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Cases, Featured Cases

Hand Surgery for post burn contractures

Introduction:Burn injuries and post burn complications are quite common. Hands are quite frequently involved in these injuries and later complications as well. And as we know hand function is very crucial for our daily life, the patients with these complications are in dire need of help from a reconstructive plastic surgeon. Case :وہ گيزر ٹھيک کر رھا تھا، نوزل صحيح کام نہيں کر رھی تھی، صاحب لوگوں کا بھی گيزر کے بغير گزارا نہيں تھا، اس نے بڑی لگن کے ساتھ، محنت سے نوزل کو صاف کيا اور گيزر کو دوبارہ سے چالو کرنے کی کوشش کرنے لگا، اس نے جھک کر دو تين مرتبہ پائلٹ کو آن کيا، اور گيس کو جلتی ھوئی ماچس کی تيلی دکھانے کی کوشش کی، گيزر آن نہيں ھوا، اس نے سيدھے ھو کر اپنی سانس درست کی، اور کچھ وقفے کے بعد اس نے دوبارہ ماچس جلائی اور جھک کر پائلٹ کو دکھانا چاھی تو۔۔۔۔۔ايک دھماکا ھوا، آگ کا ايک بگولا، اسکے جھکے ھوئے چہرے اور ماچس پکڑے ھوئے ھاتھوں سے لپٹ گيا، شديد اذيت ميں اس نے پيچھے ھٹتے ھوئے چيخ ماری، ليکن آگ کا يہ بگولا اس کے چہرے اور ھاتھوں کو شديد زخمی کر چکا تھا۔۔۔۔۔ تصوير ميں ھاتھ اسی شخص کا ھے، چہرہ خود نہيں دکھايا جا رھا، مقصد بات سمجھانا ھے، اچھالنا نہيں، کاش اس کو جلے ھوئے زخم کی ابتدائی طبی مدد کی سمجھ بوجھ ھوتی تو نقصان سے سو فيصد بچا جا سکتا تھا ( يہ تفصيل پہلے کمنٹ ميں دے دی گئی ھے) مزدور کے ھاتھ ھی اسکا کل اثاثہ ھيں، جلے ھوئے زخم کا علاج ٹھيک نہ ھو، يا جلے ھوئے زخم ميں مسائل آ جائيں تو ھاتھ ناکارہ ھو سکتا ھے۔۔۔۔ ياد رکھيں، جلے ھوئے زخموں کے ليے، ان کی تمام پر پيچيدگيوں کو درست کرنے کے ليے، اور اگر کھچاو ھو چکا ھے تو اس کے حل کے ليے آپ کے پاس بہترين آپشن پلاسٹک سرجن ھے، زير نظر ھاتھ جو کہ کام کاج کے حوالے سے ناکارہ ھو چکا تھا، پلاسٹک سرجری کی بدولت ٹھيک ھوا اور يہ شخص اسوقت اس سے نارمل کام کاج بھی کر رھا ھے، بر سر روزگار ھے۔۔۔۔۔پلاسٹک سرجری۔۔ايک آرٹ۔ Intervention:The patient underwent a reconstructive surgery to regain the full range of movements. The procedure aimed to release contractures, restore joint function, and improve the patient’s quality of life. Conclusion:This case demonstrates the effectiveness of surgical treatment for post burn contractures of hand, particularly hand surgery, in providing significant improvements in , mobility, and overall quality of life.

Cases, Featured Cases

Management of Gynecomastia

Introduction:This case explores the surgical management of gynecomastia, a condition characterized by the enlargement of male breast tissue, and highlights the positive impact of surgical intervention on both physical health and psychological well-being. Background:The patient presented with a noticeable enlargement of the breast tissue, a condition diagnosed as gynecomastia. This caused significant emotional distress, self-consciousness, and reluctance to engage in social or physical activities. Intervention:A combination of liposuction and glandular tissue excision was performed to reduce the excess tissue and contour the chest area. The surgery was done under general anesthesia, with care taken to minimize scarring and optimize aesthetic results. Outcome:The surgery was successful, with a significant reduction in breast tissue and a natural chest contour. The patient reported a major boost in self-confidence and comfort during physical activities, with no complications or recurrence at follow-up visits. Conclusion:This case demonstrates the effectiveness of surgical intervention for gynecomastia, providing significant improvements in both physical appearance and mental health, enhancing the patient’s overall quality of life.

