Vacuum assisted healing, leg injury, foot injury, necrotising fasciitis, fracture bones, skin graft, wounds, accidents, plastic surgery India, cosmetic surgery India, Dr Alexander, plastic surgeon, cosmetic surgeon, Cochin, kerala, before and after , medical tourism kochi +

This unfortunate gentleman had a fracture of his leg bones which were fixed with plates and screws. Thereafter he developed necrotising fasciitis and lost a lot of skin and tissue of his leg thereby exposing the screws that were used to fix his broken bones. His general condition was critical with infection, organ failure and sepsis.Therefore he was subjected to critical care specialist care, antibiotics, debridement and dressings. Vacuum assisted healing (VAC) or negative pressure wound therapy (NPWT) was used in his case- this helped to reduce the infection, increase the granulation tissue, reduction of edema, coverage of the exposed screws and faster healing. A flap coverage would have been ideal, but with the presence of sepsis, possible osteomyelitis and organ failure, minimal intervention with maximal results was the answer. Finally the wounds were covered with skin grafts which were taken from the thighs. Indeed, this was a complex case that was greatly facilitated by vacuum assisted healing +

Breast reduction, ptosis correction, hanging, droopy, sagging breasts, before after pictures, plastic surgery, cosmetic surgery, Dr Alexander, plastic surgeon India, medical tourism, cosmetic surgeon India, cochin, kerala, kochi++

Breast reduction can be a tricky affair. One has to examine the patient to look if ptosis ( droopy or hanging breasts) or other associated abnormalities are present. At the same time one must make sure the breast is free of  disease by doing an Ultrasonography and mammography. Treating an unrecognized cancer postoperatively can be very difficult. Breast reduction is not always done for a cosmetic indication. Sometime breasts like those above can cause pain in the shoulders in addition to other   problems like  hygiene issues. Even finding proper sizes of  undergarments can be a serious issue.  This young lady has  large breasts which were causing severe shoulder pain  in addition to the ptosis. She was also embarrassed by the size of her breasts and was unable to wear the dresses she wished to be seen in. She underwent a breast reduction and ptosis correction and was quite happy with the results+

' The tragedy of love '

This post is a controversial one and out of context, yet it is something that we all ponder on sometime. Love is the extreme of like, an intense manifestation of the affection you feel for someone. It surpasses all boundaries of age, sex, races, and species and surprises both the lover and the loved. One cannot define love; we know it when we experience it.  Love then is a feeling, a physical and mental reaction that we are caught up in. Love is waking up in the morning and looking into her eyes and seeing that little twinkle. Love is that gentle peck on your cheek, the touch of a fingertip, a hand that gently holds and accompanies you through the thick and thin of life. Love is sitting by the seaside, your arms around her shoulder, staring at the moon and the shimmering waves that makes hope a reality. Love is enjoying bread at a table like a king’s banquet, while others dine in fine cuisine and still come out with unfulfilled desires. 

True love is in unconditional giving... receiving is a bonus...

So where did the gifts and the money come in? How did the caveman fall in love?

Did he give his sweetheart a million dollar house, a yacht or a diamond ring? Did he send her expensive gifts and presents?

Well, he never did any of these; he just looked into her eyes and vol la!   they knew love was there.

Times have changed; women have changed, though love has remained the same.

Women now equate love with gifts and money and therein lies 'the tragedy of love'  Express your love without a present or a gift- it will be spurned. Make her happy monetarily and you can fool her into thinking that you love her, thought you might actually hate her. The rich can prove their love easily; the poor must wait for divine intervention. For some men the 'art of gifting' may look alien, though they may be extremely generous on all counts. Its just that they were never brought up on it. 

Yet, love is the only thing that will survive forever. Whether they are rich or poor, men will always fall in love even unto their end of time.........

(PS:  that’s how God made us....)

