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Your Predicament:

“I don’t like the look of the loose excess skin I have that also gives me discomfort. It can be a problem wearing swim suits too!”

 

Our Solution:

We can help by trimming away the excess skin to give a tidy appearance to the area and avoid the excess skin getting caught in your underwear or during sex.

 

The anatomy of the labia varies widely from one person to another. There isn’t a so called normal appearance of the female genitalia. However, in some patients the labia minora (inner lips) can be excessively large and protruding beyond the labia majora (outer lips). This affects the aesthetics of the genitalia and ladies hate the loose bits of skin that tends to stick out. This excess skin can sometimes get caught in the underwear or while having sex and can be quite uncomfortable. Also, the excess skin can sometimes show as an unsightly bulge through a swim suit and can be quite embarrassing. In some patients, this problem can appear to be worse when they have asymmetry with one side being considerably larger than the other side.

A labiaplasty procedure helps address the problem by trimming away the excess labia minora tissue so that it is concealed within the labia majora and does not tend to stick out. This improves the aesthetics of the genitalia and gives back the patient their confidence. Some patient have an undue excess of skin in the clitoral hood which prevents the clitoris to be adequately exposed and stimulated during sex. A clitoral hood reduction during a labiaplasty can help address this. Some patients desire to have fuller labia majora and this can also be achieved at the same time by transferring fat to the area. A simultaneous mons lift is also a consideration if the patient feels that there has been a droop in this area over the years.

Professor Mahajan plans the procedure to place the scar as inconspicuously as possible. It is often a challenge to get perfect symmetry of the two sides as the labial tissue is very lax. Professor Mahajan aims to achieve as close symmetry as possible by imprinting his marking on one side on to the other side to try to get a mirror image of the labia.

Patients often come to us for this procedure after contemplating about it for years. After the procedure, they wish that they had had it done ages ago and did not have to live with the lack of confidence all these years!

WHO IS LABIAPLASTY FOR?

  • Ladies who have excess protruding labia minora (inner lips) tissue.
  • Ladies who have asymmetry of the labia with one side being larger.
  • Ladies who has excess skin in the clitoral hood area.
  • Ladies have very thin labia majora (outer lips) and wish to have them fuller.

WHAT DOES A LABIAPLASTY ACHIEVE?

  • Gets rid of all excess, loose protruding skin
  • Aims to restore symmetry if asymmetry exists.
  • Reduces the clitoral hood to improve sensation during sex if a clitoral hood reduction is done in conjunction with a labiaplasty.
  • Adds volume to the labia majora to give them a fuller appearance if fat transfer to the area is done at the same time.

LABIAPLASTY TECHNIQUES

  • Edge trim technique
  • Wedge excision technique
  • Flap technique

LABIAPLASTY NEED-TO-KNOW INFO

  • Duration of surgery: 1 to 2 hours
  • Anaesthesia: Local Anaesthetic or General Anaesthetic
  • Duration of inpatient stay: Day case surgery
  • Wounds healed in: 10 to 14 days
  • Scars matured in: Settle in 3 to 6 months, fully matured in 12 to 18 months
  • Back to light work (Desk job): 2 weeks
  • Back to cardiac exercise / fast walking: 2 to 3 weeks
  • Back to labour intensive work / Exercise: 6 to 8 weeks
  • Sexual activity: 8 weeks
  • Able to drive: 2 weeks (Should be able to apply emergency stop)
  • ‘Long haul’ flights / holidays: Avoid four weeks before and after a general anaesthetic. Short flights are okay but take precautions to prevent DVT.
  • Shower / bath: Shower as normal, but gently wash the area. Avoid baths for 2 weeks.
  • Sun bathe: If you end up on a nude beach, keep the scars covered until they mature in about a year or so!
  • Garments: Avoid tight underwear.
  • Post operative review: 2 to 8 weeks as discussed following surgery (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, swelling, haematoma, infection, delayed wound healing, scars – hypertrophic, stretched, sensitive, under or over correction, asymmetry, numbness, reduced sensitivity of clitoris in clitoral hood reduction, discomfort on intercourse, altered libido, risks associated with general anaesthetic, blood clots in legs or lungs, risk of Covid infection / death.
Before and after Images
Labiaplasty testimonials

