Tropicana Medical Centre (TMC) is the flagship hospital of TMC Life Sciences Berhad. Recognized as one of the go-to clinics for patients who seek world-class and comprehensive plastic surgery procedures as well as minimally invasive aesthetic treatments, TMC is a multi-disciplinary tertiary care centre located in a prime alcove of Kota Damansara. With the unparalleled commitment to delivering superior medical services, it features modern infrastructure and advanced medical technology that is complimented by the facility’s refreshing and relaxing ambiance.
TMC is staffed by over 70 highly trained consultants who have various medical and surgical sub-specialties. These medical professionals have decades of combined experience and internationally accredited post-graduate qualifications and fellowships from countries including Australia, Singapore, United Kingdom, India, Taiwan, and United States.
As a board-certified plastic surgeon, Dr. Ananda Dorai is dedicated to providing safe, patient-centered treatments to achieve the most aesthetically pleasing and natural-looking results. With his impressive educational background, years of expertise, meticulous attention to detail, and genuine care for patients, he is recognized as one of the most trusted professionals in his field in Malaysia.
Advanced Wound Management
When a wound does not heal after the necessary treatments were applied or a considerable amount of time has passed, wound management plan is typically formulated. Options may include skin grafting, treatment using hyperbaric oxygen, physical therapy, deep debridement (surgical removal of dead skin tissues), skin substitutes, revascularization, and manual massage. Doctors also need to monitor the possible development of complications such as diabetic and decubitus ulcers (bed sores due to pressure), stenosis (blockage) in the arteries or veins, and embolism.
Arteriovenous Fistula (AVF)Contact Clinic
An Arteriovenous Fistula is created when an artery requires to be connected to the vein as a preparation for hemodialysis, an end-of-stage renal (kidney) disease treatment involving a dialyzer, which filters toxic wastes. By using a fistula, the vein is strengthened so it can sustain repeated injections for dialysis. It also allows for more blood to flow and filtered in every session. Vessel mapping is performed using Doppler ultrasound to determine the best place for the fistula, although it’s usually found in the arms. A minimally invasive procedure that involves making an incision and attaching an artery to the vein is carried out, and the fistula is allowed to “mature” or form part of the vein for a few weeks, after which it’s checked whether it works correctly. If it doesn’t, then the process is repeated.
Blepharoplasty is the term used for eyelid surgery, which can be performed on both the upper and lower eyelids. The goal is to widen the eyes by removing excess fat and skin, reduce the appearance of crow’s feet, or make the eyes more proportionate with the rest of the face. After a local numbing agent has been administered, an incision is made either in the upper eyelid or under the lash line (for the lower eyelid surgery). Using an electric cautery, different layers of muscles are cut to access the fat and remove excess skin. The incision is then closed using absorbable stitches. Recovery time takes about a week and patients can expect swelling and throbbing pain after the surgery, which should be resolved by taking antibiotics and over-the-counter pain medications.
Botox is an FDA-approved injectable made from a purified or modified form of a well-known toxin, Clostridium botulinum. When it’s injected into the skin in very small and safe doses, it affects the muscles, reducing their contractions and making them more relaxed, so fine lines and wrinkles become less visible. The treatment has also been approved for other limited uses such as controlling excessive sweating (hyperhidrosis) and treatment for migraine as it blocks certain nerve signals. Botox treatment is very fast and convenient since it can be performed in an outpatient setting and requires less than a few minutes per area.
An Arm Lift or Brachioplasty is a minimally invasive surgical procedure performed to remove excess fat and skin as well as tighten the muscles to achieve toned, beautiful, and younger-looking arms. After conscious sedation is provided, an incision is made on the back or inside of the arms, which may extend all the way to the elbow. Any excess fat and skin are then removed before the remaining skin is stretched. The incision is then sutured closed with absorbable threads. In certain instances when there’s a significant amount of fat to be removed, liposuction is first performed by inserting a cannula into the same incision.
Breast Augmentation is a cosmetic surgical procedure performed to increase the volume and size of the breast by adding an implant or through autologous fat transfer. Implants may be traditional silicone (gel implant), gummy bear (non-round and sturdy silicone implant), smooth (very soft implant), and round (for a fuller breast appearance). After general anesthesia is administered, incisions are made either on the side of the breast or just below the armpit. Through these incisions, the surgeon will create a pocket either in front or back of the pectoral muscle where the implants will be placed. If the patient opts for an autologous fat transfer, the surgeon will harvest excess fat in the abdomen or thighs, which is then purified via a centrifuge, and injected into the breast to achieve the desired results.
Breast Lift Surgery
Also referred to as mastopexy, a Breast Lift is an invasive surgical procedure of reshaping sagging breasts due to aging, breastfeeding, or significant loss of breast fat. It begins with an incision, which may be anchor (around the areola, down to the breast fold, and across the crease), keyhole (around the areola toward the breast fold), donut (around the areola), or crescent (half the areola). The excess skin is removed, muscles are pulled and tightened, and the areola and nipples are repositioned and reconnected to the rest of the breast tissues to retain their sensation, especially when breastfeeding. The procedure is typically performed under general anesthesia, and patients fully recover from it after a couple of months.
