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KNOW YOUR SURGEON

Dr. Susant Mishra

(M.B.B.S., M.S., MCh.)
Burns, Plastic & Reconstructive Surgery
Professor and Head of Department

Dept. of Burns, Plastic & Reconstructive Surgery
IMS & SUM Hospital, Bhubaneswar

Dr. Susant Mishra completed his MCh. Degree in Burns, Plastic & Reconstructive Surgery from Seth V. S. Hospital in Ahmedabad, Gujarat which is one of the premier institutes of the country. He has individually performed more than 5000 surgeries till date most of which include complex cancer reconstructions, trauma, hand surgeries and hair transplants. He is currently working as Professor& Head in the Department of Burns, Plastic & Reconstructive Surgery at IMS & SUM Hospital, Bhubaneswar. He has 12 years of experience in the field of Plastic & Cosmetic Surgery. He is also a visiting consultant to several leading hospitals in Bhubaneswar.

Visiting Consultant:
  • Shree Hospitals, Bhubaneswar
  • AMRI Hospitals, Bhubaneswar
  • Care Hospitals, Bhubaneswar

OTHER SERVICES

Cosmetic Surgery

DewDrops Aesthetics Center is one of the top Cosmetic & Plastic Surgery Centers in Bhubaneswar, Odisha which offers the best Cosmetic Surgery by a highly experienced specialist and surgeon (Dr. Susant Mishra) at an affordable price. Being the best cosmetic & plastic surgery Center in Bhubaneswar, it offers 100% customer satisfaction. The cosmetic procedures performed by us :

  • Liposuction
  • Abdomen
  • Breast
  • Buttock
  • Upper Extremity
  • Calf
  • Gynaecomastia (Male breast enlargement)
  • Abdominoplasty
  • Breast augmentation
  • Breast reduction
  • Necklift
  • Brow Lift
  • Forehead Lift
  • Buttock Lift
  • hymenoplasty
  • Labiaplasty
  • Otoplasty
  • Rhinoplasty
  • Lip Augmentation & reduction
  • Double Chin Treatment
  • Hand Rejuvenation
  • Dimple Creation
  • Acne/ Pimple Scars Treatment
  • Chemical Peels
  • Botox / Filler Injections
  • Stretch Marks Treatment
  • Line and Wrinkle Smoothing
  • Fat Injections (Transplant)
  • Smile Makeovers
  • Dermabrasion
  • Vitiligo Treatment
  • Scar Treatment
  • Tattoo Removal
  • Mole /Wart Removal
  • Subcision

FACTS ABOUT COSMETIC SURGERY PROCEDURES

REDUCTION GYNAECOMASTIA: (Liposuction/Surgical reduction of Male Breast)

In some boys during puberty and adolescence, breasts develop to a notable size. This can cause psychological problems and the cause of embarrassment for the boys to remove clothes in front of others or in swimming pools.  However, most of these resolve on their own in two to three years. In very few persons, however, the breast enlargement persists requiring surgical correction. On rare occasions, it can also occur in adult males also and may be associated with hormonal imbalances.

The Surgery:

Anaesthesia: General Anaesthesia

Duration of Surgery: 1-2 Hours

Duration of Stay: Overnight stay or rarely 2 days

The Procedure: After patient is put under general anaesthesia, painting and draping of the area is done. Two small keyholes are made in the lower part of the chest of 4 mm and tumescent anaesthesia is infiltered. Then, liposuction is done through these holes to evacucate the fat beneath the skin. The liposuction method may be manual, Power assisted liposuction or VASER technique depending on the patient choice.  Any hard tissue beneath the areola is palpated and surgically excised through an incision in the lower areola margin.  At this stage, skin reduction may be done depending upon the skin excess. Drains are usually not placed. Skin incisons are closed in layers. Tight pressure bandage is placed.

Care after surgery:  Dressing is changed after 48-72 hours and a pressure garment is worn to keep the skin adhered to the underlying chest.  Sutures are removed in 7-10 days. Pressure garment is advised to wear for 4-6 months.  Exercises and heavy works are restricted for 6 weeks.

Possible Complications: Occasionally, infections, unevenness, seroma, delayed healing, unsatisfactory scars, residual gynaecomastia, skin excess, asymmetry, skin necrosis can occur. But these complications are rare.

