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cleft lip

Cleft lip

Cleft lip, is a congenital disorder and is a split or opening in the roof of the mouth, and results in incomplete forming of upper lip. Different parts of the upper lip form during sixth months of pregnancy and upper lip is forming. Lack improvement of this process is called cleft lip.
Those children who have this disorder, should perform surgery during their infancy. This surgery included: primary repair of lip, jaw bone graft, pharyngoplasty and orthognathic surgery of the maxilla and mandible.
What causes a cleft lip?
Cleft lip occurs during early stages of formation and baby growth in embryonic stage. In this period, some parts of upper lip don’t get proper form and lead to a congenital disorder that known as cleft lip.
Revision surgery of cleft lip is a surgery that is used to correct abnormal form of the lip, main aim of this surgery is to reconstruct and correct appearance of the lip.

Cleft lip surgery
Cleft lip can be in one or both side. In this surgery, incisions are created to close separated parts to unify the lip, and it’s better to perform on 3 months of a baby.
During surgery, an abturator or blocker is put inside a baby’s mouth and helps to keep curvature of the lip and your baby’s feeding. There are various ways to perform surgery and remove harelip problem in children.
Needed recommendations after cleft lip surgery
– Using a syringe to feed your baby
After surgery, taping is used to reduce pressure of the incisions and scars and also prevents manipulation of scars. So, using antibiotics such as gentamicin is recommended.

Contact Dr. Majid Nadafkermani, Plastic & Reconstructive Surgeon:

Address 1: Unit 10. Floor 2. Kaj Building. No 1. 9^th st. Above Kaj sq. Saadat Abad. Tehran. Iran.

Tell: +9821- 22134934

+9821-22134997

Address 2: Unit 7. Floor 3. Tiam Building. No 18. Next to Hosseini ave. Andarzgoo blvd. Farmanieh. Tehran. Iran.

Tell: +9821-26459573

+9821-26459382

breast reconstruction surgery

Breast reconstruction surgery

Breast reconstruction surgery, performs by using various techniques to have a normal size and shape of breast. During this surgery, some parts of breast tissue is removed which is called lumpectomy and in this way, breast will have better shape. If lumpectomy performs in lower or middle of the breast, surgeons performs more procedures on the breast and then, desirable results will achieved.

If you have had cancer or tumors hadn’t removed completely, surgeons performs mastectomy.

There are steps to perform breast reconstruction surgery.

First step. Anesthesia

Anesthesia drugs are prescribed for patient’s easiness. IV Sedation and general anesthesia, are main choices. Dr. Nadafkermani chooses the best one.

Second step. Flap technique

This step is used to replace muscles, fat and skin to create prominence on the breast. This technique includes following types:

Tram flap: surgeons use from muscles, fat and skin of abdomen to reconstruct the breast.
Latissimus dorsi flap: surgeons use muscles, fat and skin of the back to reconstruct the breast.
Third step. Healthy skin is stretched and cover for implant is created.
Fourth step. Implants are placed to create prominence of the breast.
Fifth step. Skin graft with other techniques to create nipple and areola.

Important considerations

Breast reconstruction is as a new breast, but different result. You should make decision that want to perform this surgery or not, this surgery is as your benefit or not.

After performing this surgery, incisions remains of reconstruction or mastectomy on the breast. There are some risks such as infection, bleeding, bad reconstruction or risks of anesthesia.

Contact Dr. Majid Nadafkermani, Plastic & Reconstructive Surgeon:

Address 1: Unit 10. Floor 2. Kaj Building. No 1. 9^th st. Above Kaj sq. Saadat Abad. Tehran. Iran.

Tell: +9821- 22134934

+9821-22134997

Address 2: Unit 7. Floor 3. Tiam Building. No 18. Next to Hosseini ave. Andarzgoo blvd. Farmanieh. Tehran. Iran.

Tell: +9821-26459573

+9821-26459382

cleft palate

Cleft palate

A cleft is a gap or split in the upper lip or roof of the mouth (palate).

Cleft palate depends on different factors such as environmental factors, genetics, stress and psychological factors.

Palate is created due to the abnormal space in upper lip.

Now, here we consider these different factors.

Genetic factors

Statistics show that, 33 to 37 % of cleft palate is related to this factor.

Environmental factors

Factors such as, diabetes, infection diseases, hyperthyroidism and using some drugs can affect on the cleft. If a woman smoke during her pregnancy, there is risk of hypoxia for her baby.

