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Plastic Surgeon

Dr. Milind S. Wagh
MBBS, MS, M.Ch (Plastic Surgery)

Consultant Plastic, Aesthetic & Reconstructive Surgeon
Face and Ear Reconstructive & Microsurgeon


(Academic) Ex-Associate Professor in Plastic Surgery,
Department of Plastic, Aesthetic & Reconstructive Surgery,
Lokmanya Tilak Municipal General Hospital,Sion, Mumbai -- 400 022, INDIA.
(Attachments) Bhatia General Hospital, Tardeo
Cumballa Hill Hospital and Research Centre, Cames Corner
Sujay Hospital, Vile Parle
DATE OF BIRTH August 31, 1964
LANGUAGES English, Marathi, Hindi, Konkani, Gujarati & Bangla
1992-1994 Bombay University,India
Lokmanya Tilak Municipal Medical College, Sion, Mumbai
M.Ch (Plastic Surgery)

Bombay University,India
Topiwala National Medical College, Bombay Central, Mumbai
M.S (General Surgery)


Bombay University,India
Topiwala National Medical College, Bombay Central, Mumbai

Jan 16, 1992 – Jun 22, 1994
(Teaching experience of 2 years and 6 months)
Resident in Plastic Surgery
Plastic Surgery Unit under Dr R.L.Thatte
L.T.M.G Hospital, Sion, Mumbai
Jun 23,1994 – Jan 31, 1997
(Teaching experience of  2 years and 7 months)
Clinical Lecturer in Plastic Surgery
Plastic Surgery Unit under Dr R.L.Thatte
L.T.M.G Hospital, Sion, Mumbai
Feb 1, 1997 – Jan 31, 1998
(Teaching experience of 1 year)
Research/Clinical Fellow in Microsurgery,
Bernard O’Brien Institute of Microsurgery, Melbourne, Australia
( Director – Professor Wayne A. Morrison ) &
Clinical Assistant, Dept of Plastic Surgery,
St.Vincents’Group of Hospitals, Melbourne, Australia
( Chairman – Dr Allan McLeod )
Feb 1,1998– Oct 2, 2003
(Teaching experience of 5 yrs and 8 mths)
Senior Clinical Lecturer in Plastic Surgery
Plastic Surgery Unit under Dr Mukund Jagannathan
L.T.M.G Hospital, Sion, Mumbai

Oct 3, 2003 to Dec 31, 2005
(Teaching experience of 2 years and 3 months)

Associate Professor in Plastic Surgery
Department of Plastic Surgery
L.T.M.G Hospital, Sion, Mumbai


  1. Total Teaching experience in Plastic Surgery to the present date is 13 years and 9 months.
  2. Teacher for post-graduate students registered for M.Ch (Plastic Surgery) course of the Mumbai University since the last 9 years.
  3. Eligible as teacher for DNB (Plastic Surgery) course.
  4. Eligible to be Examiner for M.Ch (Plastic Surgery) University Examination from August 2005 term onwards.

  1. Identical unusual subtotal penile amputation in children: a report of four cases;
    Dr R. L. Thatte, Dr M. S. Wagh, Dr N.D. Kulkarni
    British Journal of Plastic Surgery (1993), 46, 535-537

  2. Congenital midline palatomandibular fusion with a mandibular cleft and a bifid tongue;
    Dr S Rao, Dr S.Oak, Dr M. Wagh, Dr B.K. Kulkarni
    British Journal of Plastic Surgery (1997), 50, 139-141

  3. Encyclopedia of Flaps, 2nd Ed., Lippincott-Raven Publishers, Philadelphia, 1998
    Editors: B. Strauch , L. Vasconez & E. Hall-Findlay,
    Chapter 441 (pg 1720-3) on “The Saphenous Venous Flap” 
    Dr R .L .Thatte, Dr M. S. Wagh, Dr M.R. Thatte

  4. New source of vein graft for rabbit experimentation
    Tanaka Y, Crowe DM, Wagh M, Morrison WA
    Microsurgery 1999,19:4, 167-70

  5. The beneficial anti-inflammatory effect of dexamethasone administration prior to reperfusion
    on the viability of cold stored skin flaps. 
    G Willemart, KR Knight, M Ayad, M Wagh, WA Morrison.
    International Journal of Tissue Reactions 1999, 21:3,71-8.

