w360 - PrudENT Rhinoplasty and Facial Cosmetic Surgery - Page 12
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      Basal Cell Carcinoma: An In-Depth Look

      Facial Scar Refinement

      BASAL CELL CARCINOMA: AN IN-DEPTH LOOK Basal Cell Carcinoma (BCC) is the most common form of skin cancer, accounting for approximately 80% of all diagnosed skin cancers. While it is rarely life-threatening, it can have significant repercussions on one’s health and appearance if left untreated. Understanding the ins and outs of BCC, including its causes, signs, diagnostic methods, and treatment options, is crucial for early detection and effective management. WHAT IS BASAL CELL CARCINOMA? Basal Cell Carcinoma originates in the basal cells—cells that produce new skin cells to replace old ones. Unlike other forms of skin cancer, such as melanoma, BCC rarely spreads (metastasizes) to other parts of the body. However, if left untreated, it can cause extensive damage to surrounding tissues and may even lead to disfigurement. CAUSES Ultraviolet (UV) Exposure: Excessive exposure to UV radiation from the sun or tanning beds is the primary cause of BCC. Radiation Treatment: Individuals who have undergone radiation treatments may be at risk. RISK FACTORS Age: Older individuals are more susceptible. Fair Skin: Light-skinned people have a higher risk. Genetics: A family history of skin cancer can increase the risk. Immune System: A weakened immune system also raises susceptibility. Previous history of skin cancer. SYMPTOMS AND EARLY SIGNS Shiny Pink or Red Plaques: Often translucent and may bleed. Open Sores: That heal and then re-open. Raised Bumps: Often flesh-coloured. Moles White, Yellow, or Waxy Areas: Resembling scars. DIAGNOSTIC METHODS History and Visual Examination: Our assessment will generally start a detailed history followed by visual inspection, looking for the typical signs of BCC. Dermoscopy: This non-invasive procedure employs a dermoscope to get a closer look at the skin, aiding in more accurate diagnosis. Skin Biopsy: A definitive diagnosis is made through a skin biopsy where a small sample of the suspicious skin is removed and examined under a microscope. TREATMENT OPTIONS Surgical Excision: The affected area and a margin of healthy skin are cut out and examined under the microscope to make sure that the cancer has been excised completely. Mohs Surgery: Layer by layer, skin is removed and examined until no cancer cells are detected, preserving as much healthy skin as possible. Curettage and Electrodesiccation: The cancer is scraped away with a curette, and the remaining cancer cells are killed via electrodesiccation. Topical Treatments: Some early-stage BCCs can be treated with creams such as Imiquimod. Radiation Therapy: In cases where surgery is not an option, radiation therapy may be employed. CONCLUSION Basal Cell Carcinoma may be common and less aggressive compared to other types of skin cancer, but the importance of early detection and treatment cannot be overstated. With advances in diagnostic techniques and treatments, most BCCs can be effectively managed, but awareness and timely medical intervention are key. Therefore, regular skin checks and vigilance for any signs of BCC are crucial in minimizing its impact. RECLAIM YOUR RADIANCE AND HEALTH: FACIAL SKIN CANCER REMOVAL AND RECONSTRUCTION WITH DR SANDEEP Confronting facial skin cancer? Our Facial Skin Cancer Removal and Reconstruction Service is dedicated to the precise excision of skin cancer with a focus on aesthetic restoration. We strive for excellence in treatment and empathetic patient care, aiming for the best functional and cosmetic outcomes. Embrace a future with healthy, restored skin. Embark on your treatment journey with a specialist. Schedule your personalized consultation for facial skin cancer removal and reconstruction with Dr Sandeep.

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      Detailed Explanation of Neck Lift

