Services – Chisel Clinic

Post Bariatric Body Contouring Surgery

admasin — Thu, 12 Oct 2023 06:13:58 +0000

Breast Reduction

admasin — Thu, 12 Oct 2023 06:12:54 +0000

Treatment Name

Heart Transplant

Time Duration

More Than 12 Hour

Doctor Name

Dr. David Smith

Appointment

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Male Breast Reduction (Gynaecomastia)

admasin — Thu, 12 Oct 2023 06:10:52 +0000

Tummy Tuck (Abdominoplasty)

admasin — Thu, 12 Oct 2023 06:09:59 +0000

Protruding Ears (otoplasty)

admasin — Thu, 12 Oct 2023 06:09:06 +0000

PROTRUDING EARS (OTOPLASTY)

PROTRUDING EARS (OTOPLASTY)

Ear correction is a cosmetic procedure to treat protruding ears. The operation is also known as otoplasty or pinnaplasty.

Ear reshaping surgery involves shaping the cartilage into a less prominent shape. The two main techniques for correcting prominent ears are:

The ear splint restores the soft cartilage and uses a splint to hold the ear in its new position. It is used to treat babies under the age of six months

Otoplasty, or pinnaplasty (ear immobilization), in which the cartilage is remodeled to create the missing folds and bring the ear closer to the head.

Why are hearing aids used?
Protruding ears do not usually affect hearing, but can sometimes cause embarrassment and psychological distress.

‘s ears are among the first body parts to reach their full size in an adult human. So when they stick out, they can be particularly noticeable in children and lead to teasing or bullying.

Sometimes the parents of a child with protruding ears worry more than the child. They often worry that their children’s ears will bore them and lead to bullying at school.

Adults with prominent ears can have practical problems. For example, they may find it difficult to wear certain headgear, such as a motorcycle helmet. Women with prominent ears may also feel uncomfortable or embarrassed about wearing their hair up.

Protruding ears

Protruding ears can be hereditary, but this is not always the case.

The ‘s outer ear is designed to protrude laterally from the head at an angle of approximately 20 to 35 degrees. However, in a few people, the angle is more than 35 degrees, resulting in protruding ears.

Protruding ears can occur when there is too much cartilage or when the cartilage over the ear does not fold properly during its development. They can also be the result of an ear injury.

Macs Lift: a modified S-lift

admasin — Thu, 12 Oct 2023 06:07:51 +0000

MACS LIFT: A MODIFIED S-LIFT

MACS LIFT: A MODIFIED S-LIFT

The minimal access skull bandage is a form of facial surgery or rhytidectomy used to reduce wrinkles and tighten sagging facial tissue and was originally developed in Belgium. Access to tissues is through an incision in front of the ear. The sutures are then used to lift the underlying tissue. These sutures are then secured to the deep temporal fascia with pocket sutures.

There is a strong trend towards less radical facial rejuvenation treatments. In 1999, a very simple but effective rhytidectomy technique called the S-Lift was described in the literature. Its basic principle is to hang sagging facial features with a strong and durable bag seam. The procedure is performed on the patient under local anesthesia. Significant changes were made to the incision, the anchor point of the pouch suture, and the direction and shape of the skin excision. Limited skin irritation is achieved through an inverted L-shaped preauricular incision that runs under the cheek. Two strong and durable vertical U-shaped and diagonal O-shaped sutures are woven into the superficial tissues of the musculoskeletal system, beginning with a strong anchorage in the deep temporal fascia at the level of the helical bone. The tying of these sutures results in a very strong vertical correction of sagging facial features, which primarily affect the chin and upper neck area. The procedure can be extended by continuing the dissection of the buccal fat pad, placing a third vertical pocket suture with high impact on the nasolabial fold, and changing the position of the midface volume vertically.