  6. Cold storage of rat skeletal muscle and pre-ischemic perfusion with modified UW solution"
    M Wagh, G Pantazi, R Romeo, JV Hurley, WA Morrison , KR Knight,
    Microsurgery 2000,20:7,343-9.

  7. Inducible nitric oxide synthase (iNOS) activity promotes ischaemic skin flap survival
    Kane AJ, Barker JE, Mitchell GM, Theile DR, Romeo R, Messina A, Wagh M, Fraulin FO,
    Morrison WA, Stewart AG
    British J of Pharmacology 2001, April 132:8, 1631-8.

  8. Successful free latissimus dorsi muscle flap for upper extremity cover in a pregnant patient
    at 14 weeks gestational age.
    Dr M.S.Wagh, Dr Manohar Velury,Dr Varun Dixit, Dr Bibhuti B. Nayak, Dr Mukund Jagannathan
    European Journal of Plastic Surgery, Vol 26:5, Sept 2003, Pg 268-70

  9. Bradycardia following temporomandibular joint ankylosis release
    Mukund Jagannathan, Bibhuti Nayak, Varun Dixit and Milind Wagh
    European Journal of Plastic Surgery, Vol 26:6, Nov 2003, Pg 324-325

  10. A prospective study of early postoperative complications in 400 consecutive
    operative procedures for cleft lip and palate correction.
    Dr M. S. Wagh, Dr R. L. Thatte
    Sent to British Journal of Plastic Surgery, January 2006 for publication.

  11. A single surgeon analysis of 60 cases of spaghetti wrist injuries in terms of recovery on a
    2 year follow-up”
    Dr M. WaghSent to British Journal of Plastic Surgery, February 2006 for publication.
Annual National Conference of the Association of Plastic Surgeons of India Presented a free paper titled “A Review of five unusual cases of trauma in a large metropolitan general hospital ”.
Presented a free paper titled “Early Post-operative complications in Cleft Lip & Palate - A Prospective Study of 233 consecutive cases ” in the APSI Best Paper category.
1- Presented a Poster titled “Tongue flaps for the primary treatment of  cleft palate -- Surgical technique”.
2- Member of Scientific Committee
Presented a free paper titled “McComb’s technique for the primary correction of the Cleft lip nose deformity - An appraisal”.
ISRM ’96
Biennial National Conference Of The Indian Society Of Reconstructive Microsurgery
Presented a free paper titled “Early Experiences in Elective and Emergency Microsurgery”.
(New Delhi) 
Presented a free paper titled “Microsurgery - Early experiences and lessons”.
(Jabalpur )
I) Presented Guest Lectures on

i)Free Muscle Flaps for cover of complex & composite soft tissue and bony defects”
ii) “Fasciocutaneous flaps for wound cover”
II) Guest faculty for Cadaver Dissection Workshop and demonstration of several versatile flaps
I) Presented 6 free papers:
  1. A rare case of total face and scalp replantation following avulsion amputation.
  2. Revascularisations in penile amputations - A series of 3 cases.
  3. Free fascial flap for primary repair of a cleft palate.
  4. The first dorsal metacarpal artery flap – A series of 20 cases.
  5. MRSA, a menace in cardiac surgery : Flap cover for sternal dehiscence – The  Hanuman Syndrome – A series of 25 cases.
  6. Emergency primary flaps - Wisdom or Folly.
II) Co-chairman of Godrej Visiting Professor Guest lecture Session
Guest Lecture by Professor Fu Chan Wei of Taiwan