      Neck Lift

      DETAILED EXPLANATION OF NECK LIFT Dr Sandeep employs various techniques during a neck lift, depending on the individual’s specific concerns and their unique facial and neck anatomy and deformity resulting from aging. NECK LIFT TECHNIQUES Some common neck lift techniques used by Dr Sandeep include: CERVICOPLASTY This technique focuses on removing excess skin from the neck. Dr Sandeep makes incisions behind the ears and under the chin to access the neck area. The excess skin is then carefully trimmed, and the remaining skin is re-draped and tightened to create a smoother, more youthful contour. PLATYSMAPLASTY The platysma is a thin muscle in the neck that can become lax and form vertical bands, contributing to the appearance of a “turkey neck.” Platysmaplasty involves tightening or repositioning the platysma muscles in the midline to improve neck firmness and reduce banding, depending on the extent of neck drooping and heaviness. This additional procedure addresses vertical cords and bands in the neck and removes chin fat that accumulates with age. SUBMENTOPLASTY This is a less invasive neck lift technique that focuses on the central neck area. It involves a small incision under the chin to access and tighten the underlying structures like the platysma and digastric muscles. EXTENDED DEEP PLANE NECK LIFT This more advanced technique involves addressing the deeper layers of tissue in the neck, including the deeper muscle layers and fascia. It provides a more comprehensive correction and is often used for significant neck laxity. Dr Sandeep’s use of the extended subplatysmal neck flap approach significantly improves the contour of the jawline and addresses the gathering of skin that can occur beneath the chin when using midline platysma plication methods. This enhances both the neck and jawline’s overall appearance. His surgical method allows for greater upward and outward movement of the midline platysma compared to traditional midline SMAS purse-string suture techniques. As a result, a separate midline platysmaplasty might not be necessary, except in cases where clients have a more substantial neck and submental area, or when the platysmal separation measures between 2.5 and 3 cm or more. NECK LIFT PROCEDURE STEPS CONSULTATION Before considering a neck lift, you’ll have a detailed consultation with Dr Sandeep. During this session, you can expect to cover: Medical History: A review of any medical conditions, allergies, medications, and previous surgeries to ensure suitability for the procedure. Physical Examination: An evaluation of the neck’s skin elasticity, muscle tone, and fat distribution to determine the best surgical approach. Aesthetic Goals: Discussion of your expectations and aesthetic goals to align the procedure with your desired outcome. Photographs: Capture standardized, high-quality photographs from various angles for reference and surgical planning. Anesthesia Plan: Discuss whether the procedure will be under local anaesthesia with sedation or general anaesthesia, based on what’s best for you and Dr Sandeep’s recommendation. SURGERY INCISION Dr Sandeep will strategically make incisions in inconspicuous areas, such as under the chin or behind the ears, to minimize visible scarring. TISSUE REMOVAL OR ADJUSTMENT The procedure may involve: Removing excess skin to reduce sagging and create a smoother neck profile. Adjusting or tightening the platysma muscles to address banding and improve neck contour. Liposuction to remove excess fat and refine the jawline. CLOSURE Incisions are closed with sutures that are typically removed within a week, ensuring a fine line that follows the natural contours of the neck and chin. RECOVERY Post-procedure care includes: Immediate Post-Op: Application of ointment and a cold compress to reduce swelling. First Few Days: Expect some swelling, bruising, and discomfort. Keeping the head elevated and applying cold compresses helps. Medication: Dr Sandeep will prescribe pain relievers and possibly antibiotics to reduce the swelling and risk of infection. Stitches: These are usually removed after about a week. Physical activity: You will be advised to limit activities and avoid strenuous exercise for a few weeks. Sun Avoidance: Protect the area from sun exposure with high-SPF sunscreen and wearing supportive garments if recommended. Silicone gel will be prescribed to help achieve fine scars. FINAL RESULTS While you’ll see initial improvements right away, the full benefits of the neck lift will emerge as swelling subsides and incision lines mature over the following months. POTENTIAL RISKS AND COMPLICATIONS OF NECK LIFT While neck lifts are generally safe when performed by a skilled and experienced surgeon like Dr Uppal, like any surgical procedure, they carry potential risks and complications. Some of the risks associated with a neck lift include: Anaesthesia risks: Anaesthesia is used during the procedure, and there are potential risks associated with its administration. Deep vein thrombosis (DVT) and pulmonary embolism (PE): Although rare, there is a small risk of developing blood clots that can potentially lead to DVT or PE. Bleeding: Any surgical procedure carries a risk of bleeding, and excessive bleeding may require additional intervention. Infection: There is a risk of developing an infection at the incision sites, which may require antibiotics or additional treatment. Visible Scarring: Despite best efforts to place incisions in discreet locations, some patients may develop scars that are more visible than desired. Nerve injury: The surgery involves manipulating tissues and muscles around the neck, which may lead to temporary or permanent nerve damage, causing numbness or weakness in certain areas. Hematoma: A hematoma is a collection of blood under the skin that may occur after surgery and may require drainage. Skin irregularities: In rare cases, there may be unevenness or irregularities in the skin texture after surgery. Skin necrosis: In very rare instances, the blood supply to the skin may be compromised, leading to skin necrosis (death of skin tissue). Swelling and bruising: Swelling and bruising are common after a neck lift and may take time to resolve. Poor wound healing: Certain factors like smoking, diabetes, or certain medications can increase the risk of poor wound healing. Asymmetry: One side of the neck might appear different from the other, requiring revision surgery. Dissatisfaction with Overall Look: While a neck lift aims to produce positive outcomes, individual satisfaction with the results can

