Malabar Medical College Hospital and Research Center, Ulliyeri, Kozhikode

DEPARTMENT OF PLASTIC SURGERY


Our Team

Dr. Abraham. G. Thomas

MBBS, MS,MAMS,MCh,FRCS,FICS

Dr.Karthik

MBBS,DNB,MCh

About our Department


Dr. Abraham Thomas, the Pioneer of Plastic & Reconstructive Surgery in India, who is also the Vice Chairman of MMC Hospital is leading our Department.
Dr. Abraham was earlier heading the prestigious C.M.C Ludhiana. Dr. Abraham has won several awards for his unparalleled service including Parman Patra by the Government of Punjab and Millennium personalities award in 2001 (Punjab). He has joined as the Head of Plastic & Reconstructive Surgery in our Medical College.

Dr. Kartik Srinivas is the latest member in our Department of Plastic & Reconstructive Surgery Department.
Earlier Dr. Srinivas was working with MIOT Hospital Chennai. He has also worked with Sri Ramachandra University and Research Center, Yashoda Super Specialty Hospital- Hyderabad, Jaslok Hospital – Mumbai.


Clinical Focus

Face Rejuvenation

FACE LIFT

Face lift is the clinical way of removing facial wrinkles and sagging caused by aging. Individuals who are in the age group of 40 to 70, is the best candidates for face-lift surgery. During a face-lift, the surgeon removes loose skin, accesses the tissues beneath the skin and alters their tightness. Depending on the circumstances, the face-lift can take anywhere from two to six hours. Bandages over the face are removed on third day and stitches on seventh day.


NECK LIFT

Neck lift includes the procedures to enhance the appearance of your neck. Procedures can include removing loose skin, altering neck muscles tightness and improving neck contour by removing any fat if necessary. Surgery, involves making cuts in front of, and behind ears. All scars become imperceptible with time.


BLEPHAROPLASTY

Procedures for getting rid of the appearance of tired, droopy and aged eyes, using cosmetic eyelid surgery for improving appearance. This is accomplished by removing excess skin and pockets of fat from the upper and lower eyelids through incisions made along the natural skin lines of the eyelids or incisions totally hidden within the lower lid. Blepharoplasty usually takes less than two hours, depending on the amount and location of tissue being removed.


RHINOPLASTY

Surgery to reshape the nose or correct bumps, indentations, or other defects in the nose.

This surgery may be done using general or local anesthesia. The incisions are usually made inside the nose so that they are not visible after the surgery. Depending on the desired result, some bone and cartilage may be removed, or tissue may be added (either from another part of the body or using a synthetic filler). A splint is placed outside the nose to support the new shape of the nose as it heals. Nasal packing for a day may be used inside the nose to provide additional support.


LIP AUGMENTATION

A cosmetic procedure that can give you fuller, plumper lips. Injectable dermal filler is the most commonly used method of lip augmentation. Alternatively, augmentation with fat offers long lasting results.


LIP REDUCTION

Thick or fat looking lips are reduced in size by removing a strip of the red part of the lip along with underlying tissue from one end to the other. Surgery may be done under local anesthesia, without any hospital stay and both the lips can be addressed at the same time, in which case short hospitalization may be necessary.

CHIN AUGMENTATION

Chin augmentation is usually done to balance the face by making the chin bigger compared to the nose. The best candidates are people with receding chins but who have a normal bite. It may be done either by inserting an implant or by moving or reshaping bones. Incisions are places inside mouth or under the chin and can be concealed.


CHIN REDUCTION

Those who have large chins in comparison to other facial features can benefit from cosmetic chin reduction. The aesthesis and proportion of the face requires that each part is in harmony with the others. Thus a chin that is too large detracts from the other normal features. This imbalance can have a major impact on the psychological wellbeing of the patient. Patient can suffer low self-esteem and become withdrawn. Using specialized instruments, the surgeon reshapes and removes the excess bone to properly contour the chin. Chin reduction better known as genioplasty aims to restore the balance and provide a natural aesthetic appearance


CHEEK, JAW AND CHIN IMPLANTS

Facial implants are done to enhance certain features of your face, including cheeks or jaw line. A good candidate for a face implant is someone in good health and who has reasonable expectations.


