Dr. Ajaya Kashyap

Hello,

I am Dr. Ajaya Kashyap, Cosmetic/Plastic Surgeon. Today I will talk about how to choose your plastic surgeon or a physician for a cosmetic procedure. The most common way people try to find is a suitable plastic surgeon or aesthetic surgeon or a dermatologist is by going on to the net. So, the person who gets promoted online, they work hard to get promoted online or one who has before and after pictures. I think the best way is to proceed is first going on the net preferably finding the surgeon who is there in your area. since you find the surgeon, I will give you a checklist and you can figure out if those surgeons match your needs and for the procedure. The first question you need to ask on the net is the surgeon credentials. Are they certified in the US, UK or in India or wherever they are practicing or have been practicing for?

Now, there is an easy way to check the US qualifications, you can go on American board and medical specialties and see what they are certified in. In India, you can see people who have MCH degrees and you can ask them to show you degrees. And in dermatology, you can see that they are MD in dermatology. Similarly, For UK you can find if they have or the fellow of the college of plastic surgeons and what associations they belong to. There are a lot of association and the biggest association American Society Of Plastic Surgeons where surgeons from all over the world can become members after providing them certain criteria. So, you have to look at the fellowship and membership. You have to look at the qualification and confirm them that they are honest about it. Look at the pictures like before and after, make sure they are not modified and not photoshop the picture.

The next would be actually once you figure out the kind of shortlist the surgeon, you can give them a call and find out how much experience they have, especially for the particular procedure you are looking for? One should not shop around and see the cheapest surgeon or the most expensive surgeon. My request would be not to look at the price as being one of the first criteria, just make sure you get the right physician for your needs. Once you make a plan, meet the surgeon, call the office and make an appointment. Most of the surgeon/physician charges the consultation fee.

Some would do a free consultation and that is obviously to get a little more business. Once you go to the Dr office, make sure you look at the office, see the ambiance and see the staff. And then you will have the basic idea. If you like it, they are respectful, then you go ahead and talk to the surgeon. Ask them about their experience again, ask about any complications they have faced with any patient. Ask them about the complications and re-operation rate are and then you see some before and after pictures. Rhinoplasty will give you a good idea. I offer 3D pictures of rhinoplasty when you tell everyone who is experience with the computer can do nice rhinoplasty on the screen. For eg, if you go for rhinoplasty or body contouring, ask them how many do they do in a month or in a year. And till date how many have they practiced.

Do they know all the new trends in the market about the surgery? Do not get impressed by new laser and equipment, usually, a lot of the equipments have a limited life, half-life. So, always check about the procedure with the Dr and on the net also. Now, if you have a problem which is unique then you have to to the surgeon who has vast experience. If your problem is common if you need liposuction and there is a young surgeon that is the person you may want to go to. If you have a very complex issue or a major procedure like facial rejuvenation or facelift so, you need a more mature surgeon. Age itself does not mean much but experience means a lot. Lastly, you should talk to the surgeon, think and talk to him for his ideas about aesthetics.

And if his ideas match yours then you may decide to go ahead with the procedure. Often time it is a good idea to go for 2nd opinion. But do not get impressed by the people who are not truthful, people who show more than they can deliver. Make sure you choose a surgeon with whom you are comfortable and you can be with Dr for a few months or years. Most of the surgeons will offer some of the corrections and you should ask them about the policy, re-operation surgery, charges for your operation surgery. Once you are comfortable, go ahead and get the procedure done.

Thank You.

