There are various factors that bother a person about their nose and unfortunately if something does bother a person then that is all they see every time they look in to a mirror. One may feel that the nose is too proud in height, length or width or too short. There may be issues with the appearance of the tip of the nose. The nose take centre stage on the face and if the contours are not appropriate it does not blend with the rest of the face.
There are various procedures that can be done to help improve the appearance of the nose. These can range from minor adjustments to major reconstructions of the nose. Changes to the nose should be targeted to the areas of concern of the patient. Appearance of the nose is relative to the rest of the face and the forehead and chin areas need to assessed to determine if they are too large, under or over projected. For instance, a under projected chin can make the nose appear very prominent or a broad forehead can make the nose look short.
Mr Mahajan carries out a detailed examination of the nose in relation to the rest of the face to determine the appropriate intervention for the best possible outcome. Necessary changes and the means to achieve them are then discussed in detail with the patient. However, it is very important to understand that noses are individual and it is not possible to have someone else’s nose. Instead, changes can be made to your nose to make it look as good as possible. If your expectations are realistic, you will always be happy, if not, you will always be unhappy irrespective of how good a job your surgeon might have done!
This procedure is often combined with chin lift, eyelids lift, brow lift or fat transfer to areas in the face or Botox and fillers to help achieve a global rejuvenation of the face.
WHO IS RHINOPLASTY FOR?
- Ladies or gents with prominent or under projected dorsum
- Ladies or gents who feel that their nose is too wide
- Ladies or gents with bulbous or large nasal tips
- Ladies or gents with upturned or droopy tip of the nose.
WHAT DOES A RHINOPLASTY ACHIEVE?
- Reduce or enhance the dorsum of the nose by taking away or adding cartilage
- Narrow the nose by moving the bones.
- Improve appearance of the tip by tip refining techniques
RHINOPLASTY TECHNIQUES
- Non-surgical Rhinoplasty
- Closed Rhinoplasty
- Open Rhinoplasty
- Septo-Rhinoplasty
RHINOPLASTY NEED-TO-KNOW INFO
- Duration of surgery: About 2 to 3 hours
- Anaesthesia: General Anaesthetic
- Duration of inpatient stay: 1 night
- Wounds healed in: 1 week
- Inside bones healed in 3 weeks, and consolidated in 6 weeks.
- Scars matured in: Settle in 3 to 6 months, fully matured in 12 to 18 months
- Back to light work (Desk job): 1 – 2 weeks
- Back to cardiac exercise / fast walking: 2 to 3 weeks
- Avoid blowing your nose for 2 weeks.
- Back to labour intensive work / Exercise: 6 to 8 weeks
- Sexual activity: 6 to 8 weeks
- Able to drive: 2 weeks (Should be able to apply emergency stop)
- ‘Long haul’ flights / holidays: Avoid four weeks before and after. Avoid short flights for a week.
- Shower / bath: Keep dressing dry for one week but pamper yourself with a sponge bath.
- Sun bathe: Keep the scars covered or protected with a high factor sun protection cream until they mature in about a year or so.
- Garments: Protective nose splint for 1 week
- Post-operative review: 1 weeks, 3 months (As often as necessary if clinically indicated)
- Post-Operative pain / discomfort: 2 to 5 days
- Potential risks: (Every effort is made to reduce the risk of complications, but potential risks are) bleeding, bruising / black eyes, infection, wound dehiscence, scarring (hypertrophic / stretched /sensitive / alar notching), asymmetry, under correction, over correction, numbness of upper teeth / tip, open roof, tip swelling, airway obstruction, altered sense of smell / voice, risks associated with general anaesthetic, blood clots in legs or lungs and unfavourable outcome.
“After researching extensively online, I decided I would like Mr Mahajan to perform my rhinoplasty surgery. The initial consultation reassured me of my decision, Mr Mahajan was very honest and realistic about the procedure and its outcomes, and I felt I could put my complete trust in him.
“Today marks one week since I had my open Rhinoplasty op and I can honestly say it has been one of the most positive experiences of my life. Not only thanks to the results I am finally starting to see, but thanks to the whole process in general.
Starting with consultation back in November, I immediately felt at ease thanks to Mr Mahajan, a very pleasant yet professional surgeon, who I knew straight away I would be able to trust with this life changing operation. Then on to my pre-op assessment two weeks previous, where I have to thank Maureen at Bupa, a wonderful nurse who again, settled any nerves and clarified any remaining queries I had about the day of the op.
When I arrived on operation day, I spent the first few hours being greeted by numerous fantastic healthcare professionals who helped me with my preparation and again ensured a nerve-free, worry-less wait, which seemed to be over with instantly (Another special thanks to Kerri who is a credit to the team).
Even the team who helped with the Anaesthetist were all amazing, one minute I was talking to them about which languages I could speak and they were answering any questions I had about their jobs and the next I was waking up in recovery not really believing it was over already!
The recovery was nowhere near as painful as I imagined, aided by the fact that the staff were always there to assist in the case of any discomfort. Similarly, when I arrived home, even though I didn’t experience any real pain as much (rather a feeling of having a layer of superglue over my face which got smaller as the days went on) , I had been reminded that any problems whatsoever, I could contact the hospital for their support.
Last night I went to get my bandages off and yet whilst still experiencing some bruising, I can already say that I’m genuinely over the moon. I never doubted Mr Mahajan but the result is far better than I could have imagined, so again, I owe him the biggest thank you for changing my life for the better.”
Mr Mahajan will acquire a detailed history from you about your concerns and your medical history. He will take the time to understand your desires and discuss in detail as to how he can achieve the results you want. A detailed examination involving assessment of the nose and facial contours, overlying skin and underlying bones and cartilage will be noted. Measurements will be taken as necessary to gauge the degree of the problem.
Depending on your examination a treatment plan will be formulated tailored to your needs. Depending on the characteristics of your face, Mr Mahajan will discuss surgical options with you. You will together be able to decide the procedures that will be used to achieve your desired results. There is limit as to how much things can be altered depending on your underlying skeletal structure, this will be assessed and explained to you.
