Breast augmentation

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BREAST AUGMENTATION BREAST AUGMENTATION DR. VIJAY SHARMA DR. VIJAY SHARMA PRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERY PRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERY

Transcript of Breast augmentation

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BREAST BREAST AUGMENTATIONAUGMENTATION

DR. VIJAY SHARMADR. VIJAY SHARMAPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERYPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERY

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BREAST AUGMENTATIONBREAST AUGMENTATIONBreast Augmentation is the most fascinating operative procedure in the history of medical science, which has given great boost to the Cosmetic Surgery, but along came a lot of controversy as well.

Aesthetic Breast augmentation or augmentation mammaplasty is a surgical procedure to increase the size of the breast.

DR. VIJAY SHARMADR. VIJAY SHARMAPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERYPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERY

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BREAST AUGMENTATIONBREAST AUGMENTATION1. Indication2. Approaches3. Placement4. Extent5. Varieties of Implants6. Operative Procedure7. Postoperative Care8. Complications9. Conclusions

DR. VIJAY SHARMADR. VIJAY SHARMAPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERYPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERY

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DR. VIJAY SHARMADR. VIJAY SHARMAPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERYPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERY

INDICATION

Augmentation Mammaplasty typically is performed to enlarge small, underdeveloped breasts or breast that have decreased in size, or atrophied, after childbearing and breast feeding. It may also be done to balance asymmetry that may result from post mastectomy reconstruction. The extent of the procedure depends on what changes are desired and what your surgeon deem appropriate.

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DR. VIJAY SHARMADR. VIJAY SHARMAPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERYPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERY

INDICATION• Congenital amazia • Unilateral amazia• Hypomazia (bilateral or unilateral) • Post-parous Hypomazia

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APPROACHES1. Transaxillary2. Peri-areolar3. Infra Mammary

DR. VIJAY SHARMADR. VIJAY SHARMAPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERYPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERY

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APPROACHESBREAST AUGMENTATIONBREAST AUGMENTATION

DR. VIJAY SHARMADR. VIJAY SHARMAPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERYPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERY

Transaxillary

Peri- areolarInfra Mammary

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PLACEMENTS

1. Sub – Mammary2. Sub - Muscular

DR. VIJAY SHARMADR. VIJAY SHARMAPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERYPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERY

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PLACEMENTS

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Sub – Mammary Sub Muscular

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From second rib above to the sixth rib downwards.Mid line cleavage medially, up to the mid axillary line laterally

Extent

DR. VIJAY SHARMADR. VIJAY SHARMAPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERYPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERY

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BREAST AUGMENTATIONBREAST AUGMENTATIONExtent

DR. VIJAY SHARMADR. VIJAY SHARMAPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERYPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERY

Second rib

Sixth rib

Mid line cleavageMid axillary line

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VARIETIES OF IMPLANTSType

1. Saline Filled2. Silicone

DR. VIJAY SHARMADR. VIJAY SHARMAPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERYPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERY

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VARIETIES OF IMPLANTSShape

Tear Drop Biconvex Round Flat

DR. VIJAY SHARMADR. VIJAY SHARMAPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERYPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERY

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VARIETIES OF IMPLANTSSurface

Plain SurfaceTextured Surface

DR. VIJAY SHARMADR. VIJAY SHARMAPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERYPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERY

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OPERATIVE PROCEDURES Augmentation mammaplasty usually is performed

under general anesthetic, although a local anesthetic, which numbs the area around the breast, may be used. Medication to relieve tension is given before the anesthetic allow you to be comfortable during surgery. If a general anesthetic has been administered, you will sleep through the entire operation.

DR. VIJAY SHARMADR. VIJAY SHARMAPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERYPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERY

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POSTOPERATIVE CARE After surgery,pain that is easily

controlled by medication usually will subside in a day or two. If you have been admitted to a hospital, you will be released within a couple of days following the operation.

 

DR. VIJAY SHARMADR. VIJAY SHARMAPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERYPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERY

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If dressings have been applied, they will be replaced by a surgical bra in a few days. Sutures will be removed within a week of surgery. Although the surgeon has made every effort to keep scars as inconspicuous as possible, they are the inevitable results of surgery. In most cases, they will begin to fade gradually and become barely noticeable.

Minimal swelling and discoloration of the breast will disappear rapidly within a fortnight.

