Body Procedures

An area of the body not easily enlarged, shaped by weight training or diet is the buttocks region. Individuals that wish to enlarge, lift, and shape the buttock mounds, have a variety of different size and shape of buttock implants from which to choose.

With the patient asleep (general anaesthesia) a 2-3 inch incision is made between the buttocks in the midline. Through this incision the buttock muscle (gluteus maximus) is lifted up and a pocket is made just large enough for the implant. The implant is inserted into its pocket. The opposite side is then completed. Both sides are carefully examined in order to assure that the results look natural and symmetrical. Dissolvable stitches are placed in the skin incision. A bandage is placed that provides compression to the buttocks which in turn helps reduce discomfort and swelling. The patient can leave the hospital within an hour or so after the procedure.

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Patients with obesity are at a very high risk of developing massive health problems. But with a strict diet or surgery, you can lose a significant amount of weight. Unfortunately, the loss of excess weight can lead to issues such as a delicate appearance, difficulty with movements and irritation.

However, significant weight loss due to body contouring can lead to an improved quality of life. Body contouring refers to the surgical removal of excess skin after massive weight loss. There are different procedures for different affected areas.

Some of the body contouring procedures include:

• Arm lift
• Breast lift
• Facelift
• Lower body lifts
• Medial thigh lift
• Tummy tuck

The male breast reduction procedure reduces abnormally-enlarged, female-like breasts in men through the procedure of liposuction and/or cutting out excess glandular tissue.

An incision is made in the areola, the dark area surrounding the nipple, or in the armpit. Fat and glandular tissues are removed to create a chest that is flatter and firmer, contributing to a more masculine contour. Liposuction may be performed in conjunction with male breast reduction.

The procedure lasts for over an hour and the patient can return to work in about 3 to 7 days. However, swelling and bruising may last for about 3 to 6 weeks. Strenuous get ativan no prescription activity should be avoided for at least 2 to 3 weeks post-surgery.

RISKS, COMPLICATIONS & SIDE EFFECTS

Risks include infection, fluid accumulations, injury to the skin, rippling or bagginess of the skin, and asymmetry. These are extremely rare.

An effective surgical procedure to remove fatty deposits from areas where fat is unable to be shifted by exercise or diet. Your reason for choosing liposuction may be as simple as just wanting to look better in your clothes or want to look and feel better.

Liposuction is helpful when you have areas that fail to improve or excess fat. These are most frequently the outer thighs and hips for women and love handles and the tummy for men. You may be a good candidate for liposuction if you have localized excess fat or desire contouring in any of the following areas:
1. Cheeks, jowls and neck
2. Upper arms
3. Breast or chest areas back
4. Abdomen and waist
5. Hips and buttocks
6. Inner and outer thigh
7. Inner knee
8. Calves and ankles

Age is not the limiting factor for liposuction provided you are in good health. If your skin is stretched and loose from pregnancy or weight loss, then liposuction may not help. In these situations, it is more effective to remove the extra skin, itself. This is especially true in the arms, tummy, inner thighs and buttocks. Dr. Viral Desai can explain the best procedure to improve your appearance at your consultation.

LIPOSUCTION TECHNIQUE
We use the ‘tumescent technique’, where the surgeon injects large quantities of fluid through a small incision. The fluid reduces the risk of bleeding. The fat swells with the fluid going into the fat layers. A cannula is then passed through the swollen fat cells. Suction through the cannula removes the fatty tissue and the fluid that has been injected.
INCISIONS

The incisions are very small (about 3-4 mm) and they are placed in the natural body creases, so that they are not visible.
The very small incisions made to insert the cannula are barely visible.

Mega Liposuction is where a large amount of fat is removed from patients who are overweight or suffer from obesity. Mega liposuction is the removal of a large volume of fat in one sitting.

In order to perform mega liposuction you need a very efficient & capable surgical team like surgeons, anasthesist and assistants who understand the procedure. We have a modern facility with ICU, 24 hours Intensivist, ventilators, central oxygen, cardiac unit, cardiac monitoring, 2d echo is available with over 10 physicians and cardiologists attached to our hospital. This back up and highly specialized training enables dr viral to perform large volume liposuctions frequently and safely; however choosing the right candidate is the key which is very important. We have been doing mega liposuctions since 2005 and are one of the only centres in India who perform this procedure.

There was a very special case which was reported in times of India, 22 litres of fat removed in 4 hours which is till date the highest volume of liposuction done in Asia. Another issue with mega liposuction is the disproportionate shape of the body post surgery and hence 3d liposuction added to mega liposuction helps in better body contouring and skin retraction.

