₦airaland Forum

Sonnobax15:

And someone was telling me the other day to vote in the landlord of Lagos as president of Nigeria..Make I go mistakenly go park my keke wrongly,next thing na to auction am out

Over my dead body...I rather sit-down my house on that day than to go cast my vote for who go remove my source of food from my hand

In as much as I feel the pain of the car owners let it be known that if action in not taking to bring sanity to the road we will still be shouting n criticizing the govt for hold ups where people will pack anyhow just because there is no penalty for his/her offence.
We break laws alot in this country just because we can bribe our way out. Am happy for this and I hope they don't start taking bribe or listen to people who has power to let offenders go Scot free

davillian:
Some people no get joy
Shot him and stayed
Glad he was caught he would name names

People like this have zero their mind and are ready for the consequences. He might not name names

BeeBeeOoh:
I am also a virgin by fate

I seeeee

Mark just prooved to us that he holds our happiness, imagine a brake of 12 hours and everyone became worried.. what if this same thing happens to our money in the bank...
E choke abi
������

The big guys that do big things… Big Leaguers debut in Nigeria

Whoop whoop!!! What a time to be alive and what a way to get Nigerians back on after the wave of the novel COVID-19, everyone got tired of seeing huge numbers on the NCDC boards and really can’t wait to see the back of the virus, now guess what? Big Leaguers Entertainment is making a debut in Nigeria after conquering Europe and South America with big acts and dope vibes.

Usman Kayode, COO of Big Leaguers Entertainment has been on media tour to announce the upcoming audition and to engage industry stakeholders in his bid to make huge difference in the entertainment industry; although a man of few words, his positive vibes and rocking demeanor tells a story of what is to be expected from the label.

The closed audition will be staged at an undisclosed venue in Lagos on the 11th of July, it is a closed event because of the raging COVID-19 and the established laws guiding public gathering, as a law abiding brand, BLE is poised to make dreams come through without breaking laws. In view of this, performing artistes are to send their songs to audition@bigleaguersentertainment.com, as long as you have it, you’ll get a fair chance to be signed to a lucrative deal.

Entries are allowed until the 7th of July 2020 after which successful applicants will be invited to go head to head at the audition on the 11th of July at an address that would be sent to them privately.
Grab life by the entertainment with Big Leaguers Entertainment… The audition is powered by 9JA Energy

Reliable and efficient dispatch delivery is possible in Nigeria – Israel Ipadeola

Over time, lots of businesses have shut down over customers’ experiences with delivery partners; going by social media responses across multiple channels, one of the key factors that frustrate businesses, especially those that rely on logistic companies is the reliability of their delivery guys.

Experience shows a huge gap in the logistics industry, where many vendors sometimes have to hit the road themselves to deliver goods to customers when dispatch riders disappoint. Incidentally, most customers don’t regard the dispatch riders as the problem when complaining online, they quickly label the vendor a fraud and call the business out for cancellation, thereby killing innocent businesses at the altar of dispatch riders’ errors.

Israel Ipadeola, Chief Operating Officer of Speedy Hub Logistics, a new outfit breaking into the Nigerian business terrain has maintained that it is possible for businesses to find joy with delivery of their goods and services with an efficient firm. The vastly experienced logistics professional leads the team at Speedy Hub, a brand that is taking Logistics, Procurement and Security by the horn with the hopes of making huge impact in the industry and help businesses deliver promptly while building their brand image, however, he clarified that Speedy Hub doesn’t start operations fully until the 29th of June 2020.

Speedy Hub is active on Instagram, Twitter and Facebook and will be sharing branded items as well as cash for followers, check out @SpeedyHub on twitter and @SpeedyHub.ng on Instagram.
http://www.speedyhub.ng

� 1. Fear of unknown

� 2. I don't have the money ( Who has?).

� 3. I don't have any contacts to start with ( Really?).

� 4. I'm not smart enough ( You have crown yourself as a mumu)

� 5. I can't talk (Are you dumb?)

� 6. I don't have the time ( Yet you have the time to wake up at 5am and get dressed to face the traffic)

� 7. I'm too busy ( doing what exactly?).

� 8. It takes too long to build a business ( But you envy Dangote)

� 9. I'm afraid. Building a business is too risky for me ( is sleeping not risky, people have died in their sleep).

� 10. I don't like dealing with people ( Mr Island... I greet you your Excellency)

� 11. I'm too old. ( Colonel Sanders started @ 65yrs now KFC chicken is a worldwide brand)

� 12. Waiting for all the lights to be GREEN. (lights turn green when you press the button)

� 13. My husband, my wife, my parents don't support it ( They don't support you to be broke either but you are).

� 14. My job is too demanding and I travel a lot. (Don't you travel with your mobile phone?)

� 15. I'm not good at marketing. (Yet you are the king of forwarding unverified massages on WhatsApp and Facebook! Continue.)

� 16. No, if it's networking, I can't do it. ( But you spread gossip yet can't spread a business that will better your life?)

� 17. I'm not a professional. ( Who is a professional? We all learn networking by attending training and seminars) * MAX INTERNATIONAL is a place to be for now* see how I do it through facebook.com/maxflow or follow @aistuffpro on twitter

*HIGH CHOLESTEROL* Cholesterol is both good and bad. At normal levels, it is an essential substance for the body. However, if concentrations in the blood get too high, it becomes a silent danger that puts people at risk of heart attack.
Cholesterol is present in every cell of the body and has important natural functions when it comes to digesting foods, producing hormones, and generating vitamin D. The body produces it, but people also consume it in food. It is waxy and fat-like in appearance.
Reducing the intake of fat in the diet and exercise helps to manage cholesterol levels. In particular, it is helpful to limit foods that contain:

Cholesterol: This is present in animal foods, meat, and cheese.

Saturated fat: This occurs in some meats, dairy products, chocolate, baked goods, deep-fried, and processed foods.

Trans fats: This occurs in some fried and processed foods.
Excess weight or obesity can also lead to higher blood LDL levels. Genetic factors can contribute to high cholesterol. People with the inherited condition familial hypercholesterolemia have very high LDL levels.

levels, include:

diabetes

liver or kidney disease

polycystic ovary syndrome

pregnancy and other conditions that increase levels of female hormones

underactive thyroid gland

drugs that increase LDL cholesterol and decrease HDL cholesterol, such as progestins, anabolic steroids, and corticosteroids

In adults, total cholesterol levels less than 200 milligrams per deciliter (mg/dL) are considered healthy.

A reading between 200 and 239 mg/dL is borderline high.

A reading of 240 mg/dL and above is considered high.
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Aistuff is a new artist but has been in the media industry for quite some time. He is into print media and also a blogger as well as cinematographer. Aistuff is the founder and company director of Aistuff Media Entertainment (AMEN) which is into diverse media related works.
Aistuff now comes through with his first beautiful, motivational and inspirational reggae flavour tune titled “CHAMPION". It is a song to inspire the Winner in you. The song is produced by Yankee.

https://springers24.com/musicnew-champion-by-aistuff/

https://soundcloud.com/user-208563289/champion

Prejudice, discrimination... The Nigerian story

Perception is everything, in a clime where the society decides for people, where what you wear is a subject of public debate, where what a teenager opts to choose as a career path is the decision of people who in reality don’t matter or won’t matter to the lad when consequences knock, a society where you’re judged from the dirty lenses of myopic observers, for strange reasons, even intellectuals now depend on societal validations, to stay woke, in vogue and relevant, you ask, what really defines us? People’s opinions?

Michael is 30, a multilevel marketer, forex business genius, flashy with appearance which by all standards is his choice, drives a 2016 Honda Accord and lives in a serviced apartment on the island, he’s fun loving, you won’t blame him, when you work so hard and so smart, you should live a good life; then there’s a force, a team of restless trigger happy blood thirsty and devastatingly empowered set of humans who go about victimizing everyone who seems to be doing good, they call them the Special Anti Robbery Squad, SARS. One hazy evening, Michael opts to drive round town, to shed some pressure from the madness of the fluctuating online money market, at the Lekki phase one roundabout, he was stopped by a red golf with armed men in official uniforms flagging him frantically, he slows down, winds down and sticks his neck out to find out how he could be of help, fast forward five minutes later and there’s already a massive traffic, why? Indiscretion of the empowered lots who refused to allow the young man park appropriately before carrying out what they would, in their eyes, you can’t be that flashy and be legitimate, he was in their custody for days before his lawyers got him out simply because he didn’t shift ground on their tip demands, remember the famous #EndSars movement? This remains one of the many reasons.