Mr Mahajan usually carries out an open tip rhinoplasty procedure to help address the structure of the nose and make the necessary amendments to produce the desired results. Pattern of the incisions, procedure and subsequent scars will be discussed in detail and you will be given an opportunity to probe into any aspect of the proposed procedure. Once you decide to go ahead following the consultation, you will be required to attend the pre-assessment clinic to ensure your suitability for the procedure under general anaesthetic. You will need to stop smoking (including electronic cigarettes and nicotine patches) and stop any anticoagulant medication such as Aspirin, Warfarin, etc as suggested by Mr Mahajan.
You will be admitted to the hospital on the day of the procedure. The operation will be done under general anaesthesia. It will be carried out according to the technique that was planned at the consultation. This will depend on the characteristics of your nose and will involve using the approach discussed before.
Mr Mahajan does an open tip rhinoplasty procedure that involves making the incision inside both nostrils and connecting between the nostrils on the outside over the columella. He then uses the component separation technique that involves dissecting out the cartilages and addressing them individually rather than carrying out an en bloc resection that does not give desirable results as will be discussed with you prior to the procedure. The dorsum of the nose is then addressed as necessary. If a bony cartilaginous hump has been excised, this may result in an ‘open roof deformity’ which would need to be addressed by fracturing the bones and moving them together to narrow the nose. Mr Mahajan prefers to carry out the fractures through an external approach which would mean very small (2mm) incisions on either side of the upper part of the nose. The subsequent scars usually settle down very well and are hardly visible in the long term. The tip is then refined by reducing / adding cartilage and placing various tip refining sutures as necessary to produce the desired tip. All wounds will be closed with fine absorbable sutures in the end. A pack will be placed in the nasal cavity to help reduce the swelling. This will be removed the following morning before discharging the patient from the hospital. An external protective splint dressing will be applied on the outside. This will need to stay for a week until you see Mr Mahajan again in the clinic.
The procedure can take about 2 – 3 hours to do depending on the complexity of the case. Mr Mahajan will dedicate as much time as is necessary to create your new aesthetically pleasing form and achieve the results you desire.
Following your procedure, you will be taken to your room, once you have recovered from the anaesthetic. You will be cared for to the highest standards by our well-trained nurses. You will need to rest in bed with the back propped up to minimize swelling and bruising. Once you have recovered enough after the surgery, you will be encouraged to sit out of the bed and mobilise to reduce the risks of blood clots in your legs or lungs. You will have some pain and discomfort for 2 to 5 days, but we will ensure that you are comfortable with adequate analgesia.
You can go home as soon as you are comfortable enough to go home. This is usually the following day after removal of your nasal packs. You will have absorbable sutures which will not have to have to be removed. Scars are unavoidable following any surgery, but Mr Mahajan aims to make these as neat as possible. Your nose will be swollen immediately following the surgery. Over the next few months the swelling will gradually go down and the contour of the nose will improve. Swelling of the nasal tip subsides more gradually and can take up to a year to fully subside.
You will be seen 1 week following the procedure to ensure that your wounds have healed well. After this initial follow up, you will be seen again in 3 months’ time to assess the results when the swelling has settled reasonably. Mr Mahajan will be available to see you at any time following the procedure should there be any unexpected problem.
Is Rhinoplasty for me?
If there a features to your nose that you don’t find appealing and are appreciated by your surgeon, then rhinoplasty may be for you. Sometimes patients come with an imaginary problem, when they have very good features to their nose. You need to have an issue that surgery can address, if not, then surgery is not for you. Most importantly, expectations need to be realistic. If they are then you will always be happy with the outcome, if they are not and if you are looking for millimetre perfection, then you may never be happy even if the surgeon has done an excellent job.
What is the most important consideration prior to deciding to have a rhinoplasty procedure?
Rhinoplasty involves permanent changes to your nose that can be difficult to reverse as bone and cartilage may be trimmed away to shape your nose. Although this can be replaced, revision rhinoplasties can be complex procedures and has every risk of making matters worse. Ideally one should aim for a once off procedure and hope to be happy with the results. It is important to understand that a patient cannot have someone else’s nose, but can have an improvement in the way their nose looks.
How do I know if my surgeon is qualified in the field of Plastic Surgery?
MB BS, MB BCh or MB ChB is the basic medical degree of any doctor. Your plastic ‘surgeon’ should at least be a ‘surgeon’. Doctors who receive adequate ‘basic’ surgical training in the UK are awarded Fellowship (FRCSI, FRCS, FRCS Ed, FRCS Gl – in the older generation of surgeons) or Membership (MRCS – in the younger generation of surgeons) of the Royal Colleges in the UK. Doctors or Surgeons, who believe in having a scientific foundation to their practice, spend further years doing research in their fields and are awarded Research degrees such as MSc, MMedSc, MPhil, MD or PhD. Surgeons who ‘train specifically in the field of Plastic surgery’ are awarded FRCS (Plast). These surgeons are then entitled to be on the “Specialist register for Plastic Surgery” with the General Medical Council (GMC).
How do I choose amongst the Plastic Surgeons who fit the above criteria?
‘Safe’ and ‘beautiful’ results are dependent on ‘experience’ and ‘expertise’ of your plastic surgeon. Mr Mahajan is a highly trained and experienced plastic surgeon who is a Consultant Plastic Surgeon at the Bradford Teaching Hospitals NHS Foundation Trust / Calderdale and Huddersfield NHS Foundation Trust and is the Director of the prestigious Plastic Surgery and Burns Research Unit (PSBRU) at the University of Bradford. He has worked in world-renowned centres for aesthetic surgery in Belgium, Sweden and Switzerland in addition to his training in the UK. He is a full member of the British Association of Plastic Surgeons (BAPRAS), British Association of Aesthetic Plastic Surgeons (BAAPS), European Association of Plastic Surgeons (EURAPS), UK Association of Aesthetic Surgeons (UKAAPS), Association of Breast Surgeons (ABS) and is on the Specialist register for plastic surgery with the General Medical Council (GMC). Surgeons are only awarded membership of these associations if they are properly qualified and it is a reassurance for you that you are in safe hands. In addition to this, it obviously helps if your surgeon has travelled the world to enhance his training in premier institutes to learn from leading surgeons in their fields. It also helps if your surgeon believes in practicing “evidence based medicine” by engaging in research activities to help establish a scientific background to his / her clinical practice.