Hi,

I am Dr. Ajaya Kashyap, Cosmetic/Plastic Surgeon, Delhi. Today I will talk about blepharoplasty. Iska matalb hai eyelids ko rejuvenate karna. Aksar waqt ke sath sath jo humara eyelid ka fat hai vo aankh ke charon taraf se bahar aane lagta hai. Humari aankh ball ki tarah hai aur haddi socket ki tarah hai jo usi ke anadar ghumti hai. Vo fat kayi baar bahar aane lagta hai. Aankh ko dabaya jaaye toh fat bahar dikhta hai. Niche vale lid mein fat ki 3 pockets hoti hain. Upar vale mein 2 hoti hain. Kabhi kabhi ye bahar aane lagti hain and aankhon ki ajib si look ho jaati hai. Aisa lagta hai ki insan ki umar jyada hai ya fir log puchte hain ki kya aap drink karte hain. Ya aap stress mein rehte hain. Jo fat chick ka hota hai vo niche chala jata hai. Fir line and fat milke aankhon ko budhappe ki look dete hain. Agar dekhne mein dikkat hoti hai toh log aankh ko upr utha kar dekhte hain. Jis se yahan pe bhi jhuriyan aa sakti hain.

In sabko thik karne ke lia blepharoplasty ka operation dia jata hai. Ye minor operation hai. Ismein experience jyada chaiye hota hai kyuki kayi sari chizen involve hoti hain and ye aankh ke pass hota hai. Iske baad insan kuch ghanton mein ghar vapas jaa sakta hai. 3-4 din mein patient apna kam start kar sakta hai. Agar aap ko spots dikh rahein hai toh aap specs laga sakte hain jo ki kuch dinon mein chale jaate hain. Kuch stitches bhi aate hain jo hafte bhar mein nikal dia jaate hain. Ye procedure karne ke lia ek chota sa cut dia jata hai. Eyelid ko uthaya jata hai au jo lose part hota hai use cut deke thik kia jata hai. Ye cut thode dino mein chala bhi jata hai. Skin kafi lose and patli hoti hai aur jaldi heal ho jaati hai. Aankh ke andar se bhi fat pockets nikale ja sakte hain. Upper eyelid ka fat nikal kar bhi ise thik kia jata hai. Agar aankh band karne vali muscles dhilli ho jaati hai toh use bhi tight kia jaa sakta hai. Kabhi kabhi is cut se face ka upar vala part bhi lift kia ja sakta hai. Agar skin ko thik se upar na utha jaaye toh aankh niche bhi aa jaati hai. Aisa mat samjhiyega ki aankh choti ho jaati hai. Aankh apni sabhavik shape mein chali jaati hai. Insan kam thaka hua aur khubsoorat lagta hai.

Thank You.

Hi,

I am Dr. Ajaya Kashyap, Cosmetic/Plastic Surgeon, Gurgaon. Today I will talk about facial rejuvenation. Facial rejuvenation mein aap face ki yuva awastha ko pradan karte hain. Agar hum young chehre ko dekhein toh uske anadar sab bahut bhara lagta hai aur upar khicha hua. Use dubara youthful banane ke lia fat pockets ko dubara lagana padta hai.Umar ke sath skin ka fat niche gir jaata hai, khaal dhili ho jaati hai aur skin ke niche ka fat hai vo bhi kam ho jaata hai. Skin thin ho jaati hai, wrinkles aa jaate hain aur baar baar muscles ke action se kuch particular direction mein jyada aati hain. Toh wrinkles hatana, khali jagaha ko bharna aur skin ko pull karke vapas lagana, is ko hum facial rejuvenation kehte hain. Sab jiske baare mein baat karte hain vo hai face lift. Jo show business mein hain vo ye procedure karate hain. Ismein skin and muscles ko upar utha dia jaata hai. Fat pocket ko apni jagaha pe phucha dia jaata hai.

