Indmedica - India's Premier Medical Portal - Cyber Lectures

Micro-Vascular Surgery

Dr. Ashok K. Gupta

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With more emphasis on health and fitness, people are finding their bodies holding up better than a couple of decades ago. Having a fit body is just not enough, people want their faces to match their svelte forms. With dynamic developments in Plastic Surgery over recent years, changes have been more striking and rapid. These developments have radically changed the face of Plastic Surgery e.g. Microsurgery, Cranio-facial Surgery and Suction Assisted lipolysis. These technical advances have opened up newer frontiers in into the area of mutilating and extensive trauma, treatment of malignancy and Aesthetic Surgery. Today synthetic material can rebuilt Cheekbones or Chins, augment depressed Noses or reconstruct Breasts, Testes, Phallus, etc. to a normal shape and size.


Some people, even if they are not very fat, retain localized abnormal fat deposits, which are referred to as “Reserved fat” or “Cellulite fat”. These abnormal “Cellulite fat” deposits can not be shed off even by crash dieting. Suction Assisted Lipolysis is gaining popularity for treatment of these “Cellulite fat”.

Is Plastic Surgery considered to be a luxury and is un-affordable by most in our society?

No, not any longer now. It has become almost a social necessity. Physical attractiveness is legitimate and Plastic Surgery has become more acceptable and affordable to people. Changes effected in expression and appearance are subtle and natural and patients from all walks of life seek relief in this Beauty Conscious Society.

Can Plastic Surgery help the “average not so attractive” individual and how?

More attractive you are, more confident you feel. It may be just psychological, beauty does boost a person’s ego. There are people who in spite of being unattractive, do not lack self confidence, but there are few, who camouflage their physical defects by make-up and other possible ways. Plastic Surgery does play a roll in image building.

Do only women undergo cosmetic surgery, What about men?

By and large, women constitute a major portion of patients seeking help for aesthetic surgery, as beauty has been delegated to womanhood. Percentage of males seeking help has increased over past few decades, not only for baldness or a crooked nose, but also for aging faces and obesity.

Would Plastic Surgery help one to achieve a perfect physical perfection?

Physical perfection is hardly ever achieved. In fact, quite a number of people bank all their hopes on Plastic Surgery to bring love and social acceptance. Plastic Surgeons aim at perfection and want to surpass the normal. Aesthetic Surgery covers a broad spectrum of procedures as simple as treatment of baldness to as complex as reconstruction of missing breasts. No Plastic Surgeon can ever create beauty, he can help the individual to reveal it, when it is present innately, but is hidden by imbalance in arrangements of various body features. Surgery would definitely improve one’s appearance in the eyes of people around him and would relieve to some extent the mental suffering or lack of confidence, the person had earlier.

Why is there an increase in demand for Plastic Surgery allover the World?

One of the main reasons is that our social attitudes have changed. It is not a big deal any more to have an Aesthetic Surgery done. With more women working outside their homes, professional reasons and Affluence have added to its need. With more emphasis on health and fitness, people are finding their bodies are holding up better. They want their faces to match their svelte forms.

Are there any adverse effects following Plastic Surgery?

Effects and failures are mostly due to wrong selection of patients and psychosocial elements. It needs to be stressed that the doctor-patient relationship, is altogether different form normal doctor-patient relationship. Some patients are generally healthy and seek improvement in form and not restoration of health.

Suction Assisted Lipolysis

Some people, even if they are not very fat, retain localized fat deposits, which is often referred to as “Reserved fat” or “Cellulite fat”. This fat deposit is resistant to all type of dieting and exercises and cannot be got rid off easily.

Suction Assisted Lipolysis is gaining popularity as treatment of choice for these deformities, to flatten fatty bulges due to natural, unnatural deposition of the fat in the body. Suction Assisted Lipolysis makes the skin fit more gracefully without excessive cutting.

Why can’t we get rid of this fat by dieting or exercises?

Suction Assisted Lipolysis procedure is no alternative to dieting, but is supplementary to it and helps remove the fat resistant to dieting. Localized Lipo-dystrophy (abnormal deposition of fat) remains stable, despite severe and un-physiological dieting. Hereditary and familial tendencies add up to retain these localized fat deposits, which may disappear only in the extreme situation of famine or other such physiological stresses. h3. Can Suction Assisted Lipolysis help every person with excess fat? This technique of Suction Assisted Lipolysis is most suitable for those people who have mild to moderate amount of adipose tissue, without significant excess of skin. Suction Assisted Lipolysis alone, would not be suitable, in giant Lipo-dystrophy or with moderate to marked redundancy of the skin, poor quality of skin of or requires resuction due to previous scars. However, it may be used as an ancillary procedure to classical Open Derma-lipectomy. Removal of excess fat, may bring about a relief in chronic chest, digestive or locomotive systems, along with psychological satisfaction to these patients.

One must understand that, we all are born with a fixed amount of adipocytes (fat cells), which multiply and develop till puberty, thereafter, they remain constant in number but continue to increase in size. Lipo-dystrophy is hereditary among certain groups of people.

Plastic, Cosmetic & Microvascular Surgeon
Suite #16, 2nd Floor, Laud Mansion, M. Karve Road, Bombay - 400 004.
Tel. - 388 3693 / 8963. Fax - 385 8349

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