Goyal Hospital Paschim Vihar

Hi,

I am Dr. Mandeep Singh Malhotra, Breast Oncosurgeon. There are 2 aspects. One is oncoplasty and another is a dedicated breast screening program. We see how to prevent breast cancer. First I will talk about oncoplasty. It is a technique for breast cancer resection and breast reconstruction. So, we have a very large experience in this part of the treatment. For breast preservation surgery, breast cancer or mastectomy, reconstruction for breast cancer. A woman goes with breast cancer and when it is detected, we reconstruct the breast at the same time. We are also specialized in post-mastectomy reconstruction. All the women who are free from breast cancer and if they want to have a breast pad, they can definitely use our services. Another thing is the breast cancer screening program which is one of the very unique. In this, we are motivating the women to go for breast examination.

This is important to identify the early lesions. Ultrasound and nanography are done. So, we expect to detect breast cancer at an early stage so that we can increase the survival rate. The problem in India, especially in Delhi/NCR, 1 in 20 women is having the risk of breast cancer. 40-45 is the peak age to get breast cancer. So, we need to do something to catch earlier. So, we are motivating women to check and get their breast examined. So, I would say to the women between the age of 25-60 to come and avail our services. Get yourself checked for any breast lesions. Get your ultrasound done if you are less than 40 and if you are more than 40, get a mammogram done.

Thank You.

Hello Everyone,

I am Dr. Shilpi Bhadani, a plastic surgeon, practicing in Ghorgaon.

So I’ll talk about hair transplantation. Alopecia or baldness is a very common problem nowadays and across younger age group as well as the old age group. Hair transplant offer a permanent solution. In this if basically understood it is the transplantation of hair from one part of the scalp to the other part. In severe cases we may need to use body hair from the axilla or the pubic region of the chest hair even the leg hair, but most commonly in about 99% of the cases we use scalp hair from the back of the head to the front to cover the bald areas. No basically there are two methods for hair transplant. It is either Follicular unit transplantation or Follicular unit exaction. The two methods the implantation are not different that is the putting the hair is almost the same is the method by which we exact the hair is different. So in Follicular unit transplantation or FUT method, we actually take a strip of the hair from the back and the donor area is stitched and then the team of technicians they separate the strip….. the individual follicles from the strip and then they are made ready for the transplantation. Whereas in Follicular Unit Extraction, the individual follicle, the bunch of follicles are extracted and one follicle may contain one hair up to three hair so they are individually extracted and implanted. So there is a myth that floats that FUT is not safe or it leaves a very bad scar and FUE is nonsurgical, so you have to get this very clear that both are surgical methods, FUT or FUE. Hair transplantation is a surgical methods not a nonsurgical procedure and the methods of FUT have improved overtime and we actually now do a trichophytic closure. So the hair… the new hair in the scar actually grows through the scar. So it actually obscure the scar. You can hardly make out that a strip of hair is taken from there and in FUE also. There will be punctate scars that will be left behind. So it’s just a matter of perception whether what you think is right and it actually…. the choice of the procedure depends on the donor area and the recipient area and your level of baldness whether which is used. Sometimes we also use a combination of the two increase the hair yield. Now there are many, you know clinics, which offer that, you know, ‘we offer unlimited hair transplant’ and see donor area is always limited so there cannot be an unlimited hair transplant and also that if a fair amount of density is expected by the person underdoing the hair transplant, you may will have to go undergo a second session to get a good density. So coverage and density are two different things. So initially we target coverage and if you want more density then of course you can a second procedure can be done. The hair that is transplanted grows….. starts growing in about four months’ time and the complete result can assessed after eight months to nine months’ time. And I the follow up period if PRP or Platelet Rich Plasma Theory is done after the hair transplant the hair growth is really better. Some medications are continued after the hair transplant also up to to certain amount of time but it’s a procedure that requires six to eight hours if we are targeting a bigger coverage area and it’s a procedure done under local anesthesia. When choosing a hair transplant center it is important for you to research and the qualifications of the surgeon or the person doing the hair transplant is very important because a lot of unauthorized centers that have sprung nowadays and you safety is the prime concern. As I said that it is a surgical procedure so things may get complicated so you have to choose a center which is well equipped which is well equipped to deal with emergencies if at all there is a need. Usually there is no need but then you safety is the prime concern. So understand that it is a surgical procedure and it has to be done safely and it has to be result oriented.

If you want a consultation from me for hair transplant you can contact me via Lybrate. Thank you.

Hello everyone. I am Dr Shilpi Bhadani, a plastic surgeon in Gurgaon. Today I will speak about Laser Hair Reduction.

Laser hair reduction is increasing in popularity as a method to remove unwanted body hair. The most common areas include the underarms, facial hair, the chest hair in males, the back hair also in males, leg, arms, bikini line. So there is almost no body part which is spared from laser hair reduction. 

But it is important for the people who are seeking laser hair reduction to understand that, "what is the expectation and whether the reality will match the expectation or not?"

So, the first consultation with the laser specialist is important. And one must know the modality that is being used for the Laser Hair reduction. There can be multiple modalities like - Diode, Nd-YAG Q-Switched and IPL. Out of this, Diode and Nd-YAG are equally successfull an popular. However, the gold standard is Diode laser hair reduction. 

The black hair is most effectively targeted and it is mostly targeted in the growth phase. Now, hair grows in a cyclic manner that is why it needs sessions to ultimately reduce the hair growth. And one thing you need to understand that it is not hair removal, it is hair reduction. So, although some people do achieve freedom from hair but gradually you will need maintenance and that will depend on person to person. Although it is not much. When you had about 6-8 sessions, then it is really good. 

Laser hair reduction for the face usually sort after by women or girls who have the syndrome called as Polycystic Ovarian Syndrome in which there is Hirsutism that means the unwanted facial hair in male growth pattern is there. LOaser hair reduction is a very effective modality for this unwanted growth of hair but it must also be understood by the patients that PCOD must be treated. So, simultaneous treatment for PCOD is essential. So, you will need a consultation with person who treats PCOS liek an endocrinologist or a gynaecologist simultaneous to the Laser Hair Reduction.

So, it is grwoing in popularity and it is very very successfull method.

We do Laser Hair Reduction at our clinic. If you want to contact, you can contact me through Lybrate.

Thank you.

Brief Introduction to Liposuction