Where will my surgery take place?
Your surgery will take place in ‘local’ reputed hospitals such as the Yorkshire Clinic or the Spire Elland Hospital, where you will be able to return to ‘anytime’ after the operation should there be any concerns.
Which procedure would suit me best – Open or closed rhinoplasty?
A closed rhinoplasty involves making the incisions for the procedure inside your nostrils with no scars on the outside. An open rhinoplasty involves connecting the inside incisions over the columella on the outside, leaving you with a small scar on the outside, on the narrow bridge of skin between the two nostrils. It is must easier to visualise and access the internal structure of your nose with an open rhinoplasty procedure and thereby be able to shape it better. For this reason, Mr Mahajan only performs open rhinoplasty procedures.
How much will the procedure cost?
Cost of a rhinoplasty can be about £4500 depending on what needs to be done. Mr Mahajan will discuss this with you when you meet him. You may find cheaper deals with firms that consider cosmetic procedures as a business, but may end up compromising on safety, quality and convenience. Although rhinoplasty may be considered as a cosmetic procedure, it is a plastic surgical ‘operation’ and you do need to appreciate this and consider it with all the seriousness that it deserves. Medical tourism has certainly made costs cheaper, but the very fact that you are boarding a long haul flight puts you at risk of blood clots in your legs or lungs that can be life threatening. There are obviously other matters to consider such as qualifications, experience and expertise of your surgeon / anaesthetist apart from the ability to see your surgeon again should there be a problem after you have flown back home.
Am I too old or too young to have a rhinoplasty procedure?
Patients have to be mature enough physically and mentally before one can consider doing a rhinoplasty procedure for them. Teenagers often have noses that look big for their face, but as they grow older and the rest of the face grows, this is not necessarily the case. However, teen years are very important part of life psychologically and this should be taken in to account in making any decisions. But surgery is best putt off until the patient has stopped growing, this is usually after 18 years of age. A psychological assessment is usually required for carrying out rhinoplasty procedure in the young patient.
On the other hand, a patient is usually not too old to have a rhinoplasty procedure done as far as they are in good health.
Is it possible to have a natural looking nose?
Mr Mahajan always aims to deliver as natural looking a nose as possible. This usually involves making necessary subtle changes to address the issues that bother the patient and not try to make the nose completely different. It is important that the nose suits the rest of the face. Also it is unnatural to overdo things such as ending up with an upturned, pinched and too narrow tip that screams of an operated look!
Can I have a revision rhinoplasty?
Mr Mahajan believes in getting it right the first time. He is reluctant to carry out revision rhinoplasties as more the number of procedures you have, higher the risk of an undesirable outcome (the Michael Jackson look!).
Can I have fillers and Botox instead of a surgical rhinoplasty?
Non-surgical rhinoplasty with the use of fillers has gained popularity over the recent years. Although this can be a good technique for some suitable patients who wish to avoid surgery, this is not a technique that suits everyone. There are obvious limitations that the patient needs to be aware of and can be discussed in person with Mr Mahajan at the appointment. As a general rule, injecting fillers adds volume to the nose and although it can help address irregularities, it will also make the nose slightly bigger. Some patients are concerned with the tip of the nose being pulled down when smiling. This is due to the action of the depressor nasi muscle which can be neutralised by injecting Botox in to it. Botox injections can also be used to avoid creasing of skin in the upper part of the nose.
Do I need to stop my medication?
If you are on the oral contraceptive pill, you will need to stop these 4 weeks before the procedure to reduce your risks of blood clots in legs or lungs. Also, you will need to stop any blood thinning drugs. Aspirin and Clopidogrel will need to be stopped a week prior to surgery. Warfarin, Dabigatran etexilate, Rivaroxaban and Apixaban need to be stopped 4 days prior to surgery. Mr Mahajan will discuss this with you in the pre-operative consultation.
Will I need to have a general anaesthetic?
Yes, you will need a general anaesthetic to undergo the procedure. It will take about 2 to 3 hours to do the operation for you. Your anaesthetist will be fully qualified and a member of the Royal college of Anaesthetists. He will ensure that you have a smooth anaesthetic procedure and are comfortable during your recovery.
Are there any risks?
Every effort is made to reduce the risk of complications, but potential risks are) bleeding, bruising / black eyes, infection, wound dehiscence, scarring (hypertrophic / stretched /sensitive / alar notching), asymmetry, under correction, over correction, numbness of upper teeth / tip, open roof, tip swelling, airway obstruction, altered sense of smell / voice, risks associated with general anaesthetic, blood clots in legs or lungs and unfavourable outcome.
What dressings will I have?
You will have a nasal pack to minimise immediate post-operative swelling. This will be removed the following morning. You will have a splint on your nose that will need to stay on for a week. It is not painful to remove either of these, but may be slightly uncomfortable.
How long will I have to stay in the hospital?
You will need to stay in hospital overnight. The following morning your nasal packs will be removed, and you will be discharged from hospital when you are comfortable enough to go home.
When will I be seen again after I am discharged from the hospital?
You will usually be seen by Mr Mahajan one week following your procedure to ensure that the wounds have healed well. At this stage non absorbable sutures in front of ear will be removed. The sutures behind your ear are absorbable and do not need to be removed, they will eventually dissolve. Following this initial review, you will be seen again in 3 months. However, if there are any concerns, you will be seen by Mr Mahajan as often as is necessary.
Is there anything that I need to look out for?
Although you will only be discharged from the hospital when Mr Mahajan is satisfied that you are doing well following your surgery, you do need to look out for sudden increase in swelling of the face, disproportionate pain, any signs of infection such as feeling unwell, temperature, redness around the scars, discharge or foul odour from the wounds. Sometimes you may bleed from your nostril or in to the back of your throat, if this does not stop, you need to be seen. One should also look out for any painful swelling of the calf or shortness of breath that might suggest a blood clot. If this happens, please contact us immediately.