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      Biologics for Nasal Conditions

      Nasal, Nose

      BIOLOGICS FOR NASAL CONDITIONS Dr Sandeep Uppal and his team at The ENT Clinic are at the forefront of employing advanced treatments for nasal conditions, including the use of biologics for nasal polyposis and nasal allergies. Biologics are a class of medications derived from living cells and are designed to target specific components of the immune system. They have gained prominence in recent years for their effectiveness in treating various chronic conditions, including severe asthma, rheumatoid arthritis, and certain skin conditions. BIOLOGICS FOR NASAL POLYPOSIS Biologics like Dupilumab are increasingly being used for treating severe cases of nasal polyposis that are unresponsive to traditional treatments such as corticosteroids. These medications are often considered for treating severe eosinophilic forms of chronic sinusitis with nasal polyps, especially when other treatments have proven ineffective. These medications work by inhibiting specific pathways involved in inflammation, thus reducing the size of the polyps and alleviating symptoms like nasal obstruction and loss of smell. Dr Sandeep Uppal and his team are committed to a patient-centric approach, providing comprehensive information and closely monitoring patients who are on Anti-IL5 therapies. This ensures that the treatment is not only effective but also safe for the patient. BIOLOGICS FOR NASAL ALLERGY Similarly, biologics are also proving effective in managing severe nasal allergies that are unresponsive to antihistamines and other traditional medications. By targeting specific cytokines and inflammatory pathways, these drugs can offer significant relief from symptoms such as sneezing, itching, and nasal congestion. Dr Sandeep keeps abreast of the latest advancements in biologics for nasal allergies and is experienced in tailoring these treatments to individual patient needs. EVIDENCE-BASED APPROACH Dr Sandeep and his team strictly adhere to evidence-based guidelines for the use of biologics in treating nasal conditions. Their commitment to scientific rigor ensures that patients receive the most current and effective treatment available. SAFETY AND MONITORING The use of biologics is generally well-tolerated but requires close monitoring for potential side effects, such as increased susceptibility to infections. Dr Sandeep and his team place a high emphasis on patient safety and will conduct regular follow-up appointments to monitor treatment efficacy and any potential adverse effects. Dr Sandeep Uppal and his team at The ENT Clinic are vigilant about informing patients regarding the potential side effects and precautions associated with Anti-IL5 therapies like Mepolizumab, Reslizumab, and Benralizumab. Here is a detailed overview:         POTENTIAL SIDE EFFECTS Injection Site Reactions: Redness, swelling, or itching at the injection site is common. Respiratory Issues: Some patients may experience a worsening of asthma symptoms or bronchospasm. Headaches: A common side effect that usually resolves with time. Fatigue: Patients may feel unusually tired or lethargic. Muscle Pain: Some people report mild to moderate muscle soreness or cramps. Hypersensitivity Reactions: Including rash, itching, or severe allergic reactions. Elevated Blood Parameters: Changes in blood counts or liver enzymes may occur and are usually monitored via regular blood tests. Increased Risk of Infections: Particularly upper respiratory tract infections. PRECAUTIONS TO BE TAKEN DURING TREATMENT Prior Allergy Assessment: A thorough review of any past allergic reactions to similar medications is essential. Concurrent Medications: A complete medication review is undertaken to identify potential drug interactions. Pregnancy and Breastfeeding: These therapies should be used cautiously in pregnant or breastfeeding women, and only if the benefits outweigh the risks. Vaccinations: It’s advisable to update vaccinations before starting therapy, as the medication could potentially interfere with the effectiveness of certain vaccines. Regular Monitoring: Blood tests to monitor eosinophil levels, liver function, and other parameters are often performed. Emergency Plan: Due to the risk of severe allergic reactions, an emergency action plan is usually discussed with the patient. Informed Consent: Detailed discussions are held with the patient to ensure they are fully aware of the risks and benefits of the treatment.