III) Member of Scientific Committee
( Chennai ) 
Asian Pacific Federation of Societies for Surgery of the Hand, Indian Society for Surgery of the Hand (ISSH) & Indian Society for Reconstructive Microsurgery (ISRM)
i) Presented a free paper titled “A single surgeon analysis of 60 cases of spaghetti wrist injuries in terms of recovery on a 2 year follow-up”
ii) Co-Chairman of  Guest Lectures Session
Conference of the Burns Association of India  
Presented a Guest Lecture “Skin Cover for Wounds – A Plastic Surgeon’s perspective”
Biennial Conference Of The Indian Society Of Reconstructive Microsurgery
I) Presented free papers on
  1. Aesthetic considerations in free flap surgery: Failures & unacceptable results.
  2. Extremity salvage by free tissue transfer
  3. Free tissue transfer in pregnancy & considerations in peri-operative management.
II) Co-Chairman for  Symposium on Difficult/Delayed Replantations
III)  Member of Scientific Committee
  1. A project to study 
    (i) a new epigastric flap model of Angiogenesis in mice with respect to the  roles and effects of Nitric Oxide (NO) and Nitric Oxide Synthetase (NOS) on angiogenesis using wild type mice vs genetically manipulated iNOS knockout mice (ii) assess the effects of various NOS inhibitor drugs on this process.

  2. A microsurgical project in two different strains of rats (Dark Agouti as donors vs Lewis as recipients) to (i) study the possible induction of long-term donor-specific immunotolerance in osteoplastic orthotopic free vascularised knee allotransplants across a major histocompatibility barrier following short-term administration of a new combination of strong immmunosuppressant drugs and (ii) investigate the possibility of antigenic modulation and/or cell replacement in the surviving allografts by undertaking a second free vascularised knee transplant to a second Lewis recipient.

  3. A project on Ischemia-Reperfusion to study the effect of different periods of cold storage prior to revascularisation/replantation of FREE inferior epigastric skin flaps and FREE gastrocnemius muscle flaps in rats and assess the degree and reversible extent of Apoptosis in cold stored flaps.

  4. A study of the effect of arachnid envenomation with three types of spiders on rat epigastric flaps exposed to ischaemia as a second injury.
  • Considerable experience with the epigastric flap model of angiogenesis in both mice as well as rats     (over 250 animals) at the Experimental Medical & Surgical Unit (EMSU), St.Vincent’s Hospital, Melbourne over a research period of 1 year between Feb 1997 – Jan 1998.

  • Considerable experience with microvascular anastomotic technique in rat size femoral vessels (0.7-0.8 mm) acquired with the rat knee free allotransplant model and with the cold stored free epigastric skin flaps & free gastrocnemius muscle flaps model at the EMSU, St. Vincent’s Hospital, Melbourne.
  1. Reconstructive Hand and Microsurgery AND Trauma Reconstruction

    • Free tissue transfers- emergency and elective
    • Replantations and revascularisations of amputated limbs and digits
    • Clinical applications and future possibilities in composite tissue allotransplantations for complex defects.
    • Expanded / Prefabricated free tissue transfer in functional reconstruction as well as aesthetic surgery.
    • Physiology and clinical applications of the process of controlled angiogenesis.
    • Congenital hand anomalies --- salvage of function & rehabilitation.
    • Functional  reconstructions in post burns hand and extremity deformities.
    • Cosmetic rehabilitation using plastic surgery including tissue expansion, free tissue transfers & Prefabricated flaps in severe composite tissue losses in burns.
    • Complex post-traumatic hand  injuries and reconstructions / rehabilitation.
    • Mechanics of tendon transfers in peripheral nerve injuries, brachial plexus injuries and post-infective palsies.
    • Functional and aesthetic reconstructive options in post- ablative defects in Head-Face-Neck tumours including composite free tissue transfers.

