Friday, July 14, 2017

Breast Reduction surgery in Women: Most Successful Plastic Surgery

what-is-breast-reduction-and-lift

Breast reduction surgery in females is one of the frequently requested and most predictably successful plastic surgery procedures. The results of breast reduction are almost immediate, relieve the symptoms associated with heavy breasts and improve body image for most of the women; resulting in better self-esteem and confidence. 

Breast reduction with lift not only results in reducing the size of heavy and very heavy breasts making them lighter, it also results in uplifting the breasts making them youthful, perky and aesthetically pleasing. 


A lot of women, of all ages, suffer from problems associated with heavy breasts, which may include neck pain, shoulder pain, poor posture etc, besides suffering from low self-esteem and inability to wear the clothes of their choice.
Non-surgical treatments, such as physical therapy, weight loss, medications, however, do not offer much relief to such women and Breast reduction surgery is usually the best option for them.
Large Breasts and Associated Problems
Heavy or large breasts, medically known as macromastia can cause pain and disturbance in various body symptoms which is known as symptomatic macromastia. Neck, back and shoulder pain, pain in the chest wall, rashes under and between the breasts, rashes between the bra grooves are few of the very common symptoms.  
Other symptoms may also include headaches, sleep disturbances, shortness of breath beside various others. The symptoms are very similar to those of neck arthritis or cervical disk problems and a good physician can tell if the problems you are facing is because of the heavy breasts only.
Non-surgical treatment for breast reduction
Most women have this question in mind – “Is there any nonsurgical treatment for breast reduction and breast lift?"” Experts say that minor problems can be treated with medications, physiotherapy, and other nonsurgical treatments. However, for women with very heavy breasts, who have severe symptoms, nonsurgical treatments do not offer much relief.
Even support bras are of little use and can sometimes even aggravate the pain. Though weight loss is good for health, it does not really improve the symptoms. The fact that the breast skin is heavy and adds significantly to the total breast weight and the increase in breast skin is permanent and not reversible even with the weight loss, makes surgery the most viable solution for women suffering from macromastia.

Breast Reduction Surgery- Permanent solution for Symptomatic Macromastia

breast-reduction-surgery-facts

What is Breast Reduction and Lift Surgery?

Breast reduction surgery also called reduction mammaplasty, is the surgical procedure to remove extra fat, skin, and tissue from the breasts making them lighter. The surgery also results in uplifting the breasts when they are drooping, making them aesthetically pleasing. 
It is the most effective treatment for treating symptoms associated with heavy boobs. The benefits include pain relief, relief in headaches, better sleep, and improved physical activity. 
Plastic surgeons across the world agree that patient satisfaction after breast reduction is very high. More than 90% of women experience significant relief in symptoms associated with heavy breasts.

 What is the Best Age for Breast Reduction?

 Though breast reduction operation should be undertaken after you have completed your family and do not plan to breastfeed anymore, experts all over the world agree that there is no “right” age to get the operation done. 
If you are above 18, have heavy boobs which make you concious and are the cause of physical discomfort to you; you are healthy and have realistic expectations from the procedure, you are a good candidate for breast reduction surgery.

 Can I Breastfeed after Breast Reduction?

 Most women, who choose to undergo breast reduction before completing their family are concerned if they can breastfeed after the operation.  It is quite understandable that on one hand, you are concerned about the discomfort and pain because of heavy boobs; while at the same time you do not wish to compromise on nursing your baby and feel the pinch of not providing the best to your little bundle of joy.
Please tell your surgeon about your choice to breastfeed after breast reduction and the surgeon would advise the best course of action. He would modify the technique and would spare the ducts for good flow of milk.
It is important to understand the process of milk production to understand how breast reduction can affect your ability to breastfeed.
This detailed article on Breastfeeding after Breast reduction gives you information on the process of milk production and how the surgeon can modify your breast reduction surgery to accommodate your request for breastfeeding in future.

What is the Breast Reduction Procedure like?

The surgery is usually performed under general anesthesia and takes about 2-3 hours. There are various techniques to perform breast reduction; of which the most commonly used are:
  1. Vertical or Lollipop Breast Reduction
  2. Inverted “T” or Anchor Breast Reduction
  3. Inferior Pedicle Method


inferior pedicle method of breast reduction
Before Inferior Pedicle method
result-inferior pedicle method of breast reduction
After Inferior Pedicle method

anchor technique for breast reduction
Before Anchor breast reduction
results after anchor technique for breast reduction
After Anchor breast reduction


lollipop technique
Before Vertical Breast Reduction
results of lollipop technique
After Vertical Breast Reduction

All the techniques have different advantages and disadvantages. Your surgeon and you can discuss the options which shall be based on your breast anatomy, type and amount of tissue to be removed and your expectations from the procedure.
The surgeon makes a circular incision around the areola and removes excess fat, glandular tissue and skin. In case of too much fat, the excess fat is removed through liposuction along with the incision.
Nipple which is tethered to its original blood and nerve supply is re-positioned by the surgeon and if necessary, the areola is reduced by excising skin at the perimeter. If the breasts are too pendulous, the nipple and areola are also removed and transplanted to higher position as free graft.
The surgeon then closes the incision of the reshaped smaller breasts.  The incisions from the breast reduction are permanent, though fade and appear like a thin line with time and are well concealed under the swim suit or bra.

