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Get Your Safe Weight Loss Surgery (Bariatric) at Allure MedSpa
Author
Celebrity Cosmetic Surgeon Dr Milan Doshi
Indian Board Certified Plastic SurgeonM.CH, MS
MUHS -faculty aesthetic surgery
ISAPS Mentor
11000+ Cosmetic Surgery
350+ Bariatic Surgery
“Lose Weight gain Health a Whole New You USP of your Personality.”
- Do you want to achieve long-term weight loss success and improve your overall quality of health & life?
- Do you want to improve your longevity and get rid of morbid obesity?
What is Bariatric Surgery?
Bariatric surgery is a conglomerate of surgery to reduce weight. It also improves many obesity-related conditions such as type 2 diabetes, high BP, heart disease, and more.
Synonyms of Weight Loss Surgery:
Bariatric surgery, Obesity surgery, Weight reduction surgery, Gastric surgery, Laparoscopic weight loss surgery, Stomach surgery, Bariatric procedure, Gastric bypass, Sleeve gastrectomy
Bariatric surgery is the fastest evolving field in general surgery today. 5 years back we clocked about 10,000 cases, and today we have clocked about 20,000 cases. So it’s one of the fastest evolving and most acceptable and most effective surgeries to cure morbid obesity. If we tweak the bariatric part a little, we do it for uncontrolled diabetes; we call it metabolic surgery, this surgery improves your diabetes, cholesterol, blood pressure and other medical issues. Thus, bariatric surgery has become more effective and safer, if done in experienced hands.
Bariatric surgery, such as mini-gastric bypass, gastric sleeve, laparoscopic adjustable gastric banding, work by changing the anatomy of the gastrointestinal tract (stomach & digestive system) that changes your energy balance and fat metabolism.
Studies have shown that even after 15-16 years of bariatric surgery patients have maintained up to 75-80% of their lost weight. Yes, some regain is expected after 10-15 years because the stomach that we create, the small stomach pouch, tends to expand with patients eating and lifestyle changes and they gain 10-20% of weight back but then it’s still not 100% of what they have lost, they still maintain a lot of weight of their body for a long period of time.
Indication for Bariatric Surgery:
- BMI > 40 kg/m2
- BMI>35 with pronounced co-morbidities.
- Failed non-surgical attempts at weight reduction over a period of one year
- Absence of surgical contraindication or concomitant disease.
- Age between 18 and 65 years.
What is a Normal Healthy Weight?
The normal body weight is determined by your height and your boney framework. Different people have different normal weights depending on gender and boney structure. It is calculated on the base of BMI. NORMAL WEIGHT IS 18.5 TO 24.9 BMI.
What is BMI and how to measure it?
The formula for BMI is weight in kilograms divided by height in meters squared. If height has been measured in centimeters, divide by 100 to convert this into meters. The BMI is an absolute measure of weight as well as height ratio.
The formula is BMI = kg/m2 where kg is a person’s weight in kilograms and m2 is their height in metres squared. As said before, BMI of 18.5 TO 24.9 IS a NORMAL WEIGHT
Points to be noted:
- BMI doesn’t differentiate between body fat & muscle fat.
- It is a method of assessing weight whether an individual weight falls within the healthy range or not.
- It is easy to perform and an inexpensive method.
To measure the BMI, we take the help of a calculator. The calculator needs your weight and height and tells about your BMI.
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Dr Milan Doshi and his staff are very professional and committed as the centre is highly equipped with advanced technology and the technique the doctor uses is world-class. I had closed rhinoplasty 4 months back and I’m seeing the results as to how it becomes successful.
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Dr Milan Doshi is a magician. He is a great doctor who will give all the real explanation and the best treatment. He answers all the queries inspite he being so busy. You can trust him for any treatment. His staff is very polite and supportive. I had a great experience for the surgery done by him. Thank you Doctor...