What if I have a problem after I am discharged from the hospital?
You will be discharged from the hospital when it is safe enough to do so. However, in the event of any unexpected problems, you can contact us any time on 0800 246 5636.
What position can I sleep?
Immediately after the procedure, you will be most comfortable lying on your back with the back propped up at 45 degrees or so to minimise swelling in the face for the first few days. Cold compress over the eyes can also help reduce bruising in the first 48 hrs.
Will I need to wear any special garments?
You will have a splint on your nose following the procedure, This will need to stay on for a week, until Mr Mahajan sees you again in the clinic. Although the protective splint will be taken off in a week, you do need to be careful and protect your nose from any accidental bumps for about six weeks until the bones have had a chance to heal and consolidate.
Will I be in pain?
Patients do tend to have some pain and discomfort for the first 2 to 3 days, but you will be kept comfortable with adequate analgesia. It is advisable to take Paracetamol six hourly on a regular basis for the first 24 to 48 hours and then as necessary after that.
Will my nose be swollen, will I be bruised?
There will be some bruising especially of your lower eyelids. This will settle in 2 to 4 weeks, depending on the degree of bruising. It can usually be camouflaged in about 1 to 2 weeks’ time with makeup. Your nose will indeed be swollen immediately after the procedure. The swelling takes time to settle and it will be significantly less three months following the procedure. It continues to further settle gradually after. Tip swelling in particular can take up to a year to fully settle.
Do I need to massage my nose?
You will need to massage the scars once your wounds have healed in a week’s time. Massaging the nose towards the sides can help reduce swelling but this should only be done after 6 weeks to allow the bones to heal fully first.
When do my stitches come out?
Mr Mahajan tends to use absorbable sutures for rhinoplasty and these do not need to be removed, they will eventually dissolve. Removing sutures at the tip of the nose can be very sensitive and uncomfortable and hence it is more convenient to have absorbable sutures.
How long will it take for my wounds to heal?
It takes about one week for the wounds to heal up. After this you can start massaging the scars gently, but avoid massaging the nose firmly till after 6 weeks.
When can I shower or have a bath?
You should ideally wait for one week until your wounds are healed, and dressing are removed before you wet your face, but you can shower and bathe the rest of your body.
Where will my scars be?
In an open rhinoplasty procedure, the visible scars will be on the narrow bridge of skin between your nostrils and there will be tiny (2-3mm) scars on either side of the top of your nose. The other scars will be on the inside of your nostrils and will not be visible.
How long will it take for my scars to settle?
Scars are pink to start with, but over time they tend to become less prominent and fade. Scars tend to settle reasonably in 3 to 6 months. However, it takes about 12 to 18 months for scars to settle fully. Scars can at times be thickened (hypertrophic) especially in younger patients. This might require treatment with silicone creams or steroid injections.
When can I sun bathe?
It is always advisable to protect your skin in the sun. In particular, your new scars are susceptible to sun damage until they mature in about a years’ time or so. You should keep the scars covered or protected with a high factor sun protection cream until then.
What can I apply to my scars to help them settle better?
It is important to massage the scars once they are healed. This helps them settle better. Some patients claim that Bio oil helps scars settle better, but any moisturising cream should be good enough. If there is any indication of the scars becoming thicker, then silicone based creams should be considered.
Will the sensation in my nose be affected?
The sensation in the nose will be reduced immediately after the procedure. This is due to the undermining and elevation of the skin to carry out the procedure. Most of this usually recovers in about three months’ time. There may however be some permanent decrease in sensation.
When can I go back to work?
This depends on your job. If you have a desk job that does not involve lifting any things heavy, you can go back to work as soon as you are comfortable, and this could be in about two weeks or less. However, if you have a more demanding job, you will need to take a break for 4 to 6 weeks. This can vary widely between patients, as patients tend to cope variably. Also, if your job involves facing clients, then you might wish to wait for the swelling and bruising to settle. Patients are usually reasonably presentable in two weeks’ time and a bit of makeup helps!
When can I hit the gym again?
You will need to wait until your wounds have fully healed and you are comfortable to undertake any labour intensive work. This could take 6 to 8 weeks following your surgery. You could however return to light cardiac exercises sooner in about 2 to 3 weeks.
When can I drive?
You will need to wait until you are comfortable to do so. This might mean waiting till your wounds have healed and settled in two weeks’ time. You should be able to apply an emergency stop and it is a decision that you will have to make. You will also need to be able to freely turn your neck to look around you before you think that you are safe to drive.
When can I fly or go on holidays?
Holidays after surgery will do you good and give you time to recuperate. However, it is not advisable to go on long haul flights for 4 weeks after the procedure to reduce the risks of blood clots in your legs or lungs. Blood clots in your lungs can be life threatening and is a very compelling reason for you not to consider traveling across the globe in search of cheap deals. Short flights and travel by train or car, which does not involve prolonged periods of immobilisation, is not a problem although you should take precautions to wear flight socks, drink plenty of water and exercise your legs when travelling.
Although I am not in a rush, when can I have sex again?
You will need to wait until your wounds have fully healed and you are comfortable to engage in any sexual activity. This could take 6 to 8 weeks following your surgery.
When can I drink or smoke?
There is no issue with having a social drink after the procedure. However, patients do need to refrain from smoking completely for at least three weeks following the procedure. You would have had to stop smoking for eight to twelve weeks before the operation. Smoking tends to reduce the circulation of blood, which is vital for wound healing. This applies to nicotine patches or electronic cigarettes too. Considering that you would have stopped smoking for about 3 – 4 months around the date of your procedure, you should take this as an opportunity to stop smoking completely!
Book chapters:
Influence of rNAPc2 in the evolution of a burn wound: a promising therapeutic option for the management of burns.
