Many a times people fail to give much attention to the appearance of their neck; nevertheless, the neck is one of the first parts of the face that starts to age early. Furthermore, extreme weight loss or damage due to sunlight may also cause the skin on the neck to look sagging, loose and aged. …
You, as a lay person, may be confused between the terminologies: Plastic Surgeon, Cosmetic Surgeon, Oculoplastic Surgeon, Facial Plastic Surgeon, Dermatologist, Trichologist, Cosmetologist, etc. How do you decide who is the best specialist for your disease? Which specialty is better trained? Who performs reconstructive surgery? Who should perform aesthetic surgery. Dr. Debraj Shome, top facial plastic surgeon, in Mumbai, India, tries to demystify all these terminologies in this blogpost.
Facial scars can be prevented and at the very least heal better than they otherwise would. Nowadays, with the advent of best medical treatments and with combination of different cosmetic – laser treatments and surgical procedures, all types of scars & keloids can be almost completely treated, such that they would almost be invisible. This includes depressed scars, hypertrophic scars, acne scars, chicken pox scars, keloids, etc. Scars impact confidence badly. As Dr. Debraj Shome, best plastic surgeon in Mumbai, India says, “When we treat scars on the face, the brain heals”.
Bony prominences like the cheek, the chin and the nose play a very important role in the way you look. You may be born with high cheek bones & a well defined chin. But, if you are not, it is fairly easy to augment the cheek bones & chin in a non-invasive manner. You will be surprised just how much of a difference these can make to your overall look and photos. Dr. Debraj Shome, top facial plastic surgeon in Mumbai, India, explores how much of a difference high cheek bones & a prominent, square chin can make to your looks. In this blogpost, Dr. Shome explores filler enhancement as well as malar (cheek) implants for cheek & chin augmentation.
Celebrities, actors and actresses from Bollywood & Hollywood are style icons. Their fans look at them for advise on everything: clothes, style, fashion as well as beauty treatments & tips. Many celebrities (with their access to the best plastic surgeons and dermatologists) have undergone plastic surgery like hair transplant, liposuction, blepharoplasty (eyelid surgery), breast implants & cosmetic procedures like the QR 678 hair growth factor injections & skin whitening surgery. But, do all of these work? What are the risks & the benefits? Should you undergo them? Dr. Debraj Shome blogs on celebrity makeovers and their efficacy, what you may consider & what you should be wary of.
Face Shapes play a vital role in aesthetics & beauty. Working out your face shape type can be the first step in evaluating many things: which hairstyles will suit you, which spectacles & sunglasses will look good on you, how you should apply makeup, etc. In fact, understanding your face shape is the first step in understanding you. Once you know your face shape, you can rectify the deficiencies & aim for the best face shape by visually changing your face shape via hairstyles, makeup, glasses. The facial shape can also be changed by using non-surgical procedures like Botox treatment for masseter hypertrophy & filler injections for adding volume to certain areas of the face. Facial Shapes can also be changed by using cosmetic surgery procedures like VASER Liposuction of the face, chin implants & cheek implants.
As we age, the facial tissues tend to droop, due to the action of gravity. Facelifting treatment elevates the facial tissues, restoring the youthful facial contours. Surgical face lift can be performed through the classical facelifting incision. Modifications like the mid-face lift, mini face lift, etc, can achieve the same results, but with greatly reduced surgical downtime & much reduced surgical risk. Advances like the vampire Lift, the liquid facelifting treatment (with Botox Injections & Fillers), can achieve the same results, and are non-surgical, with zero risk and downtime.
Skin scarring is the process by which skin wounds are repaired. Damage to the deeper layer of the skin, the dermis, is required to produce a scar. These are several different types of skin scars including Keloid scars, Contracture scars, Hypertrophic scars & Acne scars. This blogpost by Dr. Debraj Shome discusses the Best Treatment for Scars, including medical treatment, over the counter skin ointments, pressure bandages, silicon sheets, laser treatment, carbon dioxide laser resurfacing & surgical scar excision. The pros & cons of these therapies and remedies are discussed in detail. Scars can be prevented & even the worst, recurring, keloid scars can be treated with a combination of these best treatments.