| Time Required | Gastric banding (LAP-BAND) & Sleeve Gastrectomy takes 1-2 hours while Gastric Bypass takes 2-3 hours |
| Anesthesia | General Anesthesia |
| Pain Level | Mild to Moderate |
| Hospital Stay | 1-2 Day |
| Flyback | 5 to 7 Days |
| Success Rate | Very High |
| Result | Immediate. Final Result in 6 to 8 Months |
| Diet | Liquid Diet For A Week |
| Complication | Less than 1 – 2% |
| Cost | Rs. 2,00,000 to Rs. 3,00,000 |
As the BMI Increases Health Risk Increases
| BMI | Classification | Health Risk |
| Under 18.5 | Underweight | Minimal |
| 18.5 – 24.9 | Normal Weight | Minimal |
| 25 – 29.9 | Overweight | Increased |
| 30 – 34.9 | Obese | High |
| 35 – 39.9 | Severely Obese | Very High |
| 40 and over | Morbidly Obese | Extremely High |
Height and Weight Chart
Overweight:
A BMI of 25 to 29.9 is categorized for overweight.
Obesity:
A BMI of 30 and above is considered obese.
Obesity is defined as having too much body fat, it occurs when intake of fat for energy consumption exceeds its expenditure. Obesity is the condition when the BMI of the body would be 30 or more.
According to the centre for disease control & prevention there are 3 categories of Obesity mentioned below:
Class 1 Obesity: It means when the BMI of the body is 30-35.
Class 2 Obesity: It means the BMI of the body is 35-40.
Class 3 Obesity: Class 3 obesity is a BMI of 40 or more.
Morbid Obesity:
Class 2 & 3 obesity is considered as severe obesity, which is hard to respond to diet or exercise. These classes of obesity are also termed as Morbid Obesity.
Morbid obesity falls under chronic disease, which symptoms build slowly over an extended period of time. Morbid obesity leads to the development of a condition, known as ‘co-morbid’ condition.
There are a variety of factors contributing to obesity and so it is considered a complex health issue to address.
The following are major contributing factors to obesity:
- Excessive food intake
- Lack of physical activities or exercise
- Genetic susceptibility
- Endocrine disorder
What health hazards are caused by obesity?
Obesity causes many serious physiological, psychological, and social consequences that are needed to be considered and treated with the best possible measure.
The physiological consequences of obesity are listed below:
- High blood pressure
- Heart ailments
- Type2 Diabetes
- Gallbladder disease
- Breast, uterine & colon cancer
- Breathing problem
- Digestive disorder
- Problems with fertility & pregnancy
- Urinary incontinence
- Arthritis
The psychological consequences of obesity are:
- Low self-esteem
- Social isolation
- Anxiety & Depression
Other consequences include:
- Movement becomes difficult resulting in difficulty in performing normal tasks
- Feeling fatigued more quickly
- Experiencing shortness of breath
- Difficulty in maintaining personal hygiene.
The treatment option for obesity may involve surgical or non-surgical options.
Non-surgical treatment:
Effective weight management is work great on highly motivated patients that include diet management, regular exercise, and lifestyle changes. When obesity occurred due to higher food intake, a sedentary life, or maybe a side effect of some medications, it is managed effectively by non-surgical options such as proper intake of necessary nutrients, regular exercise & meditation, and changes in lifestyle.
- Diet management:
Diet management is very important and taking advice from a dietician is required. If a patient is overweight and needs proper guidance, it is good to consult a dietician who instructs you about healthy food, diet chart, and required nutritional content founding in particularly fruit and vegetables. Nutritional counseling makes you able to control weight with or without the usage of supplements. It is a highly customized way of weight management.
Points needed to be highlighted for diet management as follows:
- Cut out liquid calories, especially soda, carbonated beverages
- Eliminate saturated fat in your food content
- Incorporate unsaturated fat, essential minerals, and nuts in your diet
- Eat only whole foods.
- Avoid white bread, white sugar, white rice, and refined sugary cereals
- Don’t think about counting calories.
- Regular Exercise:
Regular exercise including jogging, running, walking, and aerobics increase blood circulation which is good for a healthy heart. For maintaining a healthy body with a healthy mind, Physical activity will help you to inch closer to your goal by burning calories and building muscles, and increasing your BMI means basal metabolic rate. Your body will consume more calories at rest also.
- Life-style Changes:
It is important to evaluate your daily activity in order to assess and manage the weak points that may cause a weight gain problem. However, it is very much important to alter the lifestyle according to given instructions by the dieticians or doctors and adopt the method that helps in practicing a good weight management program thus it is required to do regular meditation as well.
