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Breast Augmentation

Overview

Breast augmentation, commonly known as augmentation mammoplasty, is a procedure that increases the size of the breasts. It entails inserting breast implants beneath the breast tissue or the chest muscles.  Breast augmentation is a way for some ladies to feel more confident. For others, it’s a necessary aspect of breast reconstruction due to a variety of diseases.Consult a plastic surgeon if you’re considering breast augmentation. Make sure you know what surgery entails, including the risks, complications, and aftercare.

Why is it done?

  • Breast augmentation may be beneficial in the following situations:
  • If you think your breasts are little or one is smaller than the other and this affects how you dress or the sort of bra you require to aid with the asymmetry, make an effort to improve your appearance.
  • Make accommodations for a decrease in the size of your breasts following pregnancy or severe weight loss.
  • After breast surgery for various reasons, correct unequal breasts.
  • Boost your self-assurance
  • Discuss your objectives with your plastic surgeon so that you can be realistic about the benefits of breast augmentation.

How do you get ready?

You’ll meet with a plastic surgeon to discuss your breast size, feel, and cosmetic choices. The surgeon will go through several types of implants, such as smooth or textured, round or teardrop-shaped, saline or silicone, as well as surgical procedures.

Examine written information carefully, such as patient information from the maker of the implant you’ll receive, and make copies for your records.

Methods

  1. Autologous Breast Augmentation

Liposuction removes fat, which contains stem cells. A stem cell is a type of cell that can develop into many forms of tissue depending on its location in the body.

  • There was no implant used.
  • Incisions of a small size
  • Makes use of a woman’s own fat
  • Complication rate is relatively low.
  • Breasts have a natural appearance and feel.
  • Excellent safety record
  • The outcomes have pleased both patients and doctors.
  • Silicone Implant

Silicone is a polymer that is used in a variety of products, including personal care items and surgical implants. It comes in liquid, gel, and solid rubber-like forms. Learn about the benefits of silicone and how it’s used in breast implants.

  • Silicone is a material composed of silicon, oxygen, and additional elements, most commonly carbon and hydrogen. Silicone offers a number of benefits, including:
  • High-temperature stability
  • Resistant to the ravages of time
  • Resistant against UV rays, as well as wetness.
  • Resistant to temperature extremes
  • Saline Implant

Sanitized salt water is used to fill saline implants. They have the advantage of being able to be put when empty and filled subsequently, as opposed to silicone implants. This allows the surgeon to adjust the saline solution volume until the breasts are symmetrical and the correct size. Because saline implants can be inflated afterwards, they can be tunnelled up via an aperture in the patient’s belly button, reducing scarring. The scarring left behind is usually minimal, whether the opening is under the arm, around the nipple, or following the curve of the breast.

What you may anticipate ?

Breast augmentation can be performed at a surgical centre or as an outpatient procedure at a hospital. You’ll most likely return home the same day. The surgery rarely necessitates a stay in the hospital.

Breast augmentation is sometimes performed under local anaesthetic, which means you’re awake but your breasts are numbed. Breast augmentation is frequently performed under general anaesthesia, which means you’ll be sleeping for the procedure. With you, your plastic surgeon will go over the various anaesthetic alternatives.

Throughout the treatment,

Your plastic surgeon will make a single cut (incision) in one of three sites to instal the breast implant:

  • Underneath your breast is a wrinkle (inframammary)
  • Under your sleeve (axillary)
  • In the vicinity of your nipple (periareolar)

.

The surgeon will separate your breast tissue from your chest muscles and connective tissue after making an incision. This produces a pocket behind or in front of the chest wall’s outermost muscle (pectoral muscle). The implant will be inserted into this pocket and centred behind your nipple by the surgeon

Once in place, saline implants are implanted empty and subsequently filled with sterile salt water. Silicone implants come with silicone gel pre-filled.

The surgeon will repair the incision with stitches (sutures) and wrap it with skin adhesive and surgical tape once the implant is in place.

Following the procedure,

  • After surgery, you should expect to be sore and swollen for a few weeks. Bruising is also a possibility. Scars will fade over time but will not vanish altogether.
  • Wearing a compression bandage or sports bra for added support and positioning of the breast implants while you’re recuperating may be beneficial. Your surgeon may also prescribe pain relievers.
  • Follow your surgeon’s recommendations for resuming normal activities. You might be able to return to work in a few weeks if you don’t have a physically demanding job. For at least two weeks, avoid intense activities – anything that could raise your pulse or blood pressure. Remember that your breasts will be sensitive to physical contact or jarring motions while you’re recuperating.
  • If your surgeon used non-absorbable sutures or placed drainage tubes near your breasts, you’ll need to schedule a follow-up appointment to have them removed.