High-Definition Liposuction is the removal of fat in the superficial and deeper layers as compared to traditional liposuction, it gives a more contoured look and greater skin retraction.

Fat can “settle” in certain parts of the body. Women gain fat mostly in the stomach, buttocks, hips & thighs. Men can gain fat in the belly, chest & waist. Until very recently, conventional Suction Assisted Lipoplasty (SAL) & Ultrasonic Assisted Lipoplasty (UAL) were the limited choices available to help you lose inches.

High-Definition Liposuction, a revolutionary new technique for fat reduction, has been introduced by Dr. Viral Desai.

MORE CONTOURED LOOK AND GREATER SKIN RETRACTION

High-Definition Liposuction, a revolutionary new technique for fat reduction, has been introduced by Dr. Viral Desai. CPLSS or Center for Plastic and Laser Superspecialities offers liposuction surgery in Mumbai as well as in Pune. The surgery is performed by Dr. Viral Desai who is the best Liposuction surgeon in Mumbai with over twenty years of experience.

SAL & UAL are similar in concept to deflating a balloon. Fat is suctioned to reduce the overall volume of the area. Because they both work in the deeper layers, SAL & UAL are unable to simulate the delicate curves of the buttocks, hips & outer thigh. High-Definition Liposuction is the liposuction of fat in the superficial and intermediate layers. It is associated with a more contoured look and greater skin retraction.

3D-SLS removes fat in all layers (in all three dimensions) and allows delicate contouring of the body, not just a simple reduction in volume. It also means that you will look good in and out of clothes.

Conventional SAL & UAL remove fat only from the deeper layers. If the superficial fat remains, the outer layer is heavier and may fall after deep suctioning, forming rolls & bumps. 3D-SLS removes fat in the superficial as well as intermediate layers to better sculpt the body contour. A 3D-SLS along with a Mini-Tuck and muscle contouring can help both males & females achieve the “six-pack abdomen” look. With 3D-SLS, the skin contracts and tightens post-surgery. In SAL and UAL, loose skin may be worse after surgery. The concepts of 3D-SLS apply to most parts of the body such as thighs, upper arms & flanks.

3D-SLS is performed with smaller cannulas (suction tubes) so that there may be less bruising and bleeding. Unlike in UAL, there is no heat generated at the end of the cannula. So, 3D-SLS can be performed close to the skin without the risk of a skin burn.

How is 3D-SLS different from Traditional Liposuction?
Conventional SAL & UAL remove fat only from the deeper layers. If the superficial fat remains, the outer layer is heavier and may fall after deep suctioning, forming rolls & bumps. 3D-SLS removes fat in the superficial as well as intermediate layers to better sculpt the body contour. A 3D-SLS along with a Mini-Tuck and muscle contouring can help both males & females achieve the “six-pack abdomen” look.

Why is it called 3D-SLS?
3D-SLS removes fat in all layers (in all three dimensions) and allows delicate contouring of the body, not just a simple reduction in volume. It also means that you will look good in and out of clothes.

Can 3D-SLS be performed in other parts of the body?
Yes, the concepts of 3D-SLS apply to most parts of the body such as thighs, upper arms & flanks.

Is 3D-SLS gentler than traditional SAL & UAL?
3D-SLS in Mumbai is performed with smaller cannulas (suction tubes) so that there may be less bruising and bleeding. Unlike in UAL, there is no heat generated at the end of the cannula. So, 3D-SLS can be performed close to the skin without the risk of a skin burn.

What are the advantages of 3D-SLS?
With 3D-SLS in Mumbai, the skin contracts and tightens post-surgery. In SAL and UAL, loose skin may be worse after surgery.

This surgery is for women with a limited amount of extra skin usually confirmed to the lower abdomen and a limited or minimal stretching of the abdominal muscles. It is also an alternative for women who do not want the more extensive full abdominoplasty and the longer recovery.

Mini Abdominoplasty or Mini Tuck differs from a full abdominoplasty in at least one respect. Only the skin below the belly button is elevated and “redraped”. The umbilicus is left alone and the skin may be temporarily cut around it to allow access to the upper abdomen and tightening of the muscle.

The abdominal muscles can be tightened, just as in a full abdominoplasty, by repairing the gap between the rectus muscles from the pubic bone to the uppermost part of the abdomen (Xiphoid). Once again the benefits may also extend to the pubic area which is lifted and tightened but not usually the upper thighs. Mini-abdominoplasty is usually combined with liposuction of the upper abdomen. Full abdominoplasty and liposuction are usually not recommended for men and women who are morbidly obese.

Abdominoplasty, known more commonly as "Tummy Tuck", is a surgical procedure to remove excess skin and fat from the middle and lower abdomen and tighten the muscles of the abdominal wall. The procedure can dramatically reduce the appearance of a protruding abdomen.

