Director

Chandan Institute of Plastic, Aesthetic and Reconstructive Surgery

Dr. Shree Harsh

MS, M.Ch. (Plastic and Reconstructive Surgery), DNB Plastic Surgery, F.I.A.G.E.S., DAFPRS Fellowship Aesthetic Surgery Ghent, Belgium CFNT Fellowship, Coimbatore

Sr. Consultant

Chandan Institute of Plastic, Aesthetic and Reconstructive Surgery

Dr. Neeraj Upadhayay

MS, MCh, DNB, FICS

Plastic surgery at Chandan Hospital is a surgical specialty involving the restoration, reconstruction, or alteration of the human body. It can be divided into two categories. The first is reconstructive surgery which includes craniofacial surgery, hand surgery, microsurgery, and the treatment of burns. The other is cosmetic or aesthetic surgery. While reconstructive surgery aims to reconstruct a part of the body or improve its functioning, cosmetic surgery aims at improving the appearance of it. Both of these techniques are used throughout the world.

Sub-specialties: Plastic surgery is a broad field, and may be subdivided further. Subdisciplines of plastic surgery may include:

Aesthetic surgery

Aesthetic surgery is an essential component of plastic surgery and includes facial and body aesthetic surgery. Plastic surgeons use cosmetic surgical principles in all reconstructive surgical procedures as well as isolated operations to improve overall appearance.

Burn surgery

Burn surgery generally takes place in two phases. Acute burn surgery is the treatment immediately after a burn. Reconstructive burn surgery takes place after the burn wounds have healed.

Craniofacial surgery

Craniofacial surgery is divided into pediatric and adult craniofacial surgery. Pediatric craniofacial surgery mostly revolves around the treatment of congenital anomalies of the craniofacial skeleton and soft tissues, such as cleft lip and palate, craniosynostosis, and pediatric fractures. Adult craniofacial surgery deals mostly with fractures and secondary surgeries (such as orbital reconstruction) along with orthognathic surgery.

Hand surgery

Hand surgery is concerned with acute injuries and chronic diseases of the hand and wrist, correction of congenital malformations of the upper extremities, and peripheral nerve problems (such as brachial plexus injuries or carpal tunnel syndrome). Hand surgery is an important part of training in plastic surgery, as well as microsurgery, which is necessary to replant an amputated extremity. The hand surgery field is also practiced by orthopedic surgeons and general surgeons. Scar tissue formation after surgery can be problematic on the delicate hand, causing loss of dexterity and digit function if severe enough. There have been cases of surgery to women's hands in order to correct perceived flaws to create the perfect engagement ring photo.

Microsurgery

Microsurgery is generally concerned with the reconstruction of missing tissues by transferring a piece of tissue to the reconstruction site and reconnecting blood vessels. Popular subspecialty areas are breast reconstruction, head and neck reconstruction, hand surgery/replantation, and brachial plexus surgery.

Pediatric plastic surgery

Children often face medical issues very different from the experiences of an adult patient. Many birth defects or syndromes present at birth are best treated in childhood, and pediatric plastic surgeons specialize in treating these conditions in children. Conditions commonly treated by pediatric plastic surgeons include craniofacial anomalies, Syndactyly (webbing of the fingers and toes), Polydactyly (excess fingers and toes at birth), cleft lip and palate, and congenital hand deformities.

Reconstructive surgery

Reconstructive plastic surgery is performed to correct functional impairments caused by burns; traumatic injuries, such as facial bone fractures and breaks; congenital abnormalities, such as cleft palates or cleft lips; developmental abnormalities; infection and disease; and cancer or tumors. Reconstructive plastic surgery is usually performed to improve function, but it may be done to approximate a normal appearance.

The most common reconstructive procedures are tumor removal, laceration repair, scar repair, hand surgery, and breast reduction plasty.

Some other common reconstructive surgical procedures include breast reconstruction after a mastectomy for the treatment of cancer, cleft lip and palate surgery, contracture surgery for burn survivors, and creating a new outer ear when one is congenitally absent.

Plastic surgeons use microsurgery to transfer tissue for coverage of a defect when no local tissue is available. Free flaps of skin, muscle, bone, fat, or a combination may be removed from the body, moved to another site on the body, and reconnected to a blood supply by suturing arteries and veins as small as 1 to 2 millimeters in diameter.

Cosmetic surgery procedures

Cosmetic surgery is an optional or elective surgery that is performed on normal parts of the body with the only purpose of improving a person's appearance and/or removing signs of aging.

