View
82
Download
3
Tags:
Embed Size (px)
Citation preview
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
Dinesh BhargavaAesthetic Plastic surgeon , MS, FACS
Trends in Aesthetic Surgery and a physician’s role
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
Desire to look good and beautiful is not new.
What is beautiful ?• Education• Social customs• Social needs
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
• Plastic Surgery deals with surface deformities :– Congenital– Traumatic– Infectious– Malignancies– Degenerative
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
• Aesthetic Plastic Surgery primarily deals with surface changes that do not often cause or compromise function.
• Therefore are not medically necessary but improves the quality of life and life style.
• Main thrust is on aesthetics and good looks
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
• For this reason – Plastic surgeons need to be not only
physician but also skilled surgeon, a master craftsman but also a good listener.
– A prerequisite is not only hearing but listening as well.
– To fully understand the underlying emotions and then design a plan to help.
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
• I would like to share some of the stories from my 29 years of dealing with people.
– What the patients have said – What the patients mean– What can we do the help
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
• On breast reduction:– She was 65 year old when I saw her for
consideration of breast reduction . After she had healed she said
“ I can finally climb into my boat from the water. Only one complaint. Why did some one not tell me about this operation 30 years ago”
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
• On breast reduction – A young teenager who was shy and
recluse was brought in by her mother. She had a breast reduction and was very happy. After her wedding several years later she wrote“ Thank you for giving me my life back”
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
• Breast reduction
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
• On breast reduction:– A 45 year old came with back ache and
shoulder pain with macromastia. The reduction mammoplasty was done. She said
“ It is so nice to have the weight off your chest. I can do things that I did not think I will ever do again”
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
• Breast Reduction
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
• Breast Reduction
Reduction in the size of the breast and aesthetically pleasing
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
• On breast reduction – Why some women delay mammography– Doing mammograms on large breasted
women is difficult – Fear of pain, from previous experience– Contributing to diminished compliance y– And could contribute to late diagnosis of
CA breast
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
• Breast Reduction
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
• Breast Reduction
Reduction in weight and a more youthful appearance
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
On Gynecomastia -“my son has become recluse and does not go out to play with his friends”- Doctor I cannot take off my clothes for fear of
being teased’- My ‘friends’ pinch me and physically hurt me.
- Gynecomastia is a common problem
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
Correction of gynecomastia by (UAL)Ultrasonic assisted liposuction and excision
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
• On breast reconstruction– Reconstruction will not change the
course of the disease but will enhance the quality of what ever life one does have.“ thanks for a new lease on life. Today I celebrate my 12th birthday and I feel whole”
Pam
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
• Breast reconstruction
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
• On prophylactic mastectomy and reconstruction
– “ I am so relieved that I don’t have to worry about cancer, knowing how my aunt, my mother and my sister had suffered from the disease”
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
• Breast Reconstruction
Bilateral prosthetic breast reconstruction
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
• On breast reconstruction:
– “ only if I knew that the reconstruction could be done my fear of mastectomy would be have much less.”
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
• TRAM flap reconstruction at the time of mastectomy
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
• On breast reconstruction in conservative breast surgery:
– is there a role of plastic surgeon in partial mastectomy / lumpectomy / breast conservation surgery ?
– I think so• Designing incisions, reconstructing the remaining
tissue.
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
• Restoring breast after segmental loss
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
• On breast augmentation
– ‘ thank you for helping to see the pretty me.”
– The confidence that these people exhibit is nothing short of a miracle.
– A metamorphosis into a new person.
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
• Breast Augmentation
A natural and pleasing outcome450 ml Saline Submuscular Prosthesis
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
• On abdominoplasty– 40 year old after abdominoplasty
shares her thoughts ‘ doctor you don’t know when last I took my clothes off in front of my husband’
– Unable to see beauty in the lax and drooping abdomen she could not share her thought with her husband. A very lonely place to be.
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
Lateral Tension Abdominoplasty
Dramatic change
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
• On abdominoplasty– A 55 year old who had an
abdominoplasty ‘ I think my back pain is so much improved”
– Postural changes with a large abdomen could lead to exaggeration of back pathology
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
• Lateral Tension Abdominoplasty
Lateral tension Abdominoplasty with UAL
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
• Lateral tension Abdominoplasty
As flat an abdomen you can get along with improvement in the contours of the hip and the torso in general
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
• On abdominoplasty
– A 40 year old having lost 40 lb. of weight looks in the mirror and wonders ‘ I have tried so hard to be and look healthy, when I see myself all I can see is this skin. Have all my efforts been in vain?”
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
• Lateral tension Abdominoplasty
Lateral tension Abdominoplasty in Men
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
• Lateral tension Abdominoplasty
Lateral Tension Abdominoplasty in menA flat abdomen with low placed incision
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
• On abdominoplasty– “my Caesarian scar healed terribly. See
this overhang?”– In reality, it was not about the scar at
all.