A peek into the story above; how many people like Michael have been killed by these men of the force without justice? While we must agree that there exists cyber crime in our society, but is every youth in town involved in it? Where is it written that your appearance is a product or function of what you do? Then where is the principle of exception to the rule? The society is killing free will, creativity and natural self expression with prejudice, discrimination and uninformed judgments, people now think twice before picking clothes to wear because the woman down the street will question something, people now become deaf and dumb at public forums because of fear of being quoted, social media platforms aren’t what it used to be anymore because of the many cases of verbal attacks and dissection, especially with faceless people talking down on noble hustles simply because it isn’t one with a multinational or a highly revered blue chip outfit... Story of the world we live in.

...To be continued

Waste management in Lagos and the scourge of sabotage

Since the advent of Vision scape, Governor Akinwunmi Ambode’s waste management brain box, there has been widespread agitations based on the cruel sight of refuse and horrible stinks, the antecedents of Lagos State government over time speaks volume of quality people oriented governance, this earned the government some endurance from the people but the limits soon got triggered as the gory sights got out of hands. Interestingly, almost every time, you see workers of the Visionscape company working their socks off diligently to evacuate people’s refuse, each time this happens, you see relief on people but with shadows of questions and doubts as to why an end seems not to be in sight to the strange pile of refuse in other areas which makes breathing a nightmare for residents.

The major grouse the people have with this new contractors range from not coming around on time to collect refuse until it becomes eyesore to appearing or having area preference whenever they decide to work, however, close observers have come to identify some unspoken factors in the struggles of Vision scape and Lagos waste management; the idea of a progressive governance led the incumbent government to ease out the old contractors and introduced a more agile and travelled group, in a bid to align with global best practices in the areas of waste management, the yearnings of the government however isn’t materializing as complaints from the people thickens, now you ask, what exactly is the problem? It became known to our observers over time that some of the members Association Of Waste Managers of Nigeria (AWAM) aren’t happy with the decision of the government to ease them out from collecting domestic waste from tenements thereby engaging Vision scape gives them reasons to do everything they can to frustrate the efforts of the new team and the government by extension, there’s only one word for this... sabotage!

Few days ago, news broke out that a group, The Concerned Stakeholders of the Association of waste Managers of Nigeria led by Afis Olasehinde Kasumu held a meeting of damage control and progress initiation with the government and the new operators, to show solidarity and to express their unalloyed and unequivocal support and commendation for the Cleaner Lagos Initiative and for the promulgation of the said law which will no doubt proffer a permanent solution to Waste Management in our amiable state.

The group also noted that it is worthy of accolade that the said law made a clear distinction between ‘Commercial Waste’ and ‘Domestic Waste’. By the provisions of the said law, the government of Lagos State assumed the duty of being in charge of Domestic Waste with Vision scape /Cleaner Lagos initiative.
They also thank administration for taking into consideration the absorption of investors like themselves and other PSP operators and that by the provisions of the same said law which protects their interest and stake by providing that they all remain in business by also retaining their old members/client/customers and also solicit for more within their operational area of coverage/zone.
The Concerned Stake holders of Waste Managers Association of Nigeria also offer to contribute their quota by supporting the Cleaner Lagos Initiative with an initial 35 refuse compactors which number could increase to 100 as they offer to mop up the black spots across Lagos State. The Group also stated that the wellbeing of Lagosians is utmost in their mind, and as we approach the raining season they cannot just allow to watch but also intervene to avoid epidemic, which is what the aggrieved group does not care about.
This kind gesture was warmly received and accepted by the Government, but to the surprise of many, a group believed to be aggrieved from AWAM, have come out to disown the group that is offering a helping hand, you must ask why? Are they angry with progress? Are they people oriented at all? Is this challenge a thing of pride and ego to them or service to the people? Speaking to our news agency, Afis Olasehinde Kasumu, who has been rendering unequalled outstanding waste management service to Lagosians for decades said it was the state of things that necessitated his group initiative to offer help and also collaborate with Vision Scape. He went further to say that the Vision Scape group see the operators as partners who will learn a lot from each other and they are willing to collaborate with the operators to make Lagos clean. He went further to say that they cannot afford to allow the cleaner Lagos initiative to fail, because if it does they will also be considered as failure, hence a need to take responsibility as a people oriented group to render service whether paid or unpaid; laudable to say the least and quite commendable, and any progressive would agree with him and his Group.

Change is inevitable, other aggrieved operators can collaborate to deliver service with Vision Scape without making drama out of it, it should be a collective joy to see people of Lagos living in comfort, you don’t wish failure on a vendor because you feel you can do better, and finally, it is unruly to attempt to pour cold water on the bravery and courage of the noble men who tried to swallow hurts and offer help, if we all contribute something, Lagos will work for us all by default.

Quin Labiz... the rise of a new gem

Nigeria is blessed with loads of talents, resources and gifted souls of various kinds, from football to technology to art and music, name that sphere and you’d definitely have a Nigerian leading light shining brighter than imagined.

From Ikare Akoko, Ondo state comes a diva of beauty and immense musical content, with the suave voice of unique style, sensational aura and sleek dance steps, a shade of Tiwa Savage’s poise, Niyola’s serenity and Yemi Alade’s energy, a symbol of strength and vigor, ready to storm the music scenes with her rhythm, sexiness and sensational act, Quin Labiz!

The 22 year old talent has released banging singles after single, and the latest, Bend for you, produced and mastered by JDonng is a romantic effort, great to the ears and soul, if you love good music, you’ll like this sensational rhythmic sound from the new diva on the block... Quin Labiz.

Look out for her this December at the famous Rhythm unplugged show in Port Harcourt, iRepublic mega show in Lagos as well as major events this festive season. The sky is the starting point for this emerging talent

MARK Zuckerberg is 33 YEARS OLD AND HAS ONLY ONE BUSINESS – FACEBOOK, LAUNCHED IN FEBRUARY 2004.

Aliko Dangote IS 60 YEARS OLD, HAS A BUSINESS EMPIRE AND HAS BEEN IN BUSINESS FOR OVER 40 YEARS

IN 2012, Dangote WAS NAMED THE 43rd RICHEST MAN IN THE WORLD BY Forbes, WHILE Mark was 66th, BUT IN 2017, MARK BECAME THE 5th RICHEST PERSON WHILE Dangote DROPPED TO 105th POSITION.

MARK ACHIEVED MORE GLOBALLY IN 6 YEARS THAN Dangote HAS DONE IN 40 YEARS.

THE REASON?
DANGOTE STARTED HIS BUSINESS IN THE INDUSTRIAL AGE WHICH REQUIRES PHYSICAL STRENGTH TO SUCCEED WHILE Mark STARTED HIS BUSINESS IN THE INFORMATION AGE WHICH REQUIRES INTELLIGENCE.

EMBRACE KNOWLEDGE.
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Why you must buy Prestige Motor Insurance…

Many of us need automobiles to get from place to place, so we all know how useful they can be while also recognizing the fact that driving an automobile is dangerous. You might be careful in obeying traffic laws, but you never know when someone else will not and be the cause of an accident that involves you. Then again, mistakes do happen and you never know when something may occur that you will be at fault. These are reasons why it is important to have auto insurance.

However, vehicle insurance (also known as car insurance, motor insurance or auto insurance) is insurance for car, trucks, motorcycles and other road vehicles. Its primary use is to provide financial protection against physical damage or bodily injury resulting from traffic collisions and against liability that could also arise there from. Auto insurance covers much more than just collisions. There are times when certain acts of nature may occur such as a hail storm or a falling tree that may cause damage to an automobile and it would cost too much money out of pocket to fix these things. The insurance will sometimes charge a small deductible depending on the type of accident that has occurred, but the cost is minimal compared to what it would cost to fix an automobile on your own.
Just imagine what a world without auto insurance would be like. First of all, people who are at fault in accidents would be paying money to the accident victims out of their wages and other income for years to come. Those who have been injured in an accident at no fault of their own are entitled to have their medical bills, vehicle repairs, and other expenses paid by the insurance of the person who was at fault. If the person at fault does not have insurance, then they do have to pay those expenses out of their pocket. Many people have been known to lose major assets because they did not pay the minimal cost of having auto insurance to prevent such losses.