  2. Aesthetic Plastic Surgery
    • Breast augmentation by breast implants
    • Aesthetic Breast reduction surgeries
    • Breast ptosis correction (correction of sagging breasts)
    • Aesthetic rhinoplasty and nasal cosmetic surgery
    • Body contouring and Liposculpture by surgical lipectomies, body lifts and liposuction
    • Blepharoplasty (Aesthetic eyelid surgery)
    • Eyelid Ptosis correction
    • Soft tissue filling and contour corrections by fat injections and use of fillers.
    • Facelifts, Browlifts, Necklifts
    • Surgical and non-surgical facial rejuvenation
    • Ear reconstruction in congenital absence /deformities and acquired deformities
    • Dermabrasion for facial contour deformities, acne scars etc
  1. Cadaver dissection to elucidate the anatomy of the muscles of the palate with view to analysing the possibility of abnormal neuromuscular anatomy in cases of cleft palate.  
  2. Analysis of the recovery of neuromuscular function, especially return of ulnar/median intrinsic motors following extensive “spaghetti wrist” injuries in the hand – A single surgeon trial.  
  3. Comparison of different tendon transfers for intrinsic replacement in post-traumatic and post-Hansens’ median and ulnar nerve palsies.  
  4. Analysing the return of sensorimotor function following replantations in the upper extremity – A clinically graded & electrophysiologically assessed study with the assistance of the Dept of Occupational Therapy and Physiotherapy – A two surgeon trial.
  5. Comparison of the Reneurotization in Pedicled Flaps versus Sensate Free flaps.
  1. Co-authoring a book on Plastic Surgery for undergraduates titled “Short Notes in Plastic Surgery”. 
  2. Co-authoring chapters on “Replantation of amputated limbs and digits” and on “Fasciocutaneous Flaps – Evolution & Development” in a Textbook of Plastic Surgery. 
  3. Preparing a database on hand injuries over a period of twelve years (1995-2006) in a major metropolitan trauma center. 
  4. Preparing a database of the patterns of maxillofacial trauma over the last decade (1995-2005) in a major metropolitan trauma center with the assistance of the Department of General Surgery.

Fellowship in Microsurgery

Fellowship of 1 year for advanced training in clinical microsurgery and microsurgical research successfully completed at St. Vincent’s Hospital, Melbourne, Australia & the Bernard O’Brien Institute of Microsurgery, Melbourne, Australia. (February 1997-January 1998)

M.Ch ( Plastic Surgery)

Second Rank among all candidates appearing at the Bombay University examination, May 1994

M.S ( General Surgery)

Second rank among candidates appearing from T.N.M College for the Bombay University examination, Jan 1991


First Class with Distinction in Surgery at the Bombay University examination, Oct 1986


First Class at the Bombay University examination, April 1985


First Class with Distinction in Anatomy at the Bombay University examination, Oct 1983


First Class with Distinction


First Class with Distinction ( First in Eastern Region)

  • Hargobind Foundation Fellowship for the year 1997 for advanced training in Microsurgery.  
  • Birla Smarak Kosh Scholarship for the year 1997 for advanced training in Microsurgery. 
  • First Prize in the All-India APSI Quiz in Plastic Surgery at the 28th National Conference of APSI, Bangalore,1993. 
  • Special award for paper presentation and content in the APSI Best paper category at the 28th National Conference of APSI Bangalore, 1993. 
  • Nominated for the Best Residents’ Award for the year 1990-91, Nair Hospital. 
  • Dr R.T.Desai Prize for securing the highest marks in Surgery for M.S (General Surgery) registered candidates. 
  • Dr R.L.Shah’s Prize & Dr A. L. Nair and M. Venkatrao’s Prize for securing the highest marks in Surgery at III MBBS University Exam, Oct 1986. 
  • Master Vishwanath Sambhoo Scholarship for securing the highest marks in Surgery at the competitive Exam in Surgery, held by T.N.M. College in 1986.
  • Felicitation reward of the North Canara Goud Saraswat Brahmin Community in November 1998
  1. A total of 1279 cases of microneurovascular surgery have been operated at LTMG Hospital between Feb 1998- Dec 2005 by me or under my supervision. A success rate of 94 % (218 out of 232) for free flaps; 86 % (186 out of 215) for all replantations and 96% (185 out of 194) for revascularisations has been obtained thus far. These are the highest statistics for the city of Mumbai & the state of Maharashtra and are comparable to the best in the world.

