialty of wound healing and we deal with all kinds of non healing wounds, chronic ulcers like diabetic ulcer etc. We do not always use Plastic or foreign materials.

Aesthetic Plastic Surgery or Cosmetic Surgery branch is aimed at enhancing or restoring a person’s physical appearance or beauty, and uses surgical or medical techniques to enhance different areas of the body.
Cosmetic surgery is used to treat any area of the body that needs to be enhanced including face,neck,scalp,hands,arms, breasts, abdomen, thighs, calves,hips, and buttock,etc.

That is not true. Healing of any wound is with scar tissue. But a Plastic Surgeon takes extreme care to get a least visible scar by placing the incision in the natural creases of the body. You must realize that the scars are permanent and it will take three months to one year to mature & look their best.

In addition to Cosmetic surgery, Plastic Surgeons are the best doctors to manage BURNS, Facial injuries and Hand injuries, open fractures of leg & hand,defects after excision of parts having cancer ,Congenital defects like cleft lip, deformities of ear, Hypospadias, fused fingers, Abdominal hernias, skin tumours , chronic wounds & diabetic ulcers in the foot,etc.

Heavy Buttocks & Thighs in female & Excess fat on chest of men are common Cosmetic surgery demands along with demands for Nose Reshaping & Scar revisions.
Pendulous abdomen and big breasts are also very common . They are usually seen after multiple pregnancies. Many women suffer from the hanging pounds of flesh and there after effects like difficulty in walking, knee and heel pain. Some women have neck and back pain due to heavy breasts. Hence surgeries for pendulous abdomen and big breasts are really surgeries related to functional restoration rather than Cosmetic.

Sagging is a natural process of aging. Jowls and sagging can be corrected by FACE LIFT procedure. It is major surgical procedure. Many forms of facial rejuvenation methods are practiced. Featherlift with Aptos threads, fillers and face peels are office procedures which give considerable improvement in selected patients.

Yes. By a simple surgery the excess fat can be removed or repositioned to give a better look. Trans conjunctival approach gives a scarless result.

Lot of new methods have been developed for wrinkles. Botox injection is the most popular non surgical method of tackling the wrinkles of forehead which gives a tired or “always anxious” look.
There are many fillers either synthetic, natural, temporary or permananent ones are in the market. Ones own fat is the best filler to smoothen out deep wrinkles. Autologous fat is also used to give a youthful appearance to the hand.
Semi permanent fillers are better than permanent filler where a very minor imperfection will show up for a life time. Acid peels are another good method in fair skin for facial rejuvenation.

Nose Reshaping or Rhinoplasty can be done after sixteen years of age. The most common age for people to undergo nose surgery is in their young adult years between the ages of 20 and 40. The range of patients, however, extends from 15 to 75 years old! Improving a person’s profile can dramatically enhance their overall appearance, and often Rhinoplasty is combined with a cosmetic procedure on the chin or facial rejuvenation surgery to balance and enhance the appearance of the face.

Lip Augmentation can be either temporarily or permanently. For permanent enhancement, I use either a dermal graft or a patient’s own fat. Restylane, Juvederm are few types of fillers commonly used for temporary lip enlargement.

Liposuction is one of the good option for removing localized fat deposits beneath the skin in a healthy person.Liposuction can reduce such resistant fat deposits from desired body part & gives better body contour.
Liposuction removes unwanted deposits of fat from beneath the skin by an extremely small unnoticeable incision. But really,it is not a method of weight reduction.

Body sculpting is ideal for men and women who have excess body fat that does not respond to diet and exercise. Ideal candidates should be in good health with normal body weight, and have realistic expectations about the results. A consultation with Dr.Bembde can help you determine whether you can undergo the surgery and the results that you can expect.

Many women gain weight on their hips and thighs during their tennage years. Often this is of a genetic predisposition. The main contributors to later fat deposition, however, are hormonal changes in a woman, such as pregnancies, menopause or hormone replacement therapy. We encourage patients to have a healthy diet and regular exercise, but this is not sufficient for many patients.
Treatment option include liposculpture either with a Liposuction alone or sometimes combined with other surgical procedures such as a tummy tuck, or a thigh lift.

The incisions made for liposuction are small and well-concealed in inconspicuous areas like the natural creases of the skin, resulting in unnoticeable scarring.

The recovery after liposuction takes about one week.

Patients can expect a recovery time of about one week after liposuction. There may be some bruising, swelling, and numbness, though many of the newer techniques, are associated with decreased bruising and swelling. Patients are often required to wear a special compression garment similar to a girdle for 6-8 weeks after the procedure.

Patients are usually able to return to work one week after liposuction.