Then there are those natural disasters that we have absolutely no control over. There have been many overturned trees from high winds that have decided to fall the direction of someone's brand new car. There have also been the occasional hail storms throwing objects at many automobiles. This can cause thousands of Naira in damage that goes beyond the scope of what most individuals can afford straight out of their pocket.

Further you can learn the essential coverage options which must be included in any car insurance plan. These essential coverage options are as follows:
• Damages which occur due to man-made events such as burglary and riots and theft or other such activity
• Damages which occur from natural calamities such as landslides and fire and lightning
• Third-party liability cover- This is an important cover which covers all third-party liabilities and expenses which otherwise can cost you a bomb.
• Ensure that your car insurance provides adequate cover treatment in hospitals or hospitalization costs, surgery costs and doctor’s expenses.
• In case of damages to third-party property or demise of third-party, the compensation costs can be really high. Similar is the case with third-party injuries like the broken limbs or burns. However, when you have third-party liability insurance, you will be saved from all these costs. Only ensure that you renew your policy always on time to enjoy continuous benefits.

So why is Auto insurance important?

It is already quite obvious to see why having auto insurance is very important. If not, then look at it this way:

• You are protecting your automobile, one of the largest investments you make in your life.
• You are able to pay for medical bills if an accident occurs.
• You don't have to feel the biggest part of an accident-related lawsuit.
• Protects assets that you've worked hard for from being lost due to a lawsuit.
• Protects you from those motorists that may not have insurance of their own.
• Not only pays for accidents and weather-related incidents, but also pays for vandalism and theft.
• You know you are protected every single time you hit the road.

However, this brings about another point. It is very important that you review your insurance policy and make sure you understand all of it since every policy is different. Prestige Assurance Plc offers convenient automobile insurance option plans depending on a person's financial capacity or need. Moreover, considering the various available options, automobile owners may choose a certain type of coverage over another for a variety of reasons. This can be because they want to cut premium costs perhaps they simply cannot afford higher coverage or another reason could be premise on insurance coverage needs. These things should be considered carefully because you never know when one accident may be the event that causes you to lose many of your assets in order to satisfy the cost of a lawsuit settlement.
Visit us at www.prestigeassuranceplc.com today for a genuine automobile insurance.
DOUBT IF YOUR MOTOR INSURANCE IS GENUINE?
Confirm the authenticity of your motor policy via the following:
Website: www.askniid.org
Send SMS: Policy number *plate number to 33125 (e.g. OIN/0098/201401*AB567CD to 33125)

PRESTIGE……compassionate and caring.

The transfiguration of Prestige Assurance Plc.
Sometimes in 1952, all the way from Mumbai, India came a bright idea, a service of note, a people oriented business strategy that today became a giant in the insurance industry. Starting off as a branch of The New India Assurance Company Limited, Mumbai; Prestige Assurance was incorporated as a limited liability company on 6th January 1970 and licensed to write all classes of non-life insurance in Nigeria... They haven’t looked back since then. With offices at strategic points all over the country, Prestige Assurance has over the decades serviced all spheres of the country, boasting of shareholders’ funds in excess of 6.2billion Naira as at 31st December 2016, a viable, dependable and reliable general insurance service provider, one of the largest in the art of quality service provision and prompt claims payment, we present the evergreen brand of unique excellence... Prestige Assurance Plc.
Every brand listens to the voice of evolution, the best of companies are those that understand time and its peculiarities, in this age of information technology and scientific advancement, Prestige Assurance has evolved into a vogue group and is going digital! Interaction with clients and prospects aren’t limited to the old fashioned courtesy calls and visits anymore, now we trend with you, analyse selfies together, discuss hot topics and even share stuffs online as freebies to our esteemed online audience, hey! You have to follow us to know what’s up with us, hello Twitter, we’re active like never before, hey Instagram, what’s trending today? When you see us fly by in your emails, just holla at us, Facebook community, we got loads in stock for you and make sure you stop by at some premium blogs to read about our products as we examine each weekly... This will be fun. Get following to stand a chance of winning something from us
Twitter: @PrestigeAssures
Instagram: @Prestigeassurance
Facebook: @Prestigeassurance
LinkedIn: Prestige-Assurance-plc

The dream of every parent is to have a child born with no birth defects. Now a days, medicine has advanced so much that lot of congenital abnormalities can be diagnosed very early. Early management will lead the child to have a near normal life.
Common birth defects like clubfeet will show up as soon as the child is born. But problems like hip dislocation can be missed till child starts walking if we are not vigilant. If conditions like this diagnosed and treated early will have good quality of life. Literature suggests that late diagnosis will result in problem in later life.
One day, when I was busy in my out-patient clinic, parents from abroad brought their five year old daughter for consultation. When I examined and investigated, I found that she had dislocation of both hips. On further questioning, I came to know that they were advised not to treat till child becomes 12 years old. I had to do lot of explanation to convince them that reducing both hips early will give better quality of life. This misguided advise happens because of consulting Orthopedic surgeons with no formal training in Children's orthopedic problems.
After having spent 15 years of my career in UK and Ireland, initially as a trainee, then fellowship in Pediatric Orthopedics and Spine followed by consultant in Pediatric Orthpedics and Spine in one of the tertiary referral centre in Ireland, I move back to India in 2006. Since then, I am with Apollo Hospitals and was instrumental in setting up the Pediatric Orthopedic department when they opened the state of the art Children's Hospital in Chennai.
Since birth defects were my area of special interest, I was able to plan and perform this complex surgery on both hips of this child during their visit to India. This was done in two stages, one hip at a time. It involved in preparing the socket of the hip, open reduction and shortening of femur bone with plating to keep the hip in the socket. It nearly took 3 weeks for the child to get up and stand and 2 months to walk. Parents were thrilled to see their child walking and running like any other children. Now and then, they send me video of her playing around.
Reason for such complex surgery is because of late presentation. If hip dislocation is diagnosed at birth, it can be treated with Harness. Till the child is one year old, this can be managed with plaster cast. Any later diagnosis will end up with major surgery. In our institution, we always examine all newborn present with risk factors for hip dislocation. Sometimes clinical examination is supported by ultrasound examination.

Figure 1& 2. X-ray of both hips showing dislocation of hips in a 5 year old girl
Figure 3&4. Immediate post op x-ray and recent x-ray showing both hips well reduced


Located in the heart of Chennai, India, just a stone’s throw away from the flagship Apollo Hospital, the Apollo Children’s Hospital is a 80-bedded facility, offering the finest quaternary-care pediatric specialties in the country. The health needs of children are extremely unique and different
Children should not be treated as little adults as their anatomic and physiological development is different from that of adults. Therefore, their response to disease, injury and surgery is also different from adults. Orthopedic conditions, including birth and congenital defects (such as club foot or dislocated hip), require ongoing treatment and care from birth into adulthood. Management of children’s fractures differs significantly from adult fractures because of children’s growing bones and the presence of growth plates. Consequently, orthopedic services should be tailored to meet the needs of pediatric patients.
Pediatric orthopaedic surgeons in our hospital diagnose and manage children's musculoskeletal problems, such as:
• Limb and spine deformities noted at birth or later in life (clubfoot, hip dislocation, radial and ulnar club hand, scoliosis, limb length differences)
• Gait abnormalities (limping)
• Neuromuscular Disorders
• Broken bones
• Bone or joint infections and tumours
Dr. R. Sankar is a Paediatric Orthopaedic and Spine Surgeon at Apollo Children’s Hospitals, Chennai. Dr. R. Sankar has trained extensively in Orthopaedic Surgery in India and in the U.K.& Ireland. After completion of Intercollegiate fellowship in UK & Ireland, he underwent fellowship training in Paediatric Orthopaedics and Spine. During this period, he attended international courses and conferences relating to Pediatric Orthopedics and Spine. He also spent some time with Prof. Ponseti, who has pioneered in non surgical correction of Clubfeet, which is being practised throughout the world.
After completion of his training, he became Consultant in Our Lady's Hospital for Sick Children in Dublin, Ireland.After spending almost 15 years in UK & Ireland, he returned back to India. He works with patients and their families to develop a comprehensive and tailored treatment plan for each patient.