Along with doing diet management, you will be surprised to know that even sleeping early can help you stay slim. It is good to have food at the time when the metabolism rate of your body is at its peak. However, it is good to have food at 7 Am, 12 pm, and 7 pm because at this you will burn up to 500 calories more than before without even moving a muscle.
Treatment of Medical Condition, Hormonal Imbalance
Weight loss surgery: bariatric surgery
Weight loss surgery or bariatric surgery is proven to be a successful method for the treatment of morbid obesity. Due to the continuous evolution of surgical principles, today there are multiple options for weight loss surgery that enables a patient and surgeon to choose the best method of surgery to deliver the best outcome for you.
Some of the surgical procedure performed to treat weight loss is as follows:
- Intragastric balloon
- Gastric banding
- Sleeve gastrectomy
- Mini Gastric Bypass
- Roux en Y gastric bypass
- Other novel procedures
- Cosmetic procedures such as BODY LIFT, BRACHYPLASTY
- Bariatric surgery is not recommended in patients with:
- Inflammatory diseases such as Crohn’s disease
- Severe heart, lung or liver diseases
- History of autoimmune diseases such as scleroderma or systemic lupus erythematous
- Alcohol or drug addiction
- Under the age of 18 years
- Pregnancy
- Chronic pancreatitis (inflammation of the pancreas)
- Presence of Infection.
- If you are struggling with your weight gain problem.
- If an Inability to attain a healthy weight loss is sustained for a period of time with prior weight loss effort.
- BMI ≥ 40 or more than 100 pounds overweight, you should undergo weight loss surgery.
- BMI ≥ 35 and at least one or more obesity-related co-morbidities such as type II diabetes (T2DM), hypertension, sleep apnea, and other respiratory disorders required treatment and bariatric surgery to help a lot in dealing with these super severe obesity issues.
- Emotionally fit to understand recovery and realistic outcomes.
One can have a lot of information on the internet. Consultation is an opportunity to know what is there for you. It is an opportunity to interact and know about the surgeon and to match your comfort level.
During your consultation be prepared to discuss the following things:
- Brief of your weight loss-weight gain history
- Brief about your lifestyle including diet habits and physical activity
- Medical conditions, drug allergies, and medical treatments
- Current medications, vitamins, fat burner, herbal supplements, alcohol, tobacco, and drug use
- For your surgical goals, you can take your end goal (photographs for reference)
- If any surgical history particularly about weight loss surgery.
Your surgeon will also:
- Evaluate the area of your concern
- Evaluate your general health status, particularly your nutritional status
- Evaluate Associated Co-Morbidity
- Any pre-existing health conditions or risk factors
- The cosmetic surgeon will suggest your surgery plan
- Discuss attainable outcomes and Recovery
- any potential risks or complications
- It is good to make a list of important questions before proceeding with the consultation step.
A) Gastric Ballon
It is a type of non-surgical weight loss procedure and is preferable for people with a BMI between 30 and 35. It is best suited for those who seek significant weight loss without surgery.
Procedure Brief:
- During a short outpatient procedure, a surgeon places a gas- or water-filled balloon in your stomach for up to six months. A gastric balloon helps you lose weight by taking up room in the stomach so you can eat less while still feeling full.
- Once the procedure is completed, you can go home the same day.
- After 6 months your body will be used to your new healthy eating & exercise habit.
- Once the balloon is removed, we will then work with you closely for another six months. We offer nutrition guidance as you adjust to your body’s new normal.
Indications:
- It is suggestible for people with a BMI between 30 and 35.
- It is good for people who seek significant weight loss without surgery.
Advantages:
- Helps you lose up to three times the weight compared to diet and exercise alone
- Is a nonsurgical solution, requiring a short outpatient procedure
- Is not permanent
Limitations:
- It is not covered by most medical insurance plans
- Can cause short-term side effects, including nausea or dehydration
- Does not offer drastic weight loss as quickly as more invasive surgical solutions.
B) Laparoscopic adjustable gastric banding or Lap-band Surgery
Laparoscopic Adjustable Gastric Banding, commonly referred to as Lap Band surgery, is a type of minimally invasive weight loss surgery (bariatric surgery) that involves wrapping a band around a part of the stomach to reduce its size and limit the capacity of food intake.
Procedure Brief:
- It is performed under general anesthesia.
- A laparoscope is a small, tubular instrument with an attached camera.
