Plstic Surgery mentoplasty

Mentoplasty Augmentation

Objective

In cases of micrognathia (small chin):

•   Correction of cosmetic defect with the insertion of a chin prosthesis.

Position

Supine.

Anesthesia

Local.

Procedure

1.  A short transverse incision in the submental region or in the labial sulcus.

2.  A supraperiosteal pocket is created just large enough to accommodate the prosthesis.

3.  Implant may be fixed with a deep mattress suture.

4.  Wound is closed.

5.  A bulky pressure dressing is applied.

Instruments

•   Limited plastic procedure set 

•   Basin set 

•   Bipolar electrocoagulating forceps 

•   Blades (2) No. 15 

•   Marking pen or methylene blue 

•   Syringes (2) Luer-Lok control, and needles (2) 25 or 27 gauge 

•   Local anesthetic with epinephrine implant (e.g. silicone).

Any questions be sent to drmmkapur@gmail.com

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Plastic surgery Otoplasty

Otoplasty

Objective

Correction of bat ears.

Position

Supine.

Anesthesia

General.

Procedure

1.  Mark incisions.

2.  Incise and raise flaps.

3.  Reshape the cartilage.

4.  Closure.

Instruments

Limited plastic procedure set.

Suture

•   6‘0’ Prolene on curved cutting needle 

•   5‘0’ Vicryl on curved cutting needle 

•   Crepe bandage 4" 2 rolls.

Any questions be sent to drmmkapur@gmail.com

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Thosewho follow may post contributions to the site,please writo tp address above.

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Plastic surgery Abdominoplasty

Abdominoplasty

Objective

Excision of excessive fatty tissue over the lower abdomen.

Position

Supine with pillow under the knees.

Anesthesia

General.

Procedure

1.  Mark incisions.

2.  Excise excess skin and fat.

3.  Plicate abdominal muscles.

4.  Closure in layers over suction drains.

Instruments

•   Limited plastic procedure set 

•   General surgery set.

Sutures

•   2‘0’ Prolene on curved round body needle 

•   1‘0’ Catgut/Vicryl on curved cutting needle 

•   5‘0’ Prolene on curved cutting needle.

Any questions be sent to drmmkapur@gmail.com

All older posts are stored in archive for accessand reiew
Thosewho follow may post contributions to the site,please writo tp address above.

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Blepheroplasty

Blepharoplasty

Objective

Correct of Baggy eyelids.

Position

Supine. 

Anesthesia

Local.

Procedure

1.  Mark incisions.

2.  Infiltrate local anesthesia.

3.  Incise.

4.  Remove excess fat.

5.  Trim excess skin.

6.  Hemostasis.

Instruments

•   Limited plastic procedure set 

•   Sutures 

     6‘0’ Prolene on curved cutting needle.

Any questions be sent to drmmkapur@gmail.com

All older posts are stored in archive for accessand reiew
Thosewho follow may post contributions to the site,please writo tp address above.

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Face lift surgery

Face Lift

Objective

To improve the appearance of facial ageing by correcting laxity of the skin of face and neck.

Position

Supine, head extended with a pillow under the shoulders and ring under the head. Head end elevated 15°.

Anesthesia

General or local with deep sedation.

Procedure

1.  Mark incisions. 

2.  Infiltrate xylocaine 0.5% with adrenaline 1 in 200,000.

3.  Incise and develop flaps.

4.  Excise redundant skin and subcutaneous tissues.

5.  Closure in layers.

Instruments

•   Limited plastic procedure set 

•   Metzenbaum scissors 8" long 

•   Crepe bandage 4" rolls.

Any questions be sent to drmmkapur@gmail.com

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Thosewho follow may post contributions to the site,please writo tp address above.

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Augmentation rhinoplasty

Augmentation Rhinoplasty

Objective

•   Augmentation of depressed or saddle nose with bone on cartilage graft.

Position

Supine.

Anesthesia

GA.

Procedure

1.  Clean and drape.

2.  Incise and dissect nasal dorsum.

3.  Harvest bone or cartilage graft.

4.  Prepare of graft.

5.  Insertion of graft in prepared nasal dorsum.

6.  Closure.

7.  Packing, taping and splinting of nose.

Instruments

•   Limited plastic procedure set 

•   Bone surgery set (for homo graft) 

     a.  Periosteum elevators 

     b.  Osteotome 5 mm 

     c.  Bone cutter 

     d.  Bone nibbler 

     e.  Mallet.

Sutures

•   6‘0’ Prolene on curved cutting needle 

•   5‘0’ Chromic catgut on curved cutting needle.

Any questions be sent to drmmkapur@gmail.com

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Thosewho follow may post contributions to the site,please writo tp address above.

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COSMETIC RHINOPLASTY

Cosmetic Rhinoplasty

Objective

Correction of nasal deformities such as:

•   hump nose 

•   deviated nose 

•   long nose, etc. 

Position

Supine, head extended, pillow under shoulders, ring under the head, head end of table elevated to 30°.

Anesthesia

•   General or local.

Procedure

1.  Pack nose with xylocaine 2% with Adrenalin 1 in 100000.

2.  Infiltrate with xylocaine 1% with adrenaline 1 in 100,000.

3.  Incisions and exposure of nasal frame work.

4.  Excision of the hump.

5.  Lateral nasal osteotomies.

6.  Shaping of nasal tip cartilages.

7.  Closure.

8.  Taping of nasal dorsum.

9.  Application of nasal splint.

Instruments

•   Limited plastic procedure set 

•   Rhinoplasty set consisting of nasal speculums 2 

•   Double pronged hook (Kilner) 

•   Periosteum elevator (Joseph) (Fig. 18.21) 

•   Nasal retractor (Aufricht) (Fig. 18.22) 

•   Nasal chisel (McIndoe) (Fig. 18.23) 

•   Double guided nasal osteotome (Cinelli) (Fig. 18.24)

•   Osteotome 2 mm 

•   Dorsal scissors (Cottle) (Fig. 18.25) 

•   Cartilage scissors 

•   Nasal rasp 

•   Glabellar rasp 

•   Sutures:

     a.  5‘0’ Chromic catgut on curved cutting needle 

     b.  5‘0’ Vicryl or PDS in curved round body needle 

     c.  6‘0’ Prolene on curved cutting needle.

Dressing

•   Vaseline gauze 

•   Micropore tape cut into strips 1/4" wide and 4" long

•   Gypsona/Velroc/Aluminum sheet for nasal splint.

Any questions be sent to drmmkapur@gmail.com

All older posts are stored in archive for accessand reiew
Thosewho follow may post contributions to the site,please writo tp address above.

To create consumer/provider enagement visit www.surginstruatlas.blogspot.co

www.drmmkapur.blogspot.com                 www.surgseminar.blogspot.com

Also available now on android & smartphones same internet address