Liposuction

admasin — Thu, 12 Oct 2023 06:06:23 +0000

LIPOSUCTION

LIPOSUCTION

Liposuction, also known as lipoplasty (“fat remodeling”), lipectomy-suction liposuction (“suction-assisted fat removal”), or simply lipo, is a plastic surgery procedure that uses small hollow bodies to remove fat from many different parts of the human body . Tools called cannulas. These tools are inserted into tiny incisions (incisions), usually less than a quarter inch in diameter, from which fat is removed. A medical vacuum cleaner sucks the fine, crushed fat cells into a container. In tumescent liposuction, local anesthetics and other medications are injected into the fat layer before excess fat is removed.

people with localized fat can opt for liposuction to remove fat from that area. Liposuction is a body contouring procedure and is not recommended for weight loss. Liposuction has evolved over the past few decades with the introduction of tumescent and super-wet techniques, ultrasonic liposuction, energy-assisted liposuction, and laser-assisted liposuction. These advances have made it easier and safer to lose more fat with less blood loss. However, large volume liposuction is a more complex and physiologically different procedure than traditional liposuction, which removes small amounts of fat.

liposuction can be performed on the abdomen, hips, thighs, calves, arms, buttocks, back, neck or face. Liposuction can cover multiple areas, such as the abdomen, back, and thighs, in the same day.

Liposuction is also used for breast reduction in men with large chests (gynecomastia) or to remove fatty growths (lipomas), but is often used for cosmetic body contouring.

Candidates for large volume liposuction must be in good physical and mental condition. The weight should either remain constant or go away with diet and exercise. Patients with rapid or sustained weight gain should complete an exercise program and change their diet prior to admission to surgery. Large volume liposuction should not be offered as the only weight loss option to uncooperative or unmotivated patients.

Large volume liposuction should be performed at an accredited hospital or accredited/certified outpatient surgical facility. In addition, all patients should have access to night care and observation facilities by a trained nurse, although this is not necessary for everyone.

patients usually come to the practice after 24 to 48 hours to receive instructions on how to change. The patient or caregiver will remove the Foley catheter within approximately 24 hours.It is advisable to move early and pay attention to the pulmonary toilet. In healthy patients, generalized postoperative edema can often be treated with a mild diuretic 48 hours after surgery.

Female Genital Surgery or Cosmetic Vaginal Surgery

admasin — Thu, 12 Oct 2023 06:03:06 +0000

FEMALE GENITAL SURGERY OR COSMETIC VAGINAL SURGERY

FEMALE GENITAL SURGERY OR COSMETIC VAGINAL SURGERY

Vaginoplasty is a reconstructive plastic surgical and aesthetic procedure that affects the vaginal canal, its mucosa, and vulvovaginal structures that are absent or damaged due to congenital (e.g., vaginal atresia) or other acquired causes (e.g., physical trauma to the vagina). can. Birth). Cancer).Therefore, the term vaginoplasty generally describes all reconstructive and corrective cosmetic procedures performed on the vagina, while the term vaginoplasty specifically describes procedures for partial or complete construction or reconstruction of the vulvovaginal complex. Typically, this procedure essentially consists of lifting the vulva and vagina. Vaginal rejuvenation often consists of two combined procedures: labiaplasty and vaginal tightening, aimed at restoring or improving the aesthetic appearance or function of the vagina. Labia minora is a surgical procedure for cosmetic reduction and enlargement of the labia to reduce or reshape the labia minora on the outside of the vagina.

Some surgeries are required to relieve the discomfort caused by chronic irritation of the lips caused by tight clothing, sexual intercourse, sports, or other physical activity. During vaginoplasty, excess vaginal mucosa is removed and the surrounding soft tissue and muscles are strengthened. The postoperative outcome of vaginoplasty varies; Sexual intercourse (coitus) is usually possible after a week, although the sensation is not always present.

Rhinoplasty

admasin — Thu, 12 Oct 2023 06:01:52 +0000

RHINOPLASTY

RHINOPLASTY

Rhinoplasty, commonly known as rhinoplasty or rhinoplasty, is a surgical procedure usually performed by a plastic surgeon to improve the function or appearance of the nose. Rhinoplasty can be performed for aesthetic or reconstructive purposes to correct trauma, birth defects, or breathing problems. Rhinoplasty can be combined with other procedures such as chin augmentation to improve cosmetic results.