  2. Personally performed 216 free tissue transfers (free flaps), 201 cases of extremity/hand/single or multiple digit replantations & 176 cases of extremity revascularisation between Feb 1998 – Dec 2005 at LTMG Hospital, Sion, Mumbai. 

  3. As Microsurgery fellow at the O’Brien Institute of Microsurgery, Melbourne, Australia in 1997-98, I was an active member of the reconstructive microsurgical team under Professor Wayne A. Morrison in the marathon 25 hours long successful surgery to replant the completely avulsed scalp and face of a young 25 year old Australian girl. The case received wide favorable media attention in Australian as well as international newspapers and television. The team received personal felicitations from the Prime Minister of Australia, Mr. John Howard.

  4. Performed the first microvascular free fascial flap transfer for primary repair of a cleft palate in the world in October 1998 at LTMG Hospital, Sion, Mumbai. Since then, one more case has been successfully done.

  5. Performed the first clinical microvascular composite segmental tracheal reconstruction for complete cervical tracheal loss using a prefabricated radial artery forearm flap in the world in August 2000. This attempt was partially successful.

  6. Performed the first Emergency free flap surgery (within 6-8 hours of injury) in the history of Municipal / Public Hospitals in Mumbai in August 1998 at LTMG Hospital, Sion, Mumbai. Since then, forty nine (49) more emergency cases have been successfully performed.

  7. Performed the first microvascular 2nd toe transfer for reconstruction of an amputated thumb in the history of Municipal / Public Hospitals in Mumbai in February 1999. Since then, 8 more cases have been successfully carried out.

  8. Performed an extremely rare operation involving replantation of 4 amputated fingers of either hand,,i.e 8 fingers in March 2001…… 3 fingers of the Right hand and 2 fingers of the Left hand could be successfully replanted after a marathon 21 hours effort.

  9. University Teacher for M.Ch (Plastic Surgery) degree course of the University of Mumbai with one student per year since 1996. Eligible to be teacher for DNB (Plastic Surgery).

  10. Eligible to be examiner for University of Mumbai M.Ch Plastic Surgery examination from August 2005.

  11. On the teaching faculty of LTMG Hospital for the “Aayushdaan” programme of the hospital and the Bruhanmumbai Municipal Corporation for training batches of traffic police and firefighters in accident site evaluation, emergency resuscitation, extraction and transportation techniques for victims of traffic accidents.

  12. Invited to participate in the Impact India Foundation sponsored Cleft Lip surgery camp at Chiplun, Maharashtra on board the “Lifeline Express-The world’s first hospital on wheels”. A total of 37 cases of Unilateral & Bilateral Cleft Lip were operated in 3 days between 24th and 26th October 2001.

  13. Member of the Scientific Committee with total responsibility of framing and scheduling scientific programme for National Conference of Association of Plastic Surgeons of India on 2 occasions ---- APSICON’94 at Lonavla and APSICON’99 at Goa successfully carried out.

  14. Secretary of the Scientific Committee with total responsibility of framing, scheduling and executing the entire scientific programme of the 9th Congress of the Asian-Pacific section of the International Confederation for Plastic, Reconstructive and Aesthetic Surgery held in Mumbai in March 2005.

  15. Journal Reviewer of articles pertaining to Plastic & Reconstructive Surgery for the Indian Journal of Surgery and the Indian Journal of Plastic Surgery.
  • Participated and won innumerable prizes in General Knowledge quizzes at Inter-collegiate Festivals and at National level at various competitions all over India between 1982-1988, including participation in Quiz-Time on Doordarshan for two consecutive years (1986-87).
  • Voted as most valuable quizzer in Bombay for two consecutive years 1986,1987.
  • Voted as one of the top 3 quizzers in India after performances across the country in 1987.
  • Topped the class in securing a Diploma in Public Speaking from Nazareth Speakers’ Academy.
  • Represented School in cricket at Inter-School level in 1977-78.
  • Represented Junior College in cricket at Intercollegiate level in 1981.
  • Represented T.N. Medical College in Cricket, Lawn Tennis and Basketball at Intercollegiate & Intermedical level for 3 consecutive years - 1983,84,85.
  • Represented Nair Hospital in Cricket in the Times Shield and Kanga league competitions in 1988-89.
  • Trekking
  • Reading  (personal library of 3000 books – works of fiction and non-fiction )
  • Writing Poetry
  • Dramatics, Elocution and Quizzing
  • Photography including digital photography (personal collection of 4200 clinical slides and over 20,000 digital clinical photographs)
  • Computers & the Internet