- A laparoscope is inserted through a small incision in the abdomen.
- The surgeon creates a small pouch at the top of the stomach. The pouch is the only part of the stomach that receives food. This greatly limits the amount that you can comfortably eat and drink at one time.
Indication:
- Lab-band surgery is indicated for people who have body mass index BMI of 40 (or)
- A BMI of 30 with one or more obesity-associated problems.
Advantages:
- Safer and less invasive procedure
- The Lap-Band surgery is a restrictive weight loss surgery and does not involve cutting or stapling of the stomach as do other bariatric surgeries.
- Fewer complications
- Quicker recovery and Shorter hospital stay
- Ability to adjust the band for customizing weight loss
- Ability to reverse the surgery
- No stapling or cutting of the stomach or re-routing of intestines
Complications:
- Band slippage or deflation
- Oesophageal dilation
- Erosion of stomach
- Obstruction of stomach
- Irreversible damage to the stomach requiring surgery
C) Sleeve Gastrectomy or Gastric Sleeve
- The gastric sleeve is also referred to as vertical sleeve, sleeve gastrectomy, or tube gastrectomy. It is a restrictive bariatric surgery that is performed to treat extremely obese patients with a high BMI of 40 and above. The goal of the surgery is to make you feel full quicker. It encourages weight loss by restricting the stomach size so it holds only a limited amount of food.
Procedure Brief:
- The procedure is performed under general anesthesia.
- The surgeon makes 2-5 small incisions on your stomach.
- A laparoscope is inserted through one incision.
- The surgeon removes 75-80% of the stomach.
- A thin sleeve shaped like a banana is created by stapling the remaining part of the stomach.
- Finally, the incisions are closed with sutures.
- The entire procedure takes 60-90 minutes to complete.
Indication:
- It is indicated for people with a BMI of 40 or above, and also for those with BMI of 35-40 and suffering from obesity-associated issues.
- The surgery is recommended when it is hard to respond through diet, exercise, or medications.
Advantages:
- Reduced stomach size makes you feel full sooner.
- Normal functions of the stomach are retained.
- Simpler than other bariatric surgeries.
- Can be performed laparoscopically
- Less operative time and Shorter recovery time
- Shorter hospitalization stay
- Minimal post-operative pain and discomfort
Limitations:
- Irreversible
- Need for a second surgery in highly obese patients if above 180 kg
- Exposure to surgical risks twice in the case of 2-stage procedures.
D) Mini Gastric Bypass Surgery
The mini gastric bypass surgery is a short, simple, successful, reversible laparoscopic gastric bypass weight loss surgery, which is recently renamed as One Anastomosis Gastric Bypass. It usually takes a shorter time and a minimum or similar hospital stay as a regular bypass.
Procedure Brief:
- It is performed under general anesthesia.
- The surgeon makes 3 to 4 small incisions on your abdomen.
- A laparoscope is inserted through one of the incisions.
- Small surgical instruments are inserted through the other incisions to perform the surgery.
- The first step is to reduce the size of the stomach.
- The stomach is converted into a long slender pouch up to the antral part by stapling.
- The second step of the surgery involves the creation of a bypass for food to flow from the new stomach pouch.
- A loop of the small intestine preferably between 150 and 250 cms is chosen for anastomosis depending upon the surgeon and the metabolic condition of the patient.
- The middle section of the intestine is attached to the opening in the stomach pouch creating what is referred to as the “omega loop”. The loop enables food to bypass the lower stomach, duodenum, and a portion of the small intestine.
- And finally, the incisions are closed with sutures.
Indications:
It is suggestible for the people with a BMI 40 or more, and also in those whose BMI is 35 to 39 that are suffering from obesity associated with health ailments such as:
- Type 2 diabetes
- Heart disease
- High blood pressure and High cholesterol
- Sleep apnoea
- Non-alcoholic fatty liver disease
- Cancer
Advantages:
- It helps you to lose about 5-10 kilograms a month in the first year following surgery.
- It helps in resolving obesity-related health ailments
- It is easily possible to fully reverse the procedure due to simplicity of the primary procedure.
Limitations:
- Problems associated with anaesthesia
- Leaks in your gastrointestinal tract
- Deep vein thrombosis (blood clot in the leg)
- Dumping syndrome leading to diarrhea and nausea
- Intractable Bile Reflux
- Gallstones and Malnutrition
- Marginal Ulcers
E) R and Y By pass
- The surgery uses a combination of restrictive and mal-absorptive techniques to achieve a successful outcome.
