Cosmetic Surgery India

What is Cosmetic Surgery?

Cosmetic surgery is a sub-speciality of Plastic Surgery which aims at improving a person's appearance and self-esteem. This branch of plastic surgery works to enhance how one looks and it involves surgery on any part of the body including the face.

What is the difference between Cosmetic Surgery and Plastic Surgery?

Though Cosmetic Surgery is a part of Plastic Surgery, both specialties have different goals. Cosmetic Surgery essentially looks at improving or enhancing features or body contours having a focus on appearance. In contrast, Plastic Surgery, also known as Reconstructive Surgery manage and correct deformities, congenital defects, traumatic injuries, burns and scars in individuals. Cosmetic Surgery is always planned and elective whereas Plastic Surgery may be an emergency or planned procedure.

Does Cosmetic Surgery offer any non-invasive or non-surgical therapy options?

Most of the therapeutic procedures that are offered and conducted by Cosmetic Surgeons are non-invasive or without involving any surgery. Cosmetic Surgery as a specialty name is misleading and ideally the practice should be known as Aesthetic Medicine. Aesthetic Medicine is an umbrella name and includes cosmetic dermatology, oculoplastic surgery and cosmetic surgery to name a few. The top non-surgical procedures that are either opted for or conducted by specialists across the globe are the following:

  • Botulinum Toxin A (Botox) Injections
  • Hyaluronic Acid Injections
  • Laser Hair Removal
  • Microdermabrasion
  • Chemical Peels

What exactly does non-surgical mean in cosmetic surgery or in aesthetic medicine?

Non-surgical procedures are essentially those clinical techniques which may or may not employ instruments and machines but under no circumstance involve use of incisions. These procedures are conducted in the office setting as they usually do not require an operating room or any form of anesthesia. Non-surgical procedures may be topical, such as creams and peels; laser based, such as fractional CO2 resurfacing; or injectable, such as toxins and filler. Such procedure of cosmetic surgery in India is also available.

Describe some of the most commonly prescribed non-surgical procedures?

Non-surgical treatments are safe, effective, and convenient. Further, cost of these non-invasive treatments is minimal compared to many other treatment options.

Botox Injections: Though Botox injections were primarily used in neurology for spastic conditions and is produced by the same microbe which is responsible for food poisoning. In cosmetic surgery, Botox injections are employed for their ability to reduce the appearance of facial wrinkles like crow feet. Botox injections are a safe way of making one’s facelook younger and wrinkles free. It is a fast and instant therapy for relaxing frown lines and getting a glowing young looking supple skin.

Dermal Fillers: Fillers help to reduce facial creases and return tone and fullness in the face. With increasing age, the face naturally loses subcutaneous fatty tissue. The facial muscles become superficial and work closer to the surface, due to which the crow feet and smile lines become more pronounced. The skin stretches a bit, adding to the above facial volume deficit. Other factors that accelerate facial ageing and skin include stress, heredity, sun exposure and lifestyle. Dermal fillers are routinely used to plump thin lips known as the bee-stung lips, enhance shallow contours like under the cheek bones and to soften facial creases as well as wrinkles. Dermal fillers help those with early signs of aging, act as a bridge to facial rejuvenation surgery, or even as a value-added part of facial rejuvenation surgery. For the bridge approach, one must remember that for some patients, surgery such as a facelift or brow lift may be the best option, as non-surgical interventions like the soft tissue fillers, cannot achieve the same results, but only delay the time for surgical intervention.

Laser Hair Removal: is a medical non-surgical procedure that uses a laser to remove unwanted hair. During this procedure, specific skin where unwanted hair growth is to be removed is identified and highly concentrated light beams enter into hair follicles. The pigment in the follicles absorbs this light and destroys the hair follicle. Due to this reason, laser hair removal gives superior results in the darker skin tones and is more effective in light skin people who have dark hair. Laser hair removal doesn't guarantee a permanent solution but permanent reduction as it only slows hair growth. On average, multiple treatment sessions (3-4 at least) are required to provide an extended hair-free period and periodic maintenance sessions might also be required. The main types of laser hair removal machines available are Ruby Laser Hair Removal, Alexandrite Laser Hair Removal, Diode Laser Hair Removal, Nd:YAG Laser Hair Removal and IPL – Intense Pulse Light Hair Removal. IPL system as the name suggests doesn’t use a laser but applies the same principle of heat to achieve hair removal.