In, reconstructive nose surgery was developed by Sushruta, a leading Ayurvedic physician of ancient India who is often considered the “father of plastic surgery”. Sushruta first described nasal reconstruction around 500 BC. in his text Sushruta Samhita. He and his later students and followers resorted to rhinoplasty to reconstruct his nose, which had been amputated as punishment for crimes.

Surgical access: open or closed

Rhinoplasty can be performed under general, sedation, or local anesthesia. First, a local anesthetic, a mixture of lidocaine and epinephrine, is injected to numb the area and temporarily reduce blood supply. There are two possible approaches to the nose: the closed approach and the open approach. In closed rhinoplasty, incisions are made inside the nostrils. An open rhinoplasty, also known as a brow lift, involves making another discreet incision through the columella (the piece of skin that separates the nostrils). The surgeon first separates the skin and soft tissue of the nose from the underlying structures. Cartilage and bone are remodeled and the incisions closed. Some surgeons use a stent or sealant on the inside of the nose, and then tape or a stent on the outside.

In some cases, the surgeon may graft a small piece of cartilage or bone from the patient to strengthen or reshape the nose. Usually, the cartilage is pulled out of the septum. If there is insufficient cartilage in the septum, as may be the case with a revision rhinoplasty, cartilage can be harvested from the pinna or ribs. In the rare cases where a bone is needed, it is taken from the skull, hip, or ribs. Sometimes a synthetic implant can be used to enlarge the bridge of the nose.

Open skin incision for rhinoplasty. The incision may be in the shape of a “V” or a “step”. This will help achieve a precise closure and hide the resulting scar.

rhinoplasty incisions are hidden inside the nose except for a small incision at the base of the nose.

Rhinoplasty to correct a stuffy nose after unreasonable cosmetic surgery is common. Reconstructive rhinoplasty after unreasonable plastic surgery can restore normal breathing. If the nasal cartilages are cut too much during a rhinoplasty, the nose may appear pinched and the power of the nose may be reduced. Patients complain of nasal congestion, which is aggravated by attempts to inhale deeply. Internal cartilage grafts to support the tip of the nose (rod grafts) or to widen the medial roof of the nose (dilator grafts) can be very successful in restoring normal breathing. These transplant techniques increase the tip of the nose and widen the bridge of the nose.

Hair Transplant

admasin — Thu, 12 Oct 2023 06:00:46 +0000

HAIR TRANSPLANT

HAIR TRANSPLANT

Hair transplantation is a surgical technique in which individual hair follicles are transferred from one part of the body (the donor site) to the bald or balding part (the recipient site). It is mainly used to treat male pattern hair loss, whereby grafts containing hair follicles that are genetically resistant to hair loss are transplanted onto the balding scalp. However, it is also used to restore eyelashes, eyebrows, beard hair, chest hair, and pubic hair, and to fill in scars resulting from accidents or surgical procedures such as face lifts and face lifts from previous hair transplants. Hair transplantation differs from skin transplantation in that the grafts contain almost all of the epidermis and dermis surrounding the hair follicle and many small grafts are transplanted instead of a single strip of skin.

Modern hair transplantation allows you to achieve a natural look by imitating natural hair. This hair transplant procedure is called Follicular Unit Transplant (FUT). Donor hair can be obtained in two very different ways:

1. Strip Harvesting – A strip of scalp is removed under local anesthesia, then the wound is stitched and a piece of scalp tissue is cut into small pieces of tissue called grafts, which are then transplanted into the patient’s thinned area. Head. This method leaves a linear scar in the donor area, which must be covered by the patient’s hair (if it is long). The recovery period lasts about two weeks and requires medical staff to remove the stitches.

2. Extraction of Follicular Units or FUE Harvest: Individual hair follicles are harvested under local anesthesia; This type of micro-threading uses small punches whose diameter varies between 0.6 mm and 1.25 mm. Then each follicle is reinserted into the scalp with a micro blade in the sparse area. Because the hair follicles are individual and little tissue is removed, there is no visible scarring or postoperative pain, and no sutures need to be removed. Recovery from FUE occurs within 7 days.

