Growth of cosmetic_surgery

Dr. Vijay SharmaDr. Vijay SharmaPresidentPresident

Federation of Restorative & Cosmetic SurgeryFederation of Restorative & Cosmetic SurgeryIndian Association of Cosmetic SurgeryIndian Association of Cosmetic Surgery

GROWTH OF GROWTH OF COSMETIC SURGERY IN INDIACOSMETIC SURGERY IN INDIA

GROWTH OF COSMETIC SURGERY IN INDIA

Between Year 1987 to 2004

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Cosmetic surgery is not exactly a 20th century vanity. Although many of its innovations are the product of only the last two decades, as a field of medical practice cosmetic surgery dates far, far back – to the times of the Indian surgical wiz, Sushruta, in fact. That’s the fifth century B.C. and the Sushrut Samhita tells how he used a flap of skin from the cheek and forehead to restructure a nose lost through accident or punishment.

What’s new about cosmetic surgery is, its current popular image. No longer are nose jobs and tummy tucks a preserve of the affluent set or the glamour professions. Today, not just movie stars and top-drawer models, but also company executives, housewives and college students see the aesthetic ideal as one worth pursuing without apology or guilt.

In India, the process has been nudged along by several specific social trends. A totally different kind of impetus has come from the promise and possibilities held out by the burgeoning glamour industry. Thus, the series of Indian triumphs on the international beauty stage in recent years has proved to be a major fillip as thousands of want to-be queens look to cosmetic surgeons to create for them those ‘winning’ looks and figures!

World History of Cosmetic Surgery

The first medical paper on cosmetic surgery was published in 1906 by Miller, an American surgeon. It described the “excision of bag-like folds of skin from the region about the eyes”. Miller also published another paper which carried the first photograph showing the line of surgical incision.

In 1911, Kolle, another American surgeon, wrote a book titled, “Plastic and Cosmetic Surgery”, incorporating descriptive procedures.

In 1919, Bonguet, an ophthalmologist, described the small crescentric or angular type of incisions used in blepharoplasty.

In the same year, Passot published a paper describing the various types of excisions and incisions used in the removal of specific areas of skin excess.

In 1920, the surgeon, Bettmen, also presented a paper on the facelift procedure, including “before” and “after” photographs of a patient who had been operated upon.

In 1926, Hunt and Noel published books on cosmetic surgery in which Noel emphasized the psychological aspects of cosmetic surgery.

Operations to correct nasal deformities had become more quickly accepted because many of these deformities were associated with functional problems, such as difficulty in breathing, which called for correction for health reasons.

In 1932, the German surgeon, Hollander, described the face-lift surgery that he had performed in 1901. In contrast to the earlier practice of excising isolated pieces of skin, Hollander claimed his technique was the first to use what has now become the classic “around-and-under-and-above-the-ears” incision that ‘lifts’ virtually the entire facial skin off its base!

Meanwhile, other surgeons were performing remarkable transformations with World War soldiers who had been facially disfigured. The War, in fact, marked a turning point in this field: ‘reconstructive’ surgery was leading inevitably to what we all know today as ‘aesthetic’ surgery for almost 40 years i.e. 1932 to 1973.

In 1973, Rees and Woodsmith reviewed the history of cosmetic surgery in considerable detail.

In 1979, Anthony Erian of England opted to practice aesthetic surgery as an independent and exclusive speciality. He is a master of rhinoplasty; and he used a revolutionary laser technique for his face-lifts. During the same era, Ziya Sylan of Germany, Bhangoo, Melvin Shiffman, Julius Newman of the U.S., Katsuya Takasu, Tetsuo Shu of Japan, Julio Ferrarro of Argentina, Pierre Fournier of France, Georgio Fischer of Italy, Eduardo Kurlig of Venezuela, Cao Min Zing of China also opted to specialise practice exclusively in cosmetic surgery.

History of Cosmetic Surgery in IndiaMany Plastic Surgeons were carrying out Cosmetic Surgery procedure

as a part of their practice but as an independent specialty, the first Cosmetic Surgery Center of India was founded in Bombay on 4th November 1987 by author Vijay Sharma as a speciality clinic. Currently, it continues to offer only aesthetic surgery procedures, including the face-lift, eyelid surgery, nasal surgery, facial contouring, ear correction, double-chin correction, liposuction, lipectomy, breast implants, breast uplift, breast reduction, Chemical Peeling, botox injections and several more

In 1997, the Center also started advance computer simulation software and Sculptography, which uses a Plaster of Paris cast to obtain a mould that provides a three-dimensional view of a patient’s face; this helps the patient get more involved at the future planning stage of the surgery. In Year 2000 a book “Changing Faces” first ever for public on Cosmetic Surgery in India given by author, second book on Cosmetic Surgery in Hindi for layman “Saundarya” in the Year 2002 and Hyperaesthetic Tension in year 2003

Worldwide, cosmetic surgery constitutes about 20 to 70 per cent of the practice of renowned plastic surgeons. India is no exception, and in terms of aesthetic sense Indian surgeons are at par with those anywhere else in the world. On the basis of 15 years of a thriving independent practice, I can confidently state that the time is overdue for young Indian surgeons to opt for cosmetic surgery as an independent specialty.