Laser Skin Resurfacing: is a popular clinic based technique which is also known as a laser peel(as the damaged skin layers get peeled away) or laser vaporization or lasabrasion. It is also known as Laser Skin Rejuvenation due to its anti-ageing effects. This is a method for diminishing the appearance of imperfections including facial creases, blemishes and scars on the skin’s surface. During this procedure a laser is used to liquefy the molecular bonds between the damaged dermal cells. This is continued layer by layer until a uniform, more polished skin appearance is achieved. Newer technologies allow more precision and control in the technique so that delicate areas can be treated. Laser skin resurfacing can improve minor facial flaws, such as fine lines or wrinkles around or under your eyes, forehead or mouth, post-acne or chickenpox scars, skin requiring toning after facelift, skin damage due to sun exposure and ageing, liver spots, warts, birthmarks such as linear epidermal naevi, enlarged nasal oil glands and improving complexion in yellowish or greyish skin tones. The main type of lasers used for laser skin resurfacing are CO2 Laser, Erbium laser and Fraxel® System.

Chemical Peels: Chemical peels can improve the tone and texture of the skin, giving it an overall young appearance. In this procedure, a chemical with astringent properties is applied to the skin, inducing a level of predetermined controlled injury with an intention of removing the outermost skin layer. This chemical application to the skin starts a wound healing process after the skin "blisters" and peels away. The new skin is glossier, smoother and less creased than the old skin. Chemical peels can be applied on the face, neck, and or hands. They can be used to reduce wrinkles caused by excessive sun exposure and aging, reduce mild scars, treat some forms of acne, reduce age spots, reduce freckles and improve the overall look and feel of skin. The various types of chemical peels that are available include Alpha hydroxy acid peels, Beta hydroxyaxid peels, Jessner’s peel, Retinoic acid peel and croton oil (phenol) peel. The chemical peels are also known by the depth of skin affected by the peel or the time the procedure takes. The peels under this classification include Superficial or lunchtime peel, Medium peel and Deep peel (applied only to the face and can only be performed once).

Describe briefly some of the new, novel and popular non-surgical cosmetic procedures available and their applications?

Dysport (abobotulinumtoxinA by Galderma) is an US FDA approved, prescription injection very similar to Botox used for the treatment of moderate to severe frown lines between the eyebrows in adults under 65 years of age. Results last between four to six months, though the effect may stay for a year. Dysporthas a similar mechanism of action as Botox and causes neuromuscular blocking. As Dysportis a purer form and has less protein load compared to Botox, there are fewer allergic reactions. More importantly lesser protein means fewer antibodies being generated against this toxin by the body and a longer duration of effect. The Dysport injection also spreads more as compared to Botox which is helpful in covering a larger area and requiring fewer injections. It also means that a more experienced specialist is required for administration so as to avoid spread to unwanted areas leading to potential side effects like blurry vision and droopy eyebrows. Dysport is also more cost effective and has a comparable if not better safety profile compared to Botox.

CoolSculpting (Zeltiq)is a novel US FDA approved, non-surgical procedure that employs the use of a handheld probe to precisely target the identified area of fat accumulation below the surface of the skin and freeze as well as destroy the fat cells. Coolsculpting is using cryolipolysis to induce apoptosis or cell death in fat cells by exposing them to very low temperatures. This treatment is not intended for large areas of fat accumulation or for substantial weight loss. It is applied for addressing those stubborn areas of fat deposits that are resilient to diet and exercise. Common locations for application include love handles, cellulite or inner thighs, the abs,back, arms, and chin.

