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| Painful knee joints may cripple your daily activities |
If your Knee has been in pain and have been suggested of Knee Replacement surgery, please read more to take a bold new stance in life..
You
have remained in pain and have been managing the pain with some or the other
conservative treatments. But it’s getting difficult by the day, and the
treatments don’t seem to be working for you anymore.
The
next step your doctor has recommended is replacing your knee joint and you also
know its best done as early as possible. You are no longer ready to bear the
pain and know that this is what will give you a new stance in life. This will
significantly help relieve the pain you are suffering and will improve the
function in your severely diseased knee joint.
You
would do good to consider the following risks and benefits before having your
knee replaced. And it will also mean preparing for a dedicated rehabilitation
efforts for weeks / months after the surgery.
Keep in mind, Knee is a complex hinge
joint!
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| Knee joint anatomy |
Knee
joint not only allows you to bend and extend you lower leg, but also has a roll
and glide feature, which makes it a complex mechanism. Like the grease,
surfaces of this joint are covered with cartilage, which a smooth, cushiony
substance which enables smooth movements with in the sliding surfaces of the
joint. Ligaments which are attached to bones in the upper and lower leg provide
stability and the long muscles in the thigh provide strength and stability.
When does a Knee Joint require a Replacement?
Total Knee Replacement (TKR) is
most commonly done to improve pain and function of a knee joint which has got
damaged due to conditions such as Osteoarthritis (OA) or Rheumatoid arthritis
(RA).
Osteoarthritis (OA) usually comes
with old age and is a condition marked by loss of cartilage and sometimes loss
of bone on the surface of knee joint. Rheumatoid arthritis (RA) is a condition
marked by inflammation that causes painful swelling, which eventually can
destroy cartilage and bone around the joint.
When is the time to act?
When the pain in the joint
significantly affects your day-to-day activities, such as walking, climbing
stairs, getting in and out of chair, getting down from bed etc. And even when
you are resting moderate to severe pain may persist.
A Total Knee Replacement (TKR) is
usually performed when other conservative treatments like modification in
activity levels, use of walking aid, pain relievers or anti-inflammatory
medications have lost their affect and are not helping any more.
Who can undergo Total Knee Replacement (TKR)?
Total Knee Replacement (TKR) can
be carried out on adults of all ages, but it is most common for older adults.
General health of the person, especially following factors should be taken in
account before deciding to carry out the replacement –
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Diabetic condition
·
Infections or conditions that may
restrict bold flow
·
For younger or relatively more
active adults, life span is an important consideration because of normal wear
and tear of the replaced knee joint. Abuse of the replaced joint may however be
a cause of concern at any age
Benefits from the replacement of
knee should be weighed against following risks related to the surgery, which
may include –
·
Infections
·
Knee stiffness
·
Blood clotting in the leg veins
or lungs, and potential for heart attack, stroke and nerve damage
·
There also exists a small chance
that the pain may not go away and functions don’t return to the levels of a
healthy knee
What will be the installation & action plan?
Before the surgery –
·
An orthopaedic surgeon will
assess the range of motion, stability and strength of your knee
·
X-ray will be done to view the
extent of damage
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| New components fitted during Knee Replacement |
During the surgery –
·
You will be given either general,
spinal or epidural anaesthesia with sedation, so that you don’t have pain from
the waist down.
·
Surgery generally takes less than
two hours
·
Surgeon will remove damaged
cartilage and bone to prepare the joint surfaces for new components to be
fitted
·
Specialized metal and plastic
components are positioned to achieve near frictionless joint surfaces
·
Before the incision is closed,
your surgeon will check to see if the knee works properly
After the Surgery –
·
Typically, you will need to spend
a couple of nights in the hospital
·
You pain relief may be managed
with injecting a local anesthetic to numb the set of nerves that give sensation
to your leg
·
You may be given intravenous
antibiotics to prevent infections
·
Special support stockings or
special compression bots may be used to help promote circulation of blood, and
you may also be given blood thinners
Post-operative rehabilitation –
·
This typically begins the day
after surgery is done, and you will be taught simple exercises which will
promote circulation
·
A physical therapist will teach
you a range of motions that will help in strengthening and achieving range of
motions
Where Total Knee Replacement (TKR) surgery be done?