Ye waqt ke sath sath cut invisible ho jaata hai. But aur bhi tarike hain jinse ye kia jaa sakta hai. Non-invasive and minimally invasive bhi tarike hain. Non-surgical mein se ek hai botox. Usmein jo lies padti hain unhein kam kar dia jata hai muscles ke action ko kam kar ke. Usmein chota sa injection dia jata hai jis se vo muscles paralyzed ho jaati hain. Us se wrinkles kam ho jaate hain and ye 5-6 months tak chalta hai. Dusri chiz hum karte hain ki jahan fat kam ho gaya ho vahan pe fat bharna. Jahan pe wrinkles jyda deep hain vahan pe correction ki jaa sakti hai. Ismein fillers bhi kia jaa sakta hai. Fillers kayi types ke aate hain and jo aam toor pe hum use karte hain use hyaluronic kehte hain. Is se lifted and bhari hui look aati hai. Toh fat ko replace karte hain and jo muscles hain unke action ko kam karte hain. Uske alwa next layer hai skin ki . Skin ko tight karne ke lia kuch tarike hum use karte hain. Ismein non-surgical treatment diye jaate hain like thermitight jismein ek choti si needle jaati hai. Aur andar se heat kar ke use kam kar deta hai. 3-4 months tak iska asar badhta rehta hai and uske baad stable rehta hai 4-5 years tak. Dusri ulthera hai and vo ultrasound se kaam karti hai. Vo upar se hi kaam karti hai and undar nahi jaati hai. Jo young age mein hai ya fir skin dheeli paad gayi hai, unke lia ye process ache hain.

Ek aur chiz hain jo hum karte hain jise kehte hain criolipo facial. Crio facial mein heat and cooling se skin ko tight kia jaata hai. Uske alawa stem cells bhi skin ko support karte hain skin ko tight karne mein. Stem cells vo hote hain jo kahin pe jaake bhi cells ban jaate hain. Stem cells kayi jagaha se aate hain and jo hum use karte hain vo hain fat ki. Fat nikal kar stem cells ko purify kia jaata hai. Kabhi ye apne office mein kia jata hai ya fir kabhi lab mein kia jata hai. Fir un stem cells ko inject kar dete hain. Aam toor pe agar hum 100 gram fat lete hain toh usmein pure stem cells mil jaati hain. Vo face ko rejuvenate karne mein kafi sahayak sidh hui hain. Ye stem cells aadmi ke apne sharir se nikalti hain. Jo kahin aur se stem cells li ja saken vo abhi tak approve anahi hain kisi bhi jagaha se. Apni stem cells use karne mein koi loss bhi nahi hai in fact beneficial hi hai. Ek hai PRP jo hum blood se lete hain. Blood ke PRP lene mein growth factor hote hain. Ise bhi inject kia jata hai. Chehra youthful lagta hai and relax lagta hai. Fresh lagta hai face aap ka. Expressions ache lagte hain and hum smile bhi de paate hain. Bhudape mein face niche ko jaane lagta hai aur agar insan khush bhi hai toh bhi vo unhappy lagta hai and gusse mein lagta hai. Kayi baar log kehte hain ki fark nahi padta but aap khush lagne chaiye. Aap ko young and fresh lagna hai. So, ye saare non-surgical process ka kafi mehtav hai aaj ke time mein. Insan ko time ke sath acha lagna hai. Yuva lagna hai and fresh lagna hai.

Thank You.

Hello,

I am Dr. Ajaya Kashyap, Today I will talk about rhinoplasty. Rhinoplasty procedure hai jis se naak ki shape change hoti hai. Kayi baar function hai like breathing change ki jaat sakti hai. Sabse pehle vo kon hain jinhein rhinoplasty ki jarurat padti hai. 2 tarah ke log hai jinhein iski jarurat hoti hai. Ek toh jo khubsurat lagna hahte hai aur durein vo hai jinki naak mein koi problem hai like saans lene mein koi problem ya fir saans lene ke jo passages hain unmein kahin na kahin blockage hai. Jo khubsurat lagna chahte hain. Jinko apni nose ki shape change karani hai like nose uthi hai, patli hai ya fir moti hai, unke lia cosmetic rhinoplasty ki jaati hai. Ye surgery 2 types ki hoti hai. Ek hoti hai open jismein ek chota sa cut dia jata hai ar nose upar uthayi jaati hai. Nose ki bones ko modify kia jata hai. Dusri hai close rhinoplasty jismein vahi sari chizen bina kisi cut ke ki jaati hai. Jismein patient ko jiski jarurat hoti hai vo surgery di jaati hai. Kisi patient ko jarurat hoti hai ki tip pe kaam kia jaaye. Open rhinoplasty behtar rehti hai. Ismein sab dekha ja sakta hai and precisely sara kam kia ja sakta hai. Jo close rhinoplasty hai jaise kisi ke yahan hump hai ya koi vikriti hai jaise ise valve kehte hain, usse kholna ho ki shavas ache se aa sake.