You may have an infection if you detect warmth and redness in your breasts, as well as a fever. As soon as possible, contact your surgeon. If you feel shortness of breath or chest pain, you should also call your surgeon.

Results

The size and form of your breasts can be altered through breast augmentation. Your body image and self-esteem may improve as a result of the operation. However, be realistic in your goals and don’t expect perfection.

In addition, following augmentation, your breasts will continue to age. Weight gain or loss may alter the appearance of your breasts. If you’re unhappy with the way your breasts look, you may require further surgery to remedy the problem.

Rhinoplasty

Overview

Rhinoplasty is a nose surgery that alters the shape. Rhinoplasty may be performed to enhance breathing, change the look of the nose, or both. The upper part of the nose is made of bone, while the lower part is made of cartilage. Rhinoplasty can alter bone, cartilage, skin, or all three at the same time. Consult your surgeon to see if rhinoplasty is right for you and what it may accomplish. Your surgeon will evaluate your other facial characteristics, the skin on your nose, and what you want to change while considering rhinoplasty. If you’re a surgical candidate, your surgeon will create a unique treatment plan for you. Insurance may cover some or all of a rhinoplasty procedure.

Why is it done ?

The size, shape, and proportions of your nose can all be altered through rhinoplasty. It may be used to fix abnormalities caused by an injury, cure a congenital condition, or alleviate breathing problems.

Rhinoplasty’s Advantages

Though cosmetic procedures are usually associated with improving one’s appearance, a nose job can have a variety of other advantages.

  • Improving appearance: Cosmetic surgery is routinely performed to enhance the appeal of various body parts. After a few hours of surgery, you can improve your appearance and obtain the confidence you’ve always desired but couldn’t muster due to a nose that wasn’t good enough for you.
  • Repair a broken nose: Rhinoplasty can be used to repair damaged bones or cartilage in the nose, restoring both the appearance and function of the nose.
  • Improve your breathing: Breathing problems can be very uncomfortable. If the problems are caused by nodes or lumps in the nose, they can be corrected via rhinoplasty. The nose surgery can help solve the problem of snoring, which is caused by poor breathing.
  • Restoration of birth defects: Rhinoplasty can be used to repair underdevelopments in the nose.
  • Treatment for chronic sinusitis: Rhinoplasty can be used to effectively cure chronic sinusitis.

Procedure for Rhinoplasty

  • A series of steps are included in the surgery. To begin, speak with your surgeon about your expectations and what may be accomplished with rhinoplasty. In order to avoid difficulties, you must provide details about any additional health conditions you have prior to surgery. In order to fully comprehend the anatomy of your nose, laboratory procedures such as blood tests, inspection of your skin around the nose, and evaluation of your nasal cartilages must be conducted.
  • To attain your desired look after surgery, you will need to take photographs of your nose from various angles. Weeks before the procedure, you must stop smoking and stop taking pain relievers. Only take the meds that the operating doctor has prescribed. Before the surgery, you will be given general anaesthetic. If you have any problems after surgery, you may be discharged later that day or the next day.

Source: http://aakarcosmeticsurgery.com/FacePage/Rhinoplasty.html

How do you get ready?

You must consult with your surgeon before scheduling rhinoplasty to discuss critical criteria that will determine if the procedure is likely to perform well for you. The following items are usually discussed at this meeting:

  • Your medical background: Your doctor’s most crucial question will be about your reason for surgery and your objectives. Your doctor will also inquire about your medical history, including any nasal obstructions, surgeries, and drugs you are currently on. YouA physical examination. A comprehensive physical examination, including any laboratory testing, such as blood tests, will be performed by your doctor. Your facial characteristics, as well as the inside and outside of your nose, will be examined.
  • Your doctor will use the physical exam to evaluate what adjustments need to be made and how your physical characteristics, such as the thickness of your skin or the strength of the cartilage at the end of your nose, may affect the outcome. The physical assessment is also important for determining how rhinoplasty will affect your breathing. might not be a good candidate for rhinoplasty if you have a blood problem like haemophilia.
  • Photographs of your nose from various angles will be taken by someone from your doctor’s office. Your surgeon may edit the photographs with computer software to show you what kinds of outcomes are conceivable. These images will be used by your doctor for before-and-after evaluations, reference during surgery, and long-term follow-up. Most significantly, the photographs allow for a detailed discussion of the surgery’s objectives.
  • A discussion of your goals and objectives. Your motivations and expectations should be discussed with your doctor. He or she will discuss what rhinoplasty can and cannot do for you, as well as the potential outcomes. It’s natural to feel self-conscious about discussing your appearance, but it’s critical that you communicate your objectives and surgical goals to your surgeon. If you have a small chin, your surgeon may suggest that you undergo chin augmentation surgery. This is due to the fact that a small chin gives the appearance of a larger nose. In some situations, chin surgery isn’t essential, but it may help to balance the facial profile.

Medication and food

Avoid aspirin and ibuprofen-containing drugs (Advil, Motrin IB, and others) for two weeks before and after surgery. These drugs may make you bleed more. Only take drugs that your surgeon has approved or recommended. Also, stay away from over-the-counter vitamins and herbal medicines. Stop smoking if you do. Smoking hinders the healing process and increases the risk of infection following surgery.

Results

Changes in the structure of your nose, commonly measured in millimetres, can have a significant impact on how it looks. Most of the time, a skilled surgeon can provide results that are satisfactory to both of you. However, in some circumstances, the little alterations are insufficient, and you and your surgeon may opt to do a second operation to make additional improvements. If this is the case, you will need to wait at least a year for the follow-up operation, as your nose may change over that period.

Gynaecomastia

Overview

Gynecomastia is a condition in which the quantity of breast gland tissue in boys and men increases due to a hormonal imbalance between oestrogen and testosterone. Gynecomastia can affect one or both breasts, and it can impact them in different ways. Gynecomastia can occur in newborns, boys going through puberty, and older men as a result of natural hormonal changes, though there are other causes as well.

Gynecomastia Grades:

Grade 1: Nipples that are puffy

Grade 2: Excess fat + puffy nipples

Grade 3: Puffy nipples + a lot of fat + a lot of skin

Grade 4: Breasts resemble those of a woman.

In India, the majority of cases are classified as Grade 1 or 2, which means that minimally invasive surgery is the best treatment option.

Gynecomastia isn’t a life-threatening disorder, but it can be difficult to live with. Men and boys with gynecomastia may experience pain in their breasts and feel self-conscious. It’s possible that gynecomastia will go away on its own. If the problem persists, medication or surgery may be necessary.

Symptoms

The following are some of the signs and symptoms of gynecomastia:

  • Breast tissue that is swollen
  • soreness in the breasts

When should you see a doctor?

If you have any of the following symptoms, you should see a doctor:

  • Swelling, soreness, or pain
  • One or both breasts may have a nipple discharge.

Causes

A decrease in the level of the hormone testosterone in comparison to oestrogen causes gynecomastia. Conditions that limit the effects of testosterone, lower testosterone, or elevate oestrogen levels can cause a decline. The hormone balance can be thrown off by a variety of factors, including the ones listed below.

Hormone alterations that occur naturally:

  • Both men and women’s sex traits are controlled by the hormones testosterone and oestrogen. Testosterone is in charge of male characteristics including muscular mass and body hair. Estrogen regulates female characteristics such as breast growth.
  • Most people think of oestrogen as a hormone that only women generate, but it is produced in modest amounts by men as well. Gynecomastia is caused by male oestrogen levels that are abnormally high or out of balance with testosterone levels.
  • Infants with gynecomastia. Because of their mother’s oestrogen, more than half of male children are born with larger breasts. The enlarged breast tissue usually goes away two to three weeks following birth.
  • Gynecomastia is a condition that occurs throughout puberty. Gynecomastia is a reasonably common condition induced by hormonal changes during adolescence. In most situations, the enlarged breast tissue will go away on its own in six to two years without therapy.
  • Adults with gynecomastia. Between the ages of 50 and 69, the prevalence of gynecomastia reaches a new high. In this age range, at least one out of every four men is impacted.

What are the processes involved in a gynecomastia surgery?

The following are the steps in a gynecomastia procedure:

Anesthesia

During the surgical procedures, you will be given medications to help you relax. Intravenous sedation and general anaesthesia are two choices. Your doctor will advise you on the best course of action.