A good surgeon, a good clinical
facility at a cost which you can afford are the very obvious pre-requisites! You
may do a bit of research to choose an option which may be best for you. And if
you are on a budget, and do not want to compromise on quality of surgeon or
facility, you may also choose to avail the surgery abroad. A quick comparison
of major destinations may help you make an informed choice.
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India
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USA
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UK
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Australia
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Surgery cost ($)
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11,000 - 13,000
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45,000 – 60,000
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28,000
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27,000 – 45,000
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Travel to India related cost ($)
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750 to 1000
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-
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-
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-
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Total cost
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11,825 – 14,075
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45,000 – 60,000
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25,000 – 40,000
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27,000 – 45,000
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Do I need a health travel planner and facilitator to arrange my
surgery abroad?
A reputed health travel planner and facilitator may be
of great help when seeking an option beyond the borders of your own country. An
experienced facilitator may provide you with a ready dossier of preferred
surgeons and clinics, and at negotiated better than retail rates with clinics,
surgeons and hotels. A well-researched facilitator may also be of lot of
convenience as you are saved of checking destination opportunities, clinic’s
accreditations, surgeons’ credentials, research and arrangements with surgeons’
appointments, airport pick-ups and drop-offs, accommodation arrangements,
sightseeing and more..
IndiCure is the most renowned and trusted name in
planning and facilitating your Knee Replacement surgery in India with the
best of orthopaedic surgeons at world class clinical facilities. Increasing
number of patients from across the world have successfully undergone Knee
Replacement surgery with IndiCure in India.
For more information on your surgery in India, you may
write at info@indicure.com or call at +91 9818462127 or +91 932036777
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| Obesity is causing a lot of burden on already overburdened healthcare system |
With expanding waistlines of people across the world,
scientists are concerned about the affect of obesity to the increasing burden
to healthcare system which is already overburdened with a number of diseases.
It’s now estimated that over one-third of Americans are
overweight, and another third are obese. Scientists have proven that the risk
of having cancer increases with obesity and now recent studies prove that Weight-loss surgery helps people with heart
failure or other heart diseases.
A clinic study was done on a set of people with heart
failure, of which around 70% were markedly obese and underwent bariatric surgery
while the rest did not undergo bariatric surgery. Participants were classified
using the formula based on height and weight- their body mass index. Adults
with BMI of 30 or more are considered obese and those with BMI of 40 or higher
are considered to be severe or morbidly obese.
A follow up was done during four years after the surgery,
which showed that the average BMI dropped from 53 to 37 among those who
underwent bariatric surgery, while the BMI increased from 42 to 45 among those who did not
undergo surgery.
Signs and symptoms of heart failure, such as swollen legs and
labored breathing during exercise — improved only in those who had bariatric
surgery. The study, though says, further
research needs to be done, proves to a great extent that bariatric surgery is
helpful for people who are extremely obese and can produce long lasting
improvements in disease symptom of heart patients.
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| Obesity and Heart Disease |
Besides being helpful in heart problems, bariatric or weight
loss surgery has proven to be a great help in patients with diabetes, sleep
apnea and people suffering from low self esteem and even depression. Bariatric
surgery has proven to be a boon for patients suffering from low self esteem or
psychological problems.
The cost is a deterrent factor for people living in western
countries where the cost is extremely high. However, weight loss surgery abroad
can prove helpful for people looking for affordable weight loss surgery without
delaying the decision to undergo the procedure.
IndiCure
IndiCure is the most renowned name for providing affordable
weight loss surgery in India with the best bariatric surgeons. A number of
patients from various countries have successfully undergone bariatric surgery
with IndiCure in India. For more
information on obesity surgery in India, write to us at info@indicure.com or call us at +91
9818462127 or +91 932036777
Massive weight loss following bariatric surgery or otherwise
results in loose and hanging skin which does not conform to the new body shape.