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Rotation flap, plastic surgery, tendon injury, hand injury, finger injury, pre and post, before and after pictures, accident, dr alexander plastic surgeon India cosmetic surgeon India, cochin, kerala, kochi, medical tourism+

Plastic surgery involves molding of tissues or acquiring adjoining or distant tissues to replace that which has been damaged or lost. The picture above is of an unfortunate lady who was involved in a road traffic accident and suffered severe injuries to her had with loss of skin and tissues over the dorsum of her hand. She also had an injury to her tendons (string like structure that helps to make the finger move up or down). God has endowed man with laxity of tissues which we can take advantage of. The lax skin and tissues in the adjoining region of the wound is identified and a flap is planned depending on the best geometric design. In this case a rotation flap was carried our (shown by arrow) which helped to effectively cover the wound and important structures underneath +

Introspection- an original oil painting by Dr Alexander, plastic surgeon, India, Cosmetic surgeon India, cochin, kerala, Kochi, medical tourism, India++

God made Eve from Adam’s rib- and I must say she has been the most exquisite form of art that has ever been produced. When you look at a woman, you realize how fascinating she is, not only physically in form and shape but also psychologically how complex she can be. Every woman is different and though we may understand particle physics, set foot on Uranus, or find the secrets of eternal youth, even after years of dedicated study and research, we will still be unable to unravel the secrets that coerce her brain to function the way it does. 

The picture above is an original oil painting that signifies the inner self that one tries to understand and the outer self that one presents to the world. As she attempts to look at herself – she is often amazed at her own feminity and at what she sees. All this is in the background of the male sexuality- for if there were no men or male sexuality- I guess there would be no humans, but only the simple 'womans' without their complexities ….. 

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'Faces' - an original sketch pen art by Dr Alexander, plastic surgeon, India, Cosmetic surgeon India, cochin, kerala, Kochi, medical tourism, India+

We all have our 'faces'- that we knowingly or unknowingly present to our colleagues, friends, relatives and family. Often it may be difficult to judge what lies behind that face you see everyday. The sketch art shown above exemplifies our daily tryst with the people around us. To the plastic surgeon there is another angle to it- while planning surgery we have to look at the physical and mental makeup of the patient as well. The results of our surgery must not only look good anatomically but must appeal to both the patient as well as the people around- something that makes this specialty an unique one- and something that puts tremendous pressure on the surgeon. This painting is dedicated to all the people around us who prop us up with their positive energy and make life worth living + +

Face burns, plastic surgery, cosmetic surgery, Dr Alexander, plastic surgeon, medical tourism kochi, cochin, kerala, India+

Face burns can be a painful and dispiriting experience. This child suffered burns to the face with hot water. Fortunately the burns are 2^nd degree superficial that usually heal in 2 to 3 weeks. Pain is an important factor as in superficial burns the nerve endings are not burnt or damaged. Facial swelling or edema usually follows as happens after most cases of trauma or injury or surgery on the face. The swelling occurs even on the uninvolved side as seen in this child. However one must make sure that the swelling is not due to burn that has been infected. Also burns to the eye, oral and nasal cavities must be ruled out. Often the burns of the face must have a more conservative approach as healing frequently results due to the good blood supply. Antibiotics are given to avoid or treat infection+

An original oil painting, 100x71cms by Dr Alexander, plastic surgery India, cosmetic surgery India, plastic surgeon, cosmetic surgeon, cochin, kerala, kochi + medical tourism +

We are all passionate about something in life. Be it books, sports, work, cooking or whatever, as long as it is productive and not destructive- it is acceptable. Plastic surgery is actually an art form where God has given the surgeon the opportunity to draw, mold and design on the human body. The painting shown above is dedicated to the all the mothers who toil ceaselessly to bring up their little ones. A lot of plastic surgeons have been know to be involved in some form of artistic work. Gillies one of the founder fathers of modern plastic surgery  was an avid painter and golfer as well.Those interested may find his art at +  http://www.gilliesarchives.org.uk/