Robotic Urology in India
 
Introduction
The story of the operating surgeon relinquishing his hallowed position beside an operating table to a chair positioned a few feet away began in the 1980’s in the USA when NASA, Stanford Research Institute, and the US Department of Defence developed the SRI Telepresence Surgery System, which was intended to aid the wounded in a battle by surgeon’s miles away from the frontline (1). Although it did not accomplish the intended objective, this surgical system eventually led to the development of the present day Da Vinci Robotic System.
Robotic surgery is the latest cutting-edge technological advancement in the surgeon’s armamentarium. Almost like science fiction to the uninitiated, the surgeon sitting at a console controlling a robotic arms assembly has revolutionized the surgical approach to many procedures which were hitherto either very complicated or fraught with prohibitive complications.
Although newer modifications of the Da Vinci robot are on the anvil, the present configuration is likely to remain the mainstay in the Indian scenario for the foreseeable future.
The Da Vinci Surgical System was released in April 1997 and received FDA approval in 2000 for laparoscopic surgeries.(2) Today it is being used in increasing number of specialities including gynaecology, ENT, Cardiac Surgery, General Surgery, Orthopaedics and Urology.
In its present configuration Da Vinci Surgical System can be used in most contemporary operating suites. It has 3 major components
• Robotic Tower: Assembly where instruments are attached and mechanically manipulated within the patient
• Surgeon’s console: Workstation where the surgeon sits and manipulates the instruments
• Ancillary Vision Cart: Supports a flat screen monitor

Advantages
Any technical advancement is a tool for execution of the basic technique of surgery and hence must be examined with the question - Does this further aid, simplify or facilitate our adherence to our time honoured basic surgical steps and their outcomes?
The answer for the robot is probably a resounding “Yes”. It unquestionably offers some distinct advantages. (3)
1. 3D vision and depth perception: One of the biggest hindrances of Laparoscopic surgery has been a 2 dimensional representation of a 3 dimensional operating field. The incorporation of binocular optics in the operating console offers the operating surgeon a 3 dimensional simulation and thereby improves depth perception which is invaluable when operating in the limited confines of areas like the pelvis.
2. Elimination of hand tremors and field magnification: Robotic arms eliminate tremors and help in movement scaling. This increases the precision of the surgical steps and helps define difficult anatomical landmarks.
3. Ergonomically superior and cause less fatigue to the surgeon: Better operating posture and surgeon’s comfort translates into better surgical outcomes.
4. Reduces the learning curve of Laparoscopic surgery: The exposure to robotic surgery offers a chance for surgeons who are not laparoscopically trained to offer a minimally invasive surgery option. (4)
The additional advantages of minimally invasive surgery like lesser post-operative pain, shorter convalescence period, lesser bleeding and more cosmetic incisions unarguably further the case of robotic assisted surgery. (5)
Disadvantages
The biggest and possibly the only uncontested disadvantage of the Robotic Surgery is the incurred cost. The Da Vinci Surgical systems robot costs a considerable $ 2 million with a further $ 100,000 required for annual maintenance. (6, 7)
Undoubtedly the higher costs involved translate into higher cost of Surgery which is principally borne by the patient. In the Indian context this is a very pertinent consideration where a vast majority of the population cannot afford such high costs. Another uniquely piquant condition in India is that even in patients who have medical insurance; the companies refuse to cover surgeries done using the robotic technology.




The Indian Scenario

Major diseases causing maximum number of deaths in India are still TB and infectious diseases like malaria. ( A question that is most frequently and arguably the most aptly asked in this scenario is – Can we afford it?
At present this question is akin to asking - Can India afford to market a Mercedes Benz or an Audi car?
The reply to the question, as written in an essay by Vipul et al is, that the Robot is already there in India and the question is becoming increasingly redundant.


Role of Urology

In July 2006, India witnessed its first Robotic Assisted Surgery at AIIMS. Fittingly, it was pioneered by the Department of Urology and a Robotic radical prostatectomy was completed successfully (5). We have indeed come a long way since then. As PN Dogra et al have analyzed, the results of a series of 190 cases performed at their centre compare very favourably with the western figures. The number of Robots in India has also been steadily increasing and although the precise number is not available, there are about 21 centres, across the country, which are regularly performing Robotic surgeries (10).
In terms of departments, Urology is quite definitely the forerunner in the use of Robotic technology. The number of radical prostatectomies being performed has gone up tremendously as compared to the open era. The improved continence results (some patients at our centre report continence at day 1 or day 2 post catheter removal) and the lesser erectile dysfunctions attributable to better nerve sparing achieved due to the robotic technology, have gone a long way in establishing radical prostatectomy as the flagship surgery of robotics worldwide and in India. The advantages have also been extended to procedures requiring precision and accuracy like partial nephrectomy which has enabled efficient nephron sparing surgery with resultant renal function preservation. Robotic assisted adrenalectomy, pyeloplasty, radical nephrectomy and donor nephrectomy are being performed with increased frequency as the Surgeon is getting more and more acclimatized to the Robot. A further testament to the proficiency of the Indian surgeon with the robot is the increasing number of Robotic Renal Transplant surgeries being performed successfully at some centres.
Other Surgical departments in India are also joining the Robotic revolution in increasing numbers. Gynaecology, ENT, Cardiac Surgery and General Surgery are using the Robot in a wide variety of cases.

The challenges
As Dr Mani Menon, of the Vattikutti Institute said in an interview to Express Healthcare, - “India is ideally suited for robotic surgery as the surgeons are skilled, the patient volume is high and a full spectrum of complex diseases are encountered. In India particularly, multispecialty robotic surgery has a great future.”
Even with this well recognized potential, Robotic surgery is still in its infancy in India.
As mentioned earlier the inherent costs associated with it remain the biggest challenge to be overcome for a more uniform dispersion of this technology throughout the country. The only way to tackle this and to make robotic surgery financially feasibleis for multidisciplinary utilization of the robotic system to its fullest potential. The maintenance cost remains the same whether one case or 6 cases aredone in a day. So it is logical that if more cases were generated out of arobotic system, the cost per case would automatically decrease. Government support is also of paramount importance in making this technology available to more people at a subsidized rate.
With Indians at the forefront of Robotics worldwide, it is not unreasonable to anticipate the development of an indigenous robotic surgical system in the future. The department of biomedical engineering at the IndianInstitute of Technology have made some headway in the goal of developingour very own Indian prototype. (5) Needless to say, such a system will go a long way in making this technology come within reach of a majority of our population.
Another major drawback with the current Indian scenario is the lack ofrobotic surgery fellowships in India. With increasing number of centres attaining competence in performing surgeries, it is expected that a number of them shall make the logical transition of imparting Robotic training also.

Conclusion
India today, is gaining momentum in the process of becoming a very competent Robotic Surgery destination. Our costs still remain lower than most western counterparts while our skills match up to the world’s standards.
Steve Jobs famously said at the inauguration ceremony of the Macintosh – “Everyone here has the sense that right now is one of those moments when we are influencing the future”. Witnessing and actively participating in the rapid growth and spread of Robotic technology in India, one cannot help having the same sense of shaping the future of health delivery in India
 
References
1. Nguyen MM, Das S. The evolution of robotic urological surgery. UrolClin North Am. 2004 Nov; 31(4):653–8. vii. Review. [PubMed]
2. 5. Carpentier A, Loulmet D, Aupecle B, Berrebi A, Relland J. Computer Assisted cardiac surgery. Lancet.1999; 353:379–80. [PubMed]
3. Cathelineau X, Rozet F, Vallancien G. Robotic radical prostatectomy: The European experience. UrolClin North Am. 2004 Nov;31 (4):693–9.
4. Menon M, Shrivastava A, Tewari A, Sarle R, Hemal A, Peabody JO, et al. Laparoscopic and robot assisted Radical prostatectomy: Establishment of a structured program and preliminary analysis of outcomes.J Urol. 2002;168:945–9.
5. Dogra PN, Current status of Robotic surgery in India. JIMSA July-September 2012 Vol. 25 No. 3; 145
6. www.modernhealthcare.com/article/20140419/magazine/304199985
7. Morgan JA, Thornton BA, Peacock JC, Hollingsworth KW, Smith CR, Oz MC, et al. Does robotic technology make minimally invasive cardiac surgery too expensive? A hospital cost analysis of robotic and conventional techniques. J Card Surg. 2005;20:246–51.
8. Girish G. Nelivigi, Robotic surgery: India is not ready yet. Indian J Urol. 2007 JulSep; 23(3): 240–244. doi:10.4103/09701591.33443

9. Vipul Patel, Robotic surgery: India is not ready yet. J Urol. 2007 JulSep;23(3): 244–245.
10. Jain S, Gautam G. Robotics in urologic oncology. J Minim Access Surg. 2015 JanMar;11(1): 40–44.