Ajay L Mahajan
Presented to the National University of Ireland, Galway, 2006. Thesis of research work towards degree of Doctor of Medicine (MD)
Principles of free flap design and elevation
Phillip N Blondeel and Ajay L Mahajan
Operative Microsurgery, edited by Brian Boyd, MD and Neil Jones, MD. McGraw-Hill, New York, 2015.
Photography in Plastic Surgery
Ajay L Mahajan
Text Book of Plastic, Reconstructive & Aesthetic Surgery, edited by Karoon Agarwal, in Print
Original Articles
- The Trap Door flap for Conchal Reconstruction
J Lynch, A L Mahajan, P Regan
Br J Plast Surg. 2003 Oct; 56(7):709-11
- The free serratus anterior flap and its cutaneous component for face reconstruction: a
series of 27 cases
B Pittet, AL Mahajan, N Alizadeh, K Schlaudraff, N Faisal, D Montandon
Plast Reconstr Surg. 2006 Apr;117(4):1277-88.
- Progressive tissue injury in burns is reduced by rNAPc2
AL Mahajan, X Tenorio, KU Schlaudraff, MS Pepper, D Baetens, D Montandon, B
Pittet
Burns. 2006 Dec;32(8):957-63. Epub 2006 Aug 14.
- The free serratus anterior flap and its cutaneous component for face reconstruction: a
series of 27 cases
B Pittet, AL Mahajan, N Alizadeh, K Schlaudraff, N Faisal, D Montandon
Stomatol DDR. 2007 Marz;104.1:33-42 (Dual publication with permission from PRS)
- Early detection of flap failure using a new thermographic device
X Tenorio, AL Mahajan,, R Wettstein, Y Harder, M Pawlowsky, B Pittet
J Surg Res. 2009 Jan;151(1):15-21. Epub 2008 Apr 4.
- Optimising the arterialised venous flap
Pittet B, Quinodoz P, Alizadeh N, Schlaudraff K-U, Mahajan AL
Plast Reconstr Surg. 2008 Dec;122(6):1681-9.
- What should count as a “perforator flap”?
- Sinna, A. Boloorchi, A L Mahajan, Q. Qassemyar, M. Robbe
Plast Reconstr Surg. 2010 Dec;126(6):2258-63.
- Localizing Perforators vessels by Dynamic Infrared Imaging and Flow Doppler without
thermal cold challenge
X Tenorio, AL Mahajan, B Elias , J Schaepkens Van Riempst, R Wettstein, Y Harder, B Pittet
Ann Plast Surg. 2011 Aug;67(2):143-6.
- Maintaining Ear Aesthetics in Helical Rim Reconstruction.
Taylor JM, Rajan R, Dickson JK, Mahajan AL.
Ann Plast Surg. 2014 Mar;72(3):318-22
Ideas and Innovations
10. Why have Paper when you can have Silk?!
A L Mahajan, C L Riordan, P J Regan
Plast Reconstr Surg. 2003; 111(5):1759-1760
- Clinical Application Of Natural Tissue Expansion In The Face.
A L Mahajan, TWL Chapman
The Internet Journal of Plastic Surgery. 2007; 3 (1).
- Helix reconstruction with wedge resection in the right place
A L Mahajan
J Plast Reconstr Aesthet Surg. 2009 Jan;62(1):125-7. Epub 2008 May 23.
Case Reports, Correspondence and Published Abstracts
- Digital Imaging and its role in our day to day work
A L Mahajan, J Lynch, A J Hussey, J McCann, P Regan
Ir J Med Sci. Vol. 169, No.3 July/Aug/Sept 2000
- Vacuum Assisted Closure (VAC) therapy and its’ use in a Plastic Surgery Department
J Lynch, A J Hussey, A L Mahajan, JJ McCann, PJ Regan
Ir J Med Sci. Vol. 169, No.3 July/Aug/Sept 2000
- Lip Cancers in the West of Ireland
A L Mahajan, J Lynch, J McCann, P Regan
Ir J Med Sci. 2001 July/Aug/Sept 170(3) S: 18
- A Comparison of Hydrophilic Polyurethane and Alginate Dressings in the
Treatment of SSG Donor Sites
A J Hussey, A L Mahajan, JB Lynch, JJ McCann, PJ Regan
Ir J Med Sci. Vol. 170, No.3, July/Aug/Sept 2001
- The Trap Door flap for Conchal Reconstruction
J Lynch, A L Mahajan, PJ Regan
Ir J Med Sc. Vol. 170, No.3, July/Aug/Sept 2001
- Could your case of Necrotising fascitis be Pyoderma Gangrenosum?!
AL Mahajan, N Ajmal, J Barry, L Barnes, D Lawlor
Br J Plast Surg. 2005 Apr; 58(3):409-12.
- Dynamic Infrared Imaging in Reconstructive Surgery
Xavier Tenorio, Ajay Mahajan, Denys Montandon, Brigitte Pittet
Plast Reconstr Surg. 2005 Sept Vol. 116,No.3 supplement
- New therapeutic intervention with rNAPc2 curbs progression of the burn wound
AL Mahajan, X Tenorio, KU Schlaudraff, MS Pepper, D Baetens, D Montandon, B
Pittet
Ir J Med Sci. 2004 173(3) S1
- Dynamic Infrared Imaging : a new tool in flap perfusion monitoring
Xavier Tenorio, Ajay Mahajan, Marek Pawlowski, Brigitte Pittet
J Plast Reconstr Aesthet Surg. 2006;59(9): S5
- A novel use of vascularised free fibula graft as a bracket to stabilize severe cervico-
thoracic kyphosis associated with neurofibromatosis type 1
TWL Chapman, N. M. Harris, V Rachapalli, AL Mahajan, AR Fitton
Eur J Plast Surg 2007 Feb;29(6):299-301
- Lichtenberg figures – Cutaneous manifestations of Phone Electrocution
AL Mahajan, R Rajan, P J Regan
J Plast Reconstr Aesthet Surg. 2008;61(1):111-3. Epub 2007 Jul 30.
