Ghatkopar (East), Mumbai)
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Post-Traumatic Deformities
An accident doesn't end when the emergency is over. For many patients, road traffic injuries, falls, assaults, and industrial accidents leave lasting deformities facial asymmetry, scarring, contractures, and functional deficits that affect everyday life long after the wounds close.
At Shree Hospitals, our plastic and reconstructive surgery team specialises in post-traumatic deformity reconstruction in Mumbai, restoring anatomy, function, and confidence in patients who often feel they've exhausted every option.
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Our Approach
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Our Approach In Managing Post-Traumatic Deformities
Reconstruction is not cosmetic — it's restorative.
Post-traumatic deformities are among the most complex challenges in reconstructive surgery. Each case is unique: defined by the mechanism of injury, the structures involved, the time elapsed since trauma, and the patient's functional priorities. Our approach is meticulous, staged, and always centred on what matters most to the patient.
- Comprehensive Reconstructive Assessment
Our evaluation maps the full extent of residual deformity:
- Clinical photography and 3D imaging for documentation and surgical planning
- Assessment of tissue deficiency skin, subcutaneous fat, muscle, cartilage, and bone
- Functional assessment mobility, sensation, airway, vision, and bite alignment
- Review of all previous operative notes and imaging from treating hospitals
- Timing of Reconstruction
Not all deformities benefit from immediate reconstruction:
- Acute phase life and function-threatening injuries (airway, vision, major vessel) are addressed immediately
- Intermediate phase (3–6 months) ; when oedema has resolved and tissues are stable
- Late phase (6–12+ months) definitive scar revision, bone grafting, and contour restoration
- Realistic timeline communicated clearly to patient and family from the first consultation
- Facial Trauma Reconstruction
Facial trauma reconstruction surgeon in Mumbai India referrals cover the full spectrum:
- Delayed repair of zygomatic, orbital, and nasal fractures with titanium plating
- Secondary rhinoplasty for traumatic nasal deviation and internal valve collapse
- Periorbital reconstruction eyelid repair and orbital floor restoration for post-traumatic enophthalmos
- Lip and oral commissure reconstruction using local advancement or Abbe flap techniques
- Soft Tissue Defect Reconstruction
Coverage of areas where soft tissue reconstruction is required after tissue loss:
- Local flaps ; rhomboid, bilobed, note flap for small-to-moderate facial defects
- Regional pedicled flaps nasolabial, forehead flap for complex nasal and cheek defects
- Free flap reconstruction radial forearm, anterolateral thigh (ALT), or fibula flap for large defects
- Fat grafting for soft tissue volume restoration and scar improvement in healed areas
- Scar Revision & Contracture Management
Traumatic scar revision is one of the most frequently requested procedures after trauma:
- Z-plasty for linear contractures crossing joint lines or facial aesthetic units
- W-plasty and geometric broken-line closure for irregular scars in cosmetically sensitive areas
- Dermabrasion and laser resurfacing for surface texture irregularities
- Filler and fat grafting for depressed, adherent, or contour-disrupting scars
- Bone & Cartilage Reconstruction
When skeletal architecture has been lost or significantly altered:
- Rib cartilage grafting for nasal dorsum and ear framework reconstruction
- Calvarial bone grafting for skull defects following trauma or prior surgery
- Alloplastic implant (Medpor, titanium mesh) for orbital wall and malar reconstruction
- Mandibular reconstruction with a fibula free flap for segmental jaw loss
- Functional Restoration & Rehabilitation
Reconstructive surgery is measured by functional outcomes, not just appearance:
- Physiotherapy and scar mobilisation following flap reconstruction
- Dental and maxillofacial co-ordination for bite rehabilitation after jaw reconstruction
- Psychological support ; body image counselling and trauma-focused therapy referral
- Photography-documented outcomes reviewed at 3, 6, and 12 months post-reconstruction
Happy Patients & Their Case Stories
"I was in a road accident three years ago and left with a sunken cheek and a nose that was completely off-centre. The reconstruction here was staged over two procedures and the result is remarkable."
Mr. Karan M.
"After an industrial injury left me with a large cheek defect, I was told nothing could be done. The post-traumatic deformity reconstruction in Mumbai team here used a flap and restored my face. I can look in the mirror again."
Mr. Mohammed S.
How to Identify Post-Traumatic Deformities ?