Common Cosmetic Surgery done in India

• Rhinoplasty• Face Lift• Breast Implant• Liposuction• Scar Revision• Chemical Peel• Eyelid Surgery• Gynacomastea

• Tatto Removal• Face Balancing• Chin Balancing• Hair Transplantation• Dermabrassion• Auto Fatgrafting• Botox Injections• Laser Surgery

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Cosmetic Surgeries During the Year 1987 to 1990

100 % 1987

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104.56 % 1988

130.23 % 1989 141.66 % 1990


156.56 % 1991

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168.64 % 1992

196.36 % 1993 232.83 % 1994


280.54 % 1995

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335.20 % 1996

386.40 % 1997 421.38 % 1998


483.56 % 1999

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513.73 % 2000

593.50 % 2001 628.16 % 2002

Cosmetic Surgeries During the Year 2003 to 2006 Marchw

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647.36 % 2003 672.15 % 2004

732.45 % 2005 782.24 % 2006

Responsible Factors

In India we observe that the attitude towards the cosmetic surgery depends on the several factors as follows:

1. Life style2. Awareness3. Socioeconomic

status4. Professional need 5. Phases of the life6. Important events7. Self Image8. Availability9. Globalization

1. LIFE-STYLE: People of India, who are aware about how to earn and how to invest money and get the best out of life. In other words, those who know how to balance the disciplines of life and progress, are the major group who opts for cosmetic surgery.

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2. AWARENESS: Awareness among the Indians and availability of cosmetic surgery goes hand in hand. The author has experienced, when he immigrated from England not many people knew about cosmetic surgery, but with the beginning of first cosmetic surgery centre of India, people started opting for facelift, nose shaping, breast augmentation, liposuction, chemical peel and till now we have observed a 600 folds growth in the cosmetic surgery between 1987 and 2004.

After every After every Radio talk, TV Radio talk, TV shows, magazine write-up,shows, magazine write-up, launching launching book book or or new web-sitenew web-site, , author experiences there is an up author experiences there is an up rise in the number of enquires from rise in the number of enquires from so-called "so-called "hidden potential hidden potential clienteleclientele" is a good observation " is a good observation landmark about awareness among landmark about awareness among Indians.Indians. www.changinglooks.com

3. SOCIO ECONOMIC STATUS: Though India is a developing country with mixed economy but she has many maharajas & inherited rich monarchs, century old traders, entrepreneurs and modern people. So the socio economic status varies a lot and has a large range of people with a varying paying capability for cosmetic surgery, but still the cost of Cosmetic Surgery in India is less than one third of international price. Enough reason to attract people for medical tourism in India.

4. PROFESSIONAL-NEED: In India the effect of globalization has motivated Indian people to be more presentable specially at international business convention, meeting and the beautiful Indian women winning successively four Miss World and two Miss Universe crowns has boosted the women of India to be more presentable and to opt for cosmetic surgery.

Miss Universe and Miss World

5. PHASES-OF-LIFE: In India the majority of people love being in the joint family. Hence the common reasons for cosmetic surgery are as follows;

3. After marriage husband bringing his wife for a pair of breast implants, either due to the hidden desire to have a better breast, which she could not express to her parents or post multiple deliveries sagginess of the breast.

1. Grandfather going for a face lift before his retirement to have a second boost of life,

2. Young girl correcting her humpy nose before joining college accompanied by her parents,

6. IMPORTANT-EVENTS: The phenomenon is noticed by author among Indians to get the cosmetic surgery done is enhanced around special events like birthdays, anniversaries, Diwali, Christmas, Eid, children holidays, national holidays or summer and winter holidays.

• Birthday, • Anniversary,• Diwali,• Christmas, • Eid,• Holidays• Completing Decade,• Beginning of the Millennium

7. SELF IMAGE: Indians are very conscious about themselves, to maintain their physical, mental and spiritual well-being. Hence you will find yoga, asanas, massage, meditation and other traditional practices run in the family besides health Spa’s. Indian film industry is a land of Superstars, so thousands of actors and actresses exist in Bollywood, who love their self Image and opt for cosmetic surgery and become an epitome of "good looks" to be followed by common man.

8. AVAILABILITY: Since 1987 Cosmetic Surgery Center of India, is providing world class services as follows:

• Everything ‘To Improve Appearance & Revert the Signs of Ageing

• Recapture Your Youthful Image by..“Face Lift” “Nose Shaping” “Cheek Implants”“Ear Shaping” “Breast Shaping” “Chin Correction” “Wrinkle Protofiling” “Hair Transplant” “Chemical Peeling”“Auto Fat Grafting”“Fat Suction”“Botox Injection”

9. GLOBALIZATION :

India has come up on the world map as premiere to provide quality medical care and finest doctors in the world.

A . People from 137 countries, they visit India to get more than 10,870 varieties of medical treatments.

B . India is the most economic and reliable when it comes to the advance medical procedures like.

