Dr. Rishi Dhawan | Plastic & Reconstructive Surgeon
Director of Plastic Surgery, Max Super Speciality Hospital Mohali
Rhinoplasty • Gynecomastia • Abdominoplasty • Hand & Foot Surgery
Serving Chandigarh with precision care. 📞 81466-19500 Plastic surgery is a medical specialty concerned with the correction or restoration of form and function of the body.Though cosmetic or aesthetic surgery is the m
ost well known kind of plastic surgery, plastic surgery is not necessarily cosmetic; and includes many types of reconstructive surgery, craniofacial surgery, hand surgery, microsurgery, and the treatment of burns. Undergoing a plastic surgery has become a trend in certain classes of society, but there are some serious repercussions that have to be considered before going into surgery. Treatments for the plastic repair of a broken nose are first mentioned in the Edwin Smith Papyrus, a transcription of an Ancient Egyptian medical text, some of the oldest known surgical treatise, dated to the Old Kingdom from 3000 to 2500 BC. broken citation Sushruta was a physician that made important contributions to the field of plastic and cataract surgery in 6th century BC. The medical works of both Sushruta and Charak originally in Sanskrit were translated into the Arabic language during the Abbasid Caliphate in 750 AD The Arabic translations made their way into Europe via intermediaries. In Italy the Branca family of Sicily and Gaspare Tagliacozzi (Bologna) became familiar with the techniques of Sushruta. British physicians traveled to India to see rhinoplasties being performed by native methods. Reports on Indian rhinoplasty performed by a Kumhar vaidya were published in the Gentleman's Magazine by 1794. Joseph Constantine Carpue spent 20 years in India studying local plastic surgery methods.Carpue was able to perform the first major surgery in the Western world by 1815. Instruments described in the Sushruta Samhita were further modified in the Western world. The Roman scholar Aulus Cornelius Celsus recorded surgical techniques, including plastic surgery, in the first century AD.The Romans also performed plastic cosmetic surgery. The Romans were able to perform simple techniques, such as repairing damaged ears, from around the 1st century BC. For religious reasons, they did not dissect either human beings or animals, thus their knowledge was based in its entirety on the texts of their Greek predecessors. Up until the techniques of anesthesia became established, surgeries involving healthy tissues involved great pain. Infection from surgery was reduced by the introduction of sterile techniques and disinfectants. The invention and use of antibiotics, beginning with sulfonamide and penicillin, was another step in making elective surgery possible.Walter Yeo, a sailor injured at the Battle of Jutland, is assumed to be the first person to receive plastic surgery in 1917. The photograph shows him before (left) andafter (right) receiving a flap surgery performed by Gillies. The father of modern plastic surgery is generally considered to have been Sir Harold Gillies. A New Zealand otolaryngologist working in London, he developed many of the techniques of modern facial surgery in caring for soldiers suffering from disfiguring facial injuries during the First World War. During World War 1 he worked as a medical minder with the Royal Army Medical Corps. After working with the renowned French surgeon Hippolyte Morestin on skin graft, he persuaded the army's chief surgeon, Arbuthnot-Lane, to establish a facial injury ward at the Cambridge Military Hospital, Aldershot, later upgraded to a new hospital for facial repairs at Sidcup in 1917. In 1930, Gillies' cousin, Archibald McIndoe, joined the practice and became committed to plastic surgery. When World War II broke out, plastic surgery provision was largely divided between the different services of the armed forces and Gillies and his team was split up. Gillies himself, was sent to Rooksdown House near Basingstoke, which became the principal army plastic surgery unit; Tommy Kilner (who had worked with Gillies during the First World War, and who now has a surgical instrument named after him, the kilner cheek retractor), went to Queen Mary's Hospital, Roehampton, and Mowlem to St Albans. McIndoe, consultant to the RAF, moved to the recently rebuilt Queen Victoria Hospital in East Grinstead, Sussex, and founded a Centre for Plastic and Jaw Surgery. There, he treated very deep burns, and serious facial disfigurement like loss of eyelids, typical of those caused to aircrew by burning fuel. In plastic surgery, the transfer of skin tissue (skin grafting) is a very common procedure. Skin grafts can be taken from the recipient or donors... Autografts are taken from the recipient. If absent or deficient of natural tissue, alternatives can be cultured sheets of epithelial cells in vitro or synthetic compounds, such as integra, which consists of silicone and bovine tendon collagen with glycosaminoglycans. Xenografts are taken from a donor of a different species.Usually, good results are expected from plastic surgery that emphasizes careful planning of incisions so that they fall in the line of natural skin folds or lines, appropriate choice of wound closure, use of best available suture materials, and early removal of exposed sutures so that the wound is held closed by buried sutures...