Nose mein ek septum hoti hai, usko khol ke sidha kia ja sakta hai agar vo tedha hai. Naak jitni uchi hogi utna angel kam hoga aur nihi hogi toh angel kam ho jayega. North east valon ki different ho hai and punjab ke logon ki different hoti hai. South ki different hoti hai. Ye ispe bhi depend karti hai ki chehra chooda hai ya patla hai, is angel ka calculation kia jata hai. Ye striyon mein ideal mana jaata hai 110 degree. Purshon mein 100 degree ideal mana jaata hai. Iska parabhav smile pe bhi padta hai. Kayi baar hota hai ki jab hum muskurate hain toh nose choodi ho jaati hai. Ya fir nose aage jhuk jaati hai. Isko bhi thik kia jaa sakta hai isi process se. Patient ke purre face ki pehle study ki jaati hai ki kaise changes karne hain. Dekha jata hai ki kya type kis ke upar khubsurat lagega. Kayi baar hum 3D pictures bhi lete hain aur hum dikhate hain. Usmein thodi modification ki jaati hain. Hum patient ko dikhate hain ki use kya chaiye aur kya nahi.

Surgery se pehle calculate kia jata hai ki kitne mm ghatana hai aur badhana hai. Jab surgery karte hain toh septum dekhte hain and saans lene ka tarika dekhte hain ki vo thik rahe. Agar koi dikkat hai toh use bhi thik kia jata hai. Aur jinka thik hai already toh unke mein major changes na karke bus beauty modification dekha jata hai. Hump ki bone ko niche kia jata hai. Andar se nose ko dekha jata hai aur cartilage mein changes kia jaate hain taki nose achi laage. Agar jyada uthi hui hai toh thoda sa niche kia jaata hai. Angel ko aur thik kia jata hai. Toh nose ke aesthetics anadar se bhi pata chalte hain. Kisi ki skin moti hoti hai toh kisi ki patli hoti hai, us hisab se bhi modification kia jata hai. Ye sab karne ke baad hi surgery ki jaati hai. Ye sugery mai karta hun aur fir sham tak mariz ghar jaa pata hai. Uske baad sujan rehti hai toh 7 ya fir 8 day pe stitches nikale jaate hain. Jo plaster lagaya jaata hai use bhi nikal dia jata hai. 2 weeks ke baad bhi swelling thodi rehti hai jo bahar aane jaane mein pata chalta hai.

Uske baad swelling aap ko pata chalti hai but kisi aur ko pata nahi chalti hai. Best result rhinoplasty ka 1 saal mein visible hota hai. Lekin aam toor pe kareeb kareeb sabhi log ki rhinoplasty karte hain vo surgery se kafi behtar lagne lagte hain. Halki sujan and cold rehta hai. Iske complications minimal hi hain. Lekin kuch logon ko touch-up ki jarurat padti hai. Vo procedures aam toor pe chote hote hain. Agar kabhi jarurat padi to 5-7% log hote hain jinmein ye jarurat padti hai. Bhaga doodi ki jaa sakti hai kuch hafton mein hi. Physical exercises bhi sari allow hoti hain. Jo computer pe karne ka kaam hai vo bhi aram se kia jaa sakta hai. Kam pe aap jaa sakte hai 8 din mein. Agar aap chahte hain ki logon ko patana chalen toh aap 1-2 weeks mein office ja sakte hain. Aap ko koi bhi injury avoid karni hai. Baki aap sare kaam aram se kar sakte hain. Lambe time ki complications ki sambhavna kam hai. So, mere hisab se rhinoplasty unko plan karni chaiye jinko nose apne face ke according thik nahi lagti. Jinko saans lene mein dikkat hoti hai vo bhi rhinoplasty kara sakte hain and septoplasty kara sakte hain.