No amount of under eye concealer & eye make up can counteract the under eye problems (eyelid bags, eye bags, dark circles, black circles, tear trough deformity). Dark Circles under the eyes (under the lower eyelids) are very common, very troublesome, detract from appearance, and impart an aged and tired look on people. Dr. Debraj Shome, a top / best oculoplastic surgeon, based in Mumbai, India, discusses the major causes of dark circles under eyes, medical remedies, skin treatments, laser treatment, non-surgical cosmetic treatments like Botox & filler injections & cosmetic surgery remedies like blepharoplasty. How do dark circles occur (causes of dark circles), how to get rid of dark circles & which modality (treatment option) to use when, is discussed in detail in this blog post.
Facial trauma, also called maxillofacial trauma, is any physical trauma to the face. Commonly injured facial bones include the nasal bone (the nose), the maxilla (the bone that forms the upper jaw), and the mandible (the lower jaw). The mandible may be fractured at its symphysis, body, angle, ramus, and condoyle. The zygoma (cheekbone) and the frontal bone (forehead) are other sites for fractures. Fractures may also occur in the bones of the palate (mouth) and those that come together to form the orbit of the eye. As many as 50–70% of people who survive traffic accidents have facial trauma. In most developed countries, violence from other people has replaced vehicle collisions as the main cause of maxillofacial trauma; however in many developing countries traffic accidents remain the major cause. Rene Le Fort used cadaver studies in 1900 to provide detailed descriptions of 3 basic types of facial fracture, these are now known as Le Fort I, Le Fort II & Le Fort III Fractures. Fractures of the nose, base of the skull, or maxilla may be associated with profuse nosebleeds. Nasal fractures may be associated with deformity of the nose, as well as swelling and bruising. Deformity in the face, for example a sunken cheekbone or teeth which do not align properly, suggests the presence of fractures. Asymmetry can suggest facial fractures or damage to nerves. People with mandibular fractures often have pain and difficulty opening their mouths and may have numbness in the lip and chin. With Le Fort fractures, the midface may move relative to the rest of the face or skull. The 3 goals of therapy in treating facial fractures are (1) to restore functional occlusion; (2) to stabilize the major facial skeletal supports, thereby restoring the pre-morbid 3-dimensional contour (height, width, and projection) to the face (Open Reduction & Internal Fixation); and (3) to provide skeletal support for the proper function and appearance of the overlying facial soft tissue structures.
Rhinoplasty / nose job / nasal shaping surgery is a surgical procedure, performed to improve the function (reconstructive surgery) and/or the appearance (cosmetic surgery) of the human nose. Septoplasty is a corrective surgical procedure done to straighten the nasal septum (deviated nasal septum surgery), the central partition between the two nasal cavities. When it deviates into one of the nasal cavities, it narrows that cavity and impedes airflow. A deviated nasal septum is deemed significant when it causes a crooked nose in appearance or causes other symptoms such as sinus blockage, nasal congestion, sinus infection, sinusitis, difficulty in breathing, snoring & sleep apnoea. Often, a septoplasty is combined with a rhinoplasty for cosmetic correction of the deformities of the external nasal framework. The combination of a septoplasty to straighten the nose & a rhinoplasty to make the nose cosmetically better looking is called a septorhinoplasty (functional + cosmetic correction of nose). The nasal septum can bend to one side or another as a part of normal growth during childhood and puberty. Also, the septum can be deviated at birth (congenital) or because of an injury (nasal trauma / nasal fracture), such as a broken nose. A septorhinoplasty is performed to correct a deviated nasal septum, a crooked nose, & other symptoms such as sinus blockage, sinusitis, difficulty in breathing, snoring & sleep apnea.
How to get rid of stretch marks? How to reduce (remove) open pores on the face & cheeks? How to get whiter, lighter, (skin whitening & lightening) beautiful, blemish free, mark free, wrinkle free (fine lines removal) skin? How to remove (reduce/ treat) acne (pimple) scars (best laser for acne scar removal)? How to get tighter, younger looking, smoother, beautiful skin on the face, cheeks, head, neck, back, arms, legs & the rest of the body? The best cosmetic laser treatment (therapy) for all of these indications in Indian skin is the ablative fractional carbon dioxide (CO2) laser treatment. This is a safe & effective treatment, with minimal side-effects & can be performed at reasonable cost (price). The Carbon Dioxide laser has a synergistic cosmetic effect with other skin rejuvenation treatments like Botox (Botulinum Toxin Injection), dermal fillers & other skin care products.