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
• Lateral tension Abdominoplasty
Lateral Tension AbdominoplastyA flat abdomen and improvement of contour
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
• Lateral tension Abdominoplasty
Two weeks after lateral tension abdominoplasty
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
• On Ultrasonic liposuction– ‘ I can’t find the jeans that fit me. My hips are
too big. I just want to be able to wear normal clothes”
– ‘ I work so hard to get in shape but these bulges don’t budge’
– Liposuction will correct hip and the lower abdominal deformity
– Ultrasonic Liposuction does this with minimal trauma to the tissue and quick recovery, a facility we offer at PCH only.
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
• Ultra sonic assisted liposuction (UAL)
• Subtle
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
• On liposuction
– ‘ all I want to do is to be able to get into shorts to play tennis’ a 65 year old lady asked me.
– liposuction was her answer. A rather simple technique for so much gain. ‘able to play tennis in shorts’
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
Ultra sonic assisted liposuction (UAL)
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
• Ultra sonic assisted liposuction (UAL)
Significant
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
• On facial aesthetics– ‘We need to get my daughter married’
Rhinoplasty. Just a word of caution. If we need the operation give yourself 9 months to a year worth of time to see the final results.
– Think of correction well in advance.
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
• Ultrasonic Assisted Liposuction
– Utilizing the unique ability of Ultrasonic energy to lyse fat cell selectively, this procedure offers quick recovery and early return to function.
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
Rhinoplasty
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
PreOp
PostOp
Rhinoplasty
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
PreOp
PostOp
Rhinoplasty
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
• On otoplasty– “I have never been able to wear my hair
up.” I would rather hide than to acknowledge my real concerns.
– “ I am teased for my big ears” a child will not tell mothers but will refuse to go to school instead.
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
Otoplasty, change in personality
Observe the change in countenanceSubtle but undeniable.
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
Bilateral Otoplasty
PreOp
PostOp
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
PreOp
PostOp
Unilateral Otoplasty
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
• On skin, the great envelop– “ I don’t feel my age” when my image in
the mirror does not match my inner feelings.” • Medical aesthetics. Use of Botox, Tissue
fillers
– Use of heavy cosmetics to hide the blemishes and expression lines on the skin. • Skin care program, peels,
microdermabrasion and lasers
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
Tissue filler effect on the nasolabial region
Pre treatment Post treatment
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
• On hair, – some times too much
• Laser hair removal “ what a great relief from waxing and shaving”, a perfect choice of a working woman
• And some times men
– and at others times not enough• Follicular Hair transplant for baldness.
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
• Laser hair removal
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
• On facial rejuvenation– “ I feel tired in the evening and can
barely keep my eyes open” Blepharoplasty
– ‘Doctor why do I always look sad” drooping of the brow, the lids and the angle of the mouth. Brow and face lift
– ‘ I never had these neck bands” hyperactive platysma.
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
• Facial rejuvenation
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
Facelift
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
Facelift
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
Upper lid blepharoplasty
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
Upper and lower lidblepharoplasty
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
Significance of computerSimulation
Real results
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
There are great benefits to aesthetic surgery
Upbeat
Self confidenceUndertake activities that one could not before.
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
How do we know this ?
Up trends in demandHappy surgery
Patients come for repeat procedures
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
• On changes in an individual – Personal desire– There is an increasing need generated
through the media– Personal awareness and social freedom– Demand of the competition to look
healthy and young and therefore rises in the priority ladder.
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
• So if it is really so great,
• Why don’t we see more aesthetic surgery than we do, you might ask.
• A very valid question, indeed and one that needs to addressed
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
• There is surely more aesthetic surgery than even 5 years ago– Not many people talk to about it. This
too is changing
• When done well you should not be able to identify a surgical result.
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
• On Psycho social issues– ‘What will people say” need of social
approval at least of those close to us, family, physician
– ‘I don’t want to talk to every one’ need for privacy and a listener
– ‘ my doctor said never to have it done’ Forces of valued opinion
– ‘It is vain”. force of tradition.
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
• On facilities and Surgeons– ‘the hospitals are in it for the money.”
long standing distrust of the hospitals– ‘I don’t know who to go to for help’. We
as surgeons don’t talk enough about our skills. • To our patients and to our physician
colleagues.
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
• On financial issues– “Can I afford it.” this is changing with
two family income and affluence. You might be surprised. Ask don’t assume
– Pricing is market driven* Remember that at no time should a
surgeon or a facility compromise safety or quality at the alter of economy
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
• A physician’s role– Be a listener, – identify correctable causes of concern– Know the corrective measures &
alternatives– Know your surgeon colleagues – Identify the qualified facilities.And refer
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
We are on a threshold of change
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
• A New Image
• We have just built a Center for aesthetic plastic surgery & Medicine at Pushpanjali Crosslay Hospital, dedicated to the care of those seeking aesthetic improvement.
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
I would like to take this opportunity to invite you all to come visit us.
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
Thank you
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role
Contact: [email protected]: +91 120 4173700
Dr. Dinesh Bhargava,A New Image, Center for Aesthetic Surgery & Medicine
Pushpanjali Crosslay Hospital
Trends in Aesthetic Surgeryand a physician’s role