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Keloid Ear

Keloids are raised, thick scars that form after an injury, surgery, or piercing, and they can sometimes develop on the earlobes. These scars result from an overproduction of collagen during the healing process, leading to the formation of a keloid. Keloids on the ear can be particularly concerning, both aesthetically and emotionally, due to their size, appearance, and potential for discomfort. Fortunately, with the right treatment, keloid ears can be effectively managed. In our clinic, we specialize in minimally invasive procedures that offer excellent results. We have successfully treated numerous patients, including an operated case that demonstrated outstanding improvement, with minimal recurrence. Our approach is tailored to each patient’s needs, ensuring the best possible outcome. If you’re struggling with keloid scars, we can help you regain your confidence and comfort. Contact us for a consultation to discuss the best treatment options for your unique situation. I

Cases, Featured Cases

Surgery for Post Burn Contractures

Introduction:This case explores the use of archetypal Z-plasty surgery to correct a significant scar, demonstrating the technique’s ability to improve both functionality and aesthetics. Background:The patient presented with a contracture scar following an injury, which restricted movement and caused cosmetic concerns. The scar caused functional limitations, particularly in joint mobility, and affected the patient’s overall appearance. Intervention:Z-plasty, a surgical technique involving the creation of Z-shaped incisions, was performed to release the contracture and redistribute tension across the wound. The procedure aimed to improve both the range of motion and the scar’s appearance. Outcome:The surgery successfully improved the functional mobility of the affected area and resulted in a more aesthetically pleasing scar. The patient reported increased comfort and satisfaction, both physically and emotionally. Conclusion:This case demonstrates the effectiveness of archetypal Z-plasty in treating scar contractures. With proper surgical technique, Z-plasty can enhance both function and appearance, improving the patient’s quality of life.

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Cancer Surgery: Cancer of Lip

Introduction:This case focuses on the successful surgical treatment of verrucous carcinoma, a rare and slow-growing form of squamous cell carcinoma, emphasizing the importance of early diagnosis and comprehensive surgical intervention. Background:The patient presented with a large, warty growth on the skin, which was diagnosed as verrucous carcinoma. The lesion had caused local discomfort and raised concerns due to its aggressive, but typically non-metastatic, growth pattern. Intervention:A wide local excision was performed to remove the tumor, ensuring clear margins to minimize the risk of recurrence. The surgery was meticulously planned to remove the affected tissue while preserving surrounding healthy structures. Outcome:The excision was successful, with no signs of recurrence at follow-up. The patient healed well with minimal scarring, and the cosmetic outcome was favorable, improving the patient’s confidence and quality of life. Conclusion:This case demonstrates the importance of early surgical intervention for verrucous carcinoma. With appropriate management, patients can achieve excellent outcomes in terms of both physical health and cosmetic appearance.

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Cell Carcinoma (BCC)

Introduction:This case focuses on the surgical treatment of basal cell carcinoma (BCC), a prevalent form of skin cancer, highlighting the importance of early detection and precise surgical intervention. Background:The patient presented with a slow-growing, pearly nodule on the skin, diagnosed as basal cell carcinoma. Although BCC is usually localized, prompt surgical removal is essential to prevent invasion into surrounding tissues. The lesion also raised cosmetic concerns for the patient. Intervention:A surgical excision with clear margins was performed to remove the tumor. The procedure was planned to ensure complete removal of cancerous tissue while minimizing scarring and preserving the integrity of the surrounding skin. Outcome:The excision was successful, with no recurrence of BCC during follow-up visits. The patient experienced minimal scarring, and the cosmetic result was satisfactory, leading to significant improvement in self-esteem. Conclusion:This case demonstrates the effectiveness of early surgical intervention for basal cell carcinoma, which provides excellent outcomes in both health and aesthetics. Timely treatment and careful surgical technique are critical to preventing recurrence and ensuring a positive recovery.