Coolsculpting is the only FDA approved device in United States and is a brilliant form of non-invasive fat reduction technique for the right patient. Most applicators take anywhere between 1 or 2 hours but the newly introduced‘advantage’ applicators take only 35 minutes and have considerably reduced risk for delayed onset pain, a side-effect encountered especially when applied around the abdominal areas. Results are visible at around 2 months and typically 1-3 treatments are required on each area to achieve the desired outcomes. The number of applications or sittings depends on the amount of fat present and the client's goals. The advantage of this therapy include absolutely zero downtime. The ideal candidate for coolsculpting is one who is in good shape with areas of stubborn fat that won't go away.Coolsculpting is one of those few technologies that are effective, safe and have a long duration of response. If CoolSculpting is combined with other skin tightening therapeutics like VelaShape (Syneron-Candela, a non-invasive body contouring treatment for circumferential and cellulite reduction. VelaShape safely achieves a well-shaped, toned and contoured body in typically 3 treatment sessions. With no downtime and minimal discomfort, VelaShape provides dramatic results), Zimmer Z-Wave (Z WavePro or Z WaveMed, a high energy radial shockwaves devicescientifically proven to impact theskin’s collagen structure and connective tissue. Thus, improving blood circulation and stimulating collagen formation. The impact of Z-Wave is a more elastic and firm skin),Venus Legacy (Venus Concept, Venus Legacy delivers a non-invasive, quick, painless, 100% safe therapy with no downtime for cellulite reduction, body contouring, circumferential reduction, skin tightening, and diminishing of wrinkles for all skin types.The areas where Venus Legacy can be applied include the face, neck and body),ThermiRF (Thermi, including ThermiTightfor subdermal tissue remodelling, ThermiSmooth Face for non-invasive dermal remodelling, ThermiSmooth Body for non-invasive body rejuvenation, Silhouette InstaLift for lifting to redefining of mid-facial contours,ThermiRase fortoxin-free disabling of nervesand ThermiVa for minimally-invasive electrocoagulation. ThermiRF isa unique thermistor-regulated radiofrequency technology which has a great safety profile and produces excellent aesthetic outcomes. The basis of this technology is the application of heat to identified areas) or evenUtraShape (Syneron-Candela, which is fractional ultrasound for fat reduction), the result is not only fat reduction, but alsoimproved patient comfort, skin tightening and definition.

Ulthera or Ultherapy is a US FDA approved safe, non-invasive face lift technology. This treatment may also be referred to as Ulthera or a non-surgical facelift. It is an ultrasound based treatment used to lift and tighten loose skin around the eyebrows, jawline, and jowls, as well as reduce wrinkles around the neck and upper chest. Ultherapy uses the body's own regenerative capability and channelizes the response mechanism to cell injury. It uses ultrasound energy to heat targeted tissue under the surface of the skin, stimulating the body's natural production of collagento gently and gradually lift the skin. It typically takes a number of sittings and some weeks to see full impact, as the collagen production is natural and it gradually builds up to improve the skin's tone and texture. Ultherapy targets the deeper layerswhich are addressed during cosmetic surgery, but it doesn’t achieve as dramatic results as the conventional facelift. Ultherapy is a great alternative, which was earlier not available for clients not ready for surgery or for patients looking to prolong the gains of a surgical facelift.

As Ultherapy uses sound energy or ultrasound due to which the skin surface can be bypassed and treatment can reach the depths not equaled by any other non-invasive technique including Lasers. As Lasers rely on light energy, the depth of treatment is superficial and deeper layers are not able to reach an optimal temperature for any therapeutic effect.

Thermage is a US FDA approved therapy which uses radiofrequency energy to smoothen and tighten the skin. Though the effect is more pronounced on the layer of fat cells, the tightening effect is not that pronounced. Being a non-invasive treatment, the probe applicator targets identified areas to pass radiofrequency (RF) waves stimulating collagen production beneath the skin's surface. Thermage has no downtime, but the full effects are visible after multiple sessions or treatment sittings and after few months. Thermage has had a negative acceptance amongst clients and most have been displeased or dissatisfied with the outcomes. This has resulted in the therapy becoming contested and no longer actively recommended by cosmetic surgeons.

Kybella (deoxycholic acid injection by Allergan; earlier marketed by the brand name Kythera) is the first and only US FDA approved injectable or non-surgical procedure that reduces moderate to severe fat on the upper neck, essentially correcting double chin in adults. The injection contains a naturally occurring molecule, deoxycholic acid which eats away at fat and when injected properly, all other cells are left untouched and healthy. Kybellainjection in the upper neck region or under the chin, improves the facial profile and redefines the jaw line, irrespective of the level of chin fullness. Use of Kybella for treatment on areas other than the upper neck or double chin is neither approved by US FDA nor recommended by specialists. The treatment is marketed by the name Belkyra in United Kingdom, Canada and Australia.

What are the most popular Cosmetic Procedures and describe them briefly?