Breast Reconstruction (Post Mastectomy)
Breast reconstruction is an invasive surgical procedure performed to rebuild the breast after the original one has to be removed due to an injury or a disease (such as mastectomy among breast cancer patients). Reconstruction may be performed using the fat, muscle, and skin from the abdomen (TRAM flap method). After the initial reconstruction, other procedures such as breast augmentation, implant, and reduction may be performed to make both breasts as symmetrical as possible. Considered as a major operation, this is performed under general anesthesia, and patients typically recover from it after a couple of months.
Breast reduction or reduction mammoplasty is an invasive surgical procedure performed to achieve breast symmetry, make the breast size more proportionate to the rest of the body, and reduce lower back pain caused by overly large breasts. General anesthesia or conscious sedation is provided before tiny incisions are created around the areola, in the crease of the breast, or from the bottom of the areola to the breast’s natural fold. Excess fat is removed through liposuction and extra skin is trimmed. The skin tissue of the areola is pulled down, nipple and areola are repositioned, and the rest of the breast is reshaped. Swelling and throbbing pain are to be expected after the procedure but should subside after a week. Full recovery, on the other hand, takes about three to four weeks.
Burn Scars (Laser Treatment - Ultrapulse)
Burn scars can be treated through Ultrapulse, which uses laser energy to remove the top layer of the skin and stimulate the production of new skin cells and collagen. A local anesthetic agent is applied to the skin to minimize the burning sensation, and the eyes are covered for extra protection. A handpiece attached to the Ultrapulse machine is then placed near the skin's surface to send energy waves into the deeper parts of the skin while removing the top layer. Depending on the severity of the burns, several sessions may have to be performed, and this may be paired with skin grafting, wherein a healthy skin tissue is removed from a part of the body and placed on the recipient site.
Chemical peel is a non-invasive, non-surgical procedure that uses acid-based agents to remove dead skill cells to promote the production of new ones, giving the face, hands, and neck a smoother, cleaner, and younger look. This may be used to lighten the appearance of scars, reduce wrinkles and fine lines, treat acne, decrease blemishes and dark spots, and treat sun-damaged skin. Depending on the chemical peel procedure (which can be mild to severe), a small amount of numbing agent or ointment is applied to the skin to minimize burning sensation, after which the acid-based agent is spread to the targeted area and left there for a few minutes. The face is then cleansed right after and pain medications may be provided.
Cleft Lip/Palate Reconstructive Surgery
A cleft lip and palate (roof of the mouth) is a congenital defect that is either mild (only a notch) or severe (is split and goes all the way to the nasal area). The condition can significantly reduce self-confidence and impede proper speech development, as well as affect breathing, chewing, and biting. The condition is corrected through a reconstructive surgery that is performed under general anesthesia. It involves trimming the tissues to reshape the lips (cleft chin) or moving the tissues (cleft palate). Only small incisions are made to minimize the appearance of scars, and all of them are closed using absorbable stitches. Depending on the severity of the condition, more than one surgery may be performed.
Fillers, specifically dermal fillers, are cosmetic injectables used in different areas of the face to tighten the skin, reduce the appearance of wrinkles and fine lines, improve the texture of the skin, treat sagging skin, and add more volume or plumpness. Fillers can be absorbable (temporary) or non-absorbable (permanent). A local numbing agent may be applied to minimize the pain before the fillers are slowly injected into specific locations, pressing and massaging the fillers in between to distribute them evenly. The entire process takes less than an hour to complete.
Otoplasty is a minimally invasive cosmetic procedure performed on abnormally large ears or those that are sticking out from the head due to a congenital defect or an injury. The first option is to remove the excess skin and cartilage by making an incision in the fold between the ears and back of the head, reshaping the ears in the process. The other is to pull the ears without having to make any incision or removing any cartilage by suturing the external skin to the back of the head, reshaping the ears if necessary. There may be a mild discomfort after the procedure, and a headband may have to be worn to keep the stitched ears permanently in place.
A Facelift or rhytidectomy is an extensive cosmetic surgical procedure that aims to achieve a younger-looking skin, effectively erasing several years off the patient’s face. Facelifts are the most guaranteed way to remove wrinkles and effective way to repair sagging skin, with results lasting for a long time. A facelift is performed by lifting off the skin of the face, tightening the muscles and tissue underneath, and repositioning the skin over the face. This means that it is also a highly invasive procedure that requires general anesthesia and an IV sedative. After the surgery, the entire face will be wrapped with a bandage, which has to stay in place for 1 to 2 days after the surgery. The stitches are then removed after 5 to 10 days depending on how fast they heal. You will then be given medications to relieve pain and inflammation, which is normal after the surgery. Complete recovery takes up to 3 weeks to a month.