Patients will need to postpone strenuous activities and exercise for about four weeks after liposuction.

The potential risks or complications associated with liposuction may include bleeding, infection, scarring, blood clots, and fat embolism.

The final outcome will vary from person to person. You can expect to see the initial results within two weeks and the final results with optimal skin tightening effects, within six months.

It is not uncommon for plastic surgeons to carry out multiple procedures in a single surgery session. However, before you consider this option, you should weigh the pros and cons because there are chances of complications arising when multiple procedures are performed at the same time.

– A lot of normal weight people and people with few extra kilos are completely out of shape. Even a slim woman with narrow waist can have heavy thighs or fit man can have female like breasts. These people may try the best with diet and exercise but get no result. Liposuction is the only answer for such problems even in such healthy people.

No! Liposuction does not affect body’s metabolism. If one maintains healthy lifestyle results can be long lasting.

Not always.Natural weight loss methods can not help in certain situations and liposuction or plastic surgery may be the best option in some cases.
Chubby cheeks may remain after weight loss. After pregnancies is hard to get abdomen and breast in shape without plastic surgery. Large female and male breasts do not respond significantly to weight loss. People mistakenly try too hard with diet to get above problems in control ,but end up becoming too thin or unhealthy.

Abdominoplasty, or a tummy tuck, is a plastic surgery procedure which removes excess skin and fat of the abdomen in order to restore a more youthful shape. During the procedure, c-section scars can be removed, the groin area reshaped, and the anterior abdomen wall muscles tightened. There are a variety of techniques for abdominoplasty including the full tummy tuck, the mini tummy tuck, and a combination of procedures along with liposuction.

Men and women who are in good health and interested in improving the appearance of excess skin and fat of the abdomen may be good candidates for abdominoplasty. Abdominoplasty can be particularly helpful in restoring a woman’s abdomen after pregnancy.

For Abdominoplasty, using epidural anesthesia,a lower transverse incision located just above the pubic area between the hipbones. Once the incision is made, excess skin and fat are removed and the muscles are tightened.

The surgery for abdominoplasty is about two to three hours long.

Patients will have a fine scar after abdominoplasty which is usually located just above the pubic area between the hipbones.The scar fades over a period of time.Also it is not noticeable due to our clothing.

The recovery after abdominoplasty takes one to two weeks.

The body lift is a plastic surgery procedure which removes excess skin and fat from the abdomen, backside, and hips, restoring a beautiful shape to the body.

Men and women who are in good health and are looking to improve the appearance of excess skin and fat in the middle section of the body may be good candidates or a body lift. The procedure is ideal for patients who are left with excess skin and fatty tissue following massive weight loss.

During the consultation for a body lift, Dr. Bembde will go over your complete medical history, take the time to understand your goals, and answer all of your questions. You will see pre-op and post-op photos of previous body lift patients. Dr. Bembde will discuss reasonable and expected outcomes, and explain the details of the procedure including the technique, the recovery, the risks, the costs, and financing options.

For the body lift, a circumferential incision is made around the lower abdomen and above the buttocks. Once the incision is made, excess skin and fat are removed from the abdomen, lower back, and hips.

The surgery for a body lift is about four to six hours long.

Patients will have a scar after the body lift which is located around the lower abdomen and above the buttocks.

Patients may experience some discomfort after the body lift procedure, though medication can help to manage this.

Patients can expect a recovery time of about two weeks after the body lift. A compression garment is advised during this period.

Patients will need to postpone strenuous activities and exercise for about four to six weeks after the body lift.

The potential risks or complications associated with the body lift may include bleeding, infection, scarring, and delayed wound healing.

The back lift is a surgical procedure in which excess skin and fat are removed from the back to create a slimmer, more defined back contour. The back lift may be performed as a lower back lift which also lifts the buttocks and slims the waist, or it may be performed as an upper back lift which also addresses the area around the bra line.

The incision for the upper back lift is made within the confines of the back portion of the bra which is worn during the marking phase, while the incision for the lower back lift is made on the back above the buttocks.

The incisions made during the back lift will leave scars, however they can generally be concealed by a bra for the upper back lift or underwear for the lower back lift.

Initial recovery following the back lift takes about seven to ten days, after which time most patients can return to work. Full recovery, including return to exercise and strenuous activities, takes about six weeks.

A Brachioplasty, or Arm Lift, is a surgical procedure designed to dramatically improve the appearance of the upper arm by removing loose or lax skin and tissue. The upper arm is sculpted to an aesthetically pleasing look, correcting arm shape in a manner that cannot be achieved through exercise alone. Liposuction can be performed in addition to Brachioplasty, to further enhance the arm’s appearance.