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      Hypothyroidism

      Thyroid Gland

      HYPOTHYROIDISM Dr Sandeep Uppal and his team at The ENT Clinic appreciate the importance of understanding hypothyroidism in depth. Below is a more detailed breakdown of the condition: Definition and Physiology Hypothyroidism is characterised by an underactive thyroid gland which results in reduced production of essential thyroid hormones Thyroxine (T4) and Triiodothyronine (T3). These hormones are critical for metabolic functions and energy regulation in the body. CAUSES Autoimmune diseases like Hashimoto’s thyroiditis. Surgical removal of the thyroid gland. Radiation therapy for cancer. Certain medications like lithium. Iodine deficiency (rare in developed countries). COMMON SYMPTOMS Fatigue and lethargy. Unexplained weight gain. Sensitivity to cold temperatures. Depression and mood swings. Dry skin and hair. Muscle aches and weakness. Cognitive issues like poor memory and concentration. POTENTIAL COMPLICATIONS Cardiovascular issues: Elevated cholesterol levels, increased risk of heart disease. Infertility: Problems with ovulation and reproductive health. Myxoedema: A severe, life-threatening form of hypothyroidism that can lead to coma. Mental Health: Prolonged untreated hypothyroidism can exacerbate depression and cognitive issues. DIAGNOSTIC METHODS Blood Tests: Measuring levels of Thyroid-Stimulating Hormone (TSH), Free T4, and sometimes Free T3. Ultrasound: To examine the size and condition of the thyroid gland. Additional tests may be performed to identify underlying causes, such as autoimmunity tests. TREATMENT OPTIONS Hormone Replacement Therapy: Levothyroxine is the standard treatment to replace insufficient hormone levels. Lifestyle Changes: Diet rich in iodine and selenium, regular exercise. Selenium is a key component of enzymes that help convert T4 into T3, the active form of thyroid hormone. Foods rich in Selenium include seafood, meat, eggs, nuts and seeds, whole grains, dairy products, spinach and mushroom. Monitoring: Frequent blood tests to adjust medication dosages. FOLLOW-UP AND MONITORING Regular check-ups to monitor hormone levels. Adjustments in medication dosage based on test results and symptoms. Patients who exhibit symptoms of hypothyroidism should not hesitate to seek professional medical advice for proper diagnosis and treatment. Dr Sandeep Uppal and his dedicated team at The ENT Clinic are equipped with the expertise and technology to provide comprehensive, evidence-based care for thyroid disorders. We work closely with our endocrinology colleagues to provide comprehensive care for thyroid disorders.

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      Hyperthyroidism

      Thyroid Gland

      HYPERTHYROIDISM DEFINITION AND PHYSIOLOGY Hyperthyroidism is marked by an overactive thyroid gland, resulting in excessive production of the thyroid hormones Thyroxine (T4) and Triiodothyronine (T3). These hormones are vital for metabolic functions and energy regulation in the body. CAUSES Graves’ disease, an autoimmune disorder. Toxic multinodular goitre Excessive iodine intake. Thyroiditis, inflammation of the thyroid. COMMON SYMPTOMS Weight loss. Heat intolerance. Rapid or irregular heartbeat. Anxiety and irritability. Tremors. Diarrhoea. POTENTIAL COMPLICATIONS Heart issues: Tachycardia, atrial fibrillation, and increased risk of heart disease. Osteoporosis: Weakening of the bones due to prolonged elevated hormone levels. Thyroid storm: A severe, life-threatening form of hyperthyroidism. Mental health: Anxiety and irritability can be exacerbated. DIAGNOSTIC METHODS Blood Tests: Measuring levels of Thyroid-Stimulating Hormone (TSH), Free T4, and Free T3. Ultrasound: To assess the size and condition of the thyroid gland. Radioactive Iodine Uptake Test: To identify the cause of hyperthyroidism. TREATMENT OPTIONS Antithyroid medications: Methimazole or Propylthiouracil to reduce hormone production. Beta-blockers: To manage symptoms like rapid heartbeat. Radioactive Iodine Therapy: To destroy part of the thyroid gland. Surgical Removal: In severe cases, the thyroid gland may be partially or completely removed. FOLLOW-UP AND MONITORING Regular check-ups to assess hormone levels. Adjustments in medication dosage based on test results and symptoms. Patients displaying symptoms of hyperthyroidism should consult healthcare professionals for accurate diagnosis and tailored treatment. Dr. Sandeep Uppal and his dedicated team at The ENT Clinic work in collaboration with our partner endocrinology experts to provide a comprehensive and evidence-based approach to managing thyroid disorders effectively.

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      How Are Thyroid Cancers Staged?