DR. VIJAY SHARMADR. VIJAY SHARMAPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERYPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERY

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General InstructionBEFORE SURGERY

1. All prescriptions and consultation consent forms etc. given by the doctor should be filled 10 days before surgery and taken as instructed.

2. Arrange for transportation to and from the hospital on the say of surgery.

DR. VIJAY SHARMADR. VIJAY SHARMAPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERYPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERY

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General InstructionBEFORE SURGERY

3. No Aspirin, aspirin containing medication or alcoholic beverages 7 days before or after surgery.

4. Expect to be in the hospital or clinic for a better part of the day at least half an hour before the schedule time.

DR. VIJAY SHARMADR. VIJAY SHARMAPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERYPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERY

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DAY OF SURGERY1. Nothing by mouth and wear comfortable clothes,

no panty hose. Also please wear a button down shirt or sweater.

2. Please arrive at least half an hour before the given time, make allowance for traffic delays.

3. Please shower and wash hair on the morning of the surgery. Remove contact lenses, nail polish, jewellery and all make up, while at home.

DR. VIJAY SHARMADR. VIJAY SHARMAPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERYPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERY

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BREAST AUGMENTATIONBREAST AUGMENTATIONAFTER THE SURGERY

 

1. Once again no alcohol or aspirin containing medication for seven days. Take diet as prescribed.

2. Limit activities. Complete bed rest the evening of surgery. Avoid quick movements, bending, straining, lifting and if possible sneezing. If you feel nausea contact doctor immediately and you will be prescribed the necessary medicine.

DR. VIJAY SHARMADR. VIJAY SHARMAPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERYPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERY

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AFTER THE SURGERY

3. Post operative visits: You will be seen in the clinic at frequent intervals for the first few weeks. The exact timing of these visits will vary from individual depending on the healing process.

DR. VIJAY SHARMADR. VIJAY SHARMAPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERYPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERY

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AFTER THE SURGERY

Please make every attempt to keep these appointments, since it is vitally important that we closely monitor your healing. If you live in a distant City we prefer you to stay in town for the first few days after surgery.

DR. VIJAY SHARMADR. VIJAY SHARMAPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERYPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERY

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DAY 1 – 10For the first 10 days the patient is regarded as totally convalescent pursuing a programme of relaxation with activities limited to reading and watching TV. If the patient has infants or young children under the age of 3, it is insisted upon that she does not play an active part in the care and management of them for 10 days.

DR. VIJAY SHARMADR. VIJAY SHARMAPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERYPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERY

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AFTER THE SURGERYDAY 11 – 20For the following 10 days of convalescence, light activities i.e. dusting and elementary cooking are permitted. Driving a car is not for 2 weeks. Women who are in a physically undemanding occupation can return to work at the end of this period.

DR. VIJAY SHARMADR. VIJAY SHARMAPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERYPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERY

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DAY 21 – 35In the fourth and fifth week the patient should be gradually returning to normal routine with the exception of lifting, stretching and athletic endeavors. At the end of 6 week the patient can resume a normal life with exception of athletics involving marked arm activities, e.g. tennis, bowling, swimming and volleyball. Sexual activities involving the breast should be avoided for same period of time 4-6 weeks.

DR. VIJAY SHARMADR. VIJAY SHARMAPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERYPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERY

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CARE OF WOUNDBra must be worn at all times for the first 2 weeks, even in the bath.Would to keep dry for the first 2 weeks. If swelling, redness or extreme tenderness arises contact Doctor. Muscular pain and discomfort can be expected for a period of 2 to 3 weeks following surgery

DR. VIJAY SHARMADR. VIJAY SHARMAPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERYPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERY

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DR. VIJAY SHARMADR. VIJAY SHARMAPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERYPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERY

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DR. VIJAY SHARMADR. VIJAY SHARMAPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERYPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERY

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AFTERBEFORE

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BEFORE AFTER

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BEFORE AFTER

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BEFORE AFTER

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BEFORE AFTER

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BEFORE AFTER

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DR. VIJAY SHARMADR. VIJAY SHARMAPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERYPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERY

BEFORE AFTER

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BEFORE AFTER

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BEFORE AFTER

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DR. VIJAY SHARMADR. VIJAY SHARMAPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERYPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERY

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COMPLICATIONS

Bleeding Double BubblePain HardeningSwelling DisplacementInfection RejectionRippling Psychosis

DR. VIJAY SHARMADR. VIJAY SHARMAPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERYPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERY

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CONCLUSION• Excellent results with limited

reservations and definite numbers of minority dissatisfaction and rejection.