The best candidates for abdominoplasty are:
1. Men or women who are in relatively good shape, but are bothered by a large fat deposit or loose abdominal skin that won’t respond to diet or exercise.
2.The surgery is particularly helpful to women who, through multiple pregnancies, have stretched their abdominal muscles and skin beyond the point where they can return to normal.
3. Loss of skin elasticity in older patients, which frequently occurs with slight obesity, can also be improved.

HOW ABDOMINOPLASTY IS PERFORMED?

Complete abdominoplasty in Mumbai usually takes 2-5 hours, depending on the extent of work required. Partial abdominoplasty may take an hour or two. Typically, Dr. Viral Desai will make a long incision from hipbone to hipbone, just above the pubic area. The incision falls in the bikini line and is hidden in the undergarments and not visible. A second incision is made to free the navel from surrounding tissue. With partial abdominoplasty, the incision is much shorter and the navel may not be moved. Next, the skin is separated from the abdominal wall up to the ribs and the skin flap is lifted to reveal the vertical muscles of the abdomen. These muscles are tightened by pulling them close together and stitching them into their new position. This provides a firmer abdominal wall and narrows the waistline. The skin flap is then stretched down and the extra skin is removed. A new hole is cut for the navel, which is then stitched in place. Finally, the incisions are stitched, dressings applied and a temporary tube may be inserted to drain excess fluid from the surgical site.

In partial abdominoplasty, the skin is separated only between the incision line and the navel. This skin flap is stretched down, the excess is removed, and the flap is stitched back into place.

Whether your surgery is done on an outpatient or inpatient basis, you should arrange for someone to drive you home after your surgery, and to help you out for a day or two after you leave the hospital, if needed.

WHAT SHOULD I EXPECT AFTER MY SURGERY

For the first few days, your abdomen will probably be swollen and you’re likely to feel some pain.

RISKS, COMPLICATIONS AND SIDE EFFECTS

All surgery carry some uncertainty and risk. Thousands of abdominoplasties are performed successfully in Mumbai each year. When done by a qualified plastic surgeon who is trained in body contouring, the results are generally quite positive. Nevertheless, there are always risks associated with surgery and specific complications associated with this procedure.

Post-operative complications such as infection and blood clots are rare, but can occur. Infection can be treated with drainage and antibiotics, but will prolong your hospital stay. You can minimize the risk of blood clots by moving around as soon after the surgery as possible. Smoking may increase the risk of complications and delay healing.

The breast reduction procedure removes fat, glandular tissue, and skin from the breasts, making the breast smaller, lighter and firmer. Breast reduction can also reduce the size of the areola- the darker skin surrounding the nipple. The goal of this procedure is to give the patient smaller breasts that are in proportion with the rest of her body. Breast reduction is usually performed for physical relief as also for cosmetic improvement.

In general, the best candidates for breast reduction are women:
1. 18 years of age or older
2. Mature enough to fully understand the procedure
3. Whose activities are limited due to large breasts
4. Experiencing physical discomfort due to large breasts
5. Not currently pregnant or breastfeeding
6. Not intending to breastfeed in the future
7. In good physical and psychological health
8. Wanting to improve their appearance and/or comfort
9. Realistic in their expectations

THE SURGERY

Although techniques vary, the most common breast reduction procedure involves an anchor-shaped incision that circles the areola, which extends downward, and follows the natural curve of the crease beneath the breast. Dr. Viral Desai will remove the excess glandular tissue, fat and skin, moving the nipple and areola to their new positions. He will then bring skin from both sides of the breast down and around the areola, shaping the new contour of the breast. The surgery lasts for about 2 to 4 hours. This procedure may be used in conjunction with liposuction to remove excess fat from the armpit area.

Breast lifts are preferred by women for various reasons: Reshape sagging breasts and improve the contour of breast shape caused by loss of skin elasticity due to weight loss pregnancy or breastfeeding | Increase the firmness of breast | Lift and increase breast size | reduce the size of areola | Reposition the nipple if it is pointing downward.

You may be a good candidate for breast lift surgery if you have one or more of the following conditions:

1. Breasts that are pendulous, but of satisfactory size

2. Breasts that lack substance or firmness

3. Nipples and areolas that point downward, especially if they are positioned below the breast crease

We recommend a breast lift procedure only when breast development, childbirth or breast-feeding has stopped.

BREAST LIFT TECHNIQUE

Breast lift requires incisions to be made around the areola, and vertically down the breast. When Dr. Viral Desai has removed the excess skin and fat from the breast, the nipple and areola are repositioned and closed with sutures. The locations of the incisions however depend on the size of your breast, contour and degree of sagging. Stitches are removed over a 2-week period post-operatively.