      Thyroid Gland

      HOW ARE THYROID CANCERS STAGED? Understanding the details of each stage of thyroid cancer is critical for both treatment planning and prognosis. Dr Sandeep Uppal and his team at The ENT Clinic adhere to the most current staging guidelines to offer tailored, evidence-based care for each patient. Below is a breakdown of what each stage generally entails: PAPILLARY AND FOLLICULAR THYROID CANCER STAGING STAGE I Tumour is 2 cm or smaller in size. No lymph node involvement. No distant metastasis. STAGE II Tumour is between 2 cm and 4 cm. No lymph node involvement. No distant metastasis. STAGE III Tumour is larger than 4 cm or any tumour with minimal extrathyroidal extension. May have spread to nearby lymph nodes. No distant metastasis. STAGE IV Divided into IVA, IVB, and IVC based on the extent of spread to tissues, lymph nodes, and distant metastasis. Stage IVA Tumour of any size that may extend beyond the thyroid capsule to invade subcutaneous soft tissue, larynx, trachea, oesophagus, or recurrent laryngeal nerve. Lymph node involvement may be present. No distant metastasis. Stage IVB Tumour invades prevertebral fascia or encases the carotid artery or mediastinal vessels. May or may not have lymph node involvement. No distant metastasis. Stage IVC Tumour of any size. May or may not have lymph node involvement. Distant metastasis is present. Reference: AJCC Cancer Staging Manual, 8th Edition. MEDULLARY THYROID CANCER STAGING: STAGE I Tumour is 2 cm or smaller. No lymph node involvement. No distant metastasis. STAGE II Tumour is between 2 cm and 4 cm. No lymph node involvement. No distant metastasis. STAGE III Tumour size varies. Spread to nearby lymph nodes. No distant metastasis. STAGE IV Stage 4 medullary thyroid cancer (MTC) represents a critical and challenging phase of the disease. The stage is generally broken down into sub-stages: IVA, IVB, and IVC, each with distinct characteristics. It is divided into IVA, IVB, and IVC, indicating more extensive local spread, lymph node involvement, or distant metastasis. Stage IVA Tumour of any size that extends beyond the thyroid. May involve adjacent structures such as the larynx, trachea, oesophagus, or recurrent laryngeal nerve. Lymph node involvement is common but limited to the central neck area. No distant metastasis. Stage IVB Tumour invades more distant structures such as the prevertebral fascia or encases the carotid artery or mediastinal vessels. Lymph node involvement can extend to lateral neck or mediastinal nodes. No distant metastasis. Stage IVC Tumour of any size and extent. May or may not involve lymph nodes. Distant metastasis is present, often involving the liver, lungs, or bones. Reference: AJCC Cancer Staging Manual, 8th Edition; Wells SA Jr, Asa SL, Dralle H, et al., Thyroid, 2015. ANAPLASTIC THYROID CANCER STAGING Unlike other forms, anaplastic thyroid cancer is always considered to be at an advanced stage when it is diagnosed. Due to its aggressive nature, rapid growth, and early spread to surrounding tissues and distant organs, it is not categorized into the earlier stages (1-3) that are typical for other forms of thyroid cancer. Stage IVA Tumour of any size, confined to the thyroid. May have lymph node involvement. No distant metastasis. Stage IVB Tumour of any size, extending beyond the thyroid. May have lymph node involvement. No distant metastasis. Stage IVC Tumour of any size. May have lymph node involvement. Distant metastasis present. Reference: AJCC Cancer Staging Manual, 8th Edition.   By understanding these stages in detail, Dr Sandeep Uppal and his team at The ENT Clinic are better equipped to offer comprehensive and individualized treatment plans. They collaborate closely with other specialists to provide the most effective care for each stage of thyroid cancer, enhancing the potential for successful outcomes.

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      Vestibular Evoked Myogenic Potential (VEMP) Testing