 

AUGMENTATION MAMMOPLASTY: (Surgical Breast Enlargement for Females and Transgenders)

Breast enlargement is most commonly done by surgical placement of a breast implant behind the breast tissue (above or beneath the muscle layer) to enhance the shape of the breast.  The breast implants are available in many shapes and sizes which are either filled with saline or silicone gel. The cover of the implant is always made up of silicone.

The size, shape and texture of the implant is determined by the skin laxity, size of the chest and patient expectations which need to be discussed individually prior surgery.

The Surgery:

Anaesthesia: General Anaesthesia

Duration of Surgery: 1-2 Hours

Duration of Stay: Overnight stay or rarely 2 days

The Procedure: After patient is put under general anaesthesia, painting and draping of the area is done. Two small inframammary (in the lower part of the breast fold) incisions (4-6cm) are made or at lower part of areola.  A cavity is then created just enough to hold the implant. The implant is then inserted after maintaining hemostasis and with adequate asepsis. Then, the wound is closed in multiple layers. Drains are not placed. Snug pressure dressing is placed.

Care after surgery:  Dressing is changed after 48-72 hours and a support bra is worn to keep the implant firm to the underlying chest.  Sutures are removed in 7-10 days. Exercises and heavy works are restricted for 6 weeks.

Possible Complications: Occasionally infections, unevenness, seroma, delayed healing, unsatisfactory scars, asymmetry, skin necrosis can occur. But these complications are rare. On extremely rare occasions, it may be necessary to remove the implant due to rejection by the body.

 

REDUCTION MAMMOPLASTY: (Surgical Breast reduction for Females)

Breast reduction is most commonly done surgically by excision of the breast tissue in a planned pattern and reshaping the nipple and areola to bring them back to their position. This is most commonly performed for those females experiencing recurrent back pain due to heaviness of breasts, recurrent fungal infections in inframammary crease or for psychosocial reasons.

The Surgery:

Anaesthesia: General Anaesthesia

Duration of Surgery: 3-4 Hours

Duration of Stay: 3-4 days

The Procedure: After patient is put under general anaesthesia, painting and draping of the area is done. Incisions are planned prior to surgery that would give an inverted T scar or a vertical scar. The skin along with the breast tissue is excised and nipple areola shifted to their positions. Then, the wound is closed in multiple layers. Drains are placed. Snug pressure dressing is placed.

Care after surgery:  Dressing is changed after 48-72 hours and drains are removed.  A support bra is worn to keep the breast firm to the underlying chest.  Sutures are removed in 7-10 days. Exercises and heavy works are restricted for 6 weeks. Scar treatment and massages are a regular part of post op follow up advice.

Possible Complications: Occasionally infections, seroma, delayed healing, unsatisfactory scars, asymmetry, skin necrosis, nipple areola and T junction necrosis can occur. But these complications are rare. There are rare chances of loss of sensation of nipple areola, inability of lactation, hypertrophic and ugly scars.

 

LIPOSUCTION OR SUCTION ASSISTED LIPECTOMY/ LIPOSCULPTURE:

This is a procedure to remove the abnormal fat deposits in the body and to give the body a tone that one aims at. It is NOT A PROCEDURE FOR WEIGHT REDUCTION and that should be kept in mind. This procedure is commonly performed in patients who need fat reduction from a specific part of the body as in abdomen, thighs, gluteal regions, arms etc. This procedure is purely performed to enhance the looks of a person. It is also sometimes used in post bariatric surgery, for creating a six pack abs (etching).

NOTE:- Liposuction is not a substitute for dieting, nor a cure for obesity. Persons with reasonably normal weight or persons with small excess of fat with good elastic skin with localised excess fat deposits are best candidates for this procedure. (Healthy elastic skin has a good capacity to shrink after the surgery).  The fat cells that are removed in the surgery are removed for a lifetime and do not grow back in number. However, if a person fails to exercise or takes the wrong diet, the existing fat cells can grow in size and the person becomes obese again and the fat deposits reappear.

The Surgery:

Anaesthesia: General Anaesthesia

Duration of Surgery: 1-4 Hours

Duration of Stay: 1-2 days

The Procedure: After patient is put under general anaesthesia, painting and draping of the area is done.  Small keyholes are made in the lower part of the area of 4 mm and tumescent anaesthesia is infiltered. Then, liposuction is done through these holes to evacucate the fat beneath the skin. The liposuction method may be manual, Power assisted liposuction or VASER technique depending on the patient choice.   Sometimes, skin reduction may be combined with liposuction depending upon the skin excess. Drains are usually placed. Skin incisons are closed in layers. Tight pressure bandage is placed.