Psychological factors

Damages, stress or anxiety have considerable effects on creating cleft palate.

Diagnosis of cleft palate

Diagnosis of this problem is usually easy. This cleft creates inside mouth of the children. Knowing location of the cleft is important. Dr. Nadafkermani treats cleft palate based on the type of problem.

Doctors perform surgery for children who are between 12 to 18 months. Children who have this problem, should care about any ear and dental infections.

Contact Dr. Majid Nadafkermani, Plastic & Reconstructive Surgeon:

Address 1: Unit 10. Floor 2. Kaj Building. No 1. 9^th st. Above Kaj sq. Saadat Abad. Tehran. Iran.

Tell: +9821- 22134934

+9821-22134997

Address 2: Unit 7. Floor 3. Tiam Building. No 18. Next to Hosseini ave. Andarzgoo blvd. Farmanieh. Tehran. Iran.

Tell: +9821-26459573

+9821-26459382

scar revision

Scar revision

Scar revision is surgery to improve or reduce the appearance of scars. It also restores function, and corrects skin changes (disfigurement) caused by an injury, wound, or previous surgery.

Scars are visible that remains on skin after an injury or accident. If the scar be superficial, will be removed and recovered naturally, but deep scars may recovered by surgery.

There are various type of scar:

Discoloration scars

These types of scars are the most common type of scar, that create due to natural process of the body. These scars are dark or red. These scars bulging after recovery time, but become discolored over time.

Hypertropic scars

These scars develop directly at a wound site, and are raised and red. They may become wide over time. There is risk of remaining these kind of scars on your body for few years.

Keloid scars

Sometimes, scar tissue grows more than normal way and appears as a keloid (excess meat) on your body. These kind of scar commonly appears on face, neck and ear.

Dr. Nadafkermani, performs scar revision surgery by using the newest and modern technologies of the world.

Treatment is done based on the scars (deep scars or surface scar).

Contact Dr. Majid Nadafkermani, Plastic & Reconstructive Surgeon:

Address 1: Unit 10. Floor 2. Kaj Building. No 1. 9^th st. Above Kaj sq. Saadat Abad. Tehran. Iran.

Tell: +9821- 22134934

+9821-22134997

Address 2: Unit 7. Floor 3. Tiam Building. No 18. Next to Hosseini ave. Andarzgoo blvd. Farmanieh. Tehran. Iran.

Tell: +9821-26459573

+9821-26459382

Botox

Introduction

Botox is a special medication that injects into the special muscles and removes creases. Botox, is a non- surgical procedure that reduces or removes frown line between eyebrows, creases on the forehead and around the eyes and neck. Botulinum toxin also is an effective procedure to treat headache and hyperhidrosis.
Botox was introduced at 2002 for the first time and botulinum toxin is a temporary treatment of frown line and creases between eyebrows. This injection has real and noticeable result and doesn’t have recovery time.
Injection is directly injected into the muscles by a plastic surgeon, is a simple and non-surgical procedure, and reduces activities of the frown muscles that are main factor of creases of the face.
Botox, treats those line and creases that create due to the muscles activities. All muscles don’t response to injection. Some facial muscles have important function and lack of movement can lead to functional problems or unsuitable appearance.
After injection, you look apathetic. But, if this injection does by a skilled plastic surgeon, this problem won’t occur. This point shows importance of choosing plastic surgeon to inject Botox.

Important information
Before injection, patients should avoid to use aspirin 10 days before injection. Effect of Botox is temporary and lasts for 4- 6 months.
Details of Botox injection
Botox is a simple procedure. Dr. Nadafkermani first considers his patients and wants patients to frown, or lift their eyebrows. Injection is done by a tiny needle according to your facial anatomy and lasts 5 minutes. Patients return to their routine work immediately after injection.

Botox recovery

It’s recommended for patients not to lie own and do heavy activities. Effects of Botox is seen 24 hours or 4 days after injection. After injection, muscles contraction become hard. If you have deep creases on your skin, it lasts 4 weeks that skin becomes loose.

Botox is injected into the different areas such as:

Between eyebrows
Forehead
Creased around the eyes
Lines on neck
Treatment of hidrosis on hands and armpits
Hallow of chin
Lines around mouth

Possible risks and problems

There is low risk and complication after injection. The most common condition that patients may experience is that, Botox works so well and lead to removing muscles activity. Some patients complain about feeling heaviness on their forehead. These patients use to frown or lift thyeir eyebrow, and when can not do this, feel heaviness and irritation. Doctors try to reduce such risk as possible.