A patient in good health and who has realistic surgical expectations will make an excellent candidate for an Arm Lift.

To perform your Arm Lift, Dr. Bembde will first make an incision on the inner side of the upper arm, between the elbow and the axilla (armpit area). The extent of the incisions may vary according each patient’s individual needs. After the incision is made, Liposuction (if included) will be used to remove excess fat deposits from the arm. The unneeded, unsightly extra skin will be excised, and then the remaining tissue will be tightened and sutured.

Yes, there is a scar from a Brachioplasty procedure. While this will fade over time, the scar can be noticeable.

Local anesthesia with IV sedation or general anesthesia.

An Arm Lift surgery will take between 1-2 hours.

The recovery from an Arm Lift will take about a week.

After your Brachioplasty, you will be able to return to work in about 3-7 days.

After your Arm Lift, light exercise can be resumed after 2 weeks.

After your Brachioplasty, you will be able to immediately notice an improvement in the contour of your upper arm. The final results from your Arm Lift will take up to six months to appear, once all swelling diminishes and the scars heal.

Liposuction is not an alternative to Brachioplasty if you are dealing with loose, droopy skin on the upper arm. Liposuction can remove localized fat deposits, but will not address lax tissue.

Definetely. Small hanging breasts make a woman depressed and withdrawn. She loses herself confidence. Various sizes of breasts and are available. By a simple surgical procedure breast can be made bigger and the sagging can be corrected.

Generally breast augmentation is demanded for asymmetrical breasts, sagging or dropping down breasts as a result of age and pregnancy while others are just not comfortable with the size, shape or feel of their breasts. Some women need breast reconstruction after mastectomies, injuries or other related reasons. dr.Bembde can help you determine whether or not you are a good candidate.

Usually, the implants are placed in one of three locations, behind the breast gland,behind the fascia bet health the gland or behind the pectoral muscles.Implants agument the size of breasts.

The inframammary incision involves an incision below the infra-mammary fold. It allows for direct dissection of the breast tissues. Many surgeons prefer this method when placing silicone gel implants.
Periareolar technique involves an incision around the borders of the areola. This technique makes it hard to do silicone gel implants. However, it does produce fewer scars. It can also be coupled with a breast lift.
Transaxillary, involves an incision in the armpits. From that incision, the implants can be fed into the breast area.
Transumbilical breast augmentation, or TUBA, involves a minor incision in the belly button.

In the weeks before the surgery, the patient must undergo a Breast Augmentation Consultation that includes a baseline Mammography. Patients must stop taking aspirin or other blood thinners.

After the surgery, the patient needs rest for 48 hours.After a few months, the incisions improve in appearance.
Initially patient should wear loose clothing that does not rub or put pressure over the operated area. Later on patients are advised a sport bra.

There are two types of breast implants – saline implants and silicone gel implants. Both are comprised of a silicone shell. Saline implants are filled with saline, a salt water solution. Silicone implants are filled with silicone gel.

During the consultation for breast augmentation, Dr. Bembde will ask your complete medical history, will understand your goals, and answer all of your questions. You will see pre-op and post-op photos of previous breast augmentation patients. Dr. Bembde will discuss reasonable and expected outcomes, and explain the details of the procedure including the technique, the recovery, the risks & the costs.

Breast augmentation is performed with general anesthesia.

The surgery for breast augmentation is about one hour.

Patients are recovered in several days to one week after breast augmentation.

Patients are often able to return to work within a few days after the breast augmentation procedure.

Patients will need to postpone strenuous activities and exercise for about four to six weeks after the breast augmentation surgery.

The potential risks or complications associated with breast augmentation may include bleeding, infection, hematoma, loss of nipple sensation, capsular contracture, asymmetry, and malposition.

Mastopexy or breast lift, is a plastic surgery which lifts the breasts, improving sagging and a decreased breast volume that may have occurred from age, gravity, or pregnancy. Mastopexy may be combined with breast augmentation for patients seeking additional volume and upper pole fullness.

Women who are in good health and looking to improve a loss of shape of the breast and nipple malposition may be good candidates for the breast lift. Patients seeking additional volume and upper pole fullness may be candidates for a combined breast lift and breast augmentation.

During the consultation for mastopexy, Dr. Bembde will take complete medical history, will understand your goals, and answer all of your questions. You will see pre-op and post-op photos of previous breast lift patients.Dr. Bembde will discuss reasonable and expected outcomes, and explain the details of the procedure including the technique, the recovery, the risks, the costs, and financing options.

The breast lift is performed with general anesthesia.