DR. VIJAY SHARMADR. VIJAY SHARMAPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERYPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERY

BREAST AUGMENTATIONBREAST AUGMENTATION

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SOME CHALLENGING CASES• Unilateral profuse seroma• Gunshot wound (implant saved

the life)• Inverted Nipple• Psychosis

DR. VIJAY SHARMADR. VIJAY SHARMAPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERYPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERY

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THANK YOU FROM FOUR MISS WORLD OF INDIA

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Brief Introduction of Maharashtraratna

Dr. Vijay Sharma, M.B.B.S, M.S. Cosmetic Surgeon

• Best Aesthetic Doctor in Asia – 2000, Tokyo, Japan

• World Leader of Cosmetic Surgery in India 2001 Berlin, Germany

• Fellowship of Australian College of Cosmetic Surgery, 2002

• President – Indian Association of Cosmetic Surgery

• President – Federation of Restorative And Cosmetic Surgery

• Among the Top Ten Cosmetic Surgeon of The World, 2003, (NBSAS)

• Professor and Board Examiner of International Board of Cosmetic Surgery

• Eminent Personalities of India by International Biographical Research Foundation

• Eminent Author – International Journal of Cosmetic Surgery & Aesthetic Dermatology

• Author of books, Changing Faces, Saundarya, USSA , Hype aesthetic tension

• Record Holder in Limca Book of World Records for highest Cosmetic Surgeries, 2003

• Holder of Limca Book of World Records for First Human Fat Tissue Bank,2003

COSMETIC SURGERY CENTER OF INDIA

Vishal Mandir Plot No.350 6th Road Off Linking, Road Khar (W) Mumbai-400052. INDIA Tel.: +91-22-26491022 / +91-

22-26044543 Fax: +91-22-26041353 Mobile:

9869006534

www.changinglooks.co [email protected]

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1st WORLD CONGRESS OF COSMETIC SURGERY 9th - 12th FEBRUARY 2001

DR. VIJAY SHARMADR. VIJAY SHARMAPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERYPRESIDENT, INTERNATIONAL COLLEGE OF COSMETIC SURGERY

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From left to right: Dr. Kamal Murdia, India, Mr. Habil Khorakiwala chairman of Wockhardt Hospital, India, Dr. Vijay Sharma Dean of International College of Cosmetic Surgery, India, Dr. Narendra Pandya, India, Dr. Pierre Fournier, France, and Dr. Nikolay Serdev, Bulgaria

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Sitting : Dr. Adria B. Ponti, Brazil; Dr. Julio A. Ferreira, Argentina; Dr. Anthony Erian, UK; Dr. Vijay Sharma, India; Dr. Deeb Ali Eed, Saudi Arabia; Dr. Melvin Shiffman, USA; Dr. Poong-M. Kim, Korea; Dr. Marlen Sulamanidza, Russia; Dr. Pierre Fournier, France.Standing : Dr. Alignani Cristobal, Spain; Dr. Harbans Singh, India; Dr. Edwin Djuanda, Indonesia; Dr. Marco Aurelio Faria-Correa, Brazil; Dr. Yash Gupta, USA; Dr. K. S. Bhangoo, USA; Dr. Nikolay P. Serdev, Bulgaria; Dr. Med. Daniel Ubani, Germany; Dr. R. Sundarason, Singapore; Dr. Samy Passy, Brazil; Dr. YangChul Choi, Korea; Dr. Georgio Sulamanidze, Russia; Dr. Pier Antonio Bacci, Italy; Dr. Tetsuo Shu, Japan.Honorary Professor : Dr. Richard Caleel, USA; Dr. Katsuya Takasu, Japan; Dr. Ziya Saylan, Germany; Dr. Julius Newman, USA; Dr. Eduardo Kruling, Venezuela; Dr. Georgio Fischer, Italy; Dr. Cuong Xuan Nguyen, Vietnam; Dr. Daisuke Yamango, Japan(February 9th 12th 2001, Mumbai, India, World Congress)

INTERNATIONAL COLLEGE OF COSMETIC SURGERY

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(From L to R Dr. Vijay Sharma M. D. World renowned Cosmetic Surgeon, Miss World 2000 Priyanka Chopra, Her Highness Raj Mata Gayetri Devi and Actress Hema Malini)

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Dr. Vijay Sharma in Tokyo 2000