PRESENTATIONS
- Skin Cancer Triage Clinic – Twelve Month review in UCHG
J Lynch, A L Mahajan, A J Hussey, J McCann, P Marren, P Regan
Sylvester O’Halloran Meeting, Limerick, March 2000
(Poster Presentation)
- Skin Cancer Triage Clinic – Twelve Month review in UCHG
J Lynch, A L Mahajan, A J Hussey, J McCann, P Marren, P Regan
British Association of Plastic Surgeons Meeting, Birmingham, July 2000
- Digital Imaging and its role in our day to day work
A L Mahajan, J Lynch, A J Hussey, J McCann, P Regan
Sir Peter Freyer Millennium Meeting, Galway, September 2000
- Vacuum Assisted Closure (VAC) therapy and its’ use in a Plastic Surgery Department
J Lynch, A J Hussey, A L Mahajan, JJ McCann, PJ Regan
Sir Peter Freyer Millennium Meeting, Galway, September 2000
- A Comparison of Hydrophilic Polyurethane and Alginate Dressings in the
treatment of SSG Donor Sites
A J Hussey, A L Mahajan, JB Lynch, JJ McCann, PJ Regan
Scottish-Irish Plastic Surgeons Meeting, Belfast, October 2000
(Poster Presentation)
- Vacuum Assisted Closure (VAC) therapy and its’ use in a Plastic Surgery Department
J Lynch, A J Hussey, A L Mahajan, JJ McCann, PJ Regan
Scottish-Irish Plastic Surgeons Meeting, Belfast, October 2000
- First Aid in Burns
A L Mahajan (Instructional Presentation)
4th Annual Burns Symposium, Galway, January 2001
- Why have Paper when you can have Silk?!
A L Mahajan, P Regan
Irish Association of Plastic Surgeons Meeting, Galway, May 2001
- Digital Imaging and its role in our day to day work
A L Mahajan, J Lynch, A J Hussey, J McCann, P Regan
Irish Association of Plastic Surgeons Meeting, Galway, May 2001
- Digital Imaging – A diagnostic aid in Skin Cancer
A L Mahajan, J Lynch, A J Hussey, J McCann, P Marren, P Regan
British Association of Plastic Surgeons Meeting, Sterling, July 2001
- Digital Imaging – A diagnostic aid in Skin Cancer
A L Mahajan, J Lynch, A J Hussey, J McCann, P Marren, P Regan
British Association of Plastic Surgeons Meeting, Sterling, July 2001
(Poster Presentation)
- Lip Cancers in the West of Ireland
A L Mahajan, J Lynch, J McCann, P Regan
Sir Peter Freyer Meeting, Galway, September 2001
- The Trap Door flap for Conchal Reconstruction
J Lynch, A L Mahajan, P Regan
Sir Peter Freyer Meeting, Galway, September 2001
- A Comparison of Hydrophilic Polyurethane and Alginate Dressings in the
Treatment of SSG Donor Sites
A J Hussey, A L Mahajan, JB Lynch, JJ McCann, PJ Regan
Sir Peter Freyer Meeting, Galway, September 2001
- The Trap Door flap for Conchal Reconstruction
J Lynch, A L Mahajan, P Regan
Scottish-Irish Plastic Surgeons Meeting, Dundee, November 2001
- Management of Burns and Fluid Resuscitation
A L Mahajan (Instructional Presentation)
5th Annual Burns Symposium, Galway, April 2002
- Web Ferret – The efficient way to search the net
A L Mahajan, L Rynn, J McCann, P J Regan
Irish Association of Plastic Surgeons Meeting, Cork, May 2002
- Digital Imaging – A diagnostic aid in Skin Cancer
A L Mahajan, J Lynch, A J Hussey, J McCann, P Marren, P Regan
Sir Peter Freyer Meeting, Galway, September 2002
(Poster Presentation)
- Initial Review of Lasers in Treatment of Skin Lesions
A L Mahajan, K Murphy, A Grufferty, J McCann, P J Regan
Sir Peter Freyer Meeting, Galway, September 2002
(Poster Presentation)
- Burns – The Paediatric Patient
A L Mahajan (Instructional Presentation)
6th Annual Burns Symposium, Galway, February 2003
- Soft tissue infection & Necrotising fascitis in IVDA patients
A L Mahajan, J Kerr, D Lawlor, P Eadie
Irish Association of Plastic Surgeons Meeting, Galway, April 2003
- Experimental model to understand the mechanism of survival of arterialized-venous (AV) flap.
B Pittet, P Quinodoz, N Alizadeh, K-U Schlaudraff, A L Mahajan
7th European Conference of Scientists and Plastic surgeons, Geneva, September 2003
“Best Paper Prize”
- Experimental model to understand the mechanism of survival of arterialized-venous (AV) flap.
B Pittet, P Quinodoz, N Alizadeh, K-U Schlaudraff, A L Mahajan
European Association of Plastic Surgeons meeting (EURAPS), Genoa, Italy, May 2004
- The free serratus anterior flap and its cutaneous component:
Anatomical considerations and successful use in craniofacial reconstruction
AL Mahajan, N Alizadeh, K Schlaudraff, N Faisal, D Montandon, B Pittet
British Association of Plastic Surgeons Meeting, Dublin, July 2004
- New therapeutic intervention with rNAPc2 curbs progression of the burn wound
AL Mahajan, X Tenorio, KU Schlaudraff, MS Pepper, D Baetens, D Montandon, B Pittet
Sir Peter Freyer Meeting, Galway, September 2004.
26.Application of rNAPc2 reduces Secondary Aggravation of Burn Wounds.
X Tenorio, AL Mahajan, KU Schlaudraff, MS Pepper, D Baetens, D Montandon, B Pittet
European Congress of Scientists and Plastic Surgeons, Munich, October 2004
- Diminution de l’aggravation secondaire des brûlures chez le rat par l’application
intraveineuse de l’anticoagulant rNAPc2
Schlaudraff, K-U; Mahajan AL; Pepper MS; Tenorio X; Montandon D; Pittet, B
French Society of Plastic Reconstructive Aesthetic Surgery, Paris, November 2004
- Secondary aggravation of burns is reduced by rNAPc2.