. Cardiac bypass . Organ transplant . Cosmetic Surgery . Various Surgical Procedures . Medical Treatments . Health Checkups

C . 40 % of the National health services of USA and UK comprises the doctors of Indian origin trained in Indian medical colleges, who are serving the people of America and England.

D . 68 % of the quality medical care provided in India are the doctors who have been trained in England, America, Germany and France.

E . Medical community in India is very aggressive in seeking knowledge and are at par with the rest of the advance countries and in some fields even better than the advance countries.

F . Potentially India has now the infrastructure in many of Metro city private hospitals to provide quality medical care in rest of the world.

GOLDEN RULES OF BEAUTY by Dr. Vijay SharmaThere are certain facial shapes that are considered attractive. The oval face is considered the most beautiful for a woman in contrast to round, square box type or triangular faces. High cheekbones and wide-open eyes are also considered beautiful.

Looking at it from a strictly medical cosmetic point of view with these findings make perfect sense.

The oval face leads the feminine grace and ensures that the unfeminine parts like firm jaw line do not exist. It signifies in essence a feminine bone structure. High cheekbones mean the individual is more resistant to facial wrinkles, similarly for wide-open eyes.

1. Oval or egg shape face is always counted better than square, boxoid, triangular, round or circular faces.

2. The length of the nose and face above & below the nose should be almost equal to each other.

3. Bright, bigger eyes with high cheek bones spreaded over not more than one third total length of face gives immediate acceptance.

GOLDEN RULES OF BEAUTY by Dr. Vijay Sharma

4. Side profile, if you draw a line it should touch forehead, upper lip, lower lip and chin all together.

5. Angle of the nose in contrast to the face should be roughly around 30 degree and is counted as the best, but between 25 to 40 is also like compromise.

6. Convex faces are better than the Concave faces.


7. IMAGINARY TRIANGULAR TESTThe outer most portion of left and right eyebrows and the center most point of the lower lip, In this imaginary triangle unity of all the organs should be perfect like

The space between both the eyes should be equivalent to the size of the eye. (Factor X) Yellow line.

Width of the nose and width of the mouth should have a ratio 3:5 (Blue & Yellow line)

The opening of the mouth should not be larger than one and half time of factor X.

Factor X

Factor X


8. The thickness and the volume of the upper lip verses lower lip should be 70 / 100 in other words the upper lip should not be more than 70% of the volume of the lower lip.

GOLDEN RULES OF BEAUTYby Dr. Vijay Sharma

9. The length of the body and the length of the legs should be either equivalent or the legs should be longer than the body, longer the legs is noted more beautiful, when folded knee should come up to the shoulder and ankle should touch the bottom. GOLDEN RULES OF BEAUTY by Dr. Vijay Sharma

10. Projection of breast and projection of buttocks from central median line of the side profile should be absolutely balance.

11. Breast should not project more than the nose while standing posture.


Nose Shaping

Before After Before After

Nose Shaping


Cheek & Chin Implants


Face Balancing


Breast Shaping


Breast Shaping


Fat Suction


Fat Suction


Fat Suction


Fat Suction of Chin

Before After

CONCLUSION

The social need of looking good among Indians exist irrespective of race, cast, colour, geographical distribution or socio economic status as else anywhere in the world. There is an up rise in the number of people of India getting cosmetic surgery done by 600 folds.

Between Year 1987 to 2004

Definitely there is more emphasis upon youth, beauty and success among modern Indians as anywhere else in the world.

The media plays a great role about awareness of cosmetic surgery and Indian media is very aggressive about highlighting anything about cosmetic surgery.

The current growth of 600 folds in Cosmetic Surgery in India between year 1987 to 2004 is all due to the above mentioned factors.

COSMETIC SURGERY CENTER OF INDIA

Vishal Mandir Plot No.350 6th Road Off Linking, Road Khar (W) Mumbai-400052. INDIA Tel.: +91-22-26491022 / +91-22-26044543 Fax: +91-22-26041353 Mobile: 9869006534

www.changinglooks.com Email: [email protected]

Brief Introduction of Maharashtraratna

Dr. Vijay Sharma, M.B.B.S, M.S. Cosmetic Surgeon

• Best Aesthetic Doctor in Asia – 2000, Tokyo, Japan

• World Leader of Cosmetic Surgery in India 2001 Berlin, Germany

• Fellowship of Australian College of Cosmetic Surgery, 2002

• President – Indian Association of Cosmetic Surgery

• President – Federation of Restorative And Cosmetic Surgery

• Among the Top Ten Cosmetic Surgeon of The World, 2003, (NBSAS)

• Professor and Board Examiner of International Board of Cosmetic Surgery

• Eminent Personalities of India by International Biographical Research Foundation

• Eminent Author – International Journal of Cosmetic Surgery & Aesthetic Dermatology

• Author of books, Changing Faces, Saundarya, USSA , Hype aesthetic tension

• Record Holder in Limca Book of World Records for highest Cosmetic Surgeries, 2003

• Holder of Limca Book of World Records for First Human Fat Tissue Bank,2003

Thank YouDr. Vijay Sharma, M.D.Mumbai, INDIA w

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Health & Medicine

Growth of cosmetic_surgery