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Cancer Surgery : Cancer Cheek Skin

Cheek Skin Cancer Treatment with Local Skin Flap Surgery Skin cancer on the cheek, can be concerning not only for health reasons but also for cosmetic appearance. When diagnosed early, skin cancers like basal cell carcinoma or squamous cell carcinoma can often be successfully treated with surgery. In a recent case, I successfully removed a cancerous lesion on a patient’s cheek using a local skin flap technique. This procedure involves relocating healthy skin from a nearby area to cover the defect, ensuring both functional and aesthetic recovery. The result was a seamless repair that preserved the natural contours of the face while eliminating the cancerous tissue. Local skin flap surgery is a preferred method for facial reconstruction because it minimizes scarring and maintains the natural appearance of the face. The technique allows for optimal healing with minimal risk of recurrence, and patients often experience excellent cosmetic outcomes. If you or a loved one are facing cheek skin cancer, I’m here to provide expert care with a focus on both your health and appearance, ensuring the best possible results.

Cases, Featured Cases

Intervention for basal cell carcinoma (BCC)

Introduction:This case highlights the successful surgical intervention for basal cell carcinoma (BCC), a common form of skin cancer, and emphasizes the importance of early detection and effective surgical management. Background:The patient presented with a slow-growing lesion on the skin, which was diagnosed as basal cell carcinoma. While BCC is often localized, its potential for local invasion and recurrence made it critical to treat the condition promptly. The lesion caused both cosmetic concerns and potential health risks. Intervention: Local excision was performed to remove the tumor with clear margins, ensuring complete removal of the cancerous tissue. The procedure was done with meticulous care to minimize scarring and preserve surrounding tissue integrity. Outcome:The surgery was successful, with no signs of recurrence at follow-up visits. The patient healed well, and the cosmetic outcome was favorable, leading to improved patient satisfaction and confidence. Conclusion:This case demonstrates the importance of early intervention in the treatment of basal cell carcinoma, showing how timely surgical management can effectively eliminate the tumor and enhance both physical health and aesthetic outcomes.

Cases, Featured Cases

keratoacanthoma ( Skin Tumor)

Introduction:This case explores the surgical management of keratoacanthoma, a rapidly growing skin tumor, focusing on the importance of early intervention and precise surgical care. Background:The patient presented with a rapidly expanding nodule on the skin, consistent with keratoacanthoma, which caused both physical discomfort and cosmetic concern. Given its aggressive growth pattern, prompt intervention was necessary to prevent further complications. Intervention:A surgical excision was performed to remove the tumor, ensuring clear margins to minimize the risk of recurrence. The procedure was conducted with attention to both cosmetic outcomes and complete removal of the lesion. Outcome:The surgery was successful, with complete excision of the keratoacanthoma. The patient healed well, with minimal scarring, and reported no recurrence of the tumor. The cosmetic outcome significantly improved the patient’s confidence. Conclusion:This case underscores the effectiveness of surgical excision in treating keratoacanthoma, highlighting the importance of early diagnosis and intervention for optimal outcomes in both health and aesthetics.

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Cleft Lip Repair

Introduction:This case outlines the surgical correction of a congenital lip disorder, emphasizing the importance of early intervention for both functional and aesthetic outcomes. Background:The patient was born with a congenital lip disorder, affecting facial symmetry, speech, and eating. These issues also led to emotional and psychological challenges, including self-consciousness and social withdrawal. Intervention:A surgical procedure was planned to repair the lip, restoring both its functional and cosmetic aspects. The surgery was performed with precision, aiming to minimize scarring and ensure optimal alignment. Outcome:The surgery successfully addressed the congenital disorder, improving both appearance and lip function. The patient regained confidence, with significant improvement in speech and eating abilities, resulting in enhanced social interactions and emotional well-being. Conclusion:This case highlights the life-changing impact of corrective surgery for congenital lip disorders, showing how it can restore both physical function and emotional confidence.

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