Thank You.

Hi,

Me Dr. Ajaya Kashyap, Cosmetic/Plastic Surgeon. Last 25-30 years se plastic and cosmetic surgery kr rha hun. Cosmetic and plastic surgeries me kafi improvement ho rhi hain. Minimally invasive techniques bhut improve ho rhi hain. Face rejuvenation ke lia botox bhut famous hai. Apke face pe jo bhi wrinkles hain vo botox se htayi jati hain. Fillers apke face pe jo bhi gadhe hain unhe fill krne me help krte hain. Is se apke face ko lift bhi kia jata hai. Ye 1-2 years tak apke treatment chalte hain. Uske baad dubara krane pdte hain. Thread lift ek procedure hai. Isme thread se apki skin ko khich dia jata hai. Thread lift bhi apka 1-2 saal tak chalta hai. Kuch thread aise bhi hote hain jo reaction krte hain.

Non-surgical rejuvenation me heat, radio frequency, ultrasound and laser se treat kia jata hai. Hum chemical peel and dermabrasion se treatment dete hai jis se new skin ati hai. Therma needle se apki skin ko andar se tight kia jata hai. Apko apna fat dia jata and PRP treatment dia jata hai. Ise hum pure face me inject krte hain. Hum face ke muscles weak ya strong kr skte hain. Ab question ye hai ki log surgery ke lia kyu jate hain. Isme downtime kam hai and jldi procedure ho jata hai. Eyes ko bhi hum thik kr skte hain. Eyelid ki shape ko improve kia ja skta hai. Jinhe surgery ki jrurat nhi hai unhe rejuvenate krne ke bhut tarike hain. Islai aaj kal non-surgical procedures ke apni value ban chuki hai aaj ki date me.

Thanks!

Me,

I am Dr. Ajaya Kashyap, Cosmetic/Plastic Surgeon. Last 25-30 years se plastic and cosmetic surgery kr rha hun. Facelift surgery ke lia hmare results kafi improve ho chuke ho gye hain. Pehle ke comparatively hamare cuts kafi chote ho gye hain. Ab hum 3d and 4d se face ko rejuvenate krte hain and isme face khicha hua bhi nhi lgta hai. Volume add kia jata hai and fat ko adjust kia jata hai. Aaj kal results bhut natural ho gye hain. Scar and cuts bhi hidden hote hain.

Kuch log aise bhi hai ki dubara facelift krane aate hain. Neck me ek cut dia jata hai and extra fat remove kr ke use thik kia jata hai. Apki body se hum fat nikalte hain and purify kr ke jhan apko required hai vhan dia jata hai. Face lift se aap ka face cheerful and young lgta hai. Face lift ke lia apko ek experienced Dr se hi contact krna chaiye. Face lift kafi delicate procedure hai quki isme apke nerever ko harm ho skta hai. Safe hona bhut jruri hai. Iske risk hai ki apko bleeding ho skti hai, scar aa skta hain, Jo bhi scars apko surgery ke time aate hain vo dheere dheere hatt jate hain. Isme apko lifted ka look dia jata hai.

Thanks!

Hi,

I am doctor Ajay kashayp medical director of the casmedical centre and American board certified in plastic surgery today we’ll be talking about a somewhat newer procedure, it's called a Brazilian buttock lift this procedure involves augmentation of the buttock lift. This procedure involves augmentation of the buttocks not with the implants but with the person’s own fat or autologous fat. The fat is taken from the abdomen the sides and pretty much anywhere we can find it on the body and this fat is purified and used for augmenting the buttocks. Now this concepts started once autologous fat was something that was the technique of putting autologous fat was perfected to a point where large amounts could be put into a person's body and they would survive the augmentation of the buttocks was earlier done through implants which were found to be not as desirable both in terms of comfort as well as having significant amount of complications the word brazillian came because brazil is probably the most cosmetically conscious country and the curve in the back where you had a narrow think waist and big buttocks was became very much in fashion there. It spread all over the U.S to all over now to India where people want that nice small waistline and large buttocks some people have taken it to a ridiculous extent like Nicki Minaj where the waistline is very small and buttocks are enormous. Most people, however, want aesthetically pleasing figures and not ridiculously big buttocks or extremely narrow waist that certain ratio is required and when we do the procedure we kind of take into consideration the patients bone structure and height and the weight and where the fat can be harvested from.