Tenorio X, SchlaudraffK.-U, Mahajan AL, Pepper M.S, Montandon D, Pittet B.
8th Joint Scientific Meeting,Universities of Geneva and Lausanne,
Changins-Switzerland, October 2004. (Poster).
- Progressive tissue injury in burns is reduced by rNAPc2
AL Mahajan, KU Schlaudraff, X Tenorio, MS Pepper, D Baetens, D Montandon, B Pittet
British Burns Association meeting, York, UK, April 2005
“Best Paper Prize”
- Dynamic Infrared Imaging in Reconstructive Surgery
Xavier Tenorio, Ajay Mahajan, Denys Montandon, Brigitte Pittet
Plastic Surgery 2005 (ASPS meeting), Chicago, USA, September 2005
(Poster Presentation)
- Dynamic Infrared Imaging : a new tool in flap perfusion monitoring
Xavier Tenorio, Ajay Mahajan, Marek Pawlowski, Brigitte Pittet
European Congress of Scientists and Plastic Surgeons, Leuven, Belgium,September 2005
(Published abstract J Plast Reconstr Aesthet Surg. 2006;59(9): S5)
- Secondary aggravation of burn wounds and its detrimental influence on post burn
sequelae – an underestimated clinical phenomenon?
Schlaudraff, K-U; Mahajan AL; Pepper MS; Tenorio X; Montandon D; Pittet, B
Swiss Congress of Plastic Surgeons, Beinne, Switzerland, September, 2005.
- Dynamic Infrared Imaging and applications in plastic surgery.
Xavier Tenorio, Ajay Mahajan, Marek Pawlowski, Brigitte Pittet
Swiss Congress of Plastic Surgeons, Beinne, Switzerland, September, 2005.
- Dynamic Infrared Imaging: a new tool in flap perfusion monitoring.
Xavier Tenorio, Ajay Mahajan, Marek Pawlowski, Brigitte Pittet
Joint Scientific Meeting,Universities of Geneva and Lausanne,
Changins-Switzerland, October 2005.
- Use of the CO2 laser in transconjuctival lower lid Blepharoplasty
TWL Chapman, AL Mahajan, N Harris, JG McDiarmid
British Association of Aesthetic Plastic Surgeons, Bath, September 2006
(Poster Presentation)
- Rejuvenation of the mid face by simple techniques
Mahajan AL, Temprano AP, Chapman TWL, McDiarmid JG
British Association of Aesthetic Plastic Surgeons, Bath, September 2006
- Location of vascular perforators by dynamic infrared imaging: Helpful tool or preoperative gadget?
X Tenorio, AL Mahajan, Y Harder, B Elias, D Montandon, J Schaepkens, M Pawlovski,
B Pittet
European Congress of Scientists and Plastic Surgeons, London, September 2006
- Audit of Free and Major pedicled flaps
S Salam, TWL Chapman, AL Mahajan
South West supra regional audit, Salisbury, November 2006
- Lichtenberg figures – Cutaneous manifestations of Phone Electrocution from lightning
A L Mahajan, R Rajan, P J Regan
British Asscn. of Plastic Aesthetic & Reconstructive Surgeons Meeting, London, Dec 2006
(Poster Presentation)
- Trans conjunctival Laser Blepharoplasty
AL Mahajan, TWL Chapman, JG McDiarmid
International tutorials in Aesthetic Plastic Surgery, Mumbai, India, January 2007
- Rejuvenation of the mid face by simple techniques
Mahajan AL, Chapman TWL, Temprano AP, McDiarmid JG
International tutorials in Aesthetic Plastic Surgery, Mumbai, India, January 2007
- Laser Blepharoplasty
AL Mahajan, TWL Chapman, N Harris, JG McDiarmid
Irish Association. of Plastic Surgeons Meeting, Galway, May 2007
- Lichtenberg figures – Cutaneous manifestations of Phone Electrocution from lightining
A L Mahajan, R Rajan, P J Regan
Irish Association. of Plastic Surgeons Meeting, Galway, May 2007
(Poster Presentation)
- Optimising the arterialised venous flap
Mahajan AL, Quinodoz P, Alizadeh N, Schlaudraff KU, Pittet B
Irish Association. of Plastic Surgeons Meeting, Galway, May 2007
(Poster presentation)
- Optimising the arterialised venous flap
AL Mahajan, Quinodoz P, Alizadeh N, Schlaudraff K-U, Pittet B
International Plastic Reconstructive & Aesthetic Surgeons meeting, Berlin, June 2007
(Poster Presentation)
- Lichtenberg figures – Cutaneous manifestations of Phone Electrocution from lightning
A L Mahajan, R Rajan, P J Regan
International Plastic Reconstructive & Aesthetic Surgeons meeting, Berlin, June 2007
(Poster Presentation)
- ‘See and Treat’ Plastic Surgical Clinic Audit
R Rajan, AL Mahajan, NPM Jain, S Wharton
Skin Cancer Audit Day, Exeter, Sept 2007
- Clinical Photography and the Plastic Surgeon
AL Mahajan
3rd International tutorials in Aesthetic Surgery, Mumbai, India, Jan 2008
- Helical Rim Reconstruction with Modified Wedge Resection
J M Taylor, A L Mahajan
British Asscn. of Plastic Aesthetic & Reconstructive Surgeons Meeting, Leeds, July 09
- Maintaining ear aesthetics in helical rim reconstruction
J M Taylor, R Rajan, J K Dickson, A L Mahajan
Irish Association. of Plastic Surgeons Meeting, Galway, May 2009
(Poster presentation)
- Maintaining ear aesthetics in helical rim reconstruction
J M Taylor, R Rajan, J K Dickson, A L Mahajan
XXXIVth Sir Peter Freyer Surgical Symposium meeting, Galway, Ireland, Sept 2009.