“I found the names of several plastic surgeons who performed this procedure. I wanted someone in the North of England, so narrowed my research to that area. Almost straight away Mr Mahajan struck me as being a very experienced, competent and qualified plastic surgeon – all his reviews are excellent. Although it meant travelling quite a distance I decided to request a consultation with him at the Yorkshire Clinic. He put me at ease straight away. He is professional yet has a gentle manner. After examining me he drew out a diagram and explained the procedure he would carry out on me, gave me plenty of time to ask questions, totally reassured me. I felt he was someone who would do the best job possible, someone I could put my trust in. It’s such an intimate part of your body, so it is a big decision. He wanted me to wait 2 weeks before making a final decision.”

//www.realself.com/review/yorkshire-clinic-labiaplasty-finally-plucked-courage

 

“I’ve been thinking about having this procedure done for a few years now, and I’m so glad I did! The size and appearance of my labia really held me back, and now, at three weeks post-op, I am so happy with the results! The stitches are almost completely dissolved, I can exercise again and the results look incredible! I travelled two hours to see Mr Mahajan, and I’m so glad I did – he put me at ease instantly in the consultation (which, for a procedure of this kind, is very important!) and throughout the whole process, he was understanding, reassuring and very patient! He was really quick to reply to my emails during recovery, and the staff at Elland hospital were just lovely. I cannot express how good it looks! For those considering this procedure, I would really recommend Mr Mahajan: a brilliant surgeon, who makes time for his patients.”

//www.realself.com/review/amazing-labiaplasty

“From start to finish I was very happy with the service Mr Mahajan provided. Mr Mahajan made me feel at ease throughout and the care I received was brilliant – I genuinely wish I hadn’t waited as long as I did to book the surgery. I feel so much more confident now and I’m over the moon with the result – thank you!”

//www.realself.com/review/labiaplasty-thank-enough

Professor 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 details as to how he can achieve the results you want. A detailed examination involving assessment of the genitalia and neighbouring tissues will be done.

Depending on your examination a treatment plan will be formulated tailored to your needs. Depending on the characteristics of your labia, Professor Mahajan will discuss surgical options with you. You will together be able to decide the technique of the procedure that will be used to achieve your desired results. Limitations of the procedure will also be discussed with you.

Professor Mahajan will discuss the options of having a clitoral hood reduction, fat transfer to the labia majora or a mons lift during your consultation. If these are areas of concern for you, the surgery involved in addressing this will be discussed with you. You can then make an informed choice of the options that best suit you.

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 you suitability for the procedure. 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 Professor Mahajan.

You will be admitted to the hospital on the day of the procedure. The operation will be done under local anaesthesia or general anaesthesia as previously decided. It will be carried out according to the technique that was planned at the consultation. This will depend on the characteristics of your labia and will involve using the approach discussed before.

Professor Mahajan will carefully mark the area of the labia minora that needs to be excised. He will then transfer the marking to the other side by approximating the two labia to produce a mirror image of the marking on the other labia to try to achieve as close symmetry as possible. A portion of the labia minora is left behind to give a natural appearance to the labia. If clitoral hood reduction has been planned, they this will be done with utmost care according to prior discussions with the patient. The excess tissue is then excised and the wound is closed with absorbable sutures that will be visible on the outside. This will be followed by fat transfer to the labia majora if this has been planned according to prior discussions with the patient.

The procedure can take 1 to 2  hours to do depending on the complexity of the case. Professor 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. 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 on the same day of your surgery. You will have dissolvable sutures and as a result you will not need to endure the discomfort of having them being removed. Scars are unavoidable following any surgery, but Professor Mahajan aims to make these as neat as possible. There will be swelling in your labia immediately following the surgery. Over the next few weeks the swelling will gradually go down and the contour of the labia will improve.