According to the American Society of Plastic Surgeons, in 2015 there were about 1.7 million cosmetic surgery procedures performed across the United States alone. Breast augmentation was most in demand followed by Liposuction (Lipoplasty) in second place, whilerhinoplasty or nose reshaping came in third. This was followed by eyelid surgery (blepharoplasty), Tummy tuck (abdominoplasty) and facelift (also known as Rhytidectomy). Breast lift (Mastopexy), Dermabrasion, Neck lift and Breast reduction were other procedures which were amongst the top ten most popular cosmetic procedures. One of the most interesting aspects of US cosmetic surgery in 2015 regards the booming popularity of buttock implants and fat grafting. Botox injections and Dermal Fillers are ever so popular and are considered minimally invasive or non-surgical when compared with the above surgical methods. The availability of cosmetic surgery in India at affordable cost has also attracted the attention of tourists from across the world.

Lipoplasty (Liposuction), also known by the term body sculpting, is a technique of removing stubborn pockets of fat as well as areas of fat that don’t easily respond to regular methods of elimination like exercise, like love handles and saddle bag. Their presence usually doesn't conform to an ideal or popular body image. The specialist who is a trained cosmetic surgeon uses special instruments to safely and simply vacuum out the fat through a small incision from the identified area. Subsequent to the procedure one experiences swelling, bruising, and slight numbness in the concerned area. One can assume work in a few days but this also depends upon the amount of fat that was removed. Costs depend upon the area and amount of fat that is being suctioned out but start at around USD 1400.

VASER Lipo or VASER Liposuction is an effective US FDA approved machine and very handy tool for precision body contouring surgery. It is a form of liposuction that uses ultrasonic waves in a measured precise manner helping the surgeon in Liposuction surgery. The Liposuction procedure selectively removes fat during a body contouring surgery. Ultrasonic wave assisted liposuction was first introduced around two decades ago. It took time to become popular as the initial devices had increased risks and complications (such as burn wounds) due to the high level of ultrasonic energy, falling out of favor with cosmetic surgeons. The VASER® is now in its 3rd generation and this iteration has been engineered to eliminate most of the problems due to use of a low level of ultrasound. The ultrasonic probe pulsates and releases energy to smoothly disrupt the fat cells present in the identified area with minimal collateral damage to surrounding tissues. The VASER® is an acronym and stands for Vibration Amplification of Sound Energy at Resonance. There is a myth amongst patrons and clients who think VASER is a laser, but that is far from reality. The ultrasonic energy translates in to vibrational energy which is passed through the skin and tissues to the fat cells by small probes (between two and three millimeters). The shaken fat cells get separated and displaced from the adipose tissue and get then mixed with fluid, which is infused in to the surgical field at onset of procedure. Then, small cannulas suction and remove this emulsified fat/water mixture. VASER® is now synonymous with liposuction and gives far better results than the regular procedure. Some critics may call it a marketing gimmick but the verdict is out that considering it a gold standard tool for liposuction. The following statement cannot be more stressed for its importance but, the most important part of one’s cosmetic surgical experience is the choice of the surgeon and not so much the device or technology. The experience, pedigree, wisdom, clinical acumen, skills, and surgical talent of the surgeon are paramount to all successful outcomes. VASER® LipoSelection can be safely and effectively used in many different anatomical areas, including the abdomen, posterior trunk, inner and outer thighs, arms and even the face and neck. When comparing this technique to standard liposuction with or without ultrasound, there is increased skin contraction and tightening. The less downtime and post-operative pain are additional plus of this technique. The availability and use of smaller probes and cannulas, results in smoother skin surface and body contour.

Eyelid surgery which is known as blepharoplasty in the medical terms reshapes one’s eyelids. It is usually advised to remove the bagginess and tighten lose skin around the eyelids which are signs of ageing. Another sign of ageing associated with the eyes are the fine wrinkle lines, but this surgery does not address them. Immediately after surgery one will experience some swelling and bruising. Due to the region involved, sometimes this swelling may last as long as a week or two. Post-operative bruising usually lasts about 10 days and one may experience blurriness for a few days after this procedure and could complain of excess tear production or dry eyes but all these subside in a week or so. The specialist usually provides medication for these symptoms and is always a call away in case you feel so. Costs start around USD 1200 but can exceed USD 2500 depending on the clinic, the surgeon and the extent of reshaping desired.