Botox rarely affect on adjacent muscles and then results in dying muscles activity on other areas, such as upper eyelid sagging. This problem can occur due to Botox injection between eyebrows. This problem can treat and remove by eye drops.

Contact Dr. Majid Nadafkermani, Plastic & Reconstructive Surgeon:

Address 1: Unit 10. Floor 2. Kaj Building. No 1. 9^th st. Above Kaj sq. Saadat Abad. Tehran. Iran.

Tell: +9821- 22134934

+9821-22134997

Address 2: Unit 7. Floor 3. Tiam Building. No 18. Next to Hosseini ave. Andarzgoo blvd. Farmanieh. Tehran. Iran.

Tell: +9821-26459573

+9821-26459382

chin and neck liposuction

Chin and neck liposuction

Introduction

Most people worry about appearance of their chin and neck and seek to perform chin and neck liposuction surgery. These patients have following problems:

Excess fat (double chin)
Ropy form of muscles
Excess skin or tense skin (turkey neck)

Neck liposuction removes excess fat on this area and also helps to rejuvenate neck with less cost and recovery time.

Chin and neck liposuction procedure

Chin and neck liposuction makes the neck more narrow and youth. This procedure is suitable for those patients who have excess fat on their neck and have a fine skin.

This procedure aims to:

Remove excess fat of the neck and chin
Help to specify angle of the chin
Help to specify extent of the neck and jaw

Who are good candidates for chin and neck liposuction?

As mentioned before, this surgery is suitable for those who have excess fat on the neck and also don’t have sagging and loose skin. Those patients who have loose skin should perform neck lift surgery.

Good candidate are:

Young patients (30- 50)
Those who have fine neck skin
Those who have excess fat on the neck

Chin and neck liposuction and incisions

Such as other surgeries, this procedure remains scar and incisions. Plastic surgeon tries to create incisions with less visibility. Incisions are created 3 mm under the chin.

Chin and neck liposuction recovery

Patients should:

Do activities such as watching TV, or reading a book and rest at home.
Use some pillows to elevate head, and help to reduce swelling.
Use prescribed drugs to reduce pain.
Use bandages to reduce swelling.
Avoid to do heavy activities 3 weeks after surgery.

Patients return to their work 2- 5 days after surgery.

Contact Dr. Majid Nadafkermani, Plastic & Reconstructive Surgeon:

Address 1: Unit 10. Floor 2. Kaj Building. No 1. 9^th st. Above Kaj sq. Saadat Abad. Tehran. Iran.

Tell: +9821- 22134934

+9821-22134997

Address 2: Unit 7. Floor 3. Tiam Building. No 18. Next to Hosseini ave. Andarzgoo blvd. Farmanieh. Tehran. Iran.

Tell: +9821-26459573

+9821-26459382

thigh lift surgery

Thigh lift surgery

Introduction

Do you have sagging skin on your leg and thigh? This sagging occurs more on the thighs and due to loosing elasticity of the skin, and can remove by performing surgery. Factors such as, weight loss, over weighting, aging, exposure to sunlight and genetics affect on the sagging. Dr. Nadaf recommends to perform thigh lift surgery for patients who have this problem.

There are 2 techniques for this surgery:

First technique has a short and horizontal scar on the thigh. This technique removes skin sagging of the internal part of the thigh.
Second technique has a vertical scar along the thigh. This technique also removes skin sagging from thighs to knee.

By using second technique, high amount of skin removed than first technique. And, then, the best and notable result is achieved. During both techniques, surgeons use liposuction to remove excess skin and achieve firmer appearance.

Sagging on external part of the thigh is less common, and occurs due to the overweighting after weight loss.

In normal case, thighs are smooth, long, tense with no sagging. Also, there are slight layer of fat in internal part of the thigh, so, due to weight changes and reducing elasticity of skin, skin becomes sag and touch each other. Performing thigh lift surgery, removes this problem.

Thigh lift surgery, makes thighs firmer and more attractive. This surgery is done by using 2 procedures of liposuction ( removing excess fat) and removing excess skin of the thighs.