The breast lift involves a periareolar and inverted T incision which circles the areola, extends in a vertical line below the nipple, and runs horizontally along the crease beneath the breast. Excess skin and tissue are then removed and the nipple and areola are lifted to a higher position.

The surgery for the breast lift is about two to three hours long.

The incision made for mastopexy does result in a scar. It is located around the areola, runs vertically below the nipple, and ends in a horizontal line in the crease beneath the breast.

Patients can expect a recovery time of about seven to ten days after the breast lift procedure. Swelling, bruising, and numbness may occur. A soft support bra may need to be worn for several weeks after surgery.

Patients are often able to return to work within a few days after the breast lift procedure.

Patients will need to postpone strenuous activities and exercise for about four to six weeks after the breast lift.

Breast reduction or Reduction Mammoplasty is a surgical procedure which reduces the size of large breasts and lifts them to a higher position on the chest. The procedure improves the sagging and heaviness associated with large breasts and also provides relief from neck, back, and shoulder strain.

Healthy women with large, sagging, heavy, or pendulous breasts may be good candidates for breast reduction.

During the consultation for breast reduction, Dr. Bembde will go over your complete medical history, take the time to understand your goals, and answer all of your questions. You will see pre-op and post-op photos of previously operated patients.

Breast reduction is performed with general anesthesia.

For breast reduction, a periareola and inverted T incision is made. This is located around the areola and extends in a vertical line below the nipple and horizontally along the crease below the breast. After the incision is made, excess glandular tissue, fatty tissue, and skin are removed and liposuction may be used in the armpit area for better breast contour.

The surgery for breast reduction is about three hours long.

Patients will have a scar after breast reduction surgery which is located around the areola and extending in a vertical line below the nipple and horizontally in the crease beneath the breast.

The recovery after breast reduction takes about seven to ten days.

Patients are often able to return to work within a few days after breast reduction surgery.

Patients will need to postpone strenuous activities and exercise for four to six weeks.

The potential risks or complications associated with breast reduction may include bleeding, infection, hematoma, loss of nipple sensation, delayed wound healing, and loss of nipple.

We have a special Plastic technique for ear lobe repair (Auroplasty). It should not be done in Beauty Parlors & Spas.

Local Anesthesia.

About 30 minutes for one side ear & 50 minutes for both sides ear lobe repair.

There will be a very small linear scar which will fade as time goes & hence not easily noticeable.

It is not a painful procedure.

Patient can join duties after the surgery on same day.

Bat ears or very prominenant ears usually cause parents concern when their child is attending pre-school or kindergarten. Because the ear is near adult size by the age of six, it is safe to consider surgery at this age. Protuberant ears can attract unkind comments from peers in early childhood and such comments may prompt parents to seek advice from a plastic surgeon.

Any physically fit male who has significantly large breasts, enough to embarrass him is a candidate for surgical correction. Male breasts could be mild, moderateor servere. Mild breasts usually have a glandular structure under the skin, made up of fat and fibrous tissue. There is usually no excess of skin. In Moderate breasts, along with the gland, there is some excess of skin, which can contract after the gland is removed. In servere gynaecomastia, the excess skin may have to be removed as well.

It is possible to remove the gland and excess skin, leaving an almost normal looking chest. The scars are not visible if only liposuction is used. In other techniques, the scar is barely visible. This procedure is likely to give a boost of confidence to your personality. A feeling of normalcy will improve the quality of your life. It’s not likely to change your life or the way people treat you. It might possibly improve your confidence and self-esteem when you start seeing a better-you in the mirror. Where do I begin? A consultation with your Aesthetic Plastic surgeon at Aesthetics is the first step to learn how gynaecomastia surgery can improve the appearance of your chest. This consultation will fully educate you in a non-pressured environment and will include a discussion of your goals, options available for Gynaecomastia correction, likely outcomes, potential risks and complications.

Usually the procedure would be done under general anesthetic for improved comfort, yet it is possible to do it under local anesthetic as well.

If the breasts are fatty, it is possible to get rid of the breast gland by liposuction alone. This way, apart from a few access ports of less than half a centimeter in size, no other marks are left. It is possible to remove all the fat and leave an even chest. The excess skin contracts in the next six weeks. If the breasts are more fibrous and nodular or if a small nodule is left behind after liposuction, then through a small infra-areolar incision, the residual nodule is removed.

There might be bruising and swelling after surgery that should subside in 3-6 weeks. You will have a soft and comfortable dressing around chest for firm support. You will also have a tube draining accumulated fluids from each side, if excision is done. The dressing and tubes will be removed simultaneously once the drainage stops. Wounds normally heal in 7 days to 2 weeks. Dr. Bembde and the assisting staff will fully attend to your comfort and safety. You will be advised to wear a compression garment for six weeks after surgery. This will allow all the empty spaces to collapse, allow the skin to contact and retract. The skin will also stick to the chest wall muscles.