You will be seen 2 to 8 weeks following the procedure as discussed with Professor Mahajan following your surgery. Professor Mahajan will be available to see you at any time following the procedure should there be any unexpected problem.

Subsequent Procedures

The abdomen and genitalia is considered as one aesthetic unit and it is not uncommon for patients to ask Professor Mahajan to perform an Abdominoplasty / Mon’s lift procedure at the same time or subsequently. Options can be discussed with Professor Mahajan at the consultations.

Questions and Answers:

Is labiaplasty for me?

Labiaplasty is not only done for aesthetic reasons, but also for physical reasons when patients are having discomfort associated with the excess labial tissue. If you do have excess labial tissue that you are very conscious of or is causing you discomfort, then you would benefit from removal of the excess tissue. Labiaplasty with limited clitoral hood reduction can help increase sensitivity of clitoris by exposing it during sex, but one also needs to consider that chronic exposure of the clitoris can make it less sensitive, if too much of the clitoral hood is reduced. Having more volume in the labia majora is a completely personal choice and fat transfer can be carried out in the area if the patient desires so.

Often patients are put off having a labiaplasty simply because they feel embarrassed about seeing someone about it, but Professor Mahajan has found that most patients are very glad that they finally took the step to see him about it and have been pleased that they went on to have the surgery.

What is the most important consideration prior to deciding to have a labiaplasty procedure?

Labiaplasty makes some irreversible changes to the appearance of the genitalia and one need to be sure that this is what they wish for. As with any other cosmetic procedure, patients need to have realistic expectations of what can be achieved. Labiaplasty is not meant to directly enhance sexual pleasure, but it can do by boosting self-confidence.

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 Plastic Surgeons (UKAAPS), American Society of Plastic Surgeons (ASPS), 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, the Spire Elland Hospital or the Evolve Medical, where you will be able to return to ‘anytime’ after the operation should there be any concerns.

How much will the procedure cost?

Cost of labiaplasty can be about £2600 to £3000 depending on whether it is done under a local anaesthetic or general anaesthetic. 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 labiaplasty 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.

Which procedure would suit me best?

Professor Mahajan will carry out a detailed examination to determine the exact nature of your labia and the areas that need to be addressed. This will be explained to you and an appropriate procedure will be selected in discussion with you.

Will all the excess labial skin be removed?

Professor Mahajan will discuss exactly what will be removed with you at your consultation. It is important to understand that skin excess above the clitoral hood area needs to be carefully removed, ensuring that not too much is removed from here.

What is clitoral hood reduction?

Clitoral hood reduction involves removing excess skin covering the clitoris. it is advisable to do a careful reduction so that the clitoris is exposed only when stimulated. If a hoodectomy is done then this would leave the clitoris permanently exposed. Whilst this may increase sensitivity in the short term, with time the exposed clitoris will get acclimatised to being exposed and will become less sensitive.

Will I have long standing results following a labiaplasty?

Labiaplasty tends to produce permanent results. Once trimmed, the labia will not grow back! If fat has been transferred into the labia majora, some of this will be absorbed and with time, the labia will not be as thick as immediately after the procedure.

Can I have a normal vaginal delivery after a labiaplasty?

A labiaplasty procedure will not affect future vaginal deliveries. However, you may need an episiotomy as you might have needed even if you had not had a labiaplasty in the past. Episiotomies are not done routinely and are only done if necessary. An episiotomy may affect the aesthetics of the labia after a labiaplasty.

Do I need to stop my medication?

If you are on the oral contraceptive pill and are having the procedure done under a general anaesthetic, 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. Professor Mahajan will discuss this with you in the pre-operative consultation.

Will I need to have a general anaesthetic?

You can have the procedure done either under a local anaesthetic or a general anaesthetic. If you do opt for a general anaesthetic, 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, swelling, haematoma, infection, delayed wound healing, scars – hypertrophic, stretched, sensitive, under or over correction, asymmetry, numbness, reduced sensitivity of clitoris in clitoral hood reduction, discomfort on intercourse, altered libido, risks associated with general anaesthetic, blood clots in legs or lungs, risk of Covid infection / death.