Care after surgery:  Dressing is changed after 48-72 hours and a pressure garment is worn to keep the skin adhered to the area of liposuction. Sutures are removed in 7-10 days. Pressure garment is advised to wear for 4-6 months.  Exercises and heavy works are restricted for 6 weeks.

Possible Complications: Occasionally infections, seroma, delayed healing, unsatisfactory scars, asymmetry, skin necrosis can occur. But these complications are rare.

COMPLETE EFFECT IS SEEN AT THE END OF 6 MONTHS OF PROCEDURE.

 

ABDOMINOPLASTY:

This is a procedure to remove the excess sagging skin of the abdomen and at the same time, the abdominal muscles are tightened to restore the tone lost during pregnancy.  So, this operation is helpful in women who have completed their family, have loose and redundant lower abdominal skin and have lost weight over a period.  If the patient has excess of extra abdominal fat then, abdominoplasty may be combined with liposuction to evacuate the excess fat. This procedure is however, not helpful in patients with excess intraabdominal fat with bulging abdominal wall.

The Surgery:

Anaesthesia: General Anaesthesia

Duration of Surgery: 3-4 Hours

Duration of Stay: 2-4 days

The Procedure: After patient is put under general anaesthesia, painting and draping of the area is done.

There are a variety of incisions that can be used for this operation. An incision is planned after careful examination and after considering the requirements of the patient. In most instances, a long horizontal incision (bucket handle) is placed and the flap (skin) is elevated upto the xiphoid process. The muscle of the abdomen is tightened (rectus placation). The umbilicus is repositioned. The excess skin is excised and the skin is redraped. Drains are usually placed. Skin incisons are closed in layers. Tight pressure bandage is placed.

Care after surgery:  Dressing is changed after 48-72 hours, drain is removed and a pressure garment is worn to keep the skin adhered to the area of operation. Sutures are removed in 7-10 days. Pressure garment is advised to wear for 4-6 months.  Exercises and heavy works are restricted for 6 weeks.

Possible Complications: Occasionally infections, seroma, delayed healing, unsatisfactory scars, asymmetry, skin necrosis can occur. But these complications are rare.

COMPLETE EFFECT IS SEEN AT THE END OF 6 MONTHS OF PROCEDURE.

 

RHINOPLASTY: (RECONTOURING OR RESHAPING OF THE NOSE)

This is a procedure is designed to improve the general appearance of the nose by any one or many of the following procedures on the nose:

  1. Reducing the forward projection of the nose
  2. Removal of hump
  3. Correction for depressed nose
  4. Correction for deviation of nose
  5. Narrowing of the upper nose
  6. Narrowing the tip of the nose
  7. Narrowing the lower nose
  8. Reducing the nostril size
  9. Lifting the nose tip

 

The Surgery:

Anaesthesia: General Anaesthesia

  • Duration of Surgery: 1-2 Hours

Duration of Stay: 1-2 days

The Procedure: After patient is put under general anaesthesia or sedation, painting and draping of the area is done.

Local anaesthesia along with hemostatic infiltration is given. Incisions are usually made on the columellar area and/or inside the nose where the scar is not seen. The nasal skin is lifted away to expose the cartilage and the bony framework of the nose. The cartilages and bones are reshaped (reduced or augmented according to need) and the skin is redraped.

After Surgery: immediately after surgery, a splint is placed on the nose that remains for 5 days. Nasal packs are given that remain for 2 days. The nose may feel congested for several weeks due to swelling.

Swelling & Discolouration:  After the procedure, there is moderate to marked swelling of the nose, eyelids, cheeks, upper lip and forehead. In most patients, the swelling increases upto 48 hours and then gradually decreases. In most patients, the swelling and discolouration subsides by 10-14days.  However, it takes 3-6 months for all the swelling to disappear. Some numbness over the nose persists for 2-3months. Sometimes, the eyes may be bloodshot which improve over time.

RESULTS : some results of the nasal operation will be noted after removal of the splint. But it takes about 8-10 weeks to know the result fully. Even after 10 weeks, minor changes occur till a period of 4-8 months.

Possible Complications: Occasionally infections, delayed healing, unsatisfactory scars, asymmetry, skin discoloration and necrosis, absorption of bone and cartilage grafts, rejection of silicone implant can occur. But these complications are rare.

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