VSD
Ventricular septal defect is a hole between the pumping chambers of the heart. Traditionally this has been closed by open heart surgery, which involves opening of the chest, by-pass-machine and closing the hole surgically. The last 10 years there has been a tremendous development in treatment of this condition where we have started closing the hole by pin-hole technique [angiogram] without any scar in the chest. However a particular type of VSD- Subarterial VSD, a hole just below the main valves of the heart has to be closed by surgery only. This article unfolds the story where we have closed such hole without surgery.
A twelve year old girl had a congenital heart problem. She was detected to have sub arterial ventricular septal defect as early as two years of age. The doctors had advised her for surgery as the hole was very close to the valves and can damage the valves.The parents were scared of surgery as it can cause a scar and also the risk of the by-pass procedure. They postponed the surgery till they heard about us when the child was 14 years of age. By this time the hole has damaged the valve mildly. They came to Apollo Children’s Hospital for opinion in September 2014. After the initial assessment we felt that we can close the hole by pin-hole technique avoiding surgery. After explaining this to the family we took the child for the procedure. The procedure was done under local anaesthesia. It took us half an hour for the procedure. The hole was successfully closed by VSD Device by transcatheter technique and she was discharged from the hospital on the very next day.The family was ecstatic, as their14-year mental burden had come to end. During one year follow up, she was doing fine, there was no residual leak and there was no problem in aortic and pulmonary valve. This single day procedure helped her to avoid a cardio-pulmonary bypass surgery, lifelong scar on the chest and 5-6 days hospital stay following surgery.
This is not only the story. Transcatheter closure of VSD is being successfully done for more than two decades. Long term follow up studies have shown that transcatheter closure of Ventricular Septal Defect (VSD) is a feasible alternative of surgery.Traditionally, surgery is the treatment of choice for VSD. But, it does have some potential risks of complications, including complete heart block, significant residual VSD, the necessity for re-operationand even death. Furthermore, infections, tachyarrhythmias, and neurological complications may occur after surgery. After successful surgical management, surgical scar will persist lifelong. Keeping these in mind, transcatheter closure of VSD is an acceptable alternative and effective mode of treatment.
In Apollo Children’s Hospital transcatheter closure of VSD was successfully done for more than 300 children over last 5 years with very less incidence of complication. More than 50% of the small to moderate sized VSDs can be closed by transcatheter technique. Experience of the operator, proper patient selection and proper planning are the key of success in this technique.

Hope Alive Child Care Initiative ... Keeping hopes alive

Experience they say is the best teacher, that explains the story of Mrs Nwalema Adaugo, the founder and president of Hope Alive Child Care Initiative center. The foundation sees to the well being of children, pregnant women and general health issues. The moving train of the foundation partnered with Apollo Hospitals on the 10th of December 2015, venue is 33, Apena Street. Ishaga, Surulere Lagos to see to the case of a certain boy who who has a saddening case of cancer.

However, it's quite difficult to sustain the achievements of HACCI without a reputable international hospital offering backings; that is where the first hospital with international accreditation in A.P, Apollo Hospitals came in. With Rakesh Jalla, Dy. General Manager, International Marketing (Nigeria) in attendance, HACCI and Apollo Hospitals took on the case of the young boy (pic below) of about three years suffering from cancer of the eyes.

The case started five months ago when the mother (pictured below) noticed a blood stain in the boy's left eyeball, back and forth trips to the hospital only generated referrals and little hopes until HACCI and Apollo Hospitals teamed up to render assistance to the boy. While speaking to newsmen, the confident Mrs Nwalema explained in detail how Apollo Hospitals analyzed the condition and placed him on an effective schedule of MRI scan ahead of surgery which is estimated at about $12,000.

A cheque was presented to the boy's parents for the scan with assurance of smooth medical service for the boy by Mrs Nwalema and she stressed that this is not the first time HACCI is coming to the aid of Nigerians and she assured it certainly will not be the last.

Apollo hospital... Keeping hopes alive

The moving train of Apollo Hospital's health support in Nigeria stopped by at the Hope Alive Child Care Initiative center on the 10th of December 2015, HACCI is a child care initiative, founded for the good of children across the land, since Apollo is about restoring hopes and sound health, it was another opportunity for them to continue their good works in partnership with HACCI.

However, it's quite difficult to sustain the achievements of HACCI without a reputable international hospital offering backings; that is where the first hospital with international accreditation in A.P, Apollo Hospitals came in. With Rakesh Jalla, Dy. General Manager, International Marketing (Nigeria) in attendance, HACCI and Apollo Hospitals took on the case of a young boy (pic below) of about three years suffering from cancer of the eyes.
The case started five months ago when the mother (pictured below) noticed a blood stain in the boy's left eyeball, back and forth trips to the hospital only generated referrals and little hopes until HACCI and Apollo Hospitals teamed up to render assistance to the boy. While speaking to newsmen, the confident Rakesh Jalla explained in detail how Apollo Hospitals analyzed the condition and placed him on an effective schedule of MRI scan ahead of surgery which is estimated at about $12,000.

A cheque was presented to the boy's parents for the scan with assurance of smooth medical service for the boy by Apollo Hospitals. Mr Rakesh Jalla stressed that this is not the first time Apollo Hospitals is coming to the aid of Nigerians and he assured it certainly will not be the last.


Cancer, neurological diseases can be treated in Nigeria
Experts from Apollo hospital, India have said that Nigerians no longer have to travel abroad for the diagnosis and management of cancer and neurological disorders as these services are now available in the country.

The Head Manager, Health Care Services International, Apollo Hospitals, India, Abubakkar Siddique, said this at 2-day free medical camp organised by the hospital in collaboration with the Capitol Hill Hospital, Warri, Delta State.

According to Siddique, the Indian hospital would be collaborating with local hospitals to facilitate proper diagnosis of cancer and other neurological disorders.

He noted that the group had 64 hospitals across India and four in other countries and would be bringing its rich expertise and resources to Nigerian hospitals.

Siddique stated,“ Our doctors from Apollo hospitals are poised to take Nigerian hospitals to greater medical heights especially in the area of continuous medical education and the provision of tele- health services, training and development programmes”.
The Chairman, Delta State Chapter of Association of General and Private Medical Practitioners in Nigeria, Dr. LuckysOkparanyote, stated that prompt diagnosis of cancer and access to specialists could reduce the number of Nigerian patients dying of cancer.
Okparanyote identified ignorance and poverty as factors militating against early detection and treatment of cancer and called on government to support affected patients.

Medical experts from Apollo hospitals who offered free medical consultation programme included Prof. Krishna K.N, a Neuroscience Consultant and Dr. Anil Kameth, Senior Consultant/Surgical Oncologist

Hair transplants are safe and recommended

There cannot be anything more worrying than seeing youeveryday in the mirror minus few hairs. Hair loss is fast becoming the biggest panic creator amongst the young population thanks to the changing lifestyles. Besides, heredity is one of the most common internal causes of hair loss. However, there is a solution in the form of hair transplantation.