Who are good candidates for thigh lift surgery?
This surgery can be done for all ages. Patients should be in healthy condition. Smokers should give up smoking 2 weeks before surgery and also try to avoid during recovery time.
Patients who have severe weight loss, or have had surgery, are good candidates of thigh lift surgery. In these patients, surgeons choose vertical scar technique, because sagging can occur along the thigh.
Mini thigh lift surgery, only improve skin appearance of the internal part of the thigh. One of the most common mistakes is that, patients think that this surgery can improve top of the thigh. But this is a wrong believe. However, after surgery patients achieve desired result.
– Thigh lift surgery needs vertical and long scars
After performing this surgery, vertical and long scar is remained. Scars can be seen when patients wear short clothes. So, consultation with a knowledgeable and best surgeon is so important. But most patients accept this risk to have a firm and attractive thigh.
– Incisions of the thigh lift surgery and mini thigh lift surgery
All surgeries remain scars. But remaining least amount of scar depends on skill and knowledge of the surgeon. Vertical scars are visible so patients should make a definite decision before surgery.

Thigh lift surgery recovery

Patients should rest at home and avoid to do heavy activities, 2 weeks after surgery. It’s better for patients to do activities such as reading books, watching TV or taking a bath.
Having little swelling and bruising is common few days after surgery. Patients may have little pain, so, surgeons prescribe some drugs and calmative to reduce and sooth the pain.

Contact Dr. Majid Nadafkermani, Plastic & Reconstructive Surgeon:

Address 1: Unit 10. Floor 2. Kaj Building. No 1. 9^th st. Above Kaj sq. Saadat Abad. Tehran. Iran.

Tell: +9821- 22134934

+9821-22134997

Address 2: Unit 7. Floor 3. Tiam Building. No 18. Next to Hosseini ave. Andarzgoo blvd. Farmanieh. Tehran. Iran.

Tell: +9821-26459573

+9821-26459382

Arm Lift

Arm lift

Arm lift also known as brachioplasty, removes excess fat and skin of the arm, and tightens loose and sagging skin.

Patients who are dissatisfied about their arm appearance, first have excess and sagging skin and fat on their arm. Second, have big arms. Women who have these problems, have difficulties to wear the clothes. So they seek performing arm lift surgery to remove their problems.

Arm lift removes the excess fat and skin through following procedures:

Liposuction or removing excess fat
Direct removing of the excess skin of the arm

In this way, the surgery will have successful result.

Who are the best candidates of arm lift?

Those who have sagging skin on their arm are the best candidates. Skin changes, due to the weight changes, exposure to sun light, age, or genetic are the factors that affect on the arm sagging.

Some patients have big and large arms and want to have a symmetric size of arms with the body.
Some of them have sagging arm skin, due to severe weight looses
Some of them have sagging arm skin because of over weighting, this sagging can improve over the time.

Patients who want to perform arm lift surgery, should be healthy. Dr. Majid NadafKermani, assesses the patient’s health before the surgery.

Arm lift recommendations

During this surgery, incisions create under the armpits, and surgeons remove excess skin and fat. Visibility of scars varies from one person to the other one. Patients should accept the scar and their limitations in wearing clothes.

Those who lose weight, may experience sagging arm. Dr. Nadaf first, tightens the skin more then normal way, and desire results will appear few months after surgery. in this way, elasticity of skin, and so sagging of the arm is reduced.

Incisions of arm lift surgery

As mentioned before, scars and incisions create under the armpit or inside the arms and remains after the surgery, so, before surgery, patients should aware about this important tissue.

Another incision creates above and under the arm, to perform liposuction and removing excess fat of this area.

Arm lift recovery

after surgery, patients should:

Avoid to do activities with their hands for the first week. During recovery time, hands become bandage and it’s better for patients to put a pillow under their hand and try to keep their hand up to the body.This helps you, to reduce pain and swelling.
Avoid to do heavy activities 4 weeks after the surgery,
You may feel pain while touching the hands and arms, 1 or 2 weeks after surgery. So, Dr. Nadaf prescribes some drugs and medication to relieve the pain.

Contact Dr. Majid Nadafkermani, Plastic & Reconstructive Surgeon:

Address 1: Unit 10. Floor 2. Kaj Building. No 1. 9^th st. Above Kaj sq. Saadat Abad. Tehran. Iran.

Tell: +9821- 22134934

+9821-22134997

Address 2: Unit 7. Floor 3. Tiam Building. No 18. Next to Hosseini ave. Andarzgoo blvd. Farmanieh. Tehran. Iran.