Because of excessive weight loss, the skin loses its elasticity and becomes stretched
and saggy. This saggy skin usually develops around breast, abdomen, thighs,
buttocks, upper arms and even around face and neck and can make your body
contour look irregular and misshapen.
Plastic surgery for body contouring after weight loss, known
as body lift, improves the shape and tone of the underlying tissues that
support fat and skin and removes excess skin and fat from the body. The surgery
is popularly known as “body contouring surgery” or “body lift surgery”. Body
lift surgery can be done only for the lower body- abdomen, thighs, buttocks and
back and thus known as “Lower body lift” and if done for upper body as well, is
called as Total body lift or Full Body lift surgery. Total body lift surgery
includes breast lift, arm lift and sometimes face and neck lift as well.
If you have lost excessive weight after bariatric surgery or
otherwise, you are a candidate for body lift plastic surgery. It is common to perform body lift surgery in
stages to avoid long anaesthesia and for the fast recovery of the patient.
There can be a gap of few days to few weeks between two or various body lift surgery
procedures.
Few body lift or body contouring surgeries leave only small,
inconspicuous scars, while more noticeable scars may result when surgical
removal of fat and skin is necessary to achieve the results. But most patients
happily accept the scars for a shapely body for wearing swim suit or form fitting
clothes and greater self confidence.
Few of the most commonly performed body lift procedures are:
Lower body Lift:
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Lower body lift
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Lower body lift surgery treats the sagging skin of the
abdomen, buttocks, hips and outer thighs in one procedure. The incision is
extended completely around the body to remove the “belt” of excess fat and skin
and is thus also known as “belt lipectomy”. It removes circumferential wedge of
tissue. In the front, it removes hanging skin and fat and tightens the muscles,
similar to what is done in a tummy tuck. The excess tissues located in the back
and sides are removed by extending the incision around the sides and back as
well. The resulting scar is similar in shape as “thong bikini”
Lower body lift essentially results in elimination of
hanging apron, flattening of belly, lifting of thighs, lifting and defining
buttocks, pulling up droopy pubic region and waist creation.
Medial thigh lift
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| Median thigh lift |
Medial thigh lift tightens the sagging skin in the inner
thighs. The incision is made in the groin region and excess skin is removed and
the remaining tissues are tightened.
Breast lift
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| Breast Lift |
Breast lift or breast uplift raises and uplifts the droopy
sagging breasts to give them a more youthful and perky appearance. Breast lift
brings the breast to the position where they should be. Some patients may
require implants to give volume and projection to the upper pole. Incision is made
around the nipple and then to the crease under the breast and horizontally along
the crease of the breast. It usually
becomes inconspicuous fast.
Upper Arm Lift
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| Upper arm lift |
Arm lift medically known as Brachioplasty, removes excess
skin and fat deposits from the upper arm to give arms a youthful pleasing contour.
The incision for the arm lift extends from elbow to the underarm on the inner
side of the upper arm and many a times on to the side of the chest in massive
weight loss patients. The surgeon removes excess skin and fat through this
incision and closes it.
Face and Neck lift
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| Hanging facial skin |
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| After Face and Necklift |
After excessive weight loss, even your facial skin can
become loose and flaccid, resulting in cheek pads dropping, formation of jowls
and resulting in the loss of a defined jawline. The skin of the neck also
becomes loose and saggy.
Face and neck lift raises the cheek pads, improves the jowls
and removes the loose and sagging skin. The incisions are made in front of and
behind the ears and extend into the hair above and behind the ears and are
inconspicuous.
Body contouring surgery can be quite expensive if you are
staying in country like UK, USA, Canada, Australia or New Zealand. A number of patients are travelling abroad
for affordable plastic surgery overseas, especially India. Not only the cost of
plastic surgery in India is much less, the surgeons are quite renowned and the
plastic surgery facilities great.
