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Plastic Surgery


Dr. Jijo Joseph


Detailed Profile

Dr. Rupika Rajan

Assistant Professor

Detailed Profile

Clinical Focus

Face lift is the clinical way of removing facial wrinkles and sagging caused by aging. Individuals who are in the age group of 40 to 70, is the best candidates for face-lift surgery. During a face-lift, the surgeon removes loose skin, accesses the tissues beneath the skin and alters their tightness. Depending on the circumstances, the face-lift can take anywhere from two to six hours. Bandages over the face are removed on third day and stitches on seventh day. 

Neck lift includes the procedures to enhance the appearance of your neck. Procedures can include removing loose skin, altering neck muscles tightness and improving neck contour by removing any fat if necessary. Surgery, involves making cuts in front of, and behind ears. All scars become imperceptible with time. 

Procedures for getting rid of the appearance of tired, droopy and aged eyes, using cosmetic eyelid surgery for improving appearance. This is accomplished by removing excess skin and pockets of fat from the upper and lower eyelids through incisions made along the natural skin lines of the eyelids or incisions totally hidden within the lower lid. Blepharoplasty usually takes less than two hours, depending on the amount and location of tissue being removed. 

Surgery to reshape the nose or correct bumps, indentations, or other defects in the nose. This surgery may be done using general or local anesthesia. The incisions are usually made inside the nose so that they are not visible after the surgery. Depending on the desired result, some bone and cartilage may be removed, or tissue may be added (either from another part of the body or using a synthetic filler). A splint is placed outside the nose to support the new shape of the nose as it heals. Nasal packing for a day may be used inside the nose to provide additional support. 

A cosmetic procedure that can give you fuller, plumper lips. Injectable dermal filler is the most commonly used method of lip augmentation. Alternatively, augmentation with fat offers long lasting results. 

Thick or fat looking lips are reduced in size by removing a strip of the red part of the lip along with underlying tissue from one end to the other. Surgery may be done under local anesthesia, without any hospital stay and both the lips can be addressed at the same time, in which case short hospitalization may be necessary. 

Chin augmentation is usually done to balance the face by making the chin bigger compared to the nose. The best candidates are people with receding chins but who have a normal bite. It may be done either by inserting an implant or by moving or reshaping bones. Incisions are places inside mouth or under the chin and can be concealed. 

Those who have large chins in comparison to other facial features can benefit from cosmetic chin reduction. The aesthesis and proportion of the face requires that each part is in harmony with the others. Thus a chin that is too large detracts from the other normal features. This imbalance can have a major impact on the psychological wellbeing of the patient. Patient can suffer low self-esteem and become withdrawn. Using specialized instruments, the surgeon reshapes and removes the excess bone to properly contour the chin. Chin reduction better known as genioplasty aims to restore the balance and provide a natural aesthetic appearance. 

Facial implants are done to enhance certain features of your face, including cheeks or jaw line. A good candidate for a face implant is someone in good health and who has reasonable expectations. 

Otoplasty or ear reshaping is a cosmetic surgery procedure to improve the appearance of the ear and earlobes. Otoplasty surgery corrects prominent ears. Most commonly an incision is made on the back of the ear where it’s is hidden and sutures are used to the bend the ear cartilage to create a natural looking ear. In cases where ear is totally absent, the surgery will require at least 3 procedures at an interval of 3 months at least. Either the patient’s own cartilage from the ribs can be refashioned or a silastic implant can be used, depending on the choice of the patient. Silastic however have the unfortunate complication at times of getting affected with trauma or infection. The doctor will give the best option for you after examination. 

It is the way to enhance self-image and boost confidence. Also known as augmentation mammoplasty, breast augmentation is a surgical procedure to increase breast size. During surgery, implant is placed behind the natural breast tissue. This makes the breasts larger. The incisions are made in the natural crease of the breast, in the armpit or in the underside of the nipple area, which makes them inconspicuous. The procedure is usually performed under general anesthesia and takes about two hours to complete. 

Breast reduction surgery (reduction mammoplasty) is advised to women who suffer with neck or back pain, skin infections because of large breast size. This surgery removes excess of the tissue and skin from the breasts to reshape and reduce the size of the breasts. It can also make the area of dark skin surrounding the nipple (areola) smaller. Breast reduction surgery is done under general anesthesia. The surgery usually takes 3 to 5 hours. An overnight stay is usually recommended. A compression garment is advised post-surgery to contour the breasts. 

Sagging of breasts is a common problem with aging. Breast lift or mastopexy can raise sagging or drooping breasts, and can elevate the nipple and areola. The surgery usually takes 3 to 5 hours. An overnight stay is usually recommended. For smaller reductions, the surgery may be done under local anesthesia. 

Good candidates for surgery include those who have firm and elastic skin that will allow for effective re-shaping of the chest contour. The surgeon will remove excess fat by making a small incision around the lower half of the chest area using liposuction. It is a day care procedure done under local anesthesia or general anesthesia and it normally takes 1- 2 hours to complete. Compression garment is recommended after surgery.

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