Ptosis (Droopy Eyes / Droopy Eyelids) can affect one eye or both eyes. Ptosis may be present at birth, or may be acquired later in life. If a droopy eyelid/ droopy eyes are present at birth or within the first year of life, the condition is called congenital ptosis. In most cases of congenital ptosis, the cause is idiopathic (unknown). Congenital blepharoptosis has physical, functional, and psychological consequences. . Although the primary reason for the repair is functional, the oculoplastic surgeon has an opportunity through this procedure to produce symmetry in lid height, contour, and eyelid crease for better cosmesis. A good eyelid surgeon understands that ptosis correction has to have a cosmetic (aesthetic) thought process – When a child looks at the world, the world looks at their eyes – And, so, the eyes must look the same (symmetrical eyelid heights) and beautiful, post surgery. Dr. Debraj Shome discusses on ptosis in children, aetiology, causes, complications & the types of ptosis surgery for the treatment (cure) of the same.
Restylane, Juvederm, Perlane, Sculptra, Radiesse, Esthelis, Aquamid and other Dermal Facial Fillers – What are they? How do they work? What is the cost? Are they safe? What are the side-effects? Should you undergo them? Facial fillers are temporary to long-lasting solutions administered through a few tiny facial injections on specific areas of the face. Various types of facial fillers are available; each is designed with one or several purposes, such as facial wrinkle and line reduction and lip augmentation. Dr. Debraj Shome blogs on the various types of dermal filler injections and their use in beauty and anti-aging treatment.
Full lips with an accentuated border have often been associated with beauty and youth. In studies performed on the science of human attraction, psychologists have concluded that a woman’s facial and sexual attractiveness are closely linked to the makeup of her hormones during puberty and development. It has been shown that the more oestrogen a woman has, the larger her eyes and the fuller her lips, characteristics which are supposedly perceived as more feminine. Surveys performed by sexual psychologists have also found that universally, men find a woman’s full lips to be more sexually attractive than lips that are less so. It is very easily possible nowadays to give a lady more attractive, curvaceous, fuller, lips, using cosmetic filler lip injections with Fillers like Restylane and Juvederm. Restylane / Juvederm are very safe, affordable, predictable and injections with Restylane / Juvederm Fillers can be performed in the doctor’s office itself. Dr. Debraj Shome explores the advent of lip filler injections and explores the data on whether fuller lips are indeed more feminine.
With respect to beauty, the face shape plays a part. Though every person’s face is unique, it’s generally accepted that there are seven basic face shapes. The ideal face shape is oval. What if you do not have an oval face and have a square or a round, broad looking face? The most important step is to evaluate the reason for the square or round face shape. Is it the fat below the facial skin? Is it the muscle mass of the mass (i.e. masseter hypertrophy)? Or, is it the bone structure itself of the face? A careful examination by your plastic surgeon can help find the cause and treat the same. The face shape can then be altered by VASER liposuction if fat is responsible or if masseter hypertrophy (face muscle enlargement) is responsible, Botulinum toxin injections (BOTOX treatment) can be used to treat masseter hypertrophy.
Pthisis bulbi, also called Atrophic bulbi / Small Eye / Shrunken Eye, occurs post eye (ocular) trauma (injury), eye surgery and eye infections (inflammations). Phthisis Bulbi or a painful, Blind eye does not have any vision (sight). Moreover, the blind eye can cause sympathetic ophthalmitis (a disease), which can in turn cause blindness even in the other normal eye. Hence, in an eye with no visual potential, it may make sense to remove the eye (via enucleation, evisceration, eye removal surgery), insert a silicone / acrylic ball implant surgically (to replace the volume of the removed eye) and instead fit in an artificial, custom made ocular prosthesis (false eye). A well fitted ocular prosthesis looks and moves just like a normal eye and it can be difficult even for people to tell if the eye is false or real. Dr. Debraj Shome is one of the top/ best oculoplastic & facial plastic surgeons in the world and currently practices in Mumbai, India. In this blogpost, Dr. Debraj Shome writes about eye removal surgery (enucleation, evisceration, exenteration), a blind eye and cosmetic treatment and rehabilitation of small, shrunken eyes with surgery followed by fitting an artificial, custom, hand made, prosthetic eye.
