Reconstructive Plastic Surgery

" I travelled 2000 kms from Punjab to Kolkata to save my son's hand, which different hospitals said was impossible. Dr Srinjoy Saha is a real genius. "
Reconstructive plastic surgery is excellent for correcting deformities after burns, trauma to bones and muscles, problems present since birth like cleft lip or cleft palate, infections, cancers and tumours. Most commonly performed reconstructive surgeries are skin grafting, laceration repair, scar repair, hand surgery, breast reduction and flap surgery. Seeking early plastic surgery when you have problems in your hand, face or other areas will help you lead a more functional and productive life.
Reconstructive plastic surgery is best for correcting deformities or dysfunctional body areas.
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Scar Treatment.

Scars can be unpredictable. Many variables affect scarring, including depth, site and size of the wound, blood supply, infection, type of skin and direction of the scar. Scar formation depends on body reaction, on original injury and skill and finesse of a surgeon. A scar cannot be removed permanently. Good plastic surgeons like Dr Srinjoy Saha improve scar appearance and make it imperceptible at best. Different surgical techniques, lasers, fillers and fat grafting are performed to improve appearance and severity of scarring. How much an appearance of scar bothers you, is of course, a personal matter.
Good plastic surgery can improve scar appearance and make it imperceptible.
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Wound Healing.

Chronic wounds are difficult to heal, leading to extended hospitalisation, multiple surgeries, amputation or life-threatening infections. Comprehensive wound care checks your overall health, underlying diseases and proper wound assessment. Effective and early treatment reduces complications, prevents amputations, early return to work and better quality of life. Chronic non-healing wounds are caused by diabetes, neuropathy, peripheral arterial disease, venous insufficiency, lymphedema, vasculitis, trauma, irradiation, wound dehiscence, pressure sores, burns, infections among others.
Chronic wounds are difficult to heal and require comprehensive care.
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Burns Treatment. 

Burns can kill and maim, and are dangerous. Severe burns can kill within hours. Infection is a dreadful sequela delaying treatment. Effective burn care requires close attention to detail and use of relevant technologies to keep patients safe. Dr Srinjoy Saha treats the patient as a whole, and not just the burn, aware of multiple challenges that burn patients and their families may face during recovery. All burn patients require complete re-integration into the society, leading happy pain-free and productive lives.
Effective burns treatment requires close attention to detail.
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Reanimation After Facial Paralysis.

Facial reanimation is required to provide movements or 'animation' to a person suffering from facial paralysis. Plastic surgery can reanimate face after just one highly specialised operation, and may require further procedures in more complicated conditions if necessary. Facial nerve is the seventh cranial nerve responsible for moving muscles of facial expression, and has five main branches. . It can be paralysed after injury, tumour resection, Bell's palsy, congenital deformities amongst others. Treatment of paralysed face requires specialised and tailored treatment plan.
Reanimation makes facial muscles movable in a person with facial paralysis.
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Post Burn Scar Contracture. 

Thick scars may form over burnt areas which did not heal by itself or after skin grafting within 2 weeks. They look ugly, itch constantly and may cause loss of function of involved part of the body. Size and severity of burn injury, depth thickness and extent of scars determine the type of surgery best suited for that condition. Skin grafts, Full-thickness grafts, Skin flaps, Tissue expander, Laser resurfacing and Fractional laser treatment are different options from which treatment strategy is finalised.
Post Burn Scars can be dense, ugly, itch constantly and cause loss of function.
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Keloid and Hypertrophic Scars.

A scar is a part of the body's natural healing process. Often they shrink and fade away. But sometimes, they become large, raised, itchy, discoloured, painful. This condition is called Hypertrophic Scar. If they continue to grow in size, involve surrounding normal body areas and become progressively itchy and painful, they have progressed into a Keloid. These are very difficult to treat, but can be controlled well with proper effort. Excision and reconstruction, Laser therapy, Cryotherapy, Injectables, Silicone gel, Pressure garments are different types of plastic surgery available to treat these distressing disorders. Dr Srinjoy Saha is actively involved in treating, researching and integrating new and effective techniques. He can help you based on the type, site, size and shape of your scar. Each treatment plan is customised after knowing your functional and aesthetic goals.
Keloids grow in size, involve normal areas, itchy, painful and difficult to treat.
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Skin Cancer.