- Staples are used to create a smaller stomach to limit the amount of food intake, and a large portion of the small intestine is bypassed to limit the nutrients and calories absorbed.
- The small intestine is cut at a short distance below the main stomach and connected to the new pouch.
- Food flow is done directly from the pouch into a part of the intestine.
- The main part of the stomach, however, continues to make digestive juices.
- The portion of the intestine still attached to the main stomach is reattached farther down.
Indication:
- Body mass index (BMI) of 40 Or, A BMI of 30 with one or more obesity-associated complications
- Type 2 diabetes
- Heart disease
- High blood pressure
- High cholesterol
- Sleep apnoea
- Non-alcoholic fatty liver disease
- Cancer
Advantages:
- It can help you lose about 5-10 kg a month in the first year following surgery.
- It helps in managing obesity-associated complications.
- You will gradually lose more weight by eating a healthy diet and doing the routine exercise.
Limitations:
- It is not possible to fully reverse the procedure due to partial removal of the stomach.
- Lifelong follow up is required for blood tests to ensure proper health and nutrition.
Patients may lose 30 to 50 percent of their excess weight in the first 6 months, and 60 TO 80 % of excess weight as early as 12 months after surgery.
Patients who maintain their lifestyle after having weight loss surgery with a healthy diet, regular exercise, and better control of fatty diets tend to get better results. So, it’s all about following a healthy lifestyle after the weight loss surgery that turns your weight management system on the right measure.
As with any surgery bariatric surgery has its own set of complications.
Bleeding, infection and obstruction of the intestine caused by scar tissue are some of the complications associated with bariatric surgery likewise any other surgical procedure.
Complications or risks will be rare if you choose an expert Bariatric surgeon. An expert anesthetist is needed to tackle anesthesia during weight loss surgery. And, a recognized clinic chosen for the surgery must be equipped with advanced technologies adhered to the needed safety & hygiene measures,s and have the best clinic setup support to encourage the best outcomes.
The minimum downtime after bariatric surgery is about 2-3 weeks.
A patient coming from another city or country should plan to arrive in Mumbai, India at least 1 full day (preferably 2) prior to surgery and to stay in Mumbai for a minimum of 7-days post-operatively.
One may return to work that does not require physical activity after 1-2 weeks of the procedure. However, try to avoid strenuous exercise for at least 1 to 2 months or seek the advice of a doctor.
Allure Medspa, the most trusted cosmetic surgery centre has facilities of the most advanced techniques and standard measures for performing bariatric surgery, special inclusion with laparoscopic banding, sleeve gastrectomy surgery, and GASTRIC BYPASS weight loss surgery.
Our expert bariatric surgeon recommends the particular option of the technology/technique for weight loss/bariatric surgery, according to your need, expectation, and desired goal and endlessly provides consistent results.
We follow a stringent medical protocol for our patient’s safety. NABH (National accreditation board for hospitals & Healthcare Providers) certification for Goregaoncentre assures you about the best medical practice, safety-hygiene as well as a comfortable recovery.
If you are coming from an outstation and opting for bariatric surgery, you do not need to get worried about the accommodation or stay matter. Allure Medspaovernight STAY facility at Goregoan Centre makes your transformation journey quite comfortable.
The staff at the cosmetic surgery center is well-experienced to take all post-operative care. They patiently guide you to take post-operative care of yourself before discharge to make your journey of fine to fabulous a pleasant experience. One can experience a homely feeling at Allure Medspa.
The Allure Medspa clinic is at the heart of Bollywood, which is easy to commute both for pre-and post-operative visits. Whilst away from glittering streets, the Goregaon location of our center assures you about privacy & confidentiality.
There are many types of bariatric surgery/ weight reduction surgery. Putting their cost in a bracket is difficult. Approximately sleeve gastrectomy Surgery will cost INR 2,00,000 to 3,00,000 in Mumbai, India.