      Balance, Ear

      Vestibular Evoked Myogenic Potential (VEMP) testing Vestibular Evoked Myogenic Potential (VEMP) testing is a specialized diagnostic tool that Dr Sandeep Uppal and his team at The ENT Clinic frequently use for assessing the integrity of specific parts of the vestibular (balance) system. VEMP testing can offer invaluable insights into the functioning of the saccule and the inferior vestibular nerve, as well as the utricle, depending on the type of VEMP test conducted. TYPES OF VEMP TESTS CERVICAL VEMP (CVEMP) Details: Evaluates saccular function and the inferior vestibular nerve. Procedure: A loud sound stimulus, usually a click or a tone burst, is delivered to one ear via headphones, while the patient’s neck muscle responses are monitored through electrodes placed on the skin over the sternocleidomastoid muscle. OCULAR VEMP (OVEMP) Details: Primarily used to assess the utricle and the superior vestibular nerve. Procedure: Similar to cVEMP but the electrodes are placed below the eyes, and the eye muscles’ responses are recorded. UTILITY IN DIAGNOSIS INTERPRETATION Normal Response: Indicates that the vestibular organs and pathways are functioning well. Abnormal Response: Could suggest a dysfunction at some point along the vestibular pathway, such as a damaged saccule, utricle, or vestibular nerve. DIFFERENTIATING PERIPHERAL VS. CENTRAL ISSUES Details: A normal VEMP result often indicates that the peripheral vestibular system, which includes parts of the inner ear and vestibular nerve, is functioning correctly. An abnormal result, when correlated with other diagnostic findings, could suggest a central nervous system issue, such as a brainstem disorder or cerebellar pathology. Significance: Helps in tailoring the treatment approach by identifying the origin of the problem. MÉNIÈRE’S DISEASE Details: VEMP testing can show hyper-responsive or diminished reflexes in the affected ear, which may indicate endolymphatic hydrops—a condition where there is an excess of fluid in the inner ear. Significance: Helps in confirming the diagnosis and may influence the choice of surgical procedures like endolymphatic sac decompression. VESTIBULAR NEURITIS Details: An abnormal VEMP test might indicate an issue with the inferior vestibular nerve, which is often involved in vestibular neuritis. Significance: The test aids in determining whether vestibular neuritis is the cause of vertigo and whether the neuritis is affecting the saccule and its connecting nerve. SUPERIOR CANAL DEHISCENCE Details: Patients with this condition often exhibit abnormally low VEMP thresholds or heightened amplitudes, suggesting increased sensitivity of the vestibular reflexes. Significance: It provides valuable diagnostic information, which could be corroborated with imaging studies for a definitive diagnosis. ADVANTAGES Non-invasive: One of the key benefits of VEMP testing is that it does not require any surgical procedures or injections, making it a low-risk option. Speed: The test can be completed relatively quickly, often within 30 to 60 minutes, which is beneficial for patient comfort. Specificity: VEMP can specifically target different components of the vestibular system, such as the saccule and utricle, providing targeted diagnostic information. LIMITATIONS Hearing Loss: The test may not be useful in individuals with significant hearing loss, as an adequate auditory stimulus is required. Patient Cooperation: The test requires the patient to maintain certain postures and muscle contractions, which may be difficult for some individuals. By incorporating VEMP testing into their diagnostic arsenal, Dr Sandeep Uppal and his team at The ENT Clinic are able to offer comprehensive evaluations for patients suffering from balance disorders and vertigo. This allows them to create highly tailored treatment plans aimed at addressing the root causes of these conditions.

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      What is the Difference Between Cosmetic and Reconstructive Facial Plastic Surgery Performed by Dr Sandeep?

      Blog

      WHAT IS THE DIFFERENCE BETWEEN COSMETIC AND RECONSTRUCTIVE FACIAL PLASTIC SURGERY PERFORMED BY DR SANDEEP? Dr  Sandeep is skilled in a wide range of procedures, each tailored to meet the unique needs and desires of his patients. While both cosmetic and reconstructive surgeries fall under the umbrella of Facial Plastic Surgery, they serve distinct purposes and cater to different patient needs. COSMETIC SURGERY TYPE OF SURGERY Primarily focuses on enhancing, refining, or rejuvenating a patient’s appearance. Structures of the body are normal, but changes are desired for enhanced aesthetic appeal. COMMON PROCEDURES Facelifts Rhinoplasties (for aesthetic purposes) Eyelid surgeries (for beautification) ELECTIVE NATURE Cosmetic surgery is elective; patients choose to undergo without medical necessity. Typically not covered by insurance. PRIMARY MOTIVATION The primary motivation behind cosmetic surgery is to boost confidence and self-esteem by aligning one’s appearance with their desired look. RECONSTRUCTIVE SURGERY This surgery is fundamentally different from cosmetic surgery. PRIMARY AIM Restore form and function to body parts affected by: Congenital defects Trauma Infections Tumours Diseases EXAMPLES Facial trauma restoration after accidents. Post-tumour removal restoration. COVERAGE Addresses medical need and is often covered by insurance. JOURNEY TO SELF-CONFIDENCE: DR SANDEEP’S PERSONALIZED APPROACH TO FACIAL PLASTIC SURGERY Dr  Sandeep’s expertise spans both these domains. Whether a patient comes to him seeking aesthetic enhancements or to address a medical concern, his primary goal remains consistent: to help them achieve an appearance they love and can confidently embrace. His patients, whether they’ve undergone cosmetic or reconstructive procedures, often highlight their renewed confidence and improved self-esteem. If you’re considering a Facial Plastic Surgery procedure, whether for cosmetic or reconstructive purposes, Dr  Sandeep offers a comprehensive consultation. This is your opportunity to discuss your goals, concerns, and to embark on a transformative journey towards enhanced confidence and self-worth. Don’t hesitate to reach out and take the first step towards loving the way you look.