What is Recovery after Breast Reduction like?

 You would stay at the hospital for 2-3 days under medical supervision if you are a medical tourist and getting plastic surgery in India, this is to make sure that the initial recovery happens under medical supervision and you have healed enough to be on your own.
Your chest shall be bandaged and you would be advised to wear a surgical bra for initial few days followed by a sports bra for few weeks. The surgeon would prescribe you medications to control the pain and discomfort which may last for a few days, the intensity of which reduces  with each passing day.
Recovery varies from person to person depending on individual body’s healing capacity and extent of the surgery performed; however, the general timelines for recovery for returning to a normal desk job is after a week to ten days. Exercises and heavy workout would need to wait for 4-5 weeks for everyone. Your stitches need to heal completely before you start any heavy workout using your arms or upper body.
 It is important to note that your breasts may heal at a different rate, so it is normal to feel asymmetry during first few months. Besides, your breasts may appear a little larger than what you had expected because of swelling and soreness for the first few weeks. Loss of sensation in nipples and tingling in breasts is also normal for first few weeks.

 How is the Pain after Breast Reduction Surgery like?

Most women are concerned and sometimes scared about pain after breast reduction. Their first question about recovery is- “Is it too painful after breast reduction?” The answer to this questions is that it varies from person to person. The threshold to bear pain varies for every woman and so few women feel it too painful; while the others may feel little to moderate pain.
 You can expect to feel moderate to severe pain for intital 2-3 days after the procedure, which varies depending on the technique and the extent of surgery performed. You would feel better with each passing day.
You should share your concern with the surgeon and there are options to control the pain which may include pain pumps, to intravenous pain killers and prsecription medicines.

 How are the Results of Breast Reduction like?

While many women feel an immidiate relief from pain in neck, shoulder and back; for some, it may take some time.  It is important to note that it may take a few weeks before you can apprecaite the final results.
With time, your swelling would resolve and the scars would begin to fade. After about 8-10 weeks, you can see the final results and you can shop for new bras with confidence.
Almost all women feel an increase in self confidence and renewed sense of freedom to wear the clothes they want and participate in physical activities that they used to avoid before the surgery.
Before- After Breast Reduction Surgery 

 How long do the Results of Breast reduction last?

 You can enjoy the results of breast reduction- smaller, lighter breasts for life unless you gain or lose large amount of weight and do not have children.
It is at the same time important to note that nothing can stop the natural ageing and it too shall have effect on the results. Your new breasts would also sag with time, but definitely not as severely as they might have without breast reduction.
If you choose to get pregnant, expect to see the change in size, shape and appearance of your breasts; possibly reversing some of the positive effects of breast reduction surgery. It is important to discuss your plan of getting pregnant and/or breast feeding after the surgery with your surgeon. He would guide you about the timing of surgery and/or modify the technique accordingly.
It is important to discuss your plan of getting pregnant and/or breastfeeding after the surgery with your surgeon. He would guide you about the timing of surgery and/or modify the technique accordingly.
It is very important to get the procedure done by a board certified and experienced surgeon for best results and your safety and well-being.

Finding the Right Cosmetic Surgeon

If you are looking for Breast reduction surgery and do not afford it in your country, IndiCure offers the best solution for you.  
Plastic surgery in India is not only affordable, we have got few of the best breast reduction surgeons in the world, language is not a problem- English is the official language and all medical staff speak and understand English;  you get to enjoy personalised attention, your surgery remains discreet and you get to  visit a unique country on the earth.

What is the Cost of Breast Reduction Surgery?

The cost of breast reduction surgery varies with your geographical location. The cost of breast reduction in USA is around US $ 12,000, in UK around £ 9,000, Australia it costs around $ 15,000, while the cost of breast reduction in India is around is around US $ 2600. 
It varies with the extent of surgery required, surgeon, facility and the city where you choose to get the surgery done. 

How to get Breast Reduction Surgery?