Thanks to the latest surgical advances, recovery time is immediate. No bed rest or hospitalization is required after hair transplantation and the patient can go home immediately after the OPD procedure. You can also return to the practice from the 2nd day after the operation (provided the hair transplant is performed by a licensed and qualified/experienced surgeon).Thanks to these experienced surgeons, the procedure is almost painless, whereas it used to be associated with great pain.

Procedures
At the first visit, the surgeon analyzes the patient’s scalp, discusses their preferences and expectations, and recommends the best approach (e.g., one or more sessions) and the results that can reasonably be expected.

Operations
Transplant surgeries are performed on an outpatient basis under light sedation (optional) and injectable local anesthesia and typically last about four hours. Before the donor scalp is removed, it is washed with shampoo and then treated with an antibacterial chemical.

In normal follicular surgery, the surgeon removes a strip of skin from the back of the head where hair grows well. The trimmed strip measures approximately 1-1.5cm x 15-30cm. After closing the resulting wound, the assistants begin excising individual follicular grafts from the strip. Using binocular stereomicroscopes, they carefully remove excess fibrous and fatty tissue, trying to avoid damaging the follicular cells used for transplantation. The last closure method is called “trichophytic closure” and results in a much finer scarring in the donor area.

The FUE
harvest eliminates the need to harvest large areas of scalp tissue and can produce very natural looking results when used by the experienced surgeon.

The surgeon then uses very small micro blades or fine needles to puncture the graft sites, placing them in a specific density and pattern, and positioning the wounds at a fixed angle to create a realistic hair pattern. The last part of the procedure is usually done by the assistants, who place the individual grafts.

Aftercare
Advances in wound care allow the use of semi-permeable dressings that allow for the application and exchange of blood and tissue fluids at least once a day. Shampooing starts two days after the operation. Some surgeons wash the patient with shampoo the day after the operation. Shampooing is important to prevent crusting around the hair shaft. The scab adheres to the hair shaft and increases the risk of losing the newly transplanted hair follicles in the first 7-10 days after surgery.

In the first ten days, virtually all transplanted hairs will inevitably fall out (“shock loss”) after the trauma of transference. After two to three months, new hair begins to grow from the displaced follicles. The patient’s hair grows normally and will continue to grow thicker over the next six to nine months. Subsequent hair loss is likely to only affect the untreated areas. Some patients choose to take medication to delay this loss, while others plan a subsequent transplant to address this possibility.

Modern techniques
There are different hair follicle removal techniques, each with their own advantages and disadvantages. Regardless of the donor collection technique, the correct collection of the hair follicles is essential to ensure the vitality of the transplanted hair and to avoid shearing, i.e. cutting the hair shaft from the hair follicle. Hair follicles grow at a slight angle to the skin’s surface, which means that regardless of the transplant technique, the tissue must be taken at right angles and not perpendicular to the surface.

Currently, there are three main methods of obtaining donor grafts: strip harvesting, follicular unit extraction, and direct hair implantation.

The strip sampling is the most common technique for collecting hair and hair follicles at the sampling site, most commonly at the back of the head and sides of the scalp. A scalpel with one, two or three blades is used to remove strands of hair at the donor site. Each incision is carefully planned to ensure the hair follicles are removed intact. After removal, the strip is divided into follicular units, which are small, naturally formed clusters of hair follicles.

Follicular Unit Extraction (FUE) is performed in one long session. According to the literature 98, with careful technique there is no reason to fear graft transplantation. The possible rate of live transplant results is 7%. It is believed that not all hair transplant candidates are suitable for FUE hair transplant. A test called the Fox test is currently performed before surgery to determine the suitability of donor tissue available for transplantation.

Side Effects
Hair loss, also called “shock loss,” is a common side effect that is usually temporary. Hair loss is also common, with fifty to a hundred hairs falling out every day.

Other side effects include swelling of areas like the scalp and forehead. If it becomes uncomfortable, medication can reduce the swelling. Also, the patient should be careful when the scalp begins to itch, as scratching aggravates the condition and causes scabs. To relieve itching, you can use a moisturizer or massage shampoo.

A few years after the operation, there may be more hair loss and the transplanted areas remain in place. This results in odd strands of hair unless they are removed or more hair is transplanted.