Cosmetic surgery by Dr. Sunil Keswani, National Burns Centre, Airoli

COSMETIC SURGERY-a LUXURY or a NECESSITY

Dr Sunil Keswani Cosmetic Surgeon

Breach Candy Hospital Fortis Hospital National Burns Centre

Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, [email protected]

You must have the eyes of Majnu to appreciate the beauty of Laila


Definition of Beauty

Combination of color and figure which makes you appealing to the human senses of eye, ear and intellect


Definition of Beauty

Physical beautyInner beauty(of the soul)

Beauty is when you get complementsBeauty is when you see a good reaction from

the opposite sex








Forms of beautificationScarificationTattooingPiercing the various parts of the human body-

nose,ears,umbilicus,tongue,labia etc.Temporary tattooing in the form of

Henna(Mehandi)







Cosmetic SurgeriesScar revisionHair transplantationEyebrow reconstructionBlepharoplasty/FaceliftCheek dimple creation


Cosmetic SurgeriesLiposuction and Tummy tuckArm lift/Thigh liftBreast augmentation/reduction/tighteningRhinoplasty augmentaion/reductionButtock tighteningCalf implantVagina tightening/Vulval reshaping


SKIN GRAFTING



Dermatome with blade

DERMATOME-HARVESTING GRAFT


DERMATOME-HARVESTING GRAFT







The desire for perfection has in some recent cases turned to obsession.

Hunting for the slightest bulge tends to confuse slimness with starvation.


Definition of BEAUTYA Slender body is a synonym of BEAUTY and

YOUTHOverweight people are often ridiculedGetting fat is getting old







Definition of BEAUTYA woman with a perfect body may take great

pleasure in revealing it by the clothes she wears

Tight-fitting blue jeans have become a sex symbol




Overgrafting for hypopigmented scarsHypopigmented scars(post burn or vitiligo)

are dermabraded or tangentially excised and grafted with split thickness skin graft to cover the unsightly white or hypopigmented areas


TANGENTIAL EXCISON AND OVERGRAFTING

PREOP


TANGENTIAL EXCISION AND OVERGRAFTING

POSTOP


Tissue expansionTissue expander is a balloon shaped

silicone device implanted surgically under normal skin

This is used to expand normal skin adjacent to the scar

The expanded skin is used to cover scars which are surgically excised following tissue expansion

Far superior to skin grafting for removal of scars







Face lift(Rhytidectomy)The desire to look young has bothered

women from time immemorial and the use of herbs and cosmetics to achieve the same has been documented down the ages

This can be achieved surgically by tightening the SMAS(Superficial musculoaponeurotic system)

The results last for about 10 years!






Male breast hypertrophy(Gynecomastia) This problem can be quite disturbing for the

young adolescent male who becomes self conscious about his gender and looks and sometimes the butt of jokes due to his abnormally enlarged breasts

This can be excised by a combination of liposuction and excision.






Breast Tightening(Mastopexy)Loose dangling breasts are a sign of ageingEvery woman would like to have taut and

firm breast pemanentlyEspecially after pregnancy and lactation the

breast loses volume and hangs down due to loosening of the ligaments of Cooper

This can be corrected by a procedure called Mastopexy wherein only the skin of the breast is excised to provide fullness and tautness to the breast.


Mastopexy1.Discomfort due to over sized hanging

breasts-pain,postural change,skin rash2.Ptosis secondary to hypertrophy,pregnancy

or obesity


Breast Tightening (Mastopexy)


Breast AugmentationThe Indian woman is traditionally seen

with large breasts in paintings and sculptures in caves and temples

The breast in a female is a symbol of pronounced sexuality

Anything small leads to a complexSmall breasts can be increased in size by

inserting breast implants in a plane behind the mammary tissue but in front of the pectoralis fascia




Breast Augmentation



Chandan saa badan chanchal chitawanDheere se teraa ye musakaanaaMuze dosh naa denaa jagawaalonHo jaaye agar dil deewaanaa Tan bhee sundar, man bhee sundar Too sundarataa kee murat haiKisee aaur ko shaayad kam hogee Muze teree

bahot jarurat hai Pahale bhee bahot dil tarasaa hai Too aaur naa

dil ko tarasaanaa Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, [email protected]

Iltija Hai Bas Tujhe Paane Ki,

Aur Koi Hasrat Nahi Hai Tere Deewane Ki,

Shikva Mujhe Tujhse Nahi Khuda Se Hai,

Kya Zururat Thi Tujhe Itna Khubsoorat Banane Ki…


Beauty or Physical perfection???The quest for perfection of the physical

form has bothered both men and women.It is like a mirage which seems within

reach but is always elusiveCan everyone be physically perfect or

aesthetically beautiful?Is there something beyond physical

beauty?Is there not something unique about each

individual?Are we all not beautiful in some way or

the other. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, [email protected]

Does everyone need cosmetic surgery to look beautiful or desirable?

Is physical beauty permanent?

Cosmetic surgery is here to stay, but is a double edged sword which has to be used cautiously but when it has to be done it should be done well with a proper selection of cases and due and appropriate care

LOOK GOOD – FEEL GOOD!Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, [email protected]

COSMETIC SURGERY-a LUXURY or a NECESSITY????

Dr Sunil Keswani Cosmetic [email protected] 31881


Health & Medicine

Cosmetic surgery by Dr. Sunil Keswani, National Burns Centre, Airoli