IndiCure is the most renowned name for providing affordable
plastic surgery abroad. Having served hundreds of clients from over 30
countries, IndiCure understands your requirements well.
For more information on body lift after massive weight loss,
you can write to us at info@indicure.com
or call us at +91 9320036777 or +91 9818462127.
The first hip replacement was performed around 40
years back, which was called Charnley hip apparatus back then after the name of
Sir John Charnley, who performed the first hip replacement. Much advancement in
techniques and type of implants has happened since then. From a smooth, polished stainless steel stem and a plastic
socket, which were cemented or glued into place at that time, there are a variety
of implants available now which are either cemented or not cemented for the
bone to grow around the implant.
.jpg "affordable hip replacement abroad") |
| Cemented and Un cemented Hip Implant options |
Though cemented implants have a long
track record and continue to do very well, most of the hip replacements done in
United States these days are not cemented, but are inserted in the bone so that
the bone grows into the implant anchoring them.
In the last 10 years,
major improvements in the artificial bearing surfaces of implants have been
approved for use in the U.S. The stem portion of most hip implants is made of titanium-
or cobalt/chromium-based alloys. They come in different shapes and some have
porous surfaces to allow for bone in growth.
The ball portion of the implant and the acetabular
socket is made of variety of materials which include:
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metal on metal (MoM)
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metal on plastic (polyethylene or UHMWPE)
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ceramic on plastic (UHMWPE)
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ceramic on ceramic (CoC)
Because of
different variety of implants available, it has become a matter of major
discussion and decision between the patient and the surgeon. Not only the
implant options, the technique and technological advances are also a matter of
important decision. Terms such as “
capping the femur” “ minimally invasive hip replacement surgery” are frequently
used terms besides “Metal on metal”, “porcelain hip” which are a major point of
discussion and decision.
The
patient is often left wondering “Which is the best hip implant for me?” “Should
I or should the surgeon decide about the type of implant and technique to be
used on me?” “Is the latest and technique and implant best for me?”
The fact is that no one knows what the
"best" implant is. Experts say that the ideal hip replacement implant
is the one that allows for normal activities, normal motion, and last the
patient's lifetime.
It is also
important to note that not everyone is a good candidate for all techniques and
implants. The decision about which type of hip replacement to be done over
another should be based on knowledge about its durability, use and drawbacks. Majority of new implants or surgical
techniques have shown to have patient specific or implant specific drawback.
For
example, minimally invasive hip replacement with smaller incision is many a times
detrimental in adequately placing implants. Ceramic-on-ceramic total hip
replacement has shown squeaking in 1 to 2 percent of patients. Total hip
resurfacing, or capping the femur, may work well for some people, but not in
others and in certain groups may increase the risk of femur neck fracture.
Currently, it can only be done with metal-on-metal bearing surfaces and not
everyone is a good candidate for these bearing surfaces. That's because
metal-on-metal hip replacement has the potential downsides of allergy and
hypersensitivity reactions — which may occur in one out of 1,000 patients.
There are also fears of elevated metal ion levels in the bloodstream that could
potentially cause detrimental long-term health problems, but this potential
problem is purely theoretical and has not been proved in humans despite decades
of use.
The best
way to choose the right implant for you is to discuss this with your surgeon. The
surgeon would consider your age, gender, weight, lifestyle and severity of
joint degeneration. The doctor will also look at necessary and possible
range-of-motion with the implant, stability of the implant and wear-resistance
of the materials in light of your physical and lifestyle activity
considerations.
The best
or right implant for you is the one which fits the following criteria:
·
The implant has minimum track record of 10 years
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The surgeon has used the implant before
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The implant is fit to be used for your specific condition
Total hip replacement has proved to be a boon for the patients for many years now.
Implants and technology shall continue to evolve, but the best implant for you
can be chosen after understanding the risks and benefits of it.