EAR SURGERY

Otoplasty or ear reshaping is a cosmetic surgery procedure to improve the appearance of the ear and earlobes. Otoplasty surgery corrects prominent ears. Most commonly an incision is made on the back of the ear where it’s is hidden and sutures are used to the bend the ear cartilage to create a natural looking ear.

In cases where ear is totally absent, the surgery will require at least 3 procedures at an interval of 3 months at least. Either the patient’s own cartilage from the ribs can be refashioned or a silastic implant can be used, depending on the choice of the patient. Silastic however have the unfortunate complication at times of getting affected with trauma or infection. The doctor will give the best option for you after examination.


BREAST AUGMENTATION

It is the way to enhance self-image and boost confidence. Also known as augmentation mammoplasty, breast augmentation is a surgical procedure to increase breast size. During surgery, implant is placed behind the natural breast tissue. This makes the breasts larger. The incisions are made in the natural crease of the breast, in the armpit or in the underside of the nipple area, which makes them inconspicuous. The procedure is usually performed under general anesthesia and takes about two hours to complete.


BREAST REDUCTION SURGERY

Breast reduction surgery (reduction mammoplasty) is advised to women who suffer with neck or back pain, skin infections because of large breast size. This surgery removes excess of the tissue and skin from the breasts to reshape and reduce the size of the breasts. It can also make the area of dark skin surrounding the nipple (areola) smaller.

Breast reduction surgery is done under general anesthesia. The surgery usually takes 3 to 5 hours. An overnight stay is usually recommended. A compression garment is advised post-surgery to contour the breasts.


BREAST LIFT (MASTOPEXY)

Sagging of breasts is a common problem with aging. Breast lift or mastopexy can raise sagging or drooping breasts, and can elevate the nipple and areola. The surgery usually takes 3 to 5 hours. An overnight stay is usually recommended. For smaller reductions, the surgery may be done under local anesthesia.


MALE BREAST REDUCTION (Gynecomastia)

Good candidates for surgery include those who have firm and elastic skin that will allow for effective re-shaping of the chest contour. The surgeon will remove excess fat by making a small incision around the lower half of the chest area using liposuction. It is a day care procedure done under local anesthesia or general anesthesia and it normally takes 1- 2 hours to complete. Compression garment is recommended after surgery


Body Contouring

LIPOSUCTION

Liposuction is a minimally invasive surgery that removes stubborn fat deposits which are not responding to diet and exercise. It is performed either under general anesthesia or local anesthesia with sedation. It is often treated as a day case. The surgeon will make a small incision in the area being treated and the fat is sucked out using cannulas. Likewise, abdomen, back, thighs, arms and neck can be addressed.


ABDOMINOPLASTY

It is also called ‘tummy tuck’ and is recommended if patient has excess skin in abdomen that doesn't respond to diet or exercise. This surgery flattens the abdomen by removing extra fat and skin, and tightening muscles in your abdominal wall. The incision is like a C section and is usually hidden in garments. This surgery is especially suited for post weight loss surgery patients or women who have a lax abdomen after pregnancy.


BRACHIOPLASTY

Brachioplasty, or ‘arm lift’ cosmetic surgery, reshapes the underside of the upper arm from the armpit to the elbow. The surgery removes extra skin and fat to give a more toned and balanced appearance. Extra fat is removed with liposuction and if required, a cut on the inner surface of upper arm from the armpit to the elbow removes the extra skin.


MEDIAL THIGH PLASTY

Medial thigh plasty is aesthetic reshaping of the thigh following removal of excess medial skin and fat. The new contour should be attractive, the scars inconspicuous, and complications minor. Medial thigh plasty may be solely an upper thigh crescent excision adjacent to the labia majora (scrotum), extended with a wide band excision tapering at the knee for distal deformity, or something in between. The extent of the operation depends on the deformity and the patient's expectations and acceptance of risk. The essential facets to improve thigh contour are excision of medial thigh skin, lipoplasty, efficient use of prone and supine operative positions, accurate presurgical marking of a unique excision design using multiple patient positions.

Miscellaneous

FAT TRANSFER

A liposuction technique is used to harvest the fat and prepare it for transfer. The fat is then injected into the desired portion of the body or the face. The procedure is most commonly performed under local anesthesia with a light oral sedation. Fat transfer has been utilized for rejuvenation of the face and augmentation of lips, buttocks, breasts & hands.