Skin cancers are dangerous. Not treated, they can lead to destruction, deformity, loss of function, and even death. Basal Cell Cancer is the most common type of skin cancer. Actinic Keratosis, Squamous Cell Cancer and Melanoma are the other common types. Any growth over the skin are preferably removed and sent for biopsy - some of them turn out to be precancerous (showing malignant potential). Diligent removal with high cure rates and fine imperceptible scars are possible through plastic surgery. Special care is taken to get the best cosmetic appearance of the resulting scar.
Skin cancers are dangerous. Prompt Excisional Biopsy & Reconstruction is helpful.
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Hand Surgery.

Dr Srinjoy Saha performs surgical correction of hand defect or deformity following trauma, fractures, congenital deformities, nerve entrapments, tendon and vessel injuries to hand, wrist and forearm. He also performs innovative microsurgical techniques reattaching amputated fingers and limbs. Regular physiotherapy yields good functional results. Different types of commonly performed hand surgery are listed below:
  • Carpal Tunnel Decompression.
  • Nerve Release for Relief of Chronic Pain.
  • Hand and Finger Contracture - Post Burns or Dupuytren's.
  • Repair / Reconstruction of Birth Defect or Deformity.
  • Tendon Injury Repair.
  • Tendon Reconstruction.
  • Finger Injury Reconstruction with Flaps.
  • Tumour over Hand or Fingers.
Hand Surgery is performed to restore function and shape of the hand.
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Flap Surgery.

'Flap' refers to human tissues still attached to the body by a major artery and vein, which supplies adequate blood flowing through it. In reconstructive plastic surgery, a flap is used to cover an injured area or gap in the body, called 'defect'. Flap may consist of skin and fatty tissues, muscles, fascia, or all of these in various combinations. The area from which a flap is raised is called a donor site. The area in the body where flap is placed is called a recipient site. Flaps are divided into 2 major categories: Local (pedicled) flap and Free flap.
Flap is a vascularised portion of tissue used to cover defects.
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Skin Graft.

Skin grafting is a plastic surgery technique of transplanting skin from one area of the body to another. It is used to treat extensive wounds and injuries, burns, areas of skin loss due to severe infection like necrotising fasciitis and some surgeries like after removal of skin cancers. It can be of two types - partial and full. Partial thickness skin graft involves removal of thin layer of upper skin from a donor area. Full thickness skin graft involves taking the entire thickness of skin from donor area. It is more risky as it has a lesser 'take' rate. On the brighter side, its aesthetic match is high, scarring is low, and wound healing is faster.
Full thickness skin graft is risky but has great results overall.
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Cranio-Maxillo-Facial Surgery.

This is a combination of several plastic surgery performed to correct diseases of the skull, face, head and neck. It involves reconstructing damaged bone and soft tissues to improve the function and appearance of disfigured areas of head, neck, skull and face. Broadly, two groups of people need this surgery. First are the children born with abnormalities and disfigurements. In these children suffering from craniofacial anomalies, early surgery is greatly beneficial for their growth and development. Second are those who develop problems in their skull and face later in life, through, diseases, infection, cancer or injury.
Early surgery of cleft lip and palate is good for child's growth.
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Facial Injuries.

Soft tissue injuries like cuts and lacerations over the face require precise repair with fine sutures. it is necessary to combine good reconstructive techniques with cosmetic surgery finesse to obtain the best results. Good knowledge of underlying nerves and glands are required to repair or preserve and not harm them. 
Fractures of facial bone occur after severe trauma and are disfiguring. Location, severity and number of fractures, along with age and general health of the patient determine specific treatment. Surgically, titanium plates and screws and used to stabilise fractured facial bones. Cuts on the face are small and few and placed in hidden areas of the face, so that the resultant scars are imperceptible.
Facial fractures require rigid fixation with titanium plates and screws.
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