Breast implantation is also called breast augmentation and is a commonly opted cosmetic surgery procedure where implants which are usually saline-filled bags are slid in between the breast tissue and chest muscles, or between the chest muscles and the chest wall. One should be able to get out of bed the next day but bath is avoided for the next three to seven days. A few days to a week after the operation, one may return to work, but any vigorous exercise including lifting heavy weights is best avoided for up to three weeks. The cost is usually around USD 2200 but again varies by clinic, surgeon and make of implants.

Rhinoplasty which is commonly called a nose job is a procedure where the cosmetic surgeon reshapesthe nose to the client’s desire. This is accomplished by removing the skin and altering the bone as well as cartilage structure of the nose. After the procedure a day or two of rest is advisable and one is required to undertake saline douche cleaning of the nose the next day and then for a week which helps in reducing the swelling and aids healing of the area.One can go back to their normal routine in three weeks’ time. The cost is around USD 2800 and varies with clinic, surgeon and any additional requirements like prosthesis.

Facelift is another common anti-ageing procedure which addresses the skin of the face which tends to sag and fold with passing age. During the facelift procedure, the skin is stretched up toward the scalp, tightened and smoothened. After the surgery, one would experience swelling and bruising which is a norm with every other surgical procedure. The bruising slowly reduces in around two weeks, but the swelling lasts little longer. One should be able to get back into their regular routine after two weeks of the procedure. During the first few days after the procedure complete rest is advised and one should stay out of the sun. A facelift surgery cost starts around USD 2200 and above.

Botox injections(botulinum toxin) are primarily used in neurology for spastic conditions and produced by the same microbe which is responsible for food poisoning. In cosmetic surgery, Botox injections are employed for their ability to reduce the appearance of facial wrinkles around the mouth, neck and eyelids like crow feet. The procedure works by paralyzing the muscles in the concerned areas like the forehead, around mouth and neck, so one has decreased movements of these muscles. There is literally no recovery or rest required and one may experience some swelling, bruising, and numbness, but most people just continue with their routine after getting the injections. The results are not permanent and one requires the injections every three to four months. Botox injections usually start from USD 200 per treatment but may be higher and depend on dose, concerned area, specialist and clinic.

What is facial rejuvenation? Can this be used by both men and women?

Facial rejuvenation is a term used for cosmetic treatment or series of treatments which include a broad spectrum of surgical procedures and non-invasive treatments, designed to make the facial skin and profile appear younger and more revitalized. Facial Rejuvenation techniques are frequently used in both women and men of all ages and surprisingly more men are opting for these than women.

Which breast implants should one go for? Saline or Silicon?

Saline and Silicon are the two types of breast implants. Both implants are made up of an outer silicon shell but the Saline-filled implants contain sterile salt water (saline) and Silicone-filled implants are filled with silicone gel. Although it is known that silicone implants feel more natural and like real breasts as compared to saline implants, they pose a greater risk if they leak. In 1992, the US FDA has stopped the sale and use of silicone implants due to safety concerns but upon reviewing more clinical research, in 2006,US FDA restarted the sale of certain silicone breast implants. The choice is purely personal, but most cosmetic surgeons prefer Silicon implants as their safety profile and sheer variations now far exceed their predecessors.

What are the advantages of getting a cosmetic surgery or non-surgical procedure done through MedMonks?

MedMonks offers cosmetic surgery in India and helps patients choose amongst the best and most experienced cosmetic specialist with the most cost effective treatment and surgery packages. We also help you choose from a comprehensive list of latest treatment options like Vaser, Fraxel, Coolsculpting, Ultherapy etc. that you can choose from. So that you are always safe and comfortable.

Further, MedMonks gives a number of advantages to its patrons including:

  • 24x7 Support
  • Associated with only Verified & Accredited Hospitals
  • Leading & Highly Experienced Doctors on Panel
  • Completely discreet and confidential
  • Transparent Process and complete confidentiality
  • Travel Desk assisting in Visa, Airline Tickets, Hotel Bookings etc.
  • Personalized Services like interpreter, forex, on-ground logistics and treatment/ intra-hospital coordination
  • Health Insurance and Medico-legal advice
  • Help in follow-ups and rehabilitation
Back to Top
Live Support