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Dimples creation Surgery/ Dimpleplasty is a type of plastic surgery used to create dimples on the cheeks. Dimples are the indentations that occur when some people smile. They’re most often located on the bottoms of the cheeks. Not everyone is born with this facial trait. In some people, dimples are naturally occurring due to defect in smiling muscle. Dimples are perceived as a sign of beauty.

How dimples are formed ?
Dimples are formed because of the defect in the smiling muscle called as Zygomaticus Major. A very small part of this muscle is attached to skin. So whenever a person smiles the skin lying over this defect gets wedged into it, in the connective tissue, creating dimples in the cheeks which is perceived as a beautiful features on one's face.

Procedure of Dimple Creation
1.Before the surgery the doctors mark the position of the dimple based on patients on where the patient wants the dimple. The doctor also guides the patient regarding the position of dimples.
2.This surgery is performed under local anaesthesia .
3.Doctors perform this surgery from inside the mouth (inside of cheek) in order ensure there are no scars on the face.A small cut of 3-4mm is made inside the cheek area.
4.After making this incision, depending on where you want the dimple, a suture is passed through. This connects your skin to the underlying muscle, creating the dimple. You can see the dimple immediately.

Static and Dynamic Dimple
This type of dimple is called as static dimple.These dimples do not change in position or depth with animation. They remain like a sore thumb even when the person has no expression. As an absorbable stitch is used used during surgery, gradually the skin will, however, flatten out when the stitch is absorbed. The internal scarring —which takes place — will connect the muscle to the skin, creating a dimple which becomes prominent when one smiles and the static dimple will convert into dynamic dimples after two months .

Dimple creation surgery is a daycare procedure. It only takes 30 minutes, and you can go home soon after surgery. You are fit to resume your daily activities from the next day itself.

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A video from Harvard medical school showing Paracentesis

a complete discription of the instruments used in laparacopic surgeries and there function

4D Ultrasound 23 Weeks

With an Ophthalmoscope, light is shone into the eye and the retina and the optic nerve is examined. This is called as Examination of the Fundus. This is what the eye-doctor sees when he peeps into your eye! Through the transparent cornea, into the dark interior. The Fundus Exam When he looks into the eye with the Ophthalmoscope, he sees a orange glowing interior. That is the retina. The retina is actually transparent. It appears bright because of blood vessels in the choroid layer below. It is like looking at your ear against the bright sunlight. The yellow circle is the Optic Nerve, the cable of vision! A red, shiny dot attracts attention. That is the macula. If indicated, the exam of periphery of the retina is done with an Indirect ophthalmoscope. The ophthalmologist wears this instrument on the head and focuses the light into the eye with a lens held in his hand. This is usually done in a dark room.

Bone marrow examination refers to the pathologic analysis of samples of bone marrow obtained by bone marrow biopsy (often called a trephine biopsy) and bone marrow aspiration. Bone marrow examination is used in the diagnosis of a number of conditions, including leukemia, multiple myeloma, anemia, and pancytopenia. The bone marrow produces the cellular elements of the blood, including platelets, red blood cells and white blood cells. While much information can be gleaned by testing the blood itself (drawn from a vein by phlebotomy), it is sometimes necessary to examine the source of the blood cells in the bone marrow to obtain more information on hematopoiesis; this is the role of bone marrow aspiration and biopsy.

Simple trapeziectomy performed through the anterior approach for osteoarthritis of the thumb-base (trapezio-metacarpal joint). Performed at the Queen Victoria Hospital, East Grinstead.

A video from Loyola medical school, Chicago showing full neonatal medical examination Part 1

Lichtenstein mesh repair of hernia