~Ultherapy, a non-invasive cosmetic procedure gives natural yet noticeable results~
Forty-year old Harsimran got all excited when she received an invitation for a college reunion. Reminiscing old times, she smiled thinking how popular she was, especially for her looks. But the smile vanished as soon she saw herself in the mirror. After two kids and a life revolving around family and work, her face had sagged and she had developed fine lines, pigmentation and dullness on her skin. All of a sudden she got scared of the idea of meeting her college friends again. What would they say? She did not want her pretty image shattered.
Sigh! Only if reality had a Photoshop to make us look flawless at all ages. Nonetheless, there is cosmetic surgery to the rescue. But alas, most of us are scared of going under the knife and do not want needle stings. Thanks to advances in medical science, a breakthrough in skin anti-ageing treatment called Ultherapy has been invented. The new fad is being vouched by Hollywood celebrities such as Courtney Cox, Jennifer Aniston and Kim Kardashian to name a few and everyone is singing praises for this painless no-knife treatment.


Dr Shahin Nooreyezdan, Senior Consultant – Cosmetic Surgery, Apollo Cosmetic Clinics Delhi says, “Beautiful, glowing younger looking skin requires intensive care, both internally and externally. Especially, after crossing 30's this process requires extra effort to overcome the signs of ageing. A relatively new therapy for India, Ultherapy provides an immediate smoothing effect by slowing down the aging process by creating new structural collagen and eventually tightens it thus improving skin texture and tone.”

Today, Ultherapy is being used in more than 55 countries and around 40 scientific papers have been published on the procedure. More than twice that number of scientific lectures have also been delivered at various platforms.

Also known as the ‘lunchtime lift’, Ultherapy is a micro-focused ultrasound treatment for skin tightening. Yes, an ultrasound system, normally used for viewing baby growth in pregnant ladies. Conveniently termed as 'lunchtime lift' it requires no overnight stay at the clinic. “You can literally choose to get it done in your lunch hour and go back to work. It is a mere 60-90 minutes’ treatment that uses your body’s own regenerative response to gently and gradually restore memory to the skin and underlying tissues”, says Dr Nooreyezdan.

Approved by the USFDA, improvements continue for 6 months. Different than lasers, which penetrate the skin from the outside-in, Ultherapy bypasses the surface of the skin, specifically targeting the deep, structural skin tissues where collagen lives. The technique uses ultrasound pulse energy to enter into the tissue, working from the inside-out delivering thermal energy. This thermal energy revives the collagen producing engines within the tissues, resulting in the production of new collagen and markedly improving the elasticity of the skin. The effect lasts for up totwo and a half years after which you may need another session as you have become two and a half years older too!!

Dr Nooreyezdan added, “Ultherapy is recommended for those between 35 and 60 with early signs of laxity. These patients see results within three to six months with a single treatment. Patients over the age of 60 may require a second treatment in six months. Treatments specific for certain areas such as the chin, eyes or brow can last for several years.”

While fillers and Botox are overpriced, can be painful and need to be done regularly, Ultherapy gives a great natural-looking freshening up alternate.


Do give it a shot and feel the difference yourselves!

How does Botox work?
Botox works to relax the contraction of muscles by blocking nerve impulses. The result is muscles that can no longer contract, and so the wrinkles relax and soften. It usually takes two to four days to see cosmetic improvement and the effects tend to last from four to six months. Most patients require retreatment to remove wrinkles and lines as they begin to reappear, but after each injection the wrinkles return as less severe as the muscles are trained to relax
How is Botox administered?
Botox procedures do not require anesthesia and usually take just a few minutes to perform. The protein is injected into the muscle using a fine needle in order to minimize discomfort and maximize accuracy. It is recommended that patients avoid alcohol for about a week before the procedure. In order to minimize bruising, patients should stop using aspirin and anti-inflammatory medications about two weeks before treatment. For cosmetic procedures, a study published in Dermatologic Therapy found that men need a higher dose of Botox than women.
Is Botox better than a face-lift?
According to the American Society of Plastic Surgeons, whether Botox gives better results than a facelift (surgery) depends on the age of the patient. People in their 30s who have had limited exposure to sunlight usually show signs of aging in their eyes and temple area first, with crow's feet and some bulging of the eyelid. As they have not lost much volume at this point, fillers or Botox usually smooth out the lines that people want to get rid of.

When people enter their 40s the middle of the face starts to shift as the cheeks lose some of their fat and laugh lines set in. The cheeks become deflated towards the end of the 4th decade, and the jowls start to sag. A combination of Botox as well as minimal lifting procedures will provide the best results.
The facelift procedure
The traditional facelift. An incision is made in front of the ear extending up into the hair or hairline. The incision stretches downward in front of the ear, comes under the ear and then upward behind the ear. It then ends in the hair or hairline behind the ear. If necessary, the deeper tissues of the face can be tightened. The excess skin is removed.

The incisions are then closed with sutures and staples. In some cases a drain is placed under the skin behind the ear to drain off any excess blood and fluids. This drainage tube is removed a day or two after the procedure. Then bandages are applied.

New surgical techniquesThere are new methods for performing facelifts. New surgical options are constantly being developed.These advances aim at improving cosmetic procedures:
· Lasers: A face-lift procedure called laser neck and jaw liposculpture and resurfacing, uses lasers. This can be done through a one-inch incision under the chin using only a local anesthetic.
· Endoscopy: Endoscopic techniques are now used to do face lifts and brow lifts. This method allows for smaller incisions. As a result, there are fewer traumas to tissues, and a faster recovery time. Facial structures are raised, and there is no need to cut away folds of skin. However, this type of procedure also depends on the patient.
· Liposuction: This method is used to remove focal deposits of fat in the face. It is usually used in the area between the chin and neck. Liposuction can be combined with a face lift or performed separately.
Face lift surgery can last from two to five hours. It can be performed in an outpatient facility with local anesthetics and sedatives to relax the patient. However, in some cases surgery can be performed under general anesthesia and the patient may stay in the hospital overnight.

Facelifts are effectively combined with eyelid surgery and other facial procedures. The result of a facelift is a smoother, more youthful appearance. The procedure removes and tightens sagging skin. The droop of the cheeks around the jaw line is reduced. The corners of the mouth are lifted and the creases between the cheeks and lips are diminished. The results usually last between five to ten years.




Our appearance can greatly impact on how we feel about ourselves and how others react to us. Commonly, most of the changes we attribute to ageing are in fact caused by sun damage. Sun damage causes harm to the vital collagen fibers of the skin, resulting in a loss in skin support and changes in the skins texture and tone. Sun exposure can also contribute to open / broken blood vessels to the face resulting in an increased red complexion or fine lines, wrinkles and enlarged pores.
The RevLite™is the next generation of Q-switch ND: YAG laser technology.It is a multi-purpose, multi-wavelength aesthetic medical laser that offers maximum power and versatility for a broad range of indications on all skin types.
RevLite™ utilizes an extremely high-speed shutter to produce nanosecond pulse widths, enabling highly effective procedures with less heat and increased safety. Featuring the Photo Acoustic Technology Pulse™, the RevLite™ delivers very narrow pulse widths at peak energy, even at larger spot sizes. The speed and power of RevLite™ can create a superior Photo Acoustic rejuvenation effect, including a more refreshed appearance, decreased redness, a reduction in fine lines and wrinkles and collagen stimulation.
Dermal Fillers Overview
Cosmetic Dermal Fillers, Softform and Fat are all substances used for wrinkle treatments, scars and skin depressions, as well as for the improvement of lips.
These filling substances are injected or implanted into the skin to create, or replace volume which has either been lost over time, or can be added to a specific area that has had a natural deficit. Dermal fillers are great at plumping out an area thereby rejuvenating and giving subtle and immediate results.
Due to current government restrictions we cannot legally name any specific products, for more information on what each product has to offer please call the clinic and speak to one of our specialist cosmetic nurses.
As we age the skin structure undergoes many changes. The epidermis thins causing the skin to become dry more easily. The dermal layer depletes its supply of normal tissue making it less plump and the elastin fibers become less firm. All of these signs are minimal at first, however over time when the fat cells of the subcutaneous layer get smaller, the wrinkles and sagging becomes more noticeable.
Dermal Fillers Options
Dermal fillers have been available in different forms for many years in a variety of medical applications. One of the first fillers used (which we cannot name), although it was reliable many patients felt it was too restrictive, as it required two test doses, two weeks apart prior to treatment to reduce the risk of an allergic reaction.
The newer dermal fillers are made of substances that can be found in all living tissue. The advantage is that treatment can be immediate as any risk of allergic reaction is rare which eliminates the testing period. As there are a variety of different products available, the most appropriate product for the patient can be specifically chosen for the particular area of concern.
DEMYSTIFYING COSMETIC TREATMENTS – BEATING THE MYTHS FOR A BEAUTIFUL BODY


MYTH: Cosmetic surgery and plastic surgery are one and the same

The terms "plastic surgery" and "cosmetic surgery" are not the same. Confusion about both has led to public misconceptions about the two specialties. Cosmetic surgery is the surgery of appearance- the looks. It is elective and focuses on the aesthetics of beauty.

