Dr Rohit Mishra

18/09/2025

Detail of this case is on . in a healthy adult male patient.

08/09/2025

treatment in a healthy adult male . Detail of this case is on

26/08/2025

Rhinoplasty by open approach using costal cartilage graft. Septoplasty with tip plasty with dorsal hump reduction with bilateral osteotomies and spreader graft placement done. Pics in following order ➡️ before and day 7 after cast removal. Tip swelling takes more than a month to go. Patient may notice congestion during breathing for 3 to 4 weeks.

23/06/2025

Scars are a part of your body’s healing process. They form after surgery or when you have a cut or other wound on your skin. After your surgery or procedure, your wound may be very red, swollen, or feel numb. In the first weeks after surgery, please follow the instructions from your healthcare provider on how to care for your surgery site. After several weeks, the scar that forms may feel hard, tight, raised, or bumpy. Over time, the scar will become softer, smoother, and less red. Your scar will continue to heal for 12 to 18 months after your surgery.

Scars do not go away completely, but you can do things to help your scar look and feel better.
Protect your scar from the sun
Exposing your scar to sunlight can make it heal more slowly. It can also make the scar darker and more noticeable.
It’s important to protect your scar when you’re outside or any time it may be exposed to the sun. You can do the following things:
* Apply sunscreen to your scar. Use a broad-spectrum sunscreen that’s SPF 30 or higher.
* Wear a hat with a wide brim to block the sun.
* Wear clothing that’s designed to block the sun.
Massage your scar
Massaging your scar can help make it less hard. To do this, use your fingers to gently massage your scar for 1 to 2 minutes. You can do this 1 to 3 times per day.
Use silicone products
Silicone products, such as silicone sheets and gels, can keep your scar moisturized and help it heal. You can use them under your makeup and clothing.
Silicone sheets
Silicone sheets may help make your scar softer and more flat.
To use a silicone sheet, cut it to the size of your scar and apply it to the scar. You can leave it on for several hours or overnight. You can wash the sheet daily and reuse it.
Silicone gels
To use a silicone gel, apply it to your scar and let it dry. You can do this daily. Some brands of silicone gels include

12/06/2025

Tucking the loose muscles in tummy tuck

26/05/2025

Previously failed lap repair of re**us defect with omental herniation ( by some other surgeon ) repaired by open approach this time.

29/04/2025

The abdominoplasty, commonly referred to as a “tummy tuck,” is a procedure to reduce the excess skin and fat around the abdomen and strengthen the abdominal wall musculature. The goal of this procedure is to develop an aesthetically pleasing abdomen, and can incorporate direct excisional techniques as well as liposuction.

The reasons for undergoing abdominoplasty are numerous, including (1) men and women desiring aesthetic improvement of the abdomen, (2) women with significant skin and abdominal wall laxity following multiple pregnancies, or (3) bariatric patients who have excessive skin and/or pannus following significant weight loss. When selecting patients appropriate for surgery, it is vital to obtain a thorough history. Wound healing is of vital importance, and patients require good nutritional status, as well as optimal overall medical health. Bariatric patients present the plastic surgeon with specific challenges. The laxity of the skin after significant weight loss, as well as the potentially massive size of the skin apron, may require further dissection and may require additional adjunct procedures to lift the thigh, back, arm and flank areas to maintain overall symmetry of the body. Patients with lower BMI tend to have superior results, and patients with diabetes mellitus (DM) may be more prone to complications. Patients with little to no fat and no abdominal wall laxity are optimal candidates for liposuction alone. Patients with minimal to moderate subcutaneous fat and minimal to moderate abdominal wall laxity which is located primarily in the infra-umbilical region are candidates for the “mini-abdominoplasty.” Patients with excessive skin laxity, fat, and abdominal wall weakness are ideal candidates for full abdominoplasties.

Patients with poor health including advanced cardiopulmonary disease, cirrhosis, and uncontrolled diabetes are poor candidates for this procedure. Smoking is severely detrimental to the abdominoplasty, as the procedure requires an adequate blood supply. Many plastic surgeons consider current smoking a contraindication to the surgery. 

13/04/2025

Ganglion cysts are synovial cysts that are filled with gelatinous mucoid material and commonly encountered in clinical practice. Although the exact etiology of the development of ganglion cysts is unknown, they are believed to arise from repetitive microtrauma resulting in mucinous degeneration of connective tissue. They are the most common soft tissue mass found within the hand and wrist, but they are also commonly encountered in the knee and foot. Although the majority of ganglion cysts are asymptomatic, patients may present with pain, tenderness, weakness, and dissatisfaction with cosmetic appearance. Both non-operative and surgical treatments are available, but a high recurrence rate has historically plagued non-surgical treatment. Surgical excision can provide resolution of patients' symptoms, but an understanding of the underlying anatomy adjacent to the cyst is crucial to avoid injuring neurovascular structures within proximity to the cyst

06/04/2025

Since axillary ectopic breast tissue is derived from normal breast tissue, it can contain all elements of normal breasts and tends to respond to cyclical hormonal changes. In fact, this condition is most often asymptomatic until puberty, after which ectopic tissue is hormonally stimulated. After pregnancy, axillary tissue can increase in size, become engorged and even secrete milk through pores of the skin leading to tenderness, irritation, and discomfort
Up to 6% of women and 3% of men suffer from this anomaly that is often bilateral in nature
Although the risk of malignancy is low, and some patients are asymptomatic, axillary ectopic breast tissue can cause significant distress.
Patients complain of exacerbation of pain with hormonal surges, interference with daily activities, restriction of arm movement/posture, irritation from clothing, as well as increased anxiety and stress.
In addition to functional impairment, patients commonly present with cosmetic concerns. For these reasons, surgical intervention is often recommended The ideal method of surgical treatment is yet to be established. Direct excision of the accessory breast tissue allows for complete resection but has been criticized as it can disrupt lymphatic channels and lead to the formation of dead space if not executed with the correct technique. Liposuction allows for the effective extraction of adipose tissue however, it is inadequate for the removal of fibroglandular breast tissue and does not address excess skin. For these reasons, a combination of direct excision and liposuction when managing this condition.

19/03/2025

This patient was having a big cyst over cheek area. Now to remove a cyst , an incision needs to be taken and when incision is taken then there is strong possibility of patient having post surgery scar. Without taking an incision or a cut , cyst removal is not possible. Now as a plastic surgeon we take incision or cut as small as possible so that if patient is going to have scar then that scar should be of very small size ( scar creams and ointment post surgery work but to a certain extent ). Here complete removal of a 4 by 5 cms size cyst done through a milimeter size incision. So scaring is a real possibility after surgery but making it as small as possible is in hand of surgeon , provided complete cyst removal done along with cyst capsule

22/02/2025

This is ganglion cyst over radial aspect of flexor surface of wrist joint. cyst.

13/02/2025