The main technique is to remove the fat from areas where it is an excess and where removal of the fat would accentuate in the improvement of the buttocks. Those areas are the abdomen the sides and just above where the buttocks start the hollow of the back the technique of how you take out the fat is quite important the way you do it is you take you do a marking of the buttocks where you want to take the fat from and where you want to insert it. The fat is removed either through laser liposuctions through micro canalicular liposuction or probably the best technique today is water jet or body jet liposuction. The intent is to get the purest fat available and once this fat has been removed slowly without damaging the fat it is purified. The purification of the fat is done either through sedimentation which is just letting it settle down with gravity the second would be through straining it taking a sip like a strainer and pouring it the fat through it then the third would be purifying it through centrifugation. By centrifugation, you get probably the most purified fat all that is takes a little longer than other techniques. Now once the fat has been purified it is injected through a very small cannula which is blunt needles through tiny needle holes into the buttocks and reshape it the buttocks is done. Now reshaping of the buttocks is done from so-called Brazillian buttock lift mostly in the back but there are some people mostly come from the African continent who want more bulk on the sides and I like to call it an Australian or African butt lift where people from largely from African continent want to increase on the size of buttocks and have a curve in that direction. So we have to S’s one is the back S and the side S which is African buttock lift and this is the back lift which is the S which is the Brazilian buttock lift. You can see how nicely the buttocks can be shaped and the advantage of today's techniques is that this improvement lasts as long as the diet and exercise adhere to within normal limits nothing excessively needs to be done. If you want to know more about these procedures particular procedure you can contact me through my website which is drkashayp.com or through Lybrate

Hello,

I am doctor Ajay Kashyap medical director Cayasmedical centre. I am U.S board certified in plastic surgery. Today I’ll be talking about cosmetic surgery for the breast. The cosmetic surgery of the breast is basically breast reduction for very large breast which can be symptomatic. Breast lift or mastopexy for lifting up breast that has become saggy and loose but has adequate volume and thirdly breast augmentation on enhancing the size of the breast. Now going over one by one with these three surgeries lets first talk about breast augmentation. Now breast augmentation can be done through a variety of approaches. One can be through a small incision just below the breast or in the fold of the breast the second incision could be in the axila or the armpit and the third incision could be around the nipple area. An implant is put in place a different place it can be behind the muscle or in front of the muscle. It gives an impression of the enhanced volume of the breast and the surgery is carried out in general anaesthesia. Takes more than an hour or so and the patient goes home the same day usually. It’s a fairly comfortable procedure and the results are very satisfactory.

The risks are minimal and the results are very predictable as well. the implants can be placed be behind or in front of the muscle. And it results in something like this. This is through autologous or through fat which can be the other approach instead of the implants you can use fats from patients own body and reshape the breast the incisions are usually very hidden and the implant should last for many many years. Although for a young person they may need to be changed in 20 or 25 years depending on the kind of implants the second procedure I’ll talk about is a breast reduction. This is a very common problem in ladies have very heavy breast with accompanying shoulder and back pain and a poor posture. This can only be improved by a procedure of breast reduction and the approaches to breast reduction can be either liposuction which can give a very small amount breast reduction or there can be a surgical breast reduction. Now breast reduction involves different techniques.