How long will I have to stay in the hospital?

Your procedure will be done as a day case procedure. You can go home as soon as you have recovered and are comfortable enough to go home. You will need someone to bring you to hospital and take you home after. You will need someone to be with you for the first 24 hrs after a general anaesthetic to ensure that you have support.

When will I be seen again after I am discharged from the hospital?

You will usually be seen 2 to 8 weeks following your procedure as discussed with Professor Mahajan following your procedure. If there are any concerns, you will be seen by Mr Mahajan as often as is necessary.

Is there any thing that I need to look out for?

Although you will only be discharged from the hospital when Professor Mahajan is satisfied that you doing well following your surgery, you do need to look out for sudden increase in swelling of the labia, disproportionate pain, any signs of infection such as feeling unwell, temperature, redness around the scars, discharge or foul odour from the wounds. 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. You will also be given direct numbers to the ward from which you have been discharged.

What position can I sleep or sit in?

Immediately after the procedure, you can lie on your back, but you can also lie on your side if you are more comfortable in this position. Sitting in a chair should not be a problem.

Will I need to wear any special garments?

There will be some ooze from the wound immediately after the procedure and for the first 2-3 days. You will need to wear absorbent pads for this. Avoid wearing tight underwear.

Will I be in pain?

Patients do tend to have some pain and discomfort for the first 2 to 5 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 labia be swollen?

Your labia will indeed be swollen immediately after the procedure. The swelling takes time to settle and it will be significantly less a month following the procedure. It takes about three months for it to settle reasonably. It continues to further settle gradually after that and can take up to a year for the end result to be apparent.

Will the sensation to my labia or clitoris be affected?

The sensation along the labial scar is reduced immediately after the procedure. However, sensation tends to recover in about three months or so. There may however be some permanent decrease in sensation. Sensation to the clitoris is not usually affected, but sensitivity of the clitoris can change with clitoral hood reduction.

Do I need to massage the scars?

You will also need to massage the scars with moisturising cream once your wounds have healed in two weeks’ time. This will help the scars mature softer.

When will I be seen again after I am discharged from the hospital?

You will usually be seen by Mr Mahajan 2 weeks following your procedure to ensure that the wounds have healed well. 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.

How long will it take for my wounds to heal?

It takes about 10 to 14 days for the wounds to heal up.  At times, wound healing can be delayed in some areas.

When do my stitches come out?

Professor Mahajan uses absorbable sutures to close the wounds. This means that you will not have the discomfort of having your sutures removed.

When can I shower or have a bath?

You can shower as normal, but gently wash the area. It is important to wash the area properly and maintain good hygiene to avoid any infections. Avoid baths for 2 weeks.

Where will my scars be?

In the edge trim technique that Professor Mahajan uses, the scar is along the new edge of the labia minora.

In an extended tummy tuck procedure, there will be an additional vertical scar in the middle of the abdomen to help excise the vertical excess abdominal skin. Although this scar is conspicuous, the benefits of loosing the large excess of skin in this area tends to far outweigh the disadvantages of having a scar in this area.

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.

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.

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 until then if you end up on a nude beach!

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 four to 6 to 8 weeks. This can vary widely between patients, as patients tend to cope variably.

When can I pick up my baby?

You can do this as soon as you are comfortable to do so. Do not try to restrain an aggressive child as you would harm yourself.

When can I hit the gymn 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. You will need to avoid chaffing as this will be uncomfortable.

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 in two weeks’ time. You should be able to apply an emergency stop and it is a decision that you will have to make.

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 a general anaesthetic 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 when travelling and drink plenty of water.

Although I am not in any 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 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 months around the date of your procedure, you should take this as an opportunity to stop smoking completely!

Professor Mahajan’s publications and presentations on Plastic Surgery of the body

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

 

  1. 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.

 

  1. 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.

 

  1. 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.

