Plastic Surgery is a unique discipline, in that it does not refer to the surgery of a particular region or part of the body. It is derived from the Greek word 'plastikos' which means 'to mould'. Plastic surgery has many further subdivisions like reconstructive microsurgery, aesthetic surgery, paediatric plastic surgery, hand surgery, treatment of burns and their sequelae etc. The science is further divided into 4 major sub specialities; Cosmetic (Aesthetic) Surgery, Micro vascular Surgery (Reconstructive Microsurgery), Hand Surgery and General Plastic Surgery.

Cosmetic (aesthetic) surgery
- Improving one's physical appearance through cosmetic surgery is no longer the exclusive prerogative of movie stars and people in show-biz. It has become accessible and acceptable to exercise ones right to look better and feel better. Improving ones physical appearance through cosmetic surgery can result in improved body image, greater self confidence, improved social interaction and enhanced professional productivity. Commonly performed cosmetic surgery procedures include; Correction of scars and birthmarks, Rhinoplasty (nose job), Otoplasty (correction of prominent ears). Cosmetic breast surgery (reduction, augmentation, repositioning), Abdominoplasty (tummy tuck), Face-lift, Liposuction and body contouring, Cosmetic surgery of the genitals, Surgery for the correction of baldness (hair transplant), Blepharoplasty( correction of baggy eyelids)

Micro vascular surgery (Reconstructive microsurgery)
- This is a technically demanding and time consuming sub speciality where operations are done using an operating microscope to cut and join tiny blood vessels and nerves, most between half a millimetre and 2 millimetre in size. SPARSH Hospital is equipped to perform this cutting edge microsurgical work with a combination of medical and surgical skills coupled with the world's best surgical support equipment. The highly experienced microsurgical team has performed over a thousand 2. highly experienced microsurgical team, having performed more than a thousand microsurgical operations, The surgical support equipment includes state of the operation suites with the Carl Zeiss OPMI-Vario Operating Microscope, and S&T Microsurgery Equipment Services offered include replantation (re-attachment) of amputated body parts like fingers/ hands/ limbs etc, cancer reconstruction using micro vascular tissue transfer, immediate reconstruction of major limb injuries with soft tissue loss, micro vascular toe to hand transfer to reconstruct missing fingers/thumbs, genital( penis) reconstruction due to loss because of trauma or cancer, repair of vascular injuries and healing of diabetic foot ulcers by vascular by-pass.,/p>

Brachial Plexus surgery
- The branchial plexus region is a technically challenging area of the upper limb to surgically operate on. Not only is the region a mass of critical nerves providing sensation and mobility to the lower limb it is also close to vital structures. It requires skills and expertise to have a successful surgical outcome. This is an area that team at SPARSH Hospital does considerable work in.

Hand surgery
- All of us need our hands to earn our daily bread. The human hand has been described as a marvel of engineering. Even trivial-appearing hand injuries, if not treated properly can lead to serious dysfunction and even loss of livelihood. Management of complex hand injuries , which are often the result of industrial accidents, requires not only delicate and skilful surgery, but also dedicated follow-up, physiotherapy and rehabilitation. We provide a comprehensive hand care service, which includes surgery followed by intensive physiotherapy by a dedicated hand therapy team. Services offered include correction of congenital hand defects, management of acute hand injuries, replantation (re-attachment) of amputated fingers or hands, repair of tendon injuries, nerve repairs including Brachial Plexus reconstructions, reconstruction for paralysed hands, correction of ear deformities, correction of contractures and other post-burn deformities.

General Plastic surgery include the more generic procedures like correction of congenital defects like clefts of the lip and palate and correction of hypospadias,

The Microvascular Service is driven by Dr. Ashok Raj Koul, MS, M Ch( Plastic Surgery)

Yogesh (name changed to respect privacy) is an 8 year old boy. On a fateful during Diwali he almost lost the use of his hand. Diwali, one of India's most joyous festivals, is celebrated by families all over India. All homes are lit up brilliantly and fireworks light up the skies. Many families burst firecrackers in front of their homes and other public places. This Diwali Yogesh was playing with fireworks. What started as a usual Diwali evening almost ended in a tragedy as a firecracker that Yogesh was holding in his hand accidentally went of while he was holding it almost severing his thumb of his hand and severely burning his hand in the progress. In accidents like this, the role of people nearby and their reaction often determines whether a limb can be saved or is lost. His family reacted quickly and brought him to SPARSH Hospital. Yogesh was resuscitated, stabilized and prepped for an emergency replantation procedure. An assessment of the extent of damage was taken and an intervention plan was finalized. It was decided that this procedure would be a done in two stages. The first stage involved cleaning the injury, reconnecting the bone and reconstruct crucial blood vessels to the thumb to ensure it survives. After this the second stage began which involve transferring additional muscle to the damaged area to attempt to restore full functionality. Post the surgery Yogesh recuperated. Yogesh's hand has now returned to near normal state. Accidents like these can be prevented. In the event that it happens than the appropriate support and quick reaction of anyone close to the accident victim is vital. This can make the difference between recovery and disability.

Cosmetic Surgery
- The need to feel beautiful both inside and outside is as old as mankind. With the advancement in Plastic and Cosmetic Surgical techniques this sub speciality has witnessed tremendous interest. Well done plastic surgery adds to the self esteem of the patient, boosting confidence and creating self worth. Not only has it become accessible to more people, it has also become acceptable.

• correctio of white patches( vitiligo)

  

• ear correction

  

• fat injection for hollow cheeks

  

• breast augmentation( reduction, augmentation, repositioning )