One can be through an incision just around the nipple the second can be through what we call a lollipop or a vertical scar technique and the third can be anchor-shaped incision. All three of them have different advantages and disadvantages however the most important thing is that eventual result should be safe and ladies should beautiful looking breast with a decrease or increased elevation of shoulder and back pain. So going through the different incisions something like this. There are two different incisions this is the vertical scar technique this is the circumareolar technique and this is the vice pattern where very large reductions can be done. The results look something like this the breast is lifted up they are shaped up and they become smaller some of the relief is from lifting up itself and the rest of it is from size reduction they can be done at any age we usually prefer to do them once the person has achiever adulthood but I have done it at patients as old as 78 years. So it depends on how bad the situation is how much the hypertrophia and decrease in sizes and how symptomatic the person is. Now, this is a lady in her 70’s and you can see the nice look you can get. The third procedure which involves similar incision is called a breast lift or mastopexy this is usually done when the breast becomes saggy and they kind of fall down.

This happens because of major weight losses and weight gains and also after pregnancy ageing is also a significant contributor to the sagginess of the breast. The procedures are done in a similar manner as a reduction but without loss of volume, the breast is lifted up with the same kind of incision around the nipple alone or with a vertical scar or with a vice pattern which is like anchor shaped scar. Having said this there is one kind of reduction which is specifically for males which is a gynecomastia reduction. A significant number of males develop a breast and they can be very conscious about it especially in the locker rooms or the swimming pools around there friends. Or especially when they wear tight tee shirts or do not have a tee shirt on. For them, a very simple procedure is gynecomastia reduction which can be done through a virtually invisible scar. Here we go this is what it looks like before and after you don’t even see a scar here so it’s a very satisfying procedure for gentlemen because they can come in the morning get it done and by afternoon they are home. there are a couple of things that I have to say in addition to what we just talked about one thing is one kind of augmentation is becoming increasingly popular is autologous fat which is from the persons own body which I've briefly touched upon. It can sometimes be improved further by adding what we call platelet-rich plasma from the persons own blood the amount of augmentation you get with this is less than with the implants but usually, it is quite satisfying for the person who is seeking average improvement in the size of the breast and firmness of the breast. This has to be done very carefully it takes a little longer than implant augmentation but it’s a very satisfying procedure. If you wish to know more about these procedures you can contact me through Lybrate or through my website which is drkashyap.com
 

I'm doctor Ajay Kashyap. American board certified in plastic surgery and medical director of kaiz medical Centre. I will be speaking today about massive weight loss surgeries which plastic surgery after a person has had massive weight loss. This can happen due to periodic surgeries, or the people own effort when they lose a large amount of weight in access of 20, 25 kilos. What happens after this is that a lot of the skin start sagging and for that there are different treatments the skin can sag in the face, the neck, the breast, the body, the abdomen, the sides and the legs, pretty much everywhere because of envelope becoming looser because of fat being gone the skin start hanging down, it can happen at any age I have as young as 15 to 16 years old and as old as 75 80 years old. My experience has started with people who had the massive weight loss about 20 25 years back and techniques are still evolving at this time, now we have techniques are pretty evolved and most of the reductions of skin are surgical.

Let’s first talk about the abdomen and torso which is most often the biggest sufferer for weight loss when there is a lot of losing in the abdomen and the sides what we do is called a lower body lift or belt clap it so the large number of tissues are taken down , the skin is made titer and the incision is put below the bikini line of the underwear line, this is all that happens if you look at the lady on the left on your left on her right you see that the skin has loose pretty much all over from the breast the abdomen to the back to the love handles to the thighs everywhere.

All kind of surgeries that are done lifting off the breast the lower body lift or a belt clip it and we talked about the arms can also be taken care off, as the skin of thighs. For the thighs what we do is called the inner thigh lift surgery which is done through vertical incision in the inside of the thigh, the other part of the thigh the outer thigh can be lifted up with the buttocks and the incision goes all around like a belt or the lower body lift goes all around and can easily be hidden in the underwear , this is incision for the inner thigh lift can’t be hidden very but it is put in the position that when you look at the person if the person has shots you don’t see it right away its kind off on the back side.

This is a gentleman who had a lower body lift elsewhere and we did an inner thigh lift that you can see the redundant skin is all gone.
Now, these are incisions for completion of the buttock and outer thigh lift or completion of the belt-like or lower body lift, that’s what people look like body lifted make titer looks more astatically pleasing.it feels a lot of cloths often times when they are out of cloths also although some incisions can be seen you can see how the shape has become much better much fuller and much more youthful, this is a lady only in her late 30s, if you look at this picture it looks much older now she looks very handsome, once the skin has been tightening the body looks younger.

