Aesthetic or Cosmetic Plastic Surgery refers to a set of surgical procedures that improves the patient’s physical appearance. These procedures generally don’t have functional impact on the patient; the surgery works on the purely aesthetic “blemishes” the patient has. Aesthetic plastic surgery can have a significant effect on the patient’s confidence levels, mental health and social interactions. At GGHC, our aesthetic surgeons are engaged in the work of improving patient’s lives with empathy and an artistic hand. Aesthetic surgical procedures include abdominoplasty, rhinoplasty, otoplasty, liposuction, face lift, gynaecomastia (Breast enlargement in males), breast augmentation, breast reduction post Bariatric body contouring Aesthetic Genital Surgery. Apart from these surgical procedures, aesthetic procedures also involve outpatient procedures like wart / skin tag removal and small skin lesions removal. Aesthetic surgeries are usually elective procedures, as the patient has no functional deficits.
Burns and Post Burn Deformities
Burns are essentially tissue damage caused by exposure to heat. The damage could occur as a result of exposure to sun, fire, steam, chemicals, radiation or fires. The aim of burn treatment is to control pain, reduce scarring, prevent infection and remove dead tissue. Burns can vary in intensity, from simple burns that can be treated at home to serious 3rd degree burns that require immediate medical attention. The treatment protocol for burns depends on the location of the burn on the body and its severity. Burns caused by radiation, exposure to chemicals or an electric fire need specialised treatment and follow-up care. The department also manages post burn sequelae like contractures, unstable scar and unsightly scars. The paediatric burn care unit comprising the plastic surgeons and paediatric intensivist is an exclusive facility for the management and intensive care of the tender kids.
A birth defect or congenital anomaly is a deviation in anatomy from what is considered “normal”, that is present in infants at birth. The defect could be caused by a hereditary disease or a developmental disability. These deformities could affect the patient’s ability to speak, eat, hear or even breathe properly or the quality of life that may be expected in the future. Plastic surgery can restore a more functional and aesthetic anatomy. This is applicable for congenital anomalies such as cleft lip, cleft palate, maxillofacial dysplasia, ear malformations, orbital dysplasia, joined fingers and duplicate thumbs. The plastic surgeons work in collaboration with orthodontists, oral surgeons, paediatric dentists and speech therapists depending on the need to manage the child’s overall treatment and care. In some cases, the reconstructive plastic surgery and supportive treatment is done in phases as the child grows.
Hand and Microvascular Surgery
Hand and microvascular surgery deals with the treatment of traumatic and non-traumatic conditions of the hand and wrist. The treatment and surgical repair of a hand injury requires a multi-disciplinary approach, as the condition usually involves treating damaged nerves, tendons, ligaments, bones and skin. The objective of the treatment is usually to regain maximum functional use of the hand and re-establish a fairly aesthetic appearance. The patients will need dedicated hand physiotherapy as part of their post-operative care. The dedicated hand Physiotherapist in our centre also plays a crucial role in helping the patient regain functionality of the hand. Conditions such as brachial plexus injury, carpal tunnel syndrome, finger deformities, severed fingers or toes, Dupuytren’s disease and peripheral nerve injuries require micro vascular surgery. Well trained micro vascular surgeons, excellent anaesthetist support, state of the art infrastructure and high end microscopes are the reasons behind the high success rate in replantation (re-joining of cut /amputated fingers) in our unit.
Cleft and Craniofacial Deformities
Cleft and craniofacial disorders are congenital anomalies of the face and the head. They affect facial aesthetics and functional requirements such as the ability to eat, speak or even breathe. Craniofacial surgeries are reconstructive surgical procedures used to treat cleft lip, palate and other craniofacial anomalies. The surgical approach is tailored to the individual patient’s facial structure. The treatment plan is formulated with inputs from specialists in maxillofacial and oral surgery, neurosurgery, orthodontics and prosthetics. The patient may also be recommended counselling, speech therapy and physiotherapy.
Reconstructive Trauma Surgery
Traumatic injuries can cause serious damage to the body. A patient who has experienced a traumatic injury may have lacerations and deep abrasions of the skin, damage of muscles, tendons, bones, nerves and blood vessels. Traumatic injuries are unpredictable and can cause serious deformities that affect the patient’s ability to lead a normal life. Reconstructive surgery could benefit patients with a severed limb, facial deformities, complex wounds and scarring. During reconstructive surgery, the damaged soft tissues in the body, including muscles, tendons, nerves, blood vessels and skin are repaired or reconstructed at the site of injury. The outcome of traumatic injuries depends on the initial and early management of the injury. Our unit with 24 x 7 availability of Plastic and Reconstructive Surgeons are always there to do the needful in the unfortunate event of injury. Also children with small cut injuries in the face need specialised care and fine suturing to avoid an unsightly scar and the plastic surgeon plays a vital role in this regard. Advancements in medical science have helped plastic surgeons achieve good outcomes for traumatic injuries with reconstructive surgery.
Diabetic Foot and Chronic Wound Problems
Having diabetes puts the patient at an elevated risk of foot problems. In some patients, the foot ulcer could be the first manifestation of the diabetes itself. This is the first complication of the diabetes that is seen externally. The reason behind the foot ulcer is neuropathy (loss of sensation and muscle weakness), vasculopathy (decreased blood flow to the leg), infection and usually the combination of all these factors. Prolonged period of high blood sugar levels leads to early infection. The patient may experience pain, swelling, deformity thickened skin and burning sensation. Early recognition and appropriate care of the foot in diabetic patients will prevent the formation of ulcers. The unit is equipped with the diabetic foot assessment tools like vascular Doppler, Pedobarograph, Biothesiometry and vibration sense assessment. The comprehensive diabetic foot surgery clinic with the vision to save every diabetic limb, involving the plastic surgeon, Vascular Surgeon, Orthopaedician, Interventional Radiologist and Diabetologist give a 3600 care to all the diabetic foot patients. Debridement, nerve decompression, pressure off loading surgeries, podiatric care and wound coverage procedures are performed by the plastic surgery department providing the diabetic patients the chances of a full recovery. Orthotist is also available to make customised foot wears, making the department as a one stop solution for the entire diabetic care.
Cancer treatment often involves surgical removal of the cancerous tumor and surrounding tissue to prevent recurrence. But sometimes the excision surgery leaves a gross deformity which could affect the quality of life of the patient. Reconstructive surgery is often recommended after surgical removal of the cancer, especially for patients with breast cancer, oral cancer and skin cancer. For breast cancer, the most common reconstructive approach involves using the woman’s own tissue in reconstruction to allow for a more natural contour. Patients with oral cancer may be recommended reconstructive surgery to restore the defect of Jaw bones, soft tissues that make up the inner cheek and the mouth. The reconstruction is usually done using tissues from other regions of the body called the micro vascular reconstruction which allows the patient to perform functions such as chewing, speaking and swallowing again. The Department performs reconstruction with the results and success rates matching international standards.
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