We understand how tough it is for women
to get back in shape after pregnancy and child birth. Although child birth is
the most precious moment in a woman’s life, but the changes it brings to the women's body are bothersome. The body is stretched in all proportions and fat gets deposited
on tummy, hips, buttocks, thighs, arms, breasts sag- all this takes a toll on women’s self esteem and confidence.
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| Be a Yummy Mummy! |
Mommy makeover is a comprehensive set of
cosmetic surgery procedures carefully chosen to overcome the effects of
pregnancy on women. Women who have finished pregnancy and reached a stable
weight are ideal candidates for mommy makeover. Not only restrained to recent
mums, any woman who wants to get back in shape may opt for mommy
makeover.
The expected
results after mommy makeover are remarkable since several body areas are contoured and worked upon thus giving a great transformation in your body. Each mommy
makeover is different as each procedure is chosen according to the
unique needs of each mum. For instance, women who have extensive fat deposition
on breast and tummy may choose breast reduction and tummy tuck, those having fat
deposition on flanks may opt for liposuction and tummy tuck.
At IndiCure, we understand that each mum
is unique and so are the body types and changes after child birth. IndiCure brings carefully
selected yummy mummy packages to address post pregnancy effects
on women.
The Yummy 1 and Yummy 2 are two
quintessential packages to turn the clock back on women. The incredible feature
about the procedures is the cost of the packages which are a fraction of what
one would pay for yummy mummy packages in USA or UK. The prices are inclusive
of private hospital fee, anesthetic, operation theater and surgery charges, accommodation
in a twin sharing room, pre and post surgery consultations with the surgeon,
one buffet breakfast daily, all transfers to/from the hospital and
airport/hotel.
At IndiCure, our core values are Safety,
Excellent and Trust and so are the experiences of mommies having undergone
mommy makeovers in India. In her own words, Jennifer from USA says..“I'm turning forty four
in one month and I feel more attractive, more self-confident and more
comfortable than ever”
IndiCure is the most trusted name for providing quality cosmetic surgery holidays in association with
best plastic surgeons in India. Clubbed with tropical holiday, you can get back
to your pre pregnancy shape at scenic locations in India.
For more information
about Yummy Mummy packages in India write to us at info@indicure.com or call us at +919818462127 or +919320036777 or visit us at http://www.indicurecosmeticsurgery.co.uk
According to American Society of plastic surgery,
about 350,000 adults older than 55 underwent some sort of cosmetic surgery in
2011 and the numbers continue to swell as the population is aging. The fact
that many older people are hitting the golden years in good health and are full
of energy is the driving force to undergo knife. And the motivation is to look much
younger- the way they feel!
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More and more elderly are undergoing plastic surgery
to reverse the signs of aging |
Plastic surgeons say that healthy older adults are
at equal risk of complications as their younger counterparts- age does not per-se increases the chances of complications. It is the health of the individual
which determines his candidacy and chances of complications for plastic surgery.
Which means a healthy old man is at a lesser risk of complication when he
undergoes a plastic surgery than a young man who is not so healthy.
Cosmetic surgery, however, still a surgery and should
be considered with full seriousness. Even if everything goes perfect, you would
undergo some sort of anaesthesia, cutting and manipulation of tissues and your
body would have to rally for healing that up. You would have bruising and
swelling that would last for few weeks. And
there can always be some problematic complication such as muscle weakness, skin
numbness, blood pooling under the skin or wound-heal etc.
It is thus important that you should know the risks
and results of the surgery well before plunging into it. The most important
thing is that you should have realistic expectations from the surgery. If you
are dissatisfied with your body image and seek plastic surgery as cure for
dissatisfaction, you would, in all probabilities be disappointed. If you are,
however, happy with yourself and seek cosmetic surgery to improve your
appearance, you are more likely be happy with the results of the surgery.
