Plastic & Cosmetic Surgery If you long for a more youthful looks, greater self-esteem, or improved confidence, Aastha  is just a phone call away for aesthetic or cosmetic surgery procedures, each of which is carried out by a qualified & highly experienced plastic surgeon. Whereas plastic surgery aims to cover the defects, cosmetic surgery strives to surpass normalcy and enhance the looks, leading to improved self confidence.

  • Rhinoplasty
    Rhinoplasty is the procedure that changes the appearance of the nose. 
    Aim:is to transform the unbalanced noses into proportionate dimensions, which are aesthetically pleasing. Certain noses will require augmentation, some will require reduction, and others will require both. However all will need reorientation of the nasal anatomy, usually through intranasal/ columellar incisions. Once a young person is beyond the growth spurt of the early teens he is a candidate for rhinoplasty.

    Straightening of deviated noses, improving airway flow, reducing humps, narrowing widths, and reshaping/refining tips are all procedures that can be performed, without any visible external scar. A consultation with Dr. Karan Balani can help you determine if you are a candidate for rhinoplasty and to help tailor a treatment plan for your specific concerns.

  • Breast Reshaping: Breast Enlargement with Breast Implants
    Breast augmentation is one of the most popular plastic surgery procedures in the United States.
    Breast Enlargement is a procedure to increase the size of the breast by insertion of Silicone implants beneath both the breast. It increases the volume & enhances the shape of the breast.
    Who needs Breast enlargement?
    1. Any lady who feels that her breast size is smaller in proportion to rest of her figure.
    2. Ill-fitting loose clothes esp. around the bust line.
    3. Reduction of breast size, after child-birth, or weight loss.
    4. Disparity in the size or shape of both the breast.

    What are the different types of implants?
    1. Silicone Gel Implant : filled with Silicone gel
    2. Saline Implants: to be filled with Saline

    3. Procedure:
      This can be done as a one day procedure usually under Gen. Anesthesia. Surgery last almost 2 hours, & person can be discharged the same day evening.
      Usually 2 inch incision below the breast is preferred as it causes minimal scar and is hidden in the shadow of the crease beneath the breast. It also heals well. 
      After Care:
      Mild discomfort is felt for a few days which can be taken care of with medicines. You can resume routine light activity within 4-5 days but strenuous activity like lifting Children, exercises, etc. is restricted for 2-3 weeks to prevent implant migration. Sexual abstinence is advised for 2 weeks.

    How will the breast look, feel after surgery?
    1. Breasts feel absolutely natural without any obvious scar on them
    2. The implant can't be separately felt through the breast
    3. Also it doesn't interfere with the breast feeding, as the breast gland is not affected

    4. Are there any complications?:
      There is no scientific evidence that breast implants cause cancer, affect fertility, pregnancy or your ability to nurse.
      Each woman differs in their physical features and goals, so each deserves a surgical plan tailored to her needs. So we can explain the breast augmentation options and design a plan that is best suited to your needs.

    Enlarged Male Breast
    Enlargement of male breasts is sometimes seen during adolescence, which may persist and cause social embarrassment.
    The procedure involves an incision at the lower edge of the areola; through which the excess breast tissue is removed, followed by the liposuction of the surrounding subcutaneous fat. It is done under general anaesthesia and usual hospital stay is 1-2 days.

  • Tummy Tuck
    It is a surgical procedure to remove excess skin and fat from the middle and lower abdomen and to tighten the muscles of the abdominal wall. Sometimes after multiple pregnancies or weight loss, abdominal muscles weaken, and skin in the area becomes loose. Abdominoplasty, or a tummy tuck, can tighten the abdominal muscles and, help you achieve the smooth, slender physique you desire. Though tummy tucks do not take the place of dieting, a tummy tuck can be combined with liposuction to produce more drastic results. Abdominoplasty should not be considered a substitute for weight loss.
    Surgery takes 2 to 4 hours, and is done under Spinal/ Gen. Anaesthesia. The usual hospital stay is 2-5 days depending on individuals. 
    Incision & Resulting Scars 
    Usually a well-hidden horizontal or a slightly bowed scar which can be covered by a standard bikini.
    In this procedure after a horizontal incision, Skin is separated from the abdominal muscles all the way up to the upper abdomen & pulled down. A new navel will be made as the original one will be pulled down and that section of the abdominal flap excised. A small hole is made in the upper abdominal skin and the umbilicus is brought out through this and sutured. Thus the umbilicus is repositioned. The muscles are tightened by pulling them close together and stitching them into their new position. This provides a firmer abdominal wall and narrows the waistline. 
    Many a times, during abdominoplasty Liposuction is done from upper abdomen and the sides to recontour these areas.
    The skin is closed with fine sutures which need not be removed and a snug dressing is applied for 5-6 days, with pressure garments. Patients are advised to get out of the bed and take frequent short walks from the day of the surgery. 
    After Care
    Patient is restricted to sponge bath for initial few days. Pressure garments are required for initial few weeks to apply pressure over the abdomen and you may resume light activity in 4-5 days, while strenuous activity is restricted for 3-4 weeks.
    Most of the patients are very excited with a slimmer looks. Though surgical firmness on the skin may remain for sometime it can be taken care with pressure garments and medication.
    Are there alternatives to this procedure?
    An alternative to tummy tuck could potentially be liposuction. The later procedures are can reduce the overall girth but will not correct for and may, in fact, worsen the appearance of loose skin around the abdomen.