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      Our Philosophy of Care in Facial Plastic and Reconstructive Surgery

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      OUR PHILOSOPHY OF CARE IN FACIAL PLASTIC AND RECONSTRUCTIVE SURGERY EMPOWERING BEAUTY WITH CONFIDENCE Dr Sandeep’s philosophy of Facial Cosmetic and Reconstructive Surgery revolves around achieving natural-looking results that enhance his clients’ unique features and beauty. He believes that Facial Plastic Surgery should focus on helping individuals look and feel their best, rather than drastically altering their appearance. He consistently emphasizes to his clients that the best outcomes are attained when they appear as a better version of themselves, rather than an entirely different person. PERSONALIZED CARE, EXCEPTIONAL RESULTS A key focus of his practice is providing personalized care. He dedicates time to understand each client’s unique needs and goals, collaborating closely with them to create a tailored treatment plan that addresses their specific concerns and aesthetic desires. Dr Sandeep starts by attentively listening to the client’s objectives and then conducts a thorough assessment of their facial features. Based on this evaluation, he offers a range of options that optimize both appearance and functionality, allowing the client to choose the treatment that best suits them. Cosmetic procedures and surgeries often fall into the category of elective choices aimed at enhancing self-image, quality of life, and mental well-being rather than medical necessities. Dr Sandeep’s professional responsibility is to understand the client’s desires and assess whether they can be successfully achieved. Effective and open communication between the client and Dr Sandeep is essential throughout the entire process, a step on which he never compromises. ENHANCING CLIENT’S ETHNIC FEATURES Dr Sandeep Uppal places great importance on recognizing and enhancing a client’s ethnic features, considering this a crucial aspect of his Facial Plastic Surgery practice. Everyone possesses unique ethnic features, and as a skilled Facial Plastic Surgeon, he can identify and appreciate these distinct characteristics. Instead of attempting to erase or alter these ethnic features, Dr Sandeep focuses on enhancing and balancing them to achieve a harmonious, natural appearance. For instance, if a client has prominent cheekbones that are characteristic of their ethnicity, he aims to enhance this feature rather than diminish it. By recognizing and enhancing these ethnic features, Dr Sandeep helps clients attain beautiful, personalized results that reflect their unique identity and beauty. CLIENT SAFETY AND EDUCATION In addition to achieving natural-looking results, Dr Sandeep’s philosophy places a strong emphasis on client safety and education. He takes all necessary precautions to minimize the risk of complications, ensuring a smooth and comfortable recovery process. Dr Sandeep believes it’s crucial for clients to be well-informed about the potential risks and benefits of their procedure, encouraging them to ask questions and express any concerns they may have. Furthermore, Dr Sandeep is committed to ongoing education and keeping abreast of the latest advancements in Facial Plastic Surgery. He regularly attends conferences and training programs to remain at the forefront of his field. His dedication ensures that he can provide clients with the most advanced techniques and technologies available.   COMPASSION AND RESPECT Finally, Dr Sandeep’s philosophy of Facial Plastic Surgery is centred around providing compassionate and respectful care to all clients and their family members. He believes in treating each client with dignity, and providing a warm and welcoming environment where clients feel comfortable and confident in their decision to undergo Facial Plastic Surgery.

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      How Does Dr Sandeep Assess Whether I Am a Suitable Candidate for Facial Plastic Surgery?