Aesthetic Surgeries

  • Rhinoplasties  including septorhinoplasties– hump reductions, osteotomies, onlay cartilage & bone grafts, tip work
  • Abdominal lipectomies, Body lifts
  • Liposuction & Liposculpturing
  • Blepharoplasties
  • Eyelid ptosis surgery
  • Augmentation Mammoplasties using Breast implants and autogenous tissues (Lat.Dorsi flaps)
  • Reduction Mammoplasties
  • Mastopexies for breast ptosis
  • Facelifts, Browlifts, necklifts
  • Facial contour correction by fat injections and fillers
  • Non-surgical facial rejuvenation
  • One stage Pinna reconstruction using costochondral framework and temporalis fascia
  • Multistage Pinna reconstruction using buried costochondral framework
  • Nasal reconstruction following post-traumatic defects using forehead flaps ( Expanded and Non-expanded ), nasolabial island flaps, medial arm flaps, free radial forearm flaps
  • Reduction Cheiloplasties
  • Post-traumatic / Post-malignancy lip reconstructions
  • Eyebrow / Moustache reconstruction using flaps / hair bearing grafts
  • Fat injections
  • Hair transplants
  • Dermabrasion

Microvascular Surgeries

  • Radial Artery Forearm sensate free flap – fasciocutaneous as well as purely fascial flaps
  • Prefabricated radial forearm free flaps for Ear reconstruction & Tracheal reconstruction
  • Lateral Arm sensate free flap
  • Parascapular & Scapular free flaps
  • Tensor Fascia Lata sensate free flap
  • Anterolateral thigh flap
  • Latissimus Dorsi muscle and musculocutaneous free flaps
  • Serratus anterior muscle with ribs & Latissimus dorsi muscle free composite tissue transfer
    • for complex leg defects
    • for cranial and scalp reconstruction

  • Free fibular transfers for tibial defects and mandibular reconstruction
  • Free iliac crest (DCIA) transfer for tibial defects and mandibular reconstruction
  • Second Toe transfers for thumb reconstruction
  • Great toe wraparound flaps for thumb reconstruction
  • Gracilis muscle free flap for extremity defects and for facial palsy
  • Gracilis and latissimus dorsi free functional muscle transfers
  • Cross facial nerve transfers with gracilis free muscle transfer for facial palsy
  • Rectus Abdominis muscle free flap
  • Free TRAM flaps for Breast Reconstruction
  • DIEP flaps for Breast reconstruction
  • Saphenous venous flow-through free flaps
  • Replantation of hand and upper extremity – mid palm / wrist / forearm / elbow/ upper arm levels
  • Replantation of thumb and multiple fingers – MP joint / Proximal Phalanx / Middle Phalanx/ Distal phalanx levels including avulsion injuries
  • Revascularisation of  hand and upper extremity – wrist / forearm / elbow / upper arm levels
  • Revascularisation of lower extremity – knee / upper 1/3rd of leg / ankle level
  • Median / Ulnar / Radial Nerve microneural anastomoses and repair at various levels from palm to upper arm to axilla including nerve grafting
  • Posterior tibial / Peroneal / Anterior tibial Artery and Nerve microneurovascular repairs in post-traumatic cases and nerve grafting
  • Brachial plexus reconstructions and repairs – (Trunk / Division / Cord levels)
    • Acute Primary repair in penetrating injuries
    • Secondary Neurolysis
    • Reneurotization by Cable grafting
    • Reneurotisation by nerve transfers incl. Spinal Accessory Nerve and Intercostal Nerve transfers.
    • Free Functional muscle transfers