  • Liposuction
    Liposuction is a procedure that helps sculpt the body by removing unwanted Fat from specific areas, including the abdomen, hips, buttocks, thighs, knees, upper arms, chin, cheeks and neck. Although no type of liposuction is a substitute for dieting and exercise, liposuction can remove stubborn areas of fat that don't respond to traditional weight loss measures.
    Liposuction is a procedure in which localized deposits of fat are removed to contour certain areas of the body. Through a small puncture wound a narrow cannula is inserted which through vacuum sucks out the fat layer beneath the skin. 
    In tumescent liposuction, the warmed tumescent liquid, a dilute solution containing lignocaine, adrenaline and intravenous fluid is injected into the area to be treated. As the liquid reaches the fat layer, it becomes firm, swollen and blanched, on which liposuction can be performed.

  • Botulinum Toxin
    This is an office based procedure to treat dynamic facial wrinkles, which make you look angry, exhausted and older. Botulinum Toxin relaxes wrinkle-causing muscles thereby creating a smooth rejuvenated, more youthful appearance.
    It acts by blocking the ability of muscular contraction that results in wrinkling. Most commonly used around the eyes (Crow feet), in between the eyebrows (frown lines) and the horizontal creases on the forehead. 
    It acts by blocking the ability of muscular contraction that results in wrinkling. Most commonly used around the eyes (Crow feet), in between the eyebrows (frown lines) and the horizontal creases on the forehead. 
    The effect lasts 6-8 months after which it can be repeated. Side effects are sometimes minimal bruising at the site of injection. 

  • Fillers:
    Fillers are crystal-clear, non-animal, biodegradable gels based on a natural substance, called hyaluronic acid. The gel is injected into the skin in tiny amounts with a very fine needle to fill up the depression of the static wrinkles. The result is instantaneous and produces a long-lasting, natural enhancement, gentle and safe to your skin. 
    Facial fillers can help fill in the lines of static wrinkles and creases, temporarily restoring a smoother & youthful look. They can fill the depressed areas or augment the lips to give them plumpous look. 
    There are a variety of injectable fillers (like Dermadeep or Hylaform) available today. 
    Using the appropriate combination of such fillers Dr. Karan Balani can fill in facial lines and folds, correct acne scars, augment the chin, cheekbones, bridge of the nose, or nipples, and even treat small facial bone or hand bone defects. 
    While your results will usually last three months to a year, you may need occasional touch-up treatments to refresh and maintain the correction. Your corrected wrinkles and lines can be reduced nearly indefinitely with regular treatment. 

  • Laser Hair Removal: 
    Laser Hair Removal is done with Light Sheer Diode Laser, which is a state-of-the-art system specially designed to remove unwanted hair faster, with less discomfort and more reliably than other methods.
    A laser produces a beam of highly concentrated light, which is absorbed by the pigment located in the hair follicles. During the procedure, the laser pulses for a fraction of a second, long enough to heat up the hair and significantly impede the follicle's ability to regrow. This process also treats numerous hair follicles simultaneously. Therefore, Light Sheer is appropriate for treating even the largest areas of the body both quickly and effectively. 
    A special contact cooling hand piece allows for safe and effective treatment for even the most sensitive skin, in all skin types including ethnic and tanned skin.
    During the procedure some discomfort may be felt. Side effects, if any, are minor like redness and swelling around the hair follicle, which are, in fact, desired clinical results and indicate that the follicle has responded to the treatment. After laser, most people return to normal activity right away.

  • Scar Revision:
    The aim of this Procedure is to make the old scar look less noticeable. This is done by removing the old scar and making a new scar, which may be in the same or different direction or in a zigzag line so that it blends in the normal skin tension lines.

    This surgery is usually done as a day care procedure under local or sometimes general anesthesia. The results are evident after the period of scar maturation which may take up to 6-12 months. 
  • Facelift:
    With growing age, sagging is seen in different parts of the body and face, due to effect of gravity and loss of elasticity and tone of the skin.
    Face lift is done to remove the excess of loose, sagging skin from the cheeks and the neck. Incisions are made in front of the ears and behind it. Skin is elevated from these areas, followed by tightening of the fascial layers and removal of the excess skin. Usually this is done under general anaesthesia with hospital stay of 2-3 days. 