 

  1. What should count as a “perforator flap”?                                      R Sinna, A. Boloorchi, A L Mahajan, Q. Qassemyar, M. Robbe

     Plast Reconstr Surg. 2010 Dec;126(6):2258-63.

 

  1. 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.

 

  1. Bipedicled DIEP flaps for reconstruction of soft-tissue deficiencies in male patients.

A L Mahajan, P Cadenelli, F Thiessen, P Blondeel, F Stillaert

JPRAS, in print

Ideas and Innovations

7. 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

 

  1. Flexor Tendon Reconstruction using FDP “Demi-Tendon”

A L Mahajan, C L Riordan, M Hussain, W Brennan, B Murphy, P McHugh, P J Regan

 Ir J Med Sci. Vol. 171, No.3 July/Aug/Sept 2002

 

  1. The ‘fingers fan out’ sign: stick out your palmaris longus even better!

       AL Mahajan

Br J Plast Surg; 2005; 58(2): 278-279

Case Reports, Correspondence and Published Abstracts

 

  1. 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

 

  1. 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

 

  1. 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

 

  1. Tolls of a trek up Croagh Patrick – Friction / Frost Burns of the foot

A L Mahajan, P J Regan 

      Burns 2004 May; 30(3):283-285.

 

  1. 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.

 

  1. Dynamic Infrared Imaging in Reconstructive Surgery

Xavier Tenorio, Ajay Mahajan, Denys Montandon, Brigitte Pittet

      Plast Reconstr Surg. 2005 Sept Vol. 116,No.3 supplement

 

  1. 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

 

  1. Iatrogenic full-thickness chemical burns from monochloracetic acid.

       Chapman T, Mahadevan D, Mahajan A, Perez-Temprano A, McDiarmid J.

        J Burn Care Res. 2006 Jul-Aug;27(4):545-7.

 

  1. 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

 

  1. 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

 

  1. 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.

 

  1. A loose body can simulate a dorsal wrist ganglion

V Rachapalli, AL Mahajan, WG Thomas.

The Internet Journal of Plastic Surgery. 2007; 4(1).

 

  1. Patient contribution during microvascular surgery!

       AL Mahajan, E Newton Dunn,  A R Fitton

       J Plast Reconstr Aesthet Surg. 2008 Nov;61(11):1337. Epub 2008 Aug 8

 

  1. Optimal environment for free flaps can also be a haven for fungi!

        VA Mahajan, AL Mahajan, B H Harte, KJ Cronin

J Plast Reconstr Aesthet Surg.  2009 Dec;62(12):e661-2. Epub 2009 Feb 8.

 

  1. Optimising success in revascularising fingers by using the ‘H’ vein graft

J K Dickson , V A Mahajan, J M Taylor, R Rajan, A L Mahajan

Ir J Med Sci. 2009 Sept;178 (7):S243

 

  1. Periungual Pilonidal sinus

P Ngan, A Varey, A L Mahajan

       J Hand Surg Eur Vol. 2011 Feb;36(2):155-7.

 

  1. Rationalising treatment of Raynaud’s syndrome

     D Nikkhah, J Rodrigues, A L Mahajan

J Plast Reconstr Aesthet Surg 2012 Jul;65(7):986

 

PRESENTATIONS

 

  1. 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)

 

  1. 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

 

  1. 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

 

  1. 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

 

  1. 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)

 

  1. 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

 

  1. First Aid in Burns

A L Mahajan (Instructional Presentation)

4th Annual Burns Symposium, Galway, January 2001

 

  1. Why have Paper when you can have Silk?!

A L Mahajan, P Regan

Irish Association of Plastic Surgeons Meeting, Galway, May 2001

 

  1. 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

 

  1. 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

(Paper Presentation)

 

  1. 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)

 

  1. 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

 

  1. Management of Burns and Fluid Resuscitation

 A L Mahajan (Instructional Presentation)

5th Annual Burns Symposium, Galway, April 2002

 

  1. Self Inflicted Wrist Lacerations – a 5 year morbidity & mortality study

A L Mahajan, L Rynn, S Kilgannon*, J McCann, P Regan

Irish Society for Surgery of the Hand Meeting, April 2002

 