Plastic Surgery has two divisions “Reconstructive Surgery” and “Cosmetic Surgery”.

Reconstructive Surgery is to restore individuals to normal.

Cosmetic surgery is to enhance the appearance of normal people or surpass normal. Cosmetic surgery uses the same surgical principles as plastic surgery and is performed by qualified cosmetic surgeons.

Unlike cosmetic surgery, plastic surgery focuses on repairing and reconstructing abnormal structures of the body caused by birth defects, developmental abnormalities, trauma, infection, tumors or disease.

MYTH: Only Women Get Plastic Surgery

Although women have been the traditional customers of cosmetic surgery, now-a-days, an increasing number of men are taking this path.

Less invasive procedures such as Botox, laser treatments and dermal fillers can give men a rejuvenated and naturally youthful appearance without any downtime and at relatively low costs. These, along with liposuction, are the most popular cosmetic surgery treatments for men. The reason for pursuing cosmetic treatments is to improve your quality of life, self- esteem, awareness, affordability & safety.

MYTH: Liposuction is an effective way to lose weight

While liposuction involves removing fat from the body, it's designed to remove fat from trouble spots. For a person near ideal weight, with excess fat in a specific area, liposuction may work well. The procedure is most helpful in someone who is healthy and is looking for a slight change in body shape. Weight loss through liposuction is site specific unlike losing weight as that is overall.

Liposuction is only a cosmetic surgery and is in no way a substitute for proper diet and exercise essential for the body. Even after surgery, a good exercise regime to maintain weight at a stable point is very essential. Diet and exercise are important for people to maintain their weight after liposuction surgery.

MYTH: Botox can cause droopy eyelids.

If the Botox treatment is managed by a properly trained person, the risk of suffering from droopy eyelids is lower than 2%. As with any potential side effect, the condition is temporary and should resolve itself within a few weeks.



MYTH: Botox freezes your face.

Treatment performed by an experienced person will make the face look relax without affect expression.

Dr Kuldeep Singh
Senior Consultant, Cosmetic Surgery,
Apollo Hospitals

Take the years off your face with a No-Knife therapy

People age with time and the effects are most noticeable and manifested foremost on the skin. The face sags and wrinkles appear due to gravity and sun. Therefore we must be prepared to take effective measures so that we can flaunt a younger looking skin for a long time. Various therapies and techniques are used for skin anti-aging purposes. Surgical interventions and cosmetic surgery for facelifts usually requires a long healing period. And often many people try to shirk off the idea of a surgery involving cuts and knifes. Thus those who are contemplating a facelift but want to avoid surgery can consider a breakthrough in skin anti-aging called Ultherapy.

Ultherapy is a micro-focussed ultrasound treatment for skin tightening. It is a 60-90 minutes treatment that uses your body’s own regenerative response to gently and gradually restore memory to the skin and underlying tissues. Skin is one of the most delicate parts of the body which requires proper care as negligence can make the skin age at an earlier date. Skin care requires both external and internal care; facial massages can tighten the skin muscles, improve the blood circulation and clears the dead cells thereby maintains a beautiful, glowing and younger looking skin. However after reaching a certain age the skin will anyhow begin to show the signs of aging and therefore will require some extra efforts to keep the skin looking younger for a longer period. Ultherapy uses ultrasound to work deep within the skin layers and eventually tightens it thus improving skin texture and tone.

Aptly called the ‘lunchtime lift’, Ultherapy provides an immediate smoothing effect by slowing down the aging process by creating new structural collagen.

The therapy is USFDA approved for skin tightening of the face and neck. You see improvement initially and they continue for 6 months. Unlike lasers, which penetrate the skin from the outside-in, Ultherapy bypasses the surface of the skin, specifically targeting the deep, structural skin tissues where collagen lives. The Ultherapy is different from other non-surgical treatments that it focuses on ultrasound pulse energy into the tissue, working from the inside-out delivering thermal energy. This thermal energy revs up collagen producing engines within the tissues, resulting in the production of new collagen and markedly improving the elasticity of the skin. The effect lasts for upto 2 1/2 years after which you may need a retreatment since you are 21/2 years older!!

The ideal candidate is someone between 35 and 60 with early signs of laxity. These patients see results within three to six months with a single treatment. Patients over the age of 60 may require a second treatment in six months. Many patients are looking to stay competitive in the workforce, which they believe is tied to their appearance. Whether improving their appearance to look more vibrant or for the associated confidence boost, people perceive this to be important and they come into the clinics looking for help.

Knife-less therapy for timeless beauty ~ Ultherapy, a non-invasive cosmetic procedure gives natural yet noticeable results ~

Forty-year old Harsimran got all excited when she received an invitation for a college reunion. Reminiscing old times, she smiled thinking how popular she was, especially for her looks. But the smile vanished as soon she saw herself in the mirror. After two kids and a life revolving around family and work, her face had sagged and she had developed fine lines, pigmentation and dullness on her skin. All of a sudden she got scared of the idea of meeting her college friends again. What would they say? She did not want her pretty image shattered.

Sigh! Only if reality had a Photoshop to make us look flawlesshb at all ages. Nonetheless, there is cosmetic surgery to the rescue. But alas, most of us are scared of going under the knife and do not want needle stings. Thanks to advances in medical science, a breakthrough in skin anti-ageing treatment called Ultherapy has been invented. The new fad is being vouched by Hollywood celebrities such as Courtney Cox, Jennifer Aniston and Kim Kardashian to name a few and everyone is singing praises for this painless no-knife treatment.

Dr Shahin Nooreyezdan, Senior Consultant – Cosmetic Surgery, Apollo Cosmetic Clinics Delhi says, “Beautiful, glowing younger looking skin requires intensive care, both internally and externally. Especially, after crossing 30's this process requires extra effort to overcome the signs of ageing. A relatively new therapy for India, Ultherapy provides an immediate smoothing effect by slowing down the aging process by creating new structural collagen and eventually tightens it thus improving skin texture and tone.”

Today, Ultherapy is being used in more than 55 countries and around 40 scientific papers have been published on the procedure. More than twice that number of scientific lectures have also been delivered at various platforms.

Also known as the ‘lunchtime lift’, Ultherapy is a micro-focused ultrasound treatment for skin tightening. Yes, an ultrasound system, normally used for viewing baby growth in pregnant ladies. Conveniently termed as 'lunchtime lift' it requires no overnight stay at the clinic. “You can literally choose to get it done in your lunch hour and go back to work. It is a mere 60-90 minutes’ treatment that uses your body’s own regenerative response to gently and gradually restore memory to the skin and underlying tissues”, says Dr Nooreyezdan

Approved by the USFDA, improvements continue for 6 months. Different than lasers, which penetrate the skin from the outside-in, Ultherapy bypasses the surface of the skin, specifically targeting the deep, structural skin tissues where collagen lives. The technique uses ultrasound pulse energy to enter into the tissue, working from the inside-out delivering thermal energy. This thermal energy revives the collagen producing engines within the tissues, resulting in the production of new collagen and markedly improving the elasticity of the skin. The effect lasts for up to two and a half years after which you may need another session as you have become two and a half years older too!!

Dr Nooreyezdan added, “Ultherapy is recommended for those between 35 and 60 with early signs of laxity. These patients see results within three to six months with a single treatment. Patients over the age of 60 may require a second treatment in six months. Treatments specific for certain areas such as the chin, eyes or brow can last for several years.”

While fillers and Botox are overpriced, can be painful and need to be done regularly, Ultherapy gives a great natural-looking freshening up alternate.

Do give it a shot and feel the difference yourselves!