  • Penile replantation and revascularizations

Hand Surgeries

  • Post-traumatic Primary, delayed primary and secondary Flexor & Extensor tendon repairs at all possible levels and in all possible zones including complete , multiple level “Spaghetti Wrist” injuries
  • Tenolysis / Tendon grafting
  • Staged flexor tendon reconstruction  for  thumb and all fingers using Silastic Rods
  • Entire spectrum of all possible tendon transfers for Median / Ulnar / Radial Nerve palsies and combined palsies
  • Congenital Hand anomalies – Syndactyly, Polydactyly, Clinodactyly, Camptodactyly, Macrodactyly, Lobster claw “cleft” hand, Hypoplastic / Absent thumb
  • Primary reconstructions in complex mutilating hand injuries including #-fixation, bone grafting, tendon repair, neurovascular repair and flap cover – Planning and undertaking staged surgery based on a long term reconstructive program aimed at restoration of function and rehabilitation
  • Reconstruction in Post-burn deformities of the hand & upper extremity
  • Application of JESS / UMEX distractors for correction of post-burn and other deformities of the fingers/wrist
  • Pollicisations using index or middle finger
  • Late extensor tendon reconstructions for correction of Boutonniere, Swan-neck, Mallet finger deformities as well as Extrinsic and intrinsic tightness.
  • Thumb and 1st web reconstructions with distally based radial artery forearm flaps or posterior interosseous artery flap
  • Neurovascular island flaps &1st dorsal metacarpal artery sensate island flap for thumb pulp / fingertip cover
  • Homodigital Local flaps for fingertip  / volar / dorsal finger and thumb defects
  • Surgeries for hand tumors – AV malformations, lymphangiomas, Schwannomas, fibrolipomas etc.
  • Dermofasciectomies and extensive digitopalmar fasciectomies for correction of Dupuytren’s Contracture

Cranio-Maxillo-Facial Surgeries & HFN Reconstructions

  • Fractures of the maxilla – Lefort I, II, III --- Open Reduction and Internal Fixation, bone grafting.
  • Orbital wall and floor reconstruction
  • Fractures of the mandible – compound / multiple / bone loss --- Open Reduction and Internal Fixation, Bone Grafting, Stabilisation with External fixator systems, Vacularised bone grafts.
  • Emergency and elective Bony & Soft tissue reconstructions, both in complex craniomaxillofacial anomalies and trauma
  • Facial Augmentations in Hemifacial Microsomia, Rhomberg’sDisease, Treacher-Collins Syndrome using bone grafts, free microvascular (vascularised), fascial and de-epithelialised flaps
  • Reconstructions following ablative surgeries for malignancies
  • Cranioplasties for post-traumatic defects
  • Release & Reconstructions in Temporomandibular joint ankylosis
    • Gap arthroplasties with / without interposition temporalis fascia
    • Costochondral graft for condyle replacement

  • Sliding genioplasties for microgenia
  • Mandibular augmentations for micrognathia using bone grafts and mandibular border advancement osteotomies
  • Nasomaxillary setback osteotomies for maxillary occlusal overjets 
  • Socket reconstructions with dermis fat grafts, skin grafts, lateral wall osteotomies.
  • Free tissue transfers and pedicled flaps for HFN reconstructions following ablative excisions in HFN malignancy.