Often, an augmentation (breast implant) procedure is carried out at the time of a breast lift procedure. Breast lift augmentation is also preformed in conjunction with breast reconstruction following mastectomy or if there is a deformity with one or both breasts.

PREPARING FOR BREAST LIFT

1. Dr. Viral Desai may require you to have a mammogram prior to your surgery
2. A Betadine wash should be applied to the chest and armpit area after showering two weeks prior to surgery
3. You should stop smoking (including the use of nicotine patches) at least one week prior to surgery
4. You should stop intake of any blood thinning tablets (i.e. aspirin/disprin) and intake of vitamins at least one week prior to surgery
5. Fasting is required for 7 hours prior to surgery

You should inform Dr. Viral Desai of any reactions to medications, general anaesthetics or tapes

RISKS, COMPLICATIONS & SIDE-EFFECTS

Breast uplift surgery is a safe procedure that has been performed on thousands of women with very rewarding results. However, you should be aware of the risks and complications before proceeding with surgery. Dr. Viral Desai will discuss these in detail with you at your consultation. They include:
1. Infection requiring treatment with antibiotics
2. Bruising and swelling- this will subside in a couple of weeks
3. Scars that take longer to fade and become thickened
4. Loss of sensation in the nipple area may occur; however, this is rare and will subside in time

Dr. Viral Desai combines the internationally-renowned procedures of Botti and Graf with some of his own techniques, to create natural augmentation.

Women whose breasts have drooped – after breast-feeding, weight loss or through the normal ageing process – usually need a breast lift to eliminate excess skin, plus an implant to provide volume.

Breast enlargement also called “Enlargement Mammoplasty”, involves surgical placement of an implant behind each breast to increase its volume and enhance its shape. Many women choose to have their breasts enlarged in order to satisfy their own desire for a fuller bustline. Breast enlargement can enhance your breast size and shape and can give you the more proportional figure that you always wanted. Many women gain a great deal of self-confidence and satisfaction from breast augmentation.

One or more of the following feelings or conditions indicate that you are a good candidate for breast enlargement:
1. You are bothered by the feeling that your breasts are too small
2. Clothes that fit well around your hips are often too large at the bust line
3. You feel self-conscious wearing a swimsuit or tight fitting top
4. Your breasts have become smaller and lost their firmness after having children
5. Weight loss has changed the size and shape of your breasts
6. One of your breasts is noticeably smaller than the other
7. You have some sagging of breasts

HOW BREAST ENLARGEMENT IS PERFORMED?

After an incision is taken, a pocket is created either in front of or behind the muscle. The implant is then placed into the pocket and the result is obtained. Dr. Viral Desai will inform you of the best position to place your implant, as this depends on the individual body shape and quantity of the existing breast.

TYPES OF IMPLANTS: NATURAL LOOK & FEEL

Choosing the right implant, the right shape and size is very crucial. During the consultation Dr Viral will take proper measurements, understand your requirements and needs and select the correct implant for you. The implants used are micro textured having natural look, touch and feel wherein after implantation no one will realize any procedure has been done as they buy cialis online low price look like normal breasts.

The new generation implants are made of highly cohesive and soft gel as a result they do not leak compared to the older implants and have the natural look and feel. The implants used are Europe CE and US FDA approved.

Breast Augmentation in Mumbai can also be performed with autologous fat transfer wherein is fat taken from one’s own body, specially treated and injected into the breast to increase the size and enhance the shape. This is ideal for anyone who is concerned about allowing a foreign body being implanted and prefers their own body tissue; then fat from other areas of the body like stomach, thighs and hips can be taken.

The advantages of fat grafting to the breast are its natural, your own body fat so no chances of any allergies or infections. The disadvantages are that fat can get reabsorbed over a period of time and may require a repeat procedure later on.

WHERE ARE INCISIONS PLACED?

The incisions are hidden in natural body creases and are placed in a manner which leaves minimal scarring. Incisions are made either within the armpit, underneath the breast in the crease or around the areola.

Arm reduction is an operation to reduce the amount of loose skin on the upper arm, often referred to as 'bingo wings' or 'bat wings'

During the surgery, Dr. Viral Desai will make cuts on the inner and under surfaces of your arm, sometimes from the armpit to as low as the elbow. Excess skin and fat are removed and the remaining skin is stretched and stitched back together. The operation generally results in slimmer, smoother upper arms.

However, there will be visible scarring that may extend from the armpit to the elbow. Dr.Viral will discuss this with you prior to your operation.