India’s expertise in cosmetic surgery is attracting people from foreign shores for cosmetic surgery. Galloping on its booming economy, the changing face of India is also changing the face and the figure of the world. With a yearly growth of about 7 per cent worldwide, cosmetic surgery is the new magnet for the increasing medical tourism in India. And surgeons and hospitals are turning to various promotional strategies abroad to bring in the money. Cost effectiveness and good quality care are attracting people from these countries. The cost of getting cosmetic surgery in India is much lower than US; other countries that are increasingly looking towards India for facelifts and liposuctions are Canada and Australia. Cosmetic surgery has become more of a necessity than a luxury; Insecurity in marital relations is pushing people towards attempting to look good and young. But cosmetic surgeons and hospitals in India are not relying on rock-bottom costs alone to get in patients. Earlier people would come to India for a holiday and then discover cosmetic surgery. Now they come with the intention of getting cosmetic surgery done and couple that with sightseeing. What is Microvascular Surgery? Microvascular surgery is the transfer of skin, muscle or bone that is totally freed from the body with the artery and vein to a site needing reconstruction. Blood supply is re-established immediately by suturing the artery and vein to a nearby blood supply. This surgery is performed through the use of a microscope, specialized instruments and tiny needles with ultra fine sutures. Using these techniques, three to five millimeter vessels can also be sutured. What are the different techniques of Microvascular Surgery? Rule of Thumb: ·Excellent manual dexterity on the part of microvascular surgeon is critical, as the technique must be performed accurately. ·The blood vessel should be constantly irrigated at 37 degree centigrade with normal saline or Ringer’s solution to prevent thrombosis and spasm of the blood vessel. ·Tension or redundancy in the length of the blood vessel should be avoided to prevent kinking or twisting. ·Align all the layers of blood vessel wall as accurately as possible. ·The sutures must be placed carefully in a symmetrical manner with knots lying flat and apply just the right amount of tension. ·Ensure that fine suture material and tiny needles are used. Different Techniques used for Microvascular Surgery: All the Microvascular Surgery techniques are performed under high magnification using a microscope to ensure accuracy and absolute attention to detail. ·End-To-Side Anastomosis using continuous or interrupted suture technique – This technique of microvascular surgery is utilized when an anastomosis is created between blood vessels whose lumen size does not match. ·End-To-End Anastomosis – This method of microvascular surgery is used very commonly for arterial as well as venous anastomosis. Part of the outer lining of the blood vessel wall is stripped off so that it does not get caught during suturing. The vessels to be anastomosed [...]