Plastic
surgery procedures most popular among older men and women
Facelift reverses the sign of aging from your face
and sets the clock back by about 10-15 years. It is the most popular plastic
surgery procedure among men and women above 55. Face lift is usually combined
with neck lift for best results and also with upper and lower blepharoplasty
brow lift, forehead lift etc to rejuvenate the complete face. The operation is
done under general anaesthesia and takes about 3-4 hours.
The most common breast procedure asked by women at
this age is revision of the previous breast implant because over the years
breast implants may need a replacement. The other most commonly asked procedure
is Breast Lift or mastopexy which can be done at the same time as breast
implant revision or breast reduction surgery.
Liposuction removes fat from a particular area of
the body which has not gone despite diet, exercises and other efforts. The
procedure entails inserting small cannulae in the area to be treated to suck
the extra fat. The skin then moulds itself to the new body contour. Your skin
should have good elasticity for good results; else your skin may look loose and
non smooth after the procedure.
Tummy tuck is more extensive surgery and involves a
large incision with major repair and tightening of skin and muscles. Some adults
65 or older, do undergo tummy tuck, but recovery is typically longer and harder
than the other procedures listed above.
IndiCure is the leading name for providing cosmetic surgery holidays in
India. We have a panel of expert cosmetic surgeons who are extensively trained
and have performed plastic surgery on a number of elderly people from across
the world. For more information about most affordable cosmetic surgery in
India, call us at +91 981846217 or +91 9320036777 or write to us at info@indicure.com
It is indeed exasperating pouring your sagging
breasts in the bra every morning and then see them migrate southwards every
night when you remove the bra. Mastopexy,
commonly known as breast lifting is the procedure that can help you bring your
breasts where you want them to be!
.jpg "Breast uplift surgery") |
| Disturbed with your sagging breasts |
Breast uplift surgery works by reshaping
and lifting the sagging breasts to give them a firm and uplifted appearance.
The surgery can be performed alone or in conjunction with breast augmentation.
Breast lift surgery entails removing excess skin from around the areola and
bottom of the breasts, tightening the skin envelop, adding more volume with a
breast implant to give the breasts a projected appearance. By doing so, the
position of nipple areola complex is shifted to a more elevated and youthful
position.
While deciding for a breast lift surgery, the
first question that comes to the mind is “How
much does a breast lift surgery cost?” There are a number of factors that together
decide the overall cost of the procedure such as:
- How extensive is the surgery required: The cost of
breast uplift surgery depends upon how much is the tissue that needs to be
re positioned, i.e, how big and saggy are your breasts. The larger the tissue
needs to be re positioned; the higher is the cost of breast uplift surgery.
- How experienced is the surgeon: Senior and more
experienced surgeon always commands a higher price than a novice and not so
experienced surgeon.
- How big is the facility: Cost of getting the operation done
in a bigger facility or a hospital with sophisticated technology and state of
the art facilities is always higher than a small clinic or a surgeon’s office.
- Where are you getting the procedure done: Cost of breast
uplift surgery or any plastic surgery is higher in western countries than in
Asian countries. This is not because there are any differences in the quality
of care or standard of facilities. The cost of plastic surgery is low because
of the low endowment costs and the highly favorable exchange rates.
Because the cost of getting the surgery
done in India is much less as compared to the cost of plastic surgery in UK,
US, Canada, Australia or any other western country, a lot of people travel
overseas for availing plastic surgery. The more important factor is that one
gets the same quality of care and services at mush lesser prices. The fact that
millions of people come to India for plastic surgery is a testimony of the
fact. Nobody would like to avail substandard facility or result even if the
price was lesser.
It is however important to choose the right
surgeon and thus the right company to arrange for your procedures. Not only you
get complete peace of mind when you are alone in a strange country, they help
you make the right choices.
IndiCure is the most renowned company for
cosmetic surgery holidays in India. With hundreds of clients from more than 30
countries, IndiCure understands your requirements well.
For more information about breast uplift
surgery in India, you can write to us at info@indicure.com
or call us at +91 9818462127 or + 91 9320036777.
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.jpg "affordable hip replacement abroad")
.jpg "Breast uplift surgery")