  • Blepharoplasty:
    Upper and lower eyelid wrinkles caused by the relaxation of the skin can be improved and tightened. The incisions are made in the lid skin fold for the upper eyelid and at the lid margin for the lower eyelid. The skin is lifted and the excess of skin, fat, and muscle is removed followed by sutures.
    This can be done as a day care procedure, under general or local anaesthesia. 

  • Chin Correction:
    This is a day care procedure to correct receding chin. Through a small incision inside the mouth or below chin, a chin implant is used to augment the chin. However, if the dental bite is deranged it needs to be corrected before chin augmentation. 

    • All types of Reconstructive Surgery
    • Maxillofacial Surgery
    • Hand Surgery
    • Burns Reconstruction
  • Medical Cosmetology & Aesthetics:
     has a combination of Plastic Surgeon & Dermatologist to offer the best of both the fields, vis a vis any other cosmetology clinics. As a qualified and experienced dermatologist, Dr. Kanchan Ajwani is far better informed about the skin types and its requirements, so our therapy is skin and problem specific and not the same for all the patients.
    There are four fundamental types of skin: Dry, Oily, Combination and Sensitive, that doesn't mean that every dry skin / oily skin patient needs some category of skin products/treatment.Medical Cosmetology 

     Cosmetology Services:
    • Microdermabrasion
    • Chemical Peels
    • Medical & Ultrasonic Facials
    • Injectable Fillers & Botulinum Toxin
    • Non Surgical treatment of Wrinkles
    • Non Surgical face lifts using Cosmeceuticals & Radiofrequency
    • Tattoo Removal & Mole removal
    • Acne Therapy –Derma rollers, Chemical Peels, Microdermabrasion
    • Management of Hair problems
    • Cosmetic Surgery
    • Treatment of Nail Disorders
  • Microdermabrasion
    Our skin bears the brunt of multiple factors like environmental pollution, stress & the effects of gravity, aging, etc resulting in loss of shine, dullness & dry look. 
    Microdermabrasion or Skin Polishing is one of the procedures to rejuvenate this skin in a short while, without any down time. Thus skin regains its natural brightness with this short office procedure. 
    It gently exfoliates the upper layers ( epidermis ), thus stimulating production of new, healthy skin from basal layers resulting in vibrant, fresh & rejuvenated skin with silky smoothness. It improves the scars, superficial skin damage, pores, roughness, mottled pigmentation & overall improvement of Skin appearance. 
    This uses microcrystals & diamond tip probe.
    It is a safe, lunch time procedure, inexpensive, painless with almost no down time.
  • Chemical Peels
    These are also office procedures, done to replace the upper dead layer of skin & renew these layers of skin with new cells from beneath, thus leaving your skin clean, refreshed & youthful. 
    These peels are three types depending on the depth of action- Superficial, Medium & deep Peels are done by Dr Kanchan Ajwani who is qualified & has extensive experience in this field for the last decade.
    Peels are done for superficial wrinkles, Acne, enlarged facial pores, melasma, under eye dark circles, antiaging & to enhance the results of other cosmetic or aesthetic procedures. End result is smoother, silkier skin with reduction in the scars & uniform glowing look. 
    Various Peels available are Glycolic Acid, Trichloroacetic acid, Jessner’s Peel, Salicylic acid, Pyruvic lactate peels, Retinoic acid & lactic acid peels. Now we also have a new chemical peel for Stretch marks. These are also safe, inexpensive, with hardly any down time, so that you can return to routine life almost immediately..
  • Medical & Ultrasonic Facials
    This aims to improve the condition of the skin rather than deep cleansing & massage.
    Microdermabrasion or Skin Polishing is one of the procedures to rejuvenate this skin in a short while, without any down time. Thus skin regains its natural brightness with this short office procedure. 
    Ultrasonic machine is used for this procedure to improve the penetration of Topical actives & cosmeceuticals. Indications : Antioxidant penetration, reduction in the fine lines or wrinkles, to improve skin elasticity, in hyper pigmentation & mottling & to overall improve the skin color, tone & appearance. 
  • Dermaroller
    Dermaroller is a cylindrical device with multiple fine microneedles mounted on it which pierces the entire epidermis & upper dermis creating microchannels, which can lead to - 
    1. Enhanced transcutaneous absorption of skin nutraceuticals
    2. Realignment of collagen bundles & remodeling due to increase collagen production
    This enhanced collagen production has a role in treatment of all types of Acne scars. Ice pick scars, Rolling scars, Boxear scar, Papular scars, Dystrophic scars, Distensible undulated scars, Distensible retractile scars, Non distensible superficial, medium, or deep scars, even tunnel scars can be ameliorated or healed by using Dermaroller with appropriate regenerative agents.