Tell: +9821-26459573

+9821-26459382

tummy tuck recovery

Tummy tuck recovery

Introduction

Tummy tuck also known as abdominoplasty, is a procedure that flatten the abdomen by removing the excess skin and fat in the abdomen.

During the surgery, incisions are created under the abdomen and in most cases, these incisions are remained, but patients get their desired results from the surgery. after performing surgery, all excess fat and skin of the abdomen will be removed. In this article, we consider tummy tuck recovery.

Before tummy tuck surgery

Before the surgery,

Doctors recommend to do blood test (CBC) to consider level of hemoglobin and coagulation.
Level of blood sugar should be checked in diabetes.
Those who have heart diseases, should consult with a cardiologist.
Don’t eat any meal 8 hours before the surgery.
Before the surgery, take a shower.
Don’t eat red fruits before surgery, these fruits can increase risk of bleeding or coagulation problem.
Don’t use aspirin or anti- inflammatory drugs. These can lead coagulation problems.
Those who use vitamin E or iron tablets, should inform their doctors.

Conclusion

Considering tummy tuck recovery is as your benefits. Patients should consider related cares and points before and after the surgery to have the best and shortest recovery time, and also minimize the pain and swelling of the surgery.

Contact Dr. Majid Nadafkermani, Plastic & Reconstructive Surgeon:

Address 1: Unit 10. Floor 2. Kaj Building. No 1. 9^th st. Above Kaj sq. Saadat Abad. Tehran. Iran.

Tell: +9821- 22134934

+9821-22134997

Address 2: Unit 7. Floor 3. Tiam Building. No 18. Next to Hosseini ave. Andarzgoo blvd. Farmanieh. Tehran. Iran.

Tell: +9821-26459573

+9821-26459382

Gynecomastia

Introduction

Male breast enlargement also known as genicomastia that caused by changes in estrogen hormones. This a temporary period in men. Over weighting is a factor of gynecomastia. Most men have enlarged breast due to the fat aggregations on their breast tissue, which is called lipomastia.
Those who have this problem avoid to wear some clothes.
Gynecomastia is a plastic surgery that return the male breast to its normal form.
Gynecomastia procedure
Gynecomastia improves form of the male breast by removing the tissues of the breast. Stages arew as following:
– Removing gland tissue of the breast (gynecomastia)
– Removing fat tissues of the breast (lipomastia)
– Removing excess skin
– Lifting or smalling the nipples
During consultation, Dr. Naddaf assesses you and then determines the best procedure.

Who are the best candidates of gynecomastia?
• Men who have enlarged breast due to the growing gland tissues or fat aggregation, are the best candidates.
• Men who have excess tissue under the nipple
• Men who have excess fat or tissue on the breast, without excess skin
• Men who have high fat tissue plus excess skin and fallen breast
It should be noted that, improving enlarged breast or removing the excess tissue of the breast means removing the tissue of the breast. Unfortunately, surgeons removes too amount of the breast tissue. So, patients will have a bad surgery. But Dr. Nadaf care about your physical anatomy to prevent such problems. Some patients with special diseases or those who use some drugs, may have enlarged breast.

Such as other surgeries, this surgery remains scar and incisions. Dr. Nadaf create incisions in areas that are not visible. Reason of the problem and enlarged breast should be considered.

The excess fat of breast is removed by liposuction surgery, but gland tissues is treated by removing the glands and creating incisions along the nipple, and excess skin should remove.

Gynecomastia recovery

Patients should:

Rest at home and do light activities such as watching TV, studying or cooking.
Use prescribed drugs, 5-7 days after the surgery, if having pain.
Avoid to do heavy activities 4-6 weeks after the surgery.

Patients can return back their work 1-2 weeks after gynecomastia. 1 week after surgery, Dr. Nadaf visits you and removes the sutures. Swelling is also removed 1-3 weeks after the surgery.

Conclusion

Problem of enlarged breast in male, treats by gynecomastia. This surgery has risks such as bleeding, infection or scars. But surgeons should minimize such risks.

Contact Dr. Majid Nadafkermani, Plastic & Reconstructive Surgeon:

Address 1: Unit 10. Floor 2. Kaj Building. No 1. 9^th st. Above Kaj sq. Saadat Abad. Tehran. Iran.

Tell: +9821- 22134934

+9821-22134997

Address 2: Unit 7. Floor 3. Tiam Building. No 18. Next to Hosseini ave. Andarzgoo blvd. Farmanieh. Tehran. Iran.

Tell: +9821-26459573

+9821-26459382

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