If you are looking for plastic surgery abroad with board certified surgeons at an affordable cost, write to us. 
IndiCure is the most renowned name for providing plastic surgery in India with the best plastic surgeons at affordable prices.  We have on our panel few of the best breast reduction surgeons in the world, who have many years of experience under their belt and a 100% track record.
 With hundreds of satisfied clients from more than 30 countries, IndiCure understands your expectations and can anticipate your requirements well. For more information about your plastic surgery in India, write to us at info@indicure.com or call us at  +91 9320036777 (India number) or +1-877-270-2448 (US Toll Free)  or talk to us at Skype@IndiCure
                               




Friday, June 30, 2017

Spine Surgery- Are You Really A Candidate?

The Global Burden of Disease, the most extensive worldwide observational epidemiological study, has suggested that Low back pain is the leading cause of disability the world over. On an average, 31 million Americans experience back ache at any given time and spend approximately US $ 86 billion a year for the treatment of their backs, which is almost the same as much as they spend on Cancer treatment! The enormity of the condition is quite shocking, however, what is more surprising is that less than 5% of this population actually needs surgery!

Low Back Ache and Spine Surgery:

Low Back Ache or Lumbago varies from a sharp, shooting pain of acute onset to a pain that increases gradually and is dull in nature, below the waist region. The pain may also radiate or move down into the buttocks, back of the thighs, legs and groin region, with varied intensity.

The other symptoms associated with back pain are stiff back, spasm in back muscles, limited range of motion in spine and difficulty in bending forwards or sidewards, paresthesia or tingling and numbness in buttocks or legs. These are symptoms which though are highly bothersome and exasperating, they are not frightening.

There can, however, be alarming signs analogous with back pain that need immediate attention, which include loss of bladder and bowel control, inability to stand or walk and severe back pain, requiring urgent surgical intervention.


Common Causes of Low Back Pain:


Low back pain is commonly caused by mechanical issues like muscular strains, sprained ligaments, improper posture, extreme bending and twisting of the spine or by accident or trauma to the spine. These are conditions where no baseline pathology is involved, however, there may be serious pathologies involved, which may lead to chronic low back pain.

The common spinal pathologies are:

  • PIVD (Prolapsed Intervertebral Disc)/ Disc Herniation- The term herniation refers to bulging out of a part of the body through an abnormal opening. A disc herniation happens when the jelly-like, soft tissue between the vertebrae protrudes out and compresses the nearby nerves leading to pain and paraesthesia, i.e numbness and tingling. Also known as Slipped disc, this can happen suddenly due to trauma or more commonly due to age-related degeneration and wear and tear of the disc.
                                  disc-herniation
  • Arthritis of Spine- Like other bones and joints, Osteoarthritis affects the vertebral joints, leading to the formation of bone spurs, which compress the nerves leading to pain and abnormal sensations.


  • Spinal Stenosis- Spinal Stenosis is narrowing of the Spinal Canal, which irritates and puts pressure on the spinal cord and nerves, leading to pain, tingling and numbness in buttocks and legs.

  • Spondylolisthesis- Spondylolisthesis is a condition where one vertebra slides over the vertebra below it thereby causing compression and irritation of spinal nerves leading to pain, numbness and tingling in back and one or both lower extremities and bladder/ bowel incontinence in rare cases. Spondylolisthesis may be due to a congenital defect, spinal trauma, infection in the spine etc.


  • Tumours in Spine- Spinal tumors of benign and malignant nature compress and irritate the spinal nerves and depending on the region of their origin, they lead to back ache and paraesthesia. They may also lead to radiating or referred pain, which may be the first symptom leading to their diagnosis.


  • Osteomyelitis- Osteomyelitis is a bacterial infection of the bones caused by Staphylococcus aureus. Vertebral Osteomyelitis is a relatively rare condition where the vertebral bodies are affected by the bacteria and lead to a severe backache, along with other systemic symptoms like Fever, nausea etc.


Conservative treatment options for Low backache:


The Vertebral column and spine are intricate structures made up of bones, muscles, nerves, and ligaments. Since the spine is so complex, diagnosing the pathology behind low back ache is a difficult proposition and requires highly trained medical personnel, starting from the primary physician, a chiropractor to an orthopedic spine surgeon or neurosurgeon specializing in spinal surgeries. Who is the right doctor for you and what kind of intervention you require depends on the severity of your condition and your baseline pathology.

Most cases of low back ache which are mechanical or non-pathological in nature, respond well to conservative treatment methods like physical therapy, pain medication, NSAIDS or Non-Steroidal Anti-Inflammatory Drugs and muscle relaxants. Once you start to feel better and the pain has improved, your therapist would advise you exercises that would strengthen your musculature, which would further keep the pain at bay. It is also important that a good posture is maintained along with following good ergonomics and maintaining a good regimen of stretching and other exercises advised by the therapist.