Cost depends on:
- Surgeon’s Fee
- Type of the Bariatric surgery
- Duration of the surgery
- Anesthesiologist fees
- Medicines/consumables during surgery
- Hospital facility & stay
- Immediate post-operative follow-ups
Following are the factors that are NOT included in the cost determination:
- Preoperative fitness test
- Post-operative medications (to be taken at home)
- Rare and unforeseen health circumstances experienced by the patients
- Insurance doesn’t cover the bariatric surgery cost
- Patient’s Profile: The extent of the surgery, the complexity of the surgery, the ancillary procedure with Bariatric surgery general health of the patient as well as the goal of your surgery influence the cost of the surgery.
- The credentials of Surgeon: The credentials of weight loss or bariatric surgeon include the board-certification and international recognition achieved through various memberships such as ISAPS, ASPS, APSI, IAAPS. The results given for weight loss or bariatric surgery by the surgeon must count as a standard for choosing the right surgeon.
- Anesthesiologist Charge: The anesthesiologist makes your surgery painless and monitors your vital parameters during surgery his expertise is important for the safety of the surgery and weighs the cost of the procedure.
- The Infrastructure of the Centre: It is always important to choose an accredited center that has strict rules for, maintaining the safety standard. A center with overnight facilities is always better rather than a daycare center, which can assure you about safe and result-oriented surgery.
- Hospital Stay: The facilities of in-suite room, cleanliness & hygiene as well as hygiene staff support system.
- Medicines: Medicines include anesthesia, surgical medicine, disposable, and consumables.
- Follow-ups: More the number of follow-ups the more cost of the procedure would be.
Note: Most health insurance plans do not cover Bariatric surgery or its complications, but many plastic surgeons offer patient financing plans, so be sure to ask.
Q1. What is the success rate of Bariatric Surgery?
Ans: There is a 100% success rate of bariatric surgery/weight loss procedure, the only condition to have the same are assured with the best board-certified plastic & cosmetic surgeon.
Q2. Can weight loss surgery be reversed?
Ans: The LAP-BAND and gastric bypass procedures are both potentially reversible. But, the gastric sleeve technique is IRREVERSIBLE.
Q3. Does weight loss surgery guarantee permanent weight loss?
Ans: If a patient follows a healthy lifestyle, exercises, and healthy dietary guidelines, it is very less probable to regain much weight after the surgery. Therefore, it is advisable to follow the instructions & suggestions given by your cosmetic surgeon.
Q4. How long does the weight loss surgery take?
Ans: Gastric banding (LAP-BAND) and sleeve gastrectomy can be performed in 1-2 hours while the gastric bypass is generally performed in 2-3 hours.
Q5. How much does weight-loss surgery cost?
Ans: This is an individualized cosmetic procedure that varies from one patient to another, however, knowing the exact cost of weight loss surgery depends on a number of factors associated with the patient’s anatomical & physiological status, state of obesity, your chosen surgeon & clinic as well as the location of the cosmetic surgery center. Thus, it is important to have a primary consultation with your surgeon to know the exact cost of weight loss/Bariatric surgery.
Q6. How much weight can you expect to lose after Weight loss/Bariatric surgery?
Ans: One can expect an average of 65-75% of their excess body weight within 9-12 months after having weight loss surgery.
Q7. What are the dietary changes after weight loss surgery?
Ans: After weight loss/Bariatric surgery, patients need to be on a liquid diet for about 2 weeks. For another 2 weeks, it should be followed by a semi-solid or soft diet. After a month, it is allowed to have normal food, albeit in limited quantity. It is also recommended to have a nutritional-rich diet with a proper intake of protein supplements, iron, vitamins, calcium, and multivitamins.
Q8. When can I return to work after Bariatric Surgery?
Ans: One can resume their daily scheduling, and job after 1TO 2 weeks following the procedure. But, strenuous activities such as running, weight-lifting, cycling, or driving should be started after 3 TO 4 weeks following the surgery.
ICD-10,CPT Code and Description about Weight Loss Surgery:
| CPT Code | CPT Description | ICD -10 Procedure |
| 43644 | Gastric Bypass | E66.01 |
| 43775 | Laparoscopic Sleeve Gastrectomy | E66.01 |
| 43845 | Biliopancreatic Diversion with Duodenal Switch | E66.01 |
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Note: The author of this content is Dr. Milan Doshi, An Indian board-certified plastic & cosmetic Surgeon wholly & solely confirms the authenticity of the information & knowledge delivered by this write-up.