(Poster presentation)
- Maintaining ear aesthetics in helical rim reconstruction
J M Taylor, R Rajan, J K Dickson, A L Mahajan
International Plastic Reconstructive & Aesthetic Surgeons meeting (IPRAS), Delhi, Nov 2009
- Influencing the outcome of the burn wound
A L Mahajan, X Tenorio, B Pittet
International Plastic Reconstructive & Aesthetic Surgeons meeting, Delhi, Nov 2009
(Poster presentation)
- Laparoscopically harvested omental flap for scalp reconstruction
R Rajan, A L Mahajan, A Perez, M Coleman, R J Morris
International Plastic Reconstructive & Aesthetic Surgeons meeting, Delhi, Nov 2009
(Poster presentation)
- Lower eyelid tear trough annihilation with segmental fat graft
A L Mahajan, P Hedén
British Association of Aesthetic Plastic Surgeons, London, September 2010
- Facial rejuvenation with the SMAS contouring rhytidoplasty
A L Mahajan, P Hedén
British Association of Aesthetic Plastic Surgeons, London, September 2010
- Blepharoplasty with segmental fat graft
A L Mahajan, P Hedén
6th International tutorials in Aesthetic Plastic Surgery, New Delhi, India, Jan 2011
- SMAS contouring rhytidoplasty
A L Mahajan, P Hedén
6th International tutorials in Aesthetic Plastic Surgery, New Delhi, India, Jan 2011
- Pinnaplasty – Modified Mustarde technique
A L Mahajan
6th International tutorials in Aesthetic Plastic Surgery, New Delhi, India, Jan 2011
- SMAS contouring Rhytidoplasty – Extensile exposure but minimal invasion of SMAS
A L Mahajan, P Hedén
Beauty Through Science (BTS) meeting, Stockholm, Sweden, June 2011.
- Aesthetic Surgery – Dawn to a new you
A L Mahajan
ATMG Meeting, Alton Towers, UK September 2013
- The David Sharpe Fellowship
A L Mahajan
BAPRAS, London, Nov 2014
- Contouring the SMAS in face lift
A L Mahajan
Byron Bay Meeting, Australia, March 2015
- Aesthetic surgery – Psychological and functional benefits
A L Mahajan
AMGR meeting, Leicester, May 2015
- Role of research in plastic surgery in improving health care for the future
AL Mahajan
Evening with John Hendrie, Bradford, May 2015
- The ALT flap – Simplifying harvest and making it safe
A L Mahajan
Amiens Perforator Flap meeting, Amien, June 2015
- Plastic Surgery and Burns Research Unit – our history, aims and ambitions
AL Mahajan
Claret and Amber day, University of Bradford, Bradford, June 2015
- Research and Post graduate education in Plastic Surgery at the PSBRU
AL Mahajan
Northcliffe Golf Club, Bradford, July 2015
- Research in Plastic surgery and its role in the society
AL Mahajan
Lord Mayor of Bradford’s visit, University of Bradford, September 2015
- Research in Plastic Surgery at the PSBRU
AL Mahajan
President’s evening, St. James Market Tenant’s Association, Bradford, October 2015
- The role of human dermal fibroblasts in regulating availability of biologically active vitamin D: implications for cutaneous wound healing.
Jing Qin Tay, Ola Kamala, A M Graham, A L Mahajan, M J Thornton
World Wound Healing Society congress, Copenhagen, November 2015
- Intracrine and Paracrine Regulation of Biologically Active Vitamin D by Human Dermal Fibroblasts: Implications For Cutaneous Wound Healing
Jing Qin Tay, Ola Kamala, A M Graham, M J Thornton, A L Mahajan
BAPRAS meeting, Birmingham, November 2015
- Plastic Surgery and Burns Research Unit – our history, aims and ambitions
AL Mahajan
University of Bradford Public Lecture, Bradford, March 2016
- Role of research in plastic surgery in improving health care for the future
AL Mahajan
Grand Master’s Presentation evening, Oddfellows association, Bradford, March 2016
- Plastic Surgery and wound healing research
AL Mahajan
President’s evening, Rotary Club, Shipley, Bradford, September 2016
- The role of Vitamin D in cutaneous wound healing
Jing Qin Tay, Ola Kamala, A M Graham, M J Thornton, A L Mahajan
Bradford Institute of Health Research Meeting, Bradford, October 2016
- Regulation of vitamin D bioavailability in human skin by fibroblasts and keratinocytes during wound healing
Jing Qin Tay, Ola Kamala, A M Graham, M J Thornton, A L Mahajan
BAPRAS Meeting, London, November 2016
- 1,25-dihydroxyvitamin D3 stimulates human epidermal wound closure and reduces dermal fibroblast α-SMA expression.
Jing Qin Tay, A M Graham, M J Thornton, A L Mahajan
Poster presentation. British Society of Investigative Dermatology (BSID), Manchester, April 2017
- Role of vitamin D in cutaneous wound healing: different effects on human epidermal keratinocytes and dermal fibroblasts
Jing Qin Tay, Ola Kamala, A M Graham, M J Thornton, A L Mahajan
EURAPS Meeting, Pisa, Italy, May 2017
- 1,25-dihydroxyvitamin D3 downregulates matrix metalloproteinases-2 and alpha-smooth muscle actin in wounded human dermal fibroblasts: implications for scarring
J.Q. Tay, A.M. Graham, A.L. Mahajan, M.J. Thornton.
Poster presentation. British Society for Investigative Dermatology Annual Meeting (BSID), 2018, London
“Best Poster Presentation”
- Can machine learning be used to determine the difference between burnt and normal skin
K M Smith, A Abubaker, S Jivan, D J Tobin, A Mahajan, H Ugail and K Poterlowicz
Poster presentation. British Society for Investigative Dermatology Annual Meeting (BSID), 2018, London
- Different roles of vitamin D3 in human skin, regulation of matrix metalloproteinase-2, alpha-smooth muscle actin and collagen I and III: implications for wound healing and scarring
Jing Qin Tay, Ola Kamala, A M Graham, M J Thornton, A L Mahajan
European Research Council, EURAPS, Madrid, May 2018
“Best Paper Prize”