  1. Reconstruction of FDP tendon using it’s demi tendon

CL Riordan, AL Mahajan, M Hussain, W Brennan, B Murphy, P McHugh, P J Regan

Irish Society for Surgery of the Hand Meeting, April 2002

“Best Paper Prize”

 

  1. Reconstruction of forearm hernias

M Hussain, CL Riordan, AL Mahajan, P J Regan

Irish Society for Surgery of the Hand Meeting, April 2002

 

  1. 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

 

  1. Abdominoplasty

P J Regan, A L Mahajan (Instructional Presentation)

Irish Association of Plastic Surgeons Meeting, Cork, May 2002

 

  1. Flexor Tendon Reconstruction using FDP “Demi-Tendon”

A L Mahajan, C L Riordan, M Hussain, W Brennan, B Murphy, P McHugh, P J Regan

Sir Peter Freyer Meeting, Galway, September 2002

 

  1. 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)

 

  1. 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)

 

  1. Burns – The Paediatric Patient

 A L Mahajan (Instructional Presentation)

6th Annual Burns Symposium, Galway, February 2003

 

  1. 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

 

  1. 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

 

  1. 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, Genoa, Italy, May 2004

 

  1. 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.

 27.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

 

  1. 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

 

  1. 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).

 

  1. 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

 

  1. 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)

 

  1. 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)

 

  1. 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, Beine, Switzerland, September, 2005.

 

  1. Dynamic Infrared Imaging and applications in plastic surgery.

Xavier Tenorio, Ajay Mahajan, Marek Pawlowski, Brigitte Pittet

Swiss Congress of Plastic Surgeons, Beine, Switzerland, September, 2005.

 

  1. 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.

 

  1. Tumour to tumour metastasis of Malignant Melanoma

AL Mahajan, M Naveed, TWL Chapman, A Perez-Temparano CBA Lyons*, RJ Morris

British Asscn. of Plastic Aesthetic & Reconstructive Surgeons Meeting, Sheffield, July 2006

(Poster Presentation)

 

  1. 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

 

  1. Audit of Free and Major pedicled flaps

       S Salam, TWL Chapman, AL Mahajan

South West supra regional audit, Salisbury, November 2006

 

  1. 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)

 

  1. 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)

 

  1. 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)

 

  1. Optimal environment for free flaps can also be a haven for fungi!

       AL Mahajan, R Rajan, TWL Chapman, KJ Cronin

Irish Association. of Plastic Surgeons Meeting, Galway, May 2007

(Poster presentation)

 

  1. 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)

 

  1. 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)

 

  1. Optimal environment for free flaps can also be a haven for fungi!

       AL Mahajan, R Rajan, TWL Chapman, KJ Cronin

International Plastic Reconstructive & Aesthetic Surgeons meeting, Berlin, June 2007

(Poster Presentation)

 

  1. Pressure sore – Donor site morbidity of the sural nerve

       AL Mahajan, TWL Chapman, R Rajan

International Plastic Reconstructive & Aesthetic Surgeons meeting, Berlin, June 2007

(Poster Presentation)

 

  1. ‘See and Treat’ Plastic Surgical Clinic Audit

       R Rajan, AL Mahajan, NPM Jain, S Wharton

Skin Cancer Audit Day, Exeter, Sept 2007

 

  1. Case presentation

       AL Mahajan, VS Devaraj

7th Regional Sarcoma study day, Cullompton, October 2007

 

  1. Clinical Photography and the Plastic Surgeon

AL Mahajan

3rd International tutorials in Aesthetic Surgery, Mumbai, India, Jan 2008

 

  1. The ‘H’ Vein Graft for Revascularisation of Fingers

V A Mahajan, J M Taylor, A L Mahajan

British Asscn. of Plastic Aesthetic & Reconstructive Surgeons Meeting, Leeds, July 09

(Poster presentation)

 

  1. Optimising success in revascularising fingers by using the ‘H’ vein graft

V A Mahajan, J M Taylor, R Rajan, A L Mahajan

Irish Association. of Plastic Surgeons Meeting, Galway, May 2009

(Poster presentation)

 

  1. Optimising success in revascularising fingers by using the ‘H’ vein graft

J K Dickson , V A Mahajan, J M Taylor, R Rajan, A L Mahajan

XXXIVth Sir Peter Freyer Surgical Symposium meeting, Galway, Ireland, Sept 2009.