EAR LOBE REPAIR

Piercing your ears puts the earlobes at risk for stretching, tearing and keloid scarring (a benign growth of scar tissue). Because of their location, the tears are often split and are very visible. Earlobe repair surgery fixes the split and enables you to wear earrings again.


XANTHELASSMA

Xanthelassma (or xanthelasma palpebrarum) is a sharply demarcated yellowish deposit of cholesterol underneath the skin, usually on or around the eyelids. Xanthelasma can be removed surgically and this gives a great relief to the patient.


DERMABRASION

Microdermabrasion can be helpful in the treatment of common skin problems ranging from acne scars to sun damage and even more severe problems such as melasma and hyperpigmentation.


VITILIGO

It is popularly known as leocoderma or white patch. It generally happens due to absence of melanin pigmentation over the skin. White patches on the skin when stabilized with medical treatment can be treated surgically by ‘melanocyte transfer’ to restore the pigmentation.


VAGINAL TIGHTENING

Repeated child births cause dilatation of muscles of vagina leading to widening of vagina.

Lax muscles and supporting tissue layers are meticulously dissected out and repositioned in their normal position. Vectors of muscles are restored gaining a good vaginal and perineal tone. Improved voluntary tone and muscle strength leads to an improved self-esteem.


HAIR TRANSPLANT

Hair transplant is a surgical technique that moves individual hair Follicles from a part of the body called the donor site to bald or balding part of the body known as the ‘recipient site’. It is primarily used to treat male pattern baldness. In this minimally invasive procedure, grafts containing hair follicles that are genetically resistant to balding are transplanted to the bald scalp. It can also be used to restore eyebrows. Hair transplantation differs from skin grafting in that grafts contain almost all of the epidermis and dermis surrounding the hair follicle, and many tiny grafts are transplanted rather than a single strip of skin.

Reconstructive Surgery

Cleft Lip & Palate

Cleft lip and cleft palate are birth defects. This means they happen while baby is developing. Normally, the mouth and nose of a baby develop between the first 6 and 12 weeks of growth inside the mother. In some babies, parts of the lips and roof of the mouth don’t grow together. Because the lips and the palate develop separately, it’s possible to have cleft lip alone, cleft palate alone, or both together.

The most common surgical procedures for a child with a cleft lip and palate anomaly are as follows:

  • Repair of the cleft lip
  • Repair of the cleft palate
  • Revision of the cleft lip
  • Closure and bone grafting of the alveolar cleft
  • Closure of palatal fistulae
  • Palatal lengthening
  • Pharyngeal flap
  • Pharyngoplasty
  • Columellar lengthening
  • Cleft lip rhinoplasty and septoplasty
  • Lip scar revision
  • LeFort I maxillary osteotomy

In addition, orthodontic treatment is very specialized and varies case by case. The 2 stages of orthodontic treatment of a child with cleft lip and palate are as follows:

  • Surgery-related orthodontics
  • Early management (since birth until the time of surgical closure of the palate)
  • Orthodontics related to alveolar bone graft
  • Permanent dentition management
  • Cleft-related orthodontics (not related to surgical treatments)
Ear Reconstruction

Ear reconstruction is a specialized kind of plastic surgery, which is used to form an ear that looks as normal as possible. The plastic surgeon will use a piece of cartilage (material that holds body structure together) from your ribcage to form the framework for the ear. Where possible, the surgeon will use your excising ear as a model for the new one. The reconstruction process is in two stages about six months apart.


Breast Reconstruction

Breast reconstruction is the rebuilding of a breast, usually in women. It involves using autologous tissue or prosthetic material to construct a natural-looking breast. Often this includes the reformation of a natural looking areola and nipple. This procedure involves the use of implant or relocated flaps of the patient’s own tissue.

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Outpatient Services

Sl.No Doctor Name Qualification Phone Number Days Time
1 Dr.ABRAHAM.G.THOMAS MS,MAMS,MCh,FRCS,FICS 9878798989 MON TO FRI 8 AM TO 2PM
2 Dr.KARTHIK MBBS,DNB,MCh 8778630090 MON TO SAT 9 AM TO 2PM

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Malabar Medical College Hospital and Research Center, Ulliyeri, Kozhikode