Cleft lip & Cleft palate surgeries

  • Unilateral and bilateral Cleft lip repairs using various techniques
  • Median cleft lip repairs
  • Reconstructions in Rare craniofacial clefts including coloboma correction / symblepharon release and grafting / socket reconstruction
  • Veau-Wardill-Kilner pushback palatorrhaphy for cleft palate
  • Furlow’s intravelar Z-plasty
  • Dorrance repair for secondary clefts
  • Free microvascular radial artery fascial flap for primary repair of cleft palate
  • Primary Repairs of cleft palate using Tongue flap
  • Repair of palatal fistulae using tongue flap
  • Posterior pharyngeal flaps for VPI
  • Hynes / Orticochoea / Jackson dynamic pharyngoplasties
  • Nasoendoscopies
  • Vomer resections / Premaxillary setbacks in bilateral clefts
  • Cleft Rhinoplasties – Unilateral and Bilateral
  • Alveolar bone grafting in clefts
  • Primary emergency surgeries for rare maxillomandibular fusion syndromes

Flap Surgeries
  • All types of muscle, musculocutaneous, fasciocutaneous and pedicled skin flaps in the upper & lower extremity, HFN and trunk
  • Pedicled and free flap reconstructions in HFN malignancy
  • Scalp Transposition and Rotation Flaps
  • Temporalis fascia flaps
  • Eyelid reconstructions by lid switch flaps, cheek rotation flaps, chondromucosal grafts
  • Washio flaps for nose reconstruction
  • Forehead and nasolabial flaps for nose reconstruction / post-malignancy ablation cover
  • Medial arm ( Tagliacozzi ) flap for nose reconstruction
  • Deltopectoral / Pectoralis major flaps for HFN reconstruction
  • Cervicopectoral flaps
  • Pectoralis major / Rectus abdominis flaps for sternal dehiscence in Cardiac surgery
  • Rotation flaps for coverage of exposed cardiac pacemakers
  • Radial artery forearm flaps  --- proximally & distally based
  • Extracorporeal Radial artery forearm flaps for post-traumatic defects, e.g  scalp, face, lower extremity
  • Axial pattern and random pattern abdominal flaps for upper extremity cover
  • Regional pedicled and Island flaps for coverage of pressure sores
  • Multiple superiorly and inferiorly based fasciocutaneous flaps for tibial defects
  • Crossleg flaps
  • Gracilis flaps for testicular cover in Fournier’s Gangrene, protecting the suture line in bladder exstrophy corrections; gracilis slings for correction of fecal incontinence
  • Gastrocnemius and soleus flaps
  • Dorsalis pedis flaps for ankle cover
  • Medial plantar  and local muscle flaps for plantar / heel defects
  • Adipofascial flaps and reverse sural artery flaps for lower extremity defects
  • Saphenous and Cephalic venous flaps
  • De-epithelialised turnover flaps
  • A multitude of Perforator flaps in upper and lower extremities, trunk, perineal area and HFN.

Other major surgeries

  • Tissue expansion for facial defects and scars / alopecia / scars and deformities in extremities
  • Temporalis Fascia and Muscle slings for facial reanimation
  • Fascial frontalis slings for ptosis correction
  • Levator resection for ptosis
  • Dermis fat grafts for anophthalmic orbital volume restoration
  • Lid ectropion / entropion releases
  • Hypospadias – primary single staged preputial island flap repairs
  • Hypospadias – multistaged primary & fistula repairs
  • Giant AV malformations on face / scalp
  • Plexiform Neurofibromatosis
  • Lymphoedema – Congenital & Filarial – affecting lower extremity, penis and scrotum, labia and clitoris
  • Vaginoplasties
  • Replantation of completely avulsed  entire scalp and face
  • Superior gluteal free flap for breast reconstruction
  • Ulnar / Radial club hand correction
  • MPjoint and PIP joint replacement arthroplasties for Rheumatoid Arthritis
  • Wrist Arthroscopies and ligament repairs
  • Open Reduction & Internal Fixation of Radius / Ulna fractures
  • Complex reconstructions in craniofacial syndromes
  • LeFort I/ II osteotomies
  • Sagittal split osteotomies for prognathism / retrognathism
  • Procedures for Penile lengthening in post-traumatic partial and near-total losses

  Dr. Milind S. Wagh
MBBS, MS, M.Ch (Plastic Surgery)

Consultant Plastic, Aesthetic & Reconstructive Surgeon
Face and Ear Reconstructive & Microsurgeon


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