Sunday, December 30, 2012

Smoking and poor wound healing, non healing wounds, chronic wounds, ulcers, injuries, plastic surgery, cosmetic surgery, Dr Alexander, Cochin, kerala India+


Blood vessels are like roads that lead ‘to and fro’ the damaged wound sites. The body sends workers and supplies to repair the damaged site by these blood vessels. Further adequate oxygen (carried by red blood cells) cannot reach the wound site and good oxygenation is required for proper functioning of all cells. If blood supply to the wound area is decreased from any reason then the ‘worker cells and specialist cells’ as well as nutrients and repair materials cannot easily reach the wound to begin the process of repair and healing effectively.
Smoking hampers wound healing and in fact the use of tobacco in any form must be avoided. This is because use of tobacco releases nicotine which in turn causes the blood vessels to contract (vasoconstriction) and reduce the blood flow to the wound. Similarly it also increases the platelet adherence (blood cells that stick together or clump together) which again diminishes the blood flow; all of which will lead to poor wound healing. To quit smoking suddenly may be difficult, but one could drastically reduce the frequency of smoking, or at least stop smoking during the time your wound needs to heal.

HAPPY NEW YEAR

As we cherish your friendship and love
your support and encouragement
and thank God for having carried
 us through this year

we wish you all a happy new year
!!!
may all your dreams and wishes come true
may joy, peace and happiness be yours
all
through this year and the coming years !!!
+

Thursday, December 27, 2012

Scar removal, Scar management, breast scar, flame burns, fires, post burn scar, skin grafting, cosmetic breast surgery, burns, plastic surgery, Dr Alexander, Cochin, kerala, India+

The picture above is that of an young unfortunate girl who suffered a flame burn in her childhood resulting in an unsightly scar over her right breast. She wanted to get the scar removed as she wished to get married. The scar was removed and a skin graft was applied. An immediate post operative picture is shown. The donor skin was taken from her lax lower abdomen and the defect was closed primarily. However one has to wait for a year to see how the final result will look like as the new skin applied has to 'take' and settle down. In this case miss A was quite satisfied with the results+

Wednesday, December 26, 2012

Breast surgery, breast enlargement, breast implant, increase size of breast, big breasts, small breast, Dr Alexander, plastic surgery, cosmetic surgery, Cochin, India+






Big arms, fatty arms, arm reduction, liposuction, brachioplasty, body reshaping, sculpturing, Dr Alexander, plastic surgery, cosmetic surgery, Cochin, India+



Big arms, fatty arms, arm reduction, liposuction, brachioplasty, body reshaping, sculpturing, Dr Alexander, plastic surgery, cosmetic surgery, Cochin, India+

Ear surgery, helix loss, lateral ear loss, ear deformity, ear injury, ear reconstruction Dr Alexander, plastic surgery, cosmetic surgery, Cochin, India+



Ear surgery, helix loss, lateral ear loss, ear deformity, ear injury, ear reconstruction Dr Alexander, 2plastic surgery, cosmetic surgery, Cochin, India+

Diabetic wound, bedsore, trochanteric wound, bedridden patient problems wounds ulcers, flap cover, Dr Alexander, plastic surgery, cosmetic surgery, Cochin, India+



Diabetic wound, bedsore, trochanteric 2 wound, bedridden patient problems wounds ulcers, flap cover, Dr Alexander, plastic surgery, cosmetic surgery, Cochin, India+

Diabetic wound, ankle wound, heel wound, lateral calcaneal flap, leg wound, traumatic wounds, ulcers, flap cover, Dr Alexander, plastic surgery, cosmetic surgery, Cochin, India+


Diabetic wound, ankle wound,calcaneal flap, leg wound, traumatic wounds, ulcers, flap cover, Dr Alexander, plastic surgery, cosmetic surgery, Cochin, India+