[Music]
so we're going to embark on a journey
into the mysterious and exciting world
of plastic surgery and I'm going to take
you through it
based on some pictures of my patients
Sneha she Sneha she were just two days
old baby when I saw her for the first
time a bundle of joy for the entire
family but as much a bundle of concern
for her parents she had hemangioma or a
tumor of that vessel on the lower lip
now majority of such tumors resolved by
themselves by the age of five or six
years and hence as simply reassured
their parents asked them to avoid any
kind of a trauma and that's about it
yet when she was around four or five
months old somebody in the family
suggested application of some herbal
medication which they did caused a wound
or alteration and it suddenly started
profusely bleeding one night she was
rushed to couple of nearby hospitals
where they were told the hospitals did
not have the facility to save the child
and that's when they rushed to my
hospital at something like two or three
in the morning I had to perform
emergency laser vascular plastic surgery
and with God's grace we could save the
child
vinayak was a very active boy till the
age of thirteen years over a year or so
he had become extremely reclusive he
would shut himself in a room would
hesitate to mix with anybody his
performance in the school also had
drastically dropped parents 13 as a part
of growing a process when he had gone in
the vacation to his mama's or maternal
uncle's place that's when his mother
thought of clearing his cupboard and
when she opened the cupboard she was
surprised to find eight or ten neckties
Noven I never wore a necktie
nor was it a part of his school uniform
and all the ties looked used and
crumpled she was really surprised when
he returned
she asked him about it and that's when
poor him he broke down and started
crying he was suffering from
gynecomastia or abnormal enlargement of
tissue in a boy or a male he was too
tightly wrap his chest with those
neckties before putting on a t-shirt or
a shirt and going out a simple surgery
under local anesthesia which took about
an hour or so to fix the problem for him
plastic surgery can really touch and
transform lives in many ways and yet
there are a lot of misconceptions about
this surgery my earlier speaker said
plastics are not good don't worry we do
not attach any plastic to her body the
word Plastic Surgery is derived from
plastic cause which means to mold
plastic surgeon is an expert surgeon who
can mold the body tissues in such a way
that the function better and look good
my new function always takes precedence
over looks for example this hand with
two and half fingers was devoid of any
function so the remnant of the middle
finger had transferred to the place of
the thumb and it becomes functional
again if you ask me this hand is
beautiful because it's earning bread and
butter and supporting a family of eight
members there were three main reasons
why I chose plastic surgery for super
speciality after my masters in surgery
first and foremost our motherland India
or Bharat is the birth place of plastic
surgery in sensation
Sushruta in his masterly treatise
Sushruta Samhita has mentioned the first
details of plastic surgery and notably
the principles physik laid down back
them and the instruments which is
designed for the surgery back then whole
good even today
second important reason was plastic
surgery has evolved as a troubleshooter
speciality for all the specialities in
the surgical problem thought to be
difficult to plead by other specialties
was accepted by Plastic Surgeons as a
challenge this is the only branch of
surgery where we operate on all the
organ systems will operate on bones
muscles tendons
arteries veins lymphatics nows skin
hair nails you name it and we'll do that
this is the only or system surgical
system which operates on all the age
groups will operate on children for
fixing their birth defects will also
operate on elderly people for anti aging
procedures and this is the only
speciality of surgery which operates on
all sixes both male and female and so
also on transgenders or genital
reassignment surgeries plastic surgery
is as much an art as a medical science a
good plastic surgeon ought to be a good
carpenter he should be able to fix both
he ought to be a good plumber we should
be able to join artists to establish the
blood flow and join ways to establish
venous drainage you ought to be a good
tailor for those nips and tucks and
masterly suturing in order to minimize
or avoid a scar he ought to be a good
sculptor for body aesthetic procedures
like liposuctions emetics breast surgery
or the no job Plastic Surgery transforms
lives through number of its sub
specialities a very well-known of which
is burns and victims of acid burns the
objective is not only to save alive but
to minimize scarring avoid or correct
the deformities and make sure the person
is restored back to the society as a
productive member another big
disfiguring problem can be cancer this
patient they will have tensor of the
lower lip
thanks who's smoking of habit of smoking
the entire lower lip had to be excised
and had to be reconstructed using
plastic surgery will operate on children
to correct their birth defects
especially over the face extremities
originators gender reassignment surgery
is definitely on the rise of feeling of
male trapped in a female body or vice
versa can be really difficult
fortunately society is really opening up
to their problems and plastic surgery
can truly liberate such people
maxillofacial
involves surgery over the jaws and the
face and a microvascular surgery
involves joining those my new blood
vessels and nose under microscope in
order to join the parts back to the body
and not only that but to try and make it
functional once again and the last of
course is cosmetic surgery which
everybody's heard of most have desired
and yet it is a least understood were
out of plastic surgery Rena was Rena had
surgery is not only to improve the looks
but to improve or cure the Infinity
complexes associated with those bodily
deformities
thus plastic surgery can truly transform
lives and yet there are certain red
flags which I would like to raise here
for the benefit of y'all the first and
foremost is body dysmorphic disorder
this is a psychological disorder where
mind imagines some bodily defect where
there is none or there could be a minor
bodily defect but the perception in the
mind is disproportionately high a
plastic surgeon really needs to diagnose
these patients carefully not subject
them to a surgery and instead to counsel
them properly advertisements remember
advertisements the sole objective is to
sell the product and not to solve your
problem so please do not experiment on
your body based on some advertisements a
word of advice to the young cloudier if
you perceive any body defect or some
problem which you feel needs to be
addressed or corrected please do not shy
away from it be open about it discuss it
with your parents guardians you will
need their support system during the
treatment or the recovery period and a
word of advice for the parents as well
if your child or what comes up to you
and mention some problem like this
please do not be dismissive about it
give a patient listening try to
understand the child psychology and if
need be take an expert opinion when you
take an expert opinion make sure the
person you're consulting is a properly
qualified doctor unfortunately there is
tremendous commerce commercialization of
this beauty business and not everybody
who wears a white apron be a doctor
couple of very important pointers be
realistic about your expectations seek
improvement and not perfection our
bodies never perfect so seek improvement
and most important be thankful what can
be achieved and do not cry for what can
[Applause]