Battle Skin Woes with A Bloodbath ~Vampire Facelift with its healing and regeneration properties can stimulate skin rejuvenation to result in younger smoother glowing skin~ When 35 year old Preeti (name changed) started seeing signs of aging, she tried every possible home remedy, but nothing seemed to work. She did not want to inject potentially harmful chemicals into her body and was looking at something natural and organic. Like Preeti most of us are at a war against wrinkles, dull face, dark circles and sagging skin but fear going under the knife. This is where getting a ‘bloodbath’ can come to the rescue. Aging is a natural process that takes place over the years regardless of outside influences. After the age of 20, a person produces about 1 percent less collagen in the skin each year. As a result, the skin becomes thinner and more fragile with each passing year. There is also diminished functioning of the sweat and oil glands. Improper diet, smoking and sun exposure all cause stress on skin cells that then appears as fine lines, hyper-pigmentation, uneven skin tone and sagging skin.” Dr Shahin Nooreyezdan, Senior Consultant, Cosmetic Surgery, Apollo Hospitals Delhi says, “All these concerns are addressed by Selphyl or Platelet-Rich Plasma (PRP) or popularly known as ‘Vampire Facelift’, a rejuvenating aesthetic treatment that naturally encourages the skin to build more cells and thus renew itself. In this procedure own blood (hence the name Vampire) rich in powerful growth factors is drawn from the patient's body and separated in its key components delivering platelet-rich plasma or PRP. Vitamins and amino acids are mixed with the plasma and then re-injected into areas that are needed to be pumped up. This PRP would stimulate collagen production which would tighten skin cells and lead to a long lasting effect”. When we get a cut and bleed, it is the platelets and growth factors that help to heal the wound. Added Dr Nooreyezdan, “the same logic applies here; the healing ability of blood is used to rejuvenate the skin cells to make them look plumper, more radiant and less dull and grey.” “Today patients are apprehensive about neurotoxins used in Botox. They demand something 'natural', fast, effective and long lasting. PRP comes across as a good option as it uses a non-surgical procedure to give excellent results. Moreover, as it uses own blood, it minimizes the risks of rejection or allergic reactions from the body and has no side effects. However, the procedure should be done in a proper setting with the right equipment. While dealing with blood products, we need to be extra cautious as minor errors can lead to contamination, infection and even skin breakdown. Therefore it is essential to make sure that the facial is conducted by a trained and qualified professional who maintains a strict adherence to hygiene guidelines to ensure the success of the treatment,” said Dr Kuldeep Singh, Senior Consultant, Cosmetic Surgery, Apollo Hospitals Delhi. Areas commonly treated using PRP include cheeks, around the eyes, jawline, back of hands, neck, knees, elbows, upper arms and post-pregnancy stretch marks. Not just this, PRP finds application in severe hair fall, receding hairline, premature ageing, sports injuries and pain management for conditions like tennis elbow, knee pain, joint pains orthopaedic medicine, dentistry, reconstructive surgery, diabetic foot ulcers, bedsores and first and second degree thermal burns. While improvement in the skin texture is visible Battle Skin Woes with A Bloodbath ~Vampire Facelift with its healing and regeneration properties can stimulate skin rejuvenation to result in younger smoother glowing skin~ When 35 year old Preeti (name changed) started seeing signs of aging, she tried every possible home remedy, but nothing seemed to work. She did not want to inject potentially harmful chemicals into her body and was looking at something natural and organic. Like Preeti most of us are at a war against wrinkles, dull face, dark circles and sagging skin but fear going under the knife. This is where getting a ‘bloodbath’ can come to the rescue. Aging is a natural process that takes place over the years regardless of outside influences. After the age of 20, a person produces about 1 percent less collagen in the skin each year. As a result, the skin becomes thinner and more fragile with each passing year. There is also diminished functioning of the sweat and oil glands. Improper diet, smoking and sun exposure all cause stress on skin cells that then appears as fine lines, hyper-pigmentation, uneven skin tone and sagging skin.” Dr Shahin Nooreyezdan, Senior Consultant, Cosmetic Surgery, Apollo Hospitals Delhi says, “All these concerns are addressed by Selphyl or Platelet-Rich Plasma (PRP) or popularly known as ‘Vampire Facelift’, a rejuvenating aesthetic treatment that naturally encourages the skin to build more cells and thus renew itself. In this procedure own blood (hence the name Vampire) rich in powerful growth factors is drawn from the patient's body and separated in its key components delivering platelet-rich plasma or PRP. Vitamins and amino acids are mixed with the plasma and then re-injected into areas that are needed to be pumped up. This PRP would stimulate collagen production which would tighten skin cells and lead to a long lasting effect”. When we get a cut and bleed, it is the platelets and growth factors that help to heal the wound. Added Dr Nooreyezdan, “the same logic applies here; the healing ability of blood is used to rejuvenate the skin cells to make them look plumper, more radiant and less dull and grey.” “Today patients are apprehensive about neurotoxins used in Botox. They demand something 'natural', fast, effective and long lasting. PRP comes across as a good option as it uses a non-surgical procedure to give excellent results. Moreover, as it uses own blood, it minimizes the risks of rejection or allergic reactions from the body and has no side effects. However, the procedure should be done in a proper setting with the right equipment. While dealing with blood products, we need to be extra cautious as minor errors can lead to contamination, infection and even skin breakdown. Therefore it is essential to make sure that the facial is conducted by a trained and qualified professional who maintains a strict adherence to hygiene guidelines to ensure the success of the treatment,” said Dr Kuldeep Singh, Senior Consultant, Cosmetic Surgery, Apollo Hospitals Delhi. Areas commonly treated using PRP include cheeks, around the eyes, jawline, back of hands, neck, knees, elbows, upper arms and post-pregnancy stretch marks. Not just this, PRP finds application in severe hair fall, receding hairline, premature ageing, sports injuries and pain management for conditions like tennis elbow, knee pain, joint pains orthopaedic medicine, dentistry, reconstructive surgery, diabetic foot ulcers, bedsores and first and second degree thermal burns. While improvement in the skin texture is visible within the first month, full collagen regeneration takes 3 months. Enhancement in skin quality continues over the next 12 months, as new collagen production carries on to improve the overall appearance of the dermis. The effects last for a variable period ranging from around 18 months to 2 years. Research supports PRP as several studies including one published in the Annals of Dermatology in November 2011 confirmed that PRP treatment can activate fibroblasts (our collagen-producing skin cells) and lead to new collagen deposition’. The Vampire Facelift is also a hit with celebrities. Thirty four-year old Reality television star Kim Kardashian, 36-year old British actress Anna Friel, 55-year old British Hollywood actor Rupert Everett and 40-year old Australian singer Dannii Minogue regularly underwent this procedure for younger-looking skin.

the first month, full collagen regeneration takes 3 months. Enhancement in skin quality continues over the next 12 months, as new collagen production carries on to improve the overall appearance of the dermis. The effects last for a variable period ranging from around 18 months to 2 years. Research supports PRP as several studies including one published in the Annals of Dermatology in November 2011 confirmed that PRP treatment can activate fibroblasts (our collagen-producing skin cells) and lead to new collagen deposition’. The Vampire Facelift is also a hit with celebrities. Thirty four-year old Reality television star Kim Kardashian, 36-year old British actress Anna Friel, 55-year old British Hollywood actor Rupert Everett and 40-year old Australian singer Dannii Minogue regularly underwent this procedure for younger-looking skin.

This Morning at about 8am, a tanker fuel filled the floor btw Palmgroove and Obanikoro in Lagos state creating a hectic hold up on Ikorodu Road. The incident which was quickly given attention to by fire fighter in other not to allow the fuel do activate fire due to the heat from the road. Fire service, LASMA, and Police ensure the safety of road user, thereby diverting all cars and buses on a one lane drive to prevent the fuel from lighting up fire. An eye witness said, it was due to an okada trying to overtake the tanker driver which led to the incident.

In no doubt, the Fire fighter really turn out there best before i arrived,  Here are the little picture i could get due to dis-allowance of people not to cause or distract the on-going job.

Beefing, Na korrect handsome guy una dey c so, Jeun lo

useless country,if it well in UK with good traffic law dis guy may b barn from driving for many years like mikel

Not may b barn, shall and will be barn for years. this are laws that we should be put in constitution, it is not been harsh but a way 2 love ur neighbour as yourself. If e die now, it will be another loss and mourning to the indutry, haba at wot time,