Although there are very few risks associated with this procedure, a possible general risk includes bleeding and collection of blood under the skin (hematoma). Bleeding is rare but may have to be stopped. Any surgery carries risks associated with anesthesia. There are very few risks if the procedure is done under local anesthesia. These risks will be fully discussed with you prior to your consent for surgery. General risks like delayed wound healing and infections are common to many other operations and can be treated satisfactorily. Specific risks, which are likely to happen after open or excision technique are saucer deformity, inversion or retraction of nipple. Your consultant at Aesthetics will discuss the possibilities of this and ways to avoid them.

Incisions usually heal in 7 to 10 days. Stitches are removed around this time. You will be able to return to work and light normal activity in a week’s time. You will then be asked to use a moisturizer and massage the skin of your chest. Healing will continue for several weeks. The compression garment would have to be worn for six weeks. You can start light aerobic lower body exercises by two weeks. Proper weight training can be started in six weeks.

Your final result will be visible almost instantly; however, the swelling and bruising will still make the skin look puffy. Most of the swelling resolves by three months.

It is essentially suction of lipid or fat below the skin through small incisions and using a cannula and a suction device. These techniques may be used to reduce localised fat deposits of the cheeks, chin, neck, upper arms, breast and chest area, back, abdomen and waist, hips and buttocks, thighs, inner calves and ankles. Liposuction can be perfomed alone or in combination with other aesthetic surgery procedures such as facelift, breast reduction or tummy tuck.

Liposuction is not a treatment for obesity or a substitute for proper diet and exercise. It is not an effective treatment for cellulite. Liposuctions can however permanently reshape body contours where excess fat deposits create areas that are disproportionately large in an otherwise balanced figure.

Adults of any age within 30% of their ideal weight and with firm elastic skin and good muscle tone. Good candidates are healthy individuals without life threatening illness or medical conditions that impair healing; non-smokers and individuals with positive outlook and specific goals in mind for body contouring. Special considerations may be given to those with high blood pressure, diabetes, heart disease and previous surgery to the treatment areas.

A consultation with your Aesthetic surgeon is the first step to learn how liposuction can improve body contours. It should fully educate you about liposuction, yours goals and evalution of your individual case, the options available in surgical liposuction, the likely outcomes of liposuction, risks and potential complications. Your should honestly share your expeetation; fully didclose your health history, current medications, allergies and the use of drugs and smoking.

• Blood & other investigations for fitnessPre-op anesthetic assessment
• Booking the surgery
• My need endocrinologist advice
• Dietician-your customized diet
• Physiotherapist-exercise programme.

Liposuction can be performed under local anesthesia or a general anesthesia. A saline, anaesthetic and adrenaline mixture is infiltrated first to assuist the liposuction and reduce the bleeding. Small skin incisions are made for insertion of liposuction cannulas. Either a syringe suction device or machine suction is used to evacuate the fat. Only the fat underneath the skin can be removed in this way. Some of the fat removed can also used for fat grafting in depressed areas. Once the required amount of fat is removed, the incision sites are closed with single stitches.

You will be asked to wear a tight compression garment continuously for 6-8 weeks. Thishelps the skin to adhere to underlying structures and the skin to retract. Temporary drains to remove excess fluid may be removed. Dressing and stiches will removed 7 days after surgery. Once the wounds have healed, you will be encouraged to have the suctioned area massaged. This helps to reduce the post operative welling quickly.

Liposuction is a relatively safe procedure in well trained hands. Possible risks include uneven contours, rippling, loose skin, skin or nerve damage, irregular pigmentation, infection, and blood clots. All surgery carries risks associated with anaestheisa.

Initial healing will include swelling, numbness, soreness, brusing and iscomfort. These are common conditions. A combination of paracetamol and Ibuprofen can take care of most of the discomfort. In general, a return to light normal activity is possible as soon as you feel ready and is encouraged to prevent blood clots and other complications. Most patients can return to light work in 2 days. There will be considerable brusing initially after surgery and wound need at least 2-3 weeks to reduce. There will also be post operative swelling called edema, which may take several months to go. As it does your new contours and enhanced self-image should continue to develop.

Successful liposuction is measured in inches rather than in pounds. As we do not form new fat cells after puberty, once the fat cells are removed they are gone forever. The fulfillment you feel from the initial results of liposuctionshould continue so long as you maintain your weight and practice a healthy lifestyle that includes eating well and regularphysical activity.