Liposuction Technique

Liposuction procedures may be employed alone in circumstances when gynecomastia is predominantly caused by excess fatty tissue. A cannula, a tiny hollow tube, is inserted through multiple small incisions to accomplish this.

The cannula is pushed in a regulated motion back and forth to free the extra fat, which is subsequently vacuum suctioned out of the body. There are several liposuction techniques that can be performed; the one that is best for you will be determined before your treatment.

Excision Technique

When glandular breast tissue or extra skin must be removed to address gynecomastia, excision procedures are indicated. If the areola is to be decreased or the nipple moved to a more natural masculine contour, excision is also required. Incision patterns differ based on the circumstances and the surgeon’s preference.

Liposuction and excision procedures combined

Liposuction and excision are sometimes used to treat gynecomastia.

Source: https://plastytalk.com/complete-guide-gynecomastia-enlarged-male-breast-singapore/

What could I expect during my recovery from gynecomastia surgery?

Dressings or bandages will be placed to your incisions during your gynecomastia surgery recovery period, and an elastic bandage or support garment may be used to reduce swelling and support your new chest contour while it heals. A short, thin tube can be inserted beneath the skin to drain any extra blood or fluid that has accumulated.

Specific instructions will be given to you, including how to care for the surgical site and drains, medications to apply or take orally to aid healing and reduce the risk of infection, specific concerns to look for at the surgical site or in your general health, and when to see your plastic surgeon again. Make sure you ask your plastic surgeon specific questions about what to expect throughout your recovery time.

At-home recovery from gynecomastia surgery

Seek medical help right away if you have shortness of breath, chest discomfort, or an odd heartbeat. If any of these problems arise, you may need to be admitted to the hospital and receive extra treatment.

Following your doctor’s recommendations is critical to your surgery’s success. During the healing process, it is critical that the surgical incisions are not subjected to excessive stress, swelling, abrasion, or motion. Your doctor will provide you with detailed advice on how to take care of yourself.

Comforting post-surgery support: Wearing compression garments after surgery will help you recover faster and with improved results. A medical abdominal binder is an excellent post surgery garment. Abdominal binders help your body heal to its new shape, reduce swelling, and improve blood circulation. Great as a gynecomastia compression shirts for men, or surgical abdominal binder.

Diet management

Diet has a crucial function in the healing process. Patients can immediately follow an easy-to-follow diet following gynecomastia surgery by sticking to clear drinks and gradually transitioning to solid foods. Patients should drink plenty of water, and if they find it difficult to do so, they can supplement with fruit juice or soft drinks to avoid dehydration. Alcohol is also prohibited for at least 72 hours before to and after the gynecomastia surgery. To hasten your healing, avoid smoking.

Exercise

When it comes to resuming exercise following gynecomastia surgery, it’s critical to start cautiously. Following their operation, many men have chest tightness. It’s possible that this is due to the sewing of incisions. Walking is the best method to get back into a training habit. Patients are free to walk in a relaxed (not brisk) manner as soon as they feel comfortable following surgery. At start, a slow to moderate speed can be maintained for 15 to 30 minutes per day, and this can be done every day for the first two weeks of rehabilitation. If walking causes pain, the exercise should be stopped for the day. Also, the compression garment that was put after surgery should be worn when walking.

Patients can resume exercising after walking by stretching and doing callisthenics like leg lifts and arm lifts. Slow, gentle movements of the arms overhead and bending forward at the waist, as well as side to side, are examples of stretching. Leg lifts are performed with one arm stretched straight up and the other supporting the body while lying on the side. For thirty seconds, lift one leg 3 to 6 inches off the ground and keep it there. Rep on the other side. Arm lifts are performed with 3- to 5-pound weights in a seated position, with the hands lifted perpendicular to the body.

FAQs

When should you have gynecomastia surgery?

The average age for surgery is 18 years, however in some circumstances, patients might have surgery at a younger age.

When it comes to gynecomastia surgery, what is the success rate?

Gynecomastia surgery has a long-term effect. Taking care of oneself through food and exercise will assist to maintain the gains made.

How long will the procedure take?

The operation typically takes 45 minutes to an hour, and after you are comfortable, we will discharge you the same day.

Is it necessary for me to stay in the hospital?

It is a day-care operation, so there is no need to remain overnight. Within a few hours of the procedure, you can return to your house and spend the night peacefully.