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      HOW DOES DR SANDEEP ASSESS WHETHER I AM A SUITABLE CANDIDATE FOR FACIAL PLASTIC SURGERY? HOLISTIC APPROACH TO FACAL PLASTIC SURGERY Dr Sandeep’s approach is holistic, considering both the physical and psychological aspects of undergoing Facial Plastic Surgery. COMMITMENT TO PATIENT CONFIDENCE AND SATISFACTION He is dedicated to ensuring that every patient is well-informed, prepared, and confident in their decision to undergo surgery. CRITERIA FOR SUITABILITY Being in good health is often the primary criterion for determining one’s suitability for Facial Plastic Surgery. However, the decision is not solely based on this factor. THE IMPORTANCE OF COMPREHENSIVE CONSULTATION Dr Sandeep follows a meticulous process to ensure that every potential patient is both physically and mentally prepared for the procedure. Firstly, during your initial consultation, Dr Sandeep will conduct an in-depth health assessment. This isn’t just a cursory check; he will delve into your past and present medical conditions, any medications you might be on, and any previous surgeries or significant health events you’ve experienced. This comprehensive review ensures that there are no underlying conditions that could complicate the surgery or the recovery process. TRANSPARENCY IN MEDICAL HISTORY Moreover, it’s of paramount importance that you are transparent about your medical history. Any undisclosed information could pose risks, so it’s in your best interest to be as open as possible. UNDERSTANDING MOTIVATIONS AND EXPECTATIONS One of the critical aspects of any surgical procedure, especially one as personal as facial plastic surgery, is delving deep into the patient’s motivations and expectations. Dr. Sandeep places significant emphasis on this aspect during the initial consultation, ensuring a mutual understanding and setting the stage for successful outcomes. IDENTIFYING THE WHY The first step is to comprehend why the patient is considering surgery. Is it to address a long-standing insecurity, rejuvenate the face due to age-related changes, correct an anomaly, or simply to enhance certain features? Understanding this core motivation is paramount as it sets the foundation for all the decisions that follow. VISION VERSUS REALITY While every patient has an envisioned outcome in mind, Dr Sandeep aims to bridge the gap between this vision and what is surgically achievable. He employs various tools, like computerized imaging and before-after photos of similar procedures, to provide a realistic picture of potential outcomes. PSYCHOLOGICAL PREPAREDNESS The mental readiness of a patient is as crucial as their physical health. Dr. Sandeep ensures that the patient is seeking surgery for themselves and not under external pressures. Moreover, he gauges the patient’s ability to handle the recovery and potential side effects, ensuring they are psychologically equipped for the journey ahead. MANAGING EXPECTATIONS It’s essential that patients have a clear understanding of what the surgery can and cannot achieve. Dr Sandeep spends ample time discussing the potential benefits, limitations, and risks associated with the chosen procedure. He believes that a well-informed patient, with managed expectations, is more likely to be satisfied with the results. LONG-TERM GOALS Dr Sandeep also probes into the patient’s long-term goals concerning their appearance. This helps in planning a procedure that not only addresses current concerns but is also in line with the patient’s future aspirations. In conclusion, Dr Sandeep believes that a successful facial plastic surgery is as much about aligning motivations and expectations as it is about surgical skill. By ensuring that the patient and surgeon are on the same page, he lays the groundwork for a fulfilling surgical journey. SETTING REALISTIC OUTCOMES In the realm of Facial Plastic Surgery, setting realistic expectations is not just a task—it’s a responsibility. Dr Sandeep takes this aspect of the consultation very seriously, ensuring that every patient is well-informed about what to expect. This holistic approach revolves around three core principles: potential outcomes, the benefits, and the limitations. TRANSPARENT DISCUSSIONS Before diving into the specifics, Dr Sandeep establishes an open line of communication. This allows patients to voice their hopes and concerns, providing him with insights into their envisioned outcomes. By engaging in candid discussions, he ensures that there’s mutual clarity and understanding. POTENTIAL OUTCOMES Using a combination of his vast experience and computerized imaging, Dr Sandeep provides patients with a visual representation of potential results. This offers a tangible understanding of how the procedure might alter their appearance and helps in tempering aspirations with reality. BENEFITS OF THE PROCEDURE Every surgical intervention comes with its set of advantages. Whether it’s rejuvenating one’s appearance, refining specific features, or correcting imbalances, Dr Sandeep elaborates on how the chosen procedure can enhance the patient’s aesthetics. By highlighting these benefits, patients can weigh them against their initial motivations and decide if the surgery aligns with their goals. UNDERSTANDING LIMITATIONS As with any medical procedure, Facial Plastic Surgery has its boundaries. Dr Sandeep emphasizes the importance of understanding these limitations. Factors like individual anatomy, skin type, age, and previous surgical history can influence the extent of change achievable. He ensures that patients are cognizant of these aspects, helping them set achievable expectations. He emphasizes to his patients that sometimes surgery may make them look different but not necessarily feel better in themselves. POST-SURGICAL REALITIES Apart from the immediate outcomes, Dr Sandeep also discusses the recovery process, potential side effects, and the longevity of results. This ensures patients are prepared for the post-operative journey and can make informed decisions about their care. PRE-OPERATIVE INSTRUCTIONS AND PREPARATION Lastly, he will provide you with detailed pre-operative instructions. This might include dietary guidelines, medication adjustments, and other preparatory steps to ensure that your body is in the best possible condition for the surgery. In conclusion, by setting realistic outcomes, Dr Sandeep not only prepares patients for the physical changes but also mentally equips them for the transformative journey. His belief in the right expectations being the cornerstone of patient satisfaction is evident in his comprehensive and compassionate approach.

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