A face lift is a type of cosmetic surgery procedure used to remove face lines & wrinkles & give a more youthful facial appearance. As we age, gravity and fat deflation (loss of volume) rob us of facial fullness. One area in which these effects can be seen is the midface area. To achieve a younger appearance, in a midface lift, the surgeon can use a combination of several small incisions along the hairline and inside the mouth, this way the fatty tissue layers can be lifted and repositioned. This way there are practically no scars. A mid-face lift can also be performed through a trans-conjunctival incision (blepharoplasty eyelid surgery incision). Dr. Debraj Shome, one of the top / best facial plastic surgeons in India and the world, blogs on the midface lift, a minimally invasive surgery, which can make you look years younger & remove lines & wrinkles from your face. This surgery can be performed with no visible incisions (scarless), is anti-aging and you can heal rapidly from this surgery.
Cosmetic eyelid surgery like blepharoplasty surgery removes eyelid bags and treats sagging eyelids, thereby improving the appearance of the upper eyelids, lower eyelids, or both. It gives a rejuvenated appearance to the surrounding area of your eyes, making you look more rested and alert. It is often combined with ptosis (drooping eyelids) surgery. Dr. Debraj Shome is one of the best oculoplastic surgeons & facial plastic surgeons in the world and is currently based in Mumbai, India. He blogs on the nuances of blepharoplasty and ptosis eye lid surgery to treat sagging eyelids and for eyelid bags removal, to give you younger looking, beautiful eyes.
Rhinoplasty – Do you want to get a nose reshaping/ nose job/ new nose via surgery? Rhinoplasty surgery is amongst the commonest plastic and reconstructive surgery procedures performed in India and in the world. Results post rhinoplasty surgery are predictable and costs of the surgery in India are 1/ 10th of the cost of rhinoplasty surgery in the USA and other countries. Dr. Debraj Shome, MD, one of the best plastic surgeons and rhinoplasty doctors in he world, currently practices in Mumbai, India. Dr. Debraj Shome is the chosen surgeon for many celebrity nose jobs / celebrity nose makeovers and has been listed amongst the most famous rhinoplasty (cosmetic nose surgery) surgeons in India for many years. Dr. Shome talks about what to look for in a rhinoplasty surgery treatment procedure, both as a patient and as a surgeon. He discusses, pros, cons, potential disasters of bad rhinoplasty, nose job surgery costs, the surgical procedure itself of both external and internal rhinoplasty and rhinoseptoplasty, what to expect post rhinoplasty surgery in men as well as women, the youngest age to undergo a nose job surgery, post rhinoplasty surgery care and the newer techniques in rhinoplasty surgery, including laser rhinoplasty, in this blogpost.
The New Technique for altering facial shapes and removing double chins – VASER Liposuction. VASER stands for Vibration Amplification of Sound Energy at Resonance. Simply put, it adds the benefit of ultrasound technology to the standard Liposuction Procedure. Ultrasound waves are sound waves at specific frequency and one commonly comes across it during ultrasound cleaning of dental plaque and while looking at the growing baby in mother’s womb. Vaser has resurrected ultrasound in liposuction. The speciality of Vaser is “ liposelection” – meaning it caused damage to fat cells only without damaging other tissues. Simply put, the VASER technology converts by sound energy the thick fat into almost liquid milk-shake like consistency. As this new type of fat removal causes much less ‘collateral’ tissue damage, VASER is used more and more for delicate fat removal from the face. The face, as we know, is a myriad of many nerves and vessels and any damage to a nerve or vessel has permanent repercussions on the way the face animates and looks. This is where VASER is specifically handy as the VASER energy can just melt away stubborn fat from delicate areas like the jaw line, cheeks, chin and convert a generally ‘round’ face to an ‘angular’ or more pleasant ‘oval’ one. Dr. Debraj Shome blogs on the use of this exciting new technology in facial liposculpture and removal of double chins, chubby cheeks and changing facial shapes.
Is it safe to get plastic surgeries done in India, when you are from another part of the world? Dr. Debraj Shome, one of India’s best facial plastic surgeons opines.
There are many different plastic surgery procedures available to those who would like to alter certain aspects of their bodies. Plastic surgery has been around in some form or another for many years, but has only been in extensive use in the 20th and 21st century. The top three cosmetic surgical procedures in 2004 Liposuction …