In patients where there is no improvement and pain continues to bother even after following your doctor’s instructions and taking the medication for an extended period of time, a surgical intervention may be considered.

Indications for Spine Surgery:


Spine surgery is generally indicated for patients who have:
  • Prolonged backache and other associated symptoms, not responding to conservative treatment methods
  • Severe condition significantly disrupting the patient’s day to day life
  • Specific diagnosis that can be treated with Spinal surgeries
It is only when you have tried all conservative means and failed in it, you should think and opt for Spinal Surgery. Your Orthopaedic doctor/ Neurosurgeon would guide you about it and advice for the right surgical option. It is extremely important that the baseline pathology of your condition is diagnosed well so that you get the appropriate surgical treatment. A thorough workup is thus advisable, including X-rays, CT Scans/ MRI, and other investigations to pinpoint the exact cause of pain.

Spinal Surgery:


Spinal surgery is a complex procedure that requires detailed evaluation and planning. A comprehensive multi- disciplinary team of Surgeons, Anesthetists, therapists, nutritionists, nurses work together to chalk out the best treatment plan for the patient.

Grossly, the spinal surgeries are divided into four main types:


  • Laminectomy- The term Laminectomy refers to the removal of Lamina, the thin plate of bone on the posterior side of a vertebral body, to relieve the underlying nerves from compression. Also known as Decompression surgery, the procedure is particularly effective in treating sciatica caused by spinal stenosis. The surgery is performed under general anesthesia and generally, requires a hospital stay of 3-4 days. The procedure may be coupled with spinal fusion, depending on the underlying pathology for which the procedure has been done. Recovery after Laminectomy generally takes around 4-6 weeks or more, depending on whether the surgery has been performed using an open technique or by minimally invasive technique. Most patients are advised physical therapy after the surgery to regain muscle strength and flexibility.


  • Discectomy- Discectomy or Disc removal is a surgery to remove a part or whole of the intervertebral disc to alleviate pressure from a compressed nerve root. The procedure is generally performed to treat PIVD or Prolapsed Intervertebral disc and gives excellent results. The two commonly used techniques to perform Discectomy are:

    • Microdiscectomy- Microdiscectomy is a minimally invasive technique of performing discectomy in which a small incision around 1-1.5 inches is given in the back and muscles are only separated rather than cutting them, thus significantly reducing the downtime after the surgery and much faster recovery.

  • Percutaneous Endoscopic Discectomy- This is the most advanced minimally invasive procedure for discectomy in which thin disposable scope is put on the surgical site using small incisions and the protruded disc is removed using specially designed instruments with minimal disruption of the muscles and nearby tissues.    


  • Spinal Fusion- The permanent union of two or more vertebrae is referred to as spinal fusion, medically known as ‘Arthrodesis’. The procedure can be performed as a standalone surgery or in combination with decompression surgery. The surgery provides stability to the vertebral column and can correct the deformity. Bone pieces harvested from the hip or pelvic bone are placed between the vertebrae, which when fused provide stability to the vertebral column. Spinal instrumentation like bone screws, wires, plates etc. are also used to provide additional stability.

  • Artificial Disc Replacement- Disc Replacement is the latest and most advanced technique for treatment of slipped disc, wherein the protruded and damaged intervertebral disc is replaced with a new artificial one, which is a metal prosthesis. It is done as a substitute to spinal fusion. The advantage of this procedure is that range of motion is still maintained at the affected joint. However, not all patients are candidates for disc replacement and the patients have to be chosen carefully.

Spine Surgery in India

India is counted amongst the top destinations in the world; not only for serious medical surgeries but for elective procedures such as cosmetic surgery and dental surgery as well. Indian surgeons are highly respected for their surgical skills and expertise and are extensively trained in India abroad.
Most of the renowned surgeons in India are board certified and have treated few of the most complex spinal disorders with great success. These surgeons are counted among the best spinal surgeons in the world.

Cost of Spine Surgery in India


Besides having some of the best surgeons, the cost of spine surgery in India is one of the major reasons why so many patients from across the globe prefer to travel to India.  Spinal surgeries are extremely expensive in the US and other Western countries. A simple spinal fusion surgery at single level may cost around $ 30- 40,000 in the US, without including the overhead expenses like Rehab, medication etc. whereas the same surgery would cost as less as $ 5-6000 in India, with equally good surgeons, at surgical facilities which are JCI accredited and thus at par with their counterparts in US.

If you are also suffering from Low back pain and are not sure, if you need a spinal surgery, write to us at info@indicure.com. We have few of the best spinal surgeons in the world on our panel who can give you unbiased opinion about the best options for you.

You can also call us at +91-932-003-6777 (India number) or +1-877-270-2448 (US Toll Free) or talk to us at Skype @ IndiCure