 

  1. Optimising success in revascularising fingers by using the ‘H’ vein graft

V A Mahajan, J M Taylor, R Rajan, A L Mahajan

International Plastic Reconstructive & Aesthetic Surgeons meeting, Delhi, Nov 2009

 

  1. 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)

 

  1. ‘Punch biopsy’ injury to median nerve

        J M Taylor, R Rajan,  A L Mahajan

International Plastic Reconstructive & Aesthetic Surgeons meeting, Delhi, Nov 2009

(Poster presentation)

 

  1. Bipedicled DIEP flaps for reconstruction of soft-tissue deficiencies in male patients.

A L Mahajan, P Cadenelli, F Thiessen, P Blondeel, F Stillaert

British Asscn. of Plastic Aesthetic & Reconstructive Surgeons Meeting,, Sheffield, July 2010

 

  1. Bipedicled DIEP flaps for reconstruction of soft-tissue deficiencies in male patients.

A L Mahajan, P F Cadeneli, C Van Waes, P Blondeel, K Van Landuyt, F Stillaert

World Congress on Controversies in Plastic Surgery & Dermatology (CoPLASDy)

Barcelona, November 2010 (Poster presentation)

 

  1. Bipedicled DIEP flaps for reconstruction of soft-tissue deficiencies in male patients.

A L Mahajan, P F Cadeneli, C Van Waes, P Blondeel, K Van Landuyt, F Stillaert

IInd Italian Meeting on Perforator Flaps and Aesthetic Refinements

Bologna, Italy. November 2010

 

  1. Microvascular architecture of a DIEP flap harvested from an abdomen with a

      Pfannenstiel scar.

      A L Mahajan, A Zeltzer, K E Y Claes, K Van Landuyt, M Hamdi

      European Association of Plastic Surgeons meeting, Mykonos, Greece, June 2011.

     

  1. Abdominal seroma formation following DIEP flap harvest –

       analysis of influencing   factors and development of a predictive formula

       K Seidenstücker, B Munder, A L Mahajan, C Andree

       European Association of Plastic Surgeons meeting,, Munich, Germany May, 2012

 

  1. Classical IMV dissection

A L Mahajan

French Perforator Flap (ACRWP) course, Amiens, France, June 2012

 

  1. Aesthetic Surgery – Dawn to a new you

A L Mahajan

ATMG Meeting, Alton Towers, UK September 2013

 

  1. Bipedicled DIEP flaps for extensive lower limb injuries

A L Mahajan,

APSICON, Mumbai, India, November 2013

 

  1. Operative therapy in Supramicrosurgery technique

K Seidenstücker, B Munder, A L Mahajan, C Andree

International Breast Symposium, Dusseldorf, April 2014

 

  1. Trauma Service Reorganisation, The Bradford Experience

O Tillo, D Watt, A L Mahajan

ESPRAS Meeting, Edinburgh, July 2014

 

  1. The David Sharpe Fellowship

A L Mahajan

BAPRAS, London, Nov 2014

 

  1. Aesthetic surgery – Psychological and functional benefits

A L Mahajan

AMGR meeting, Leicester, May 2015

 

  1. The ALT flap – Simplifying harvest and making it safe

A L Mahajan

Amiens Perforator Flap meeting, Amien, June 2015

 

  1. Reconstruction of extensive lower limb trauma with perforator flaps

A L Mahajan

Amiens Perforator Flap meeting, Amien, June 2015

 

  1. 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

World Wound Healing Society congress, Copenhagen, November 2015

 

  1. 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

 

 

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