  • Abdominoplasty ("tummy tuck"): reshaping and firming of the abdomen
  • Blepharoplasty ("eyelid surgery"): reshaping of upper/ lower eyelids including Asian blepharoplasty
  • Phalloplasty ("penile surgery") : construction (or reconstruction) of a penis or, sometimes, artificial modification of the penis by surgery, often for cosmetic purposes
  • Mammoplasty:
  • Breast augmentations ("breast implant" or "boob job"): augmentation of the breasts by means of fat grafting, saline, or silicone gel prosthetics, which was initially performed to women with micromastia
  • Reduction mammoplasty ("breast reduction"): removal of skin and glandular tissue, which is done to reduce back and shoulder pain in women with gigantomastia and for men with gynecomastia
  • Mastopexy ("breast lift"): Lifting or reshaping of breasts to make them less saggy, often after weight loss (after a pregnancy, for example). It involves removal of breast skin as opposed to glandular tissue
  • Buttock augmentation ("butt implant"): enhancement of the buttocks using silicone implants or fat grafting ("Brazilian butt lift") and transfer from other areas of the body
  • Buttock lift: lifting, and tightening of the buttocks by excision of excess skin
  • Cryolipolysis: refers to a medical device used to destroy fat cells. Its principle relies on controlled cooling for non-invasive local reduction of fat deposits to reshape body contours.
  • Cryoneuromodulation: Treatment of superficial and subcutaneous tissue structures using gaseous nitrous oxide, including temporary wrinkle reduction, temporary pain reduction, treatment of dermatologic conditions, and focal cryo-treatment of tissue
  • Calf Augmentation: done by silicone implants or fat transfer to add bulk to calf muscles
  • Labiaplasty: surgical reduction and reshaping of the labia
  • Lip enhancement: surgical improvement of lips' fullness through enlargement
  • Rhinoplasty ("nose job"): reshaping of the nose
  • Otoplasty ("ear surgery"/"ear pinning"): reshaping of the ear, most often done by pinning the protruding ear closer to the head.
  • Rhytidectomy ("face lift"): removal of wrinkles and signs of aging from the face
  • Neck lift: tightening of lax tissues in the neck. This procedure is often combined with a facelift for lower face rejuvenation.
  • Browplasty ("brow lift" or "forehead lift"): elevates eyebrows, smooths forehead skin
  • Midface lift ("cheek lift"): tightening of the cheeks
  • Genioplasty ("chin implant"): augmentation of the chin with an implant, usually silicone, by sliding genioplasty of the jawbone or by suture of the soft tissue
  • Cheek augmentation ("cheek implant"): implants to the cheek
  • Orthognathic Surgery: manipulation of the facial bones through controlled fracturing
  • Fillers injections: collagen, fat, and other tissue filler injections, such as hyaluronic acid
  • Brachioplasty ("Arm lift"): reducing excess skin and fat between the underarm and the elbow
  • Laser Skin Rejuvenation or laser resurfacing: the lessening of depth in pores of the face
  • Liposuction ("suction lipectomy"): removal of fat deposits by traditional suction technique or ultrasonic energy to aid fat removal
  • Zygoma reduction plasty: reshaping the face

The most popular surgeries are Botox, liposuction, eyelid surgery, breast implants, nose jobs, and facelifts.

Facelift - Rhytidectomy, meant to reverse the visible signs of aging. The procedure involves pulling the skin of the face back and tightening the muscle layer in order to provide a more youthful appearance. Dr Wigoda specializes in the natural facelift where patients still look like themselves, only better.

Eyelid Surgery - Blepharoplasty is when the sagging skin around your eyes is removed. For lower eyelid surgery, excess skin is removed and excess fat can be used to fill in the "tear trough deformity"(the indentation under the eyelid that deepens as we age).

Forehead/Brow Lift - Browlifts are meant to reduce deep frown lines, sagging eyebrows, and the appearance of your face looking angry or tired.

Nasal Reshaping - Rhinoplasty, or nose job, is the reshaping of the nose to improve your appearance and also the way you breathe.

Breast Augmentation - Breast enlargement surgery is where implants are inserted for a larger or fuller appearance in the chest area. One of the types of cosmetic surgery involving breast enlargement performed by Dr. Wigoda is the painless breast implants option, with less recovery time and much less pain.

Breast Lift - Or a mastopexy, is one of the cosmetic surgery options that is meant to raise and reshape sagging or misshapen breasts. The extra skin is removed and then the leftover skin is repositioned to lift and reshape the breasts.

Liposuction - As far as cosmetic surgery options go, liposuction is the removal of fat deposits in the body that do not disappear after dieting and exercising.

Tummy Tuck - This procedure is to recontour the abdomen by removing excess skin and fat and tightening the muscles.

Brazilian Butt Lift - This procedure involves removing fat with liposuction from anywhere excess fat is present, and then transferring that fat to the buttock to reshape and enhance the size of the buttock.

Dermabrasion - This procedure rubs out blemishes and wrinkles with a rotating tool to meant to remove the few top layers of the skin, leaving the layers underneath to be the new, fresh layers of skin.Botox and Fillers - Botox injections are used to reduce the appearance of wrinkles in facial skin and reduce the signs of aging. Fillers are used to restore volume to areas of the face, such as the cheeks, nasolabial folds, and lips. These types of cosmetic surgery are non-surgical procedures.

This is just to name a few of the numerous types of cosmetic surgery. Dr. Wigoda is skilled and knowledgeable, considering all of the cosmetic surgery options available. Contact us today for a consultation.