The other part is the arms, arms also become sagging redundant and sometimes some fat is left over the arms when everything else is shrunk so we remove the fat and tighten the arms something like this, you can see the loose hanging arms some people call it the back wing deformity but this can be tightened with this technique, sometimes we can go for small incision which is very well hidden and the rest of it we can take off with a technique called the tight,
Again upper body the arms, the breast, the back is also been tighten up. Often times breast lift is required and there is just isolated redundancy without loss of falling we can do it without putting implants, however often times some implants are also necessary, after massive weight loss even in a young person you see a lot of skin redundancy especially in the neck and this can be tightened up with the procedure called a neck lift and platysmaplasty,

All these procedures are surgical procedures that require a lot of experience and expertise because the incision is long, however, the eventual results are very very grated both for surgeon and the patient
Thank you I’m Doctor Ajay Kashyap, if you need more information about these procedures you can contact me through Lybrate or you can contact my website which is drkashyap.com
 

I’m doctor Ajay Kashyap. U.S board certified in plastic surgery and medical director of Kaiz Medical Centre. today we will be talking about mommy makeover. Once a women have job becoming a mother once, twice or thrice and also many times her body undergoes a lot of changes some of them desirable and some of them you would like to turn back clock on having completed their families a lot of mothers comes for post pregnancy and post-delivery plastic surgery and usually we delay this time the family has been completed and few months have gone by the lactation has gone and so on. Various part of the body that undergo changes are the breast the abdomen the rest of the body that fats may accumulate the skin may have got very more veins or may have pigmentations on the face or may have some other problems with the skin texture and the youth fullness of the skin.

Fortunately, most of them are reversible by mommy makeover procedure. Let’s, first talk about the abdomen which undergoes the maximum changes because of the increase in volume with the baby the skin expands and never contracts back. The muscles which are kind of the vertical muscles of getting separated, there is the gap created between the two of them. Also, ladies get the marks on the abdomen from the stretching of the abdomen also called the stretch marks. These can also be improved when we do surgical procedures like abdominoplasty or tummy tuck and other things that happen are an increase in fat in certain areas especially the thighs, the abdomen and sides. You can do liposuction buttocks, augmentation or liposuction to make the body more shapely again. The abdomen can be shaped as I said by abdominoplasty if the skin is actually that loose and in that situation the excess skin is removed the muscles which are separated are tightened again and you can have a very nice youthful looking abdomen afterwards the scar hide within the underwear or the bikini line and the shape of the abdomen improves from both sides and also from the front become tighter and much more shapely.

Often times it is better what it used to be before the babies came along now the other procedures that we do are for the breasts and what happens with breast they increase in size because of lactation and then go down in size sometimes, they go down a lot and sometimes not too much and sometimes too much so the procedure required is the breast lift breast augmentation may increase in size. So they can attain more statistically pleasing size or breast lift which is master pixy. Breast augmentation, breast lift and breast reduction all three could be required depending on the situation of the individual. Breast augmentation is for the ladies who lost a lot of volumes. Lift for the patients who just have droopy breasts, reduction for ladies who gain a lot of volumes which never went back. Sometimes we do total body contouring when we are doing mommy makeover including breast, abdomen, thighs, sides and sometimes even buttocks .the another part of mommy makeover is the skin care and sometimes care of the Uro-genital parts some ladies develop a little stress on continence after having had babies ,all these can correct with non-surgical treatments like thermi tight or thermiVA , thermiVa is specific radiofrequency treatment that increases the tone of the private parts as well as increases the lubrication and it can also decrease the size of the labia. A surgical procedure is also available to achieve all these three things, the other treatments can be for stretch marks, varicose, pigmentation cellular loose skin those all include treatments with the procedures like lasers chemical pills and so on

If you need any more information with these treatments you can contact drkashyap.com or through Lybrate.