Post-traumatic deformities may be immediately obvious or develop gradually as swelling resolves and scar tissue matures. Common presentations include:
Facial Deformities:
- Visible facial asymmetry following fractures ; flattened cheek, sunken eye socket, deviated nose
- Eyelid malposition ; ectropion or entropion following periorbital trauma
- Loss of normal lip or oral commissure shape following lacerations or avulsion injuries
- Nasal deviation, collapse, or dorsal irregularity after nasal fracture
Scar-Related Issues:
- Thick, raised hypertrophic or keloidal scars following deep lacerations or burns
- Depressed, pitted, or tethered scars adherent to underlying structures
- Contractures restricting movement across joints or distorting facial structures
Soft Tissue Volume Loss:
- Hollow or sunken appearance of cheeks, temples, or periorbital area
- Loss of lip volume or projection following soft tissue trauma
- Visible subcutaneous fat atrophy beneath healed skin
If facial fracture repair was inadequate or delayed at the time of injury, secondary reconstruction remains highly possible. Many patients don't realise that correction is still achievable years after the original trauma.
Important FAQs: Post-traumatic deformities
Is it too late to fix a deformity from an injury that happened years ago?
In most cases, no — it is not too late. Post-traumatic deformity reconstruction in Mumbai is routinely performed years or even decades after the original injury. In fact, some procedures are best performed after the tissues have fully matured (typically 12–18 months post-trauma). Our surgeons will assess what is achievable based on your current anatomy and plan reconstruction accordingly.
How many surgeries will I need for post-traumatic reconstruction?
This depends entirely on the nature and extent of the deformity. Simple scar revision may require a single procedure. Complex facial or skeletal reconstruction — involving bone, cartilage, and soft tissue — typically requires 2–4 staged procedures over 12–24 months. Our team maps out the entire reconstructive plan at the initial consultation so you know exactly what to expect.
Can fat grafting improve post-traumatic volume loss?
Yes — fat grafting is one of the most effective and natural methods for restoring soft tissue reconstruction volume after trauma. The patient's own fat is harvested from a donor site (usually abdomen or thigh), processed, and injected precisely into areas of volume loss. Results improve progressively over 3–6 months as the fat integrates with surrounding tissues.
Will reconstruction leave new scars?ip and palate need?
All surgical reconstruction involves incisions — and therefore scars. However, our surgeons design incisions strategically: within natural skin creases, along aesthetic unit boundaries, or within hairlines, to minimise visibility. Traumatic scar revision replaces irregular, conspicuous scars with fine, well-oriented ones that heal with significantly less visibility.
Will my insurance cover post-traumatic reconstruction?
In most cases, reconstructive surgery following trauma is covered by medical insurance as it is classified as a functional or medically necessary procedure rather than cosmetic surgery. We assist patients with documentation including clinical photography, operative reports, and specialist letters to support insurance claims. Our medical records team is experienced in facilitating this process.
Treatments For Post-Traumatic Deformities At Shree Hospitals
Treatments for Post-Traumatic Deformities at Shree Hospitals Comprehensive post-traumatic deformity management in Mumbai, including evaluation of injury-related deformities, reconstructive surgery, scar revision, bone and soft tissue reconstruction, functional restoration procedures, and long-term rehabilitation for optimal functional and aesthetic outcomes.
Scar Revision (Z-Plasty / W-Plasty / Geometric Rearrangement)
Surgical reorientation or lengthening of traumatic scars that are functionally restrictive, aesthetically disruptive, or crossing natural skin tension lines.
Local & Regional Flap Reconstruction
Transfer of adjacent or nearby healthy tissue to replace skin and soft tissue lost to trauma used for moderate facial, scalp, and extremity defects with excellent colour and texture match.
Free Flap Microsurgery
Transfer of composite tissue (skin, fat, muscle, or bone) from a distant site with its own blood supply the gold standard for large, complex post-traumatic defects of the face, jaw, or limbs.
Secondary Skeletal Reconstruction (Bone Grafting / Titanium Fixation)
Delayed repair of facial fractures using bone grafts or alloplastic implants restores skeletal projection, symmetry, and orbital or jaw anatomy.
Top Plastic and Reconstructive Specialists in Mumbai
Dr. Suyash Yashwant Patankar
Consultant Plastic, Reconstructive
Dr. Arun V. Sheth
Consultant Plastic, Cosmetic
Dr. Abhijeet Dharmaji Sawant
Consultant Plastic, Reconstructive, Aesthetic
Dr. Udit Dalmia
Consultant Plastic, Aesthetic
Our Teams at Shree Hospitals is board-certified and has an average of 15+ years of clinical experienece.
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