Facial Trauma TreatmentsContact Clinic
Also known as midface trauma or maxillofacial injury, facial trauma is an injury caused by a strong blow or impact. It affects the face, cheeks, teeth, jaw, forehead, nose, and eyes. Treatment is performed to reduce the swelling, dress and care for the wound, improve breathing, improve the appearance of scars, control bleeding, regain normal functions of the body part, or prevent further damage and injury infection. Surgical procedures include skin grafting (removing a healthy composite skin tissue and transferring it to the injured site), skin resurfacing, reconstructive surgery, removal of fractured bones, and bracing for support and immobilization.
Fat Injections or Transfer
Fat injection or transfer is the process of removing a certain amount of fat in your body and introducing it into problematic areas such as the face and breasts. This process can be used to add more volume to a sagging face, reshape or augment the breast and butt size, minimize the appearance of scars, and contour the body. A liposuction is performed to harvest the fat, which is then purified using a centrifuge before it is injected into the recipient site. The whole procedure can take anywhere between two to four hours depending on the results that you want to achieve.
During the initial consultation, the cosmetic surgeon identifies the patient’s problem and performs a series of physical and diagnostic tests to validate the concern or pinpoint another cause. The surgeon also screens the patient and determines whether he or she is a potential candidate for the desired surgery; otherwise, the doctor provides another option. The entire surgical procedure, risks, and benefits will also be discussed, along with the estimated costs and financing options if there’s any. If the patient is a surgical candidate, the doctor then provides suggestions to prepare for the procedure, including intake of certain medications or temporary cessation of smoking.
A follow-up consultation is recommended for patients who have undergone certain surgical procedures. The surgeon will typically check the site to see if it developed an infection or is healing nicely. The patient may also be required to go back to the clinic once the wounds are healed in order for the surgeon to remove the bandage or compression garment. A follow-up may also be necessary to determine the cause of lack of recovery, which may be attributed to poor wound care or an underlying illness like diabetes neuropathy or bad blood circulation around the affected area. Sometimes the cosmetic surgeon provides pre-surgical medications and procedures, and a follow-up helps the doctor determine if the patient is ready for the surgery.
Fractional CO2 Laser (Moles or Skin Tags)
Moles are skin overgrowths that develop during the clustering of skin’s melanin, and they come in different shapes, colors, and sizes. While they are generally harmless, they can be considered a cosmetic defect. These can be removed through laser resurfacing, which is performed under local anesthesia. Once the target area has been numbed, the laser energy is delivered to the skin. Since the technology uses fractional laser, it is more targeted (does not harm surrounding skin and tissues) and penetrates deeper, cutting the blood supply to the mole, making it easier to slough off. Redness of the treated area can be expected but should be resolved in three to five days.
Gynaecomastia Surgery (GA)
Gynaecomastia refers to the abnormal growth of fat cells and tissue of the male breasts caused by aging, sudden increase or loss of weight, medications, and genetics. Depending on the cause of the condition, liposuction or excision is performed. In liposuction, small incisions are created around the breast area, and a cannula is inserted to break the fat before it’s suctioned. If gynaecomastia surgery requires the removal of the glandular tissue, an incision is made around the breast to remove it. The incisions are then closed using absorbable sutures, and if needed, the areolas and nipples are repositioned.
Hypospadias RepairContact Clinic
Hypospadias is a congenital defect in males wherein the urethra is out of position and found in other parts of the penis such as the base, mid-shaft, or underside rather than at the tip. This can be treated through a hypospadias surgery, which involves creating a new channel for the urine by grafting the foreskin or getting skin tissue from the mouth. Degloving may also be performed wherein the shaft and the skin of the penis are separated by making an incision, tethering the tissues, and fixing the curvature. Although the problem is typically resolved after the first surgery, more may be needed for severe cases.
Also known as Lip Enhancement, Lip Augmentation is a cosmetic procedure performed to add more volume or plumpness to the lips. Absorbable fillers such as collagen and hyaluronic acid are usually injected to achieve the desired results. In some cases, an autologous fat transfer is performed, in which a certain amount of fat is harvested from the abdomen, thigh, or leg. This is then purified using a centrifuge, and then injected into the lips. Surgeons may also choose either implants like Alloderm (collagen from a cadaver) or surgery through a flap graft, in which a tissue found in the flap of the mouth is added into the lips. All your options will be thoroughly discussed to help you make a well-informed decision.
Liposuction is an invasive cosmetic procedure performed to removed stored fat to achieve the desired body contour or perform an autologous fat transfer (transferring fat to another part of the body such as the breast, lips, and face). Liposuction may involve the use of lidocaine or an anesthetic solution to avoid general anesthesia, laser to break the fat molecules and make it easier to suction the fat and ultrasound waves to liquefy it. During a liposuction, incisions are made in the targeted areas, where a cannula is inserted to break the fat, which is then removed with a vacuum suction. If it is for fat transfer, the fat is filtered and purified using a centrifuge before it is injected into the recipient site.
Mini Tummy Tuck
Mini tummy tuck is a type of an abdominoplasty procedure that removes excessive fat below the belly button and tightens the fascial wall without repositioning the navel. While it works with the lower abdomen, it doesn’t change the upper section. After administering local or general anesthesia, the surgeon will create an incision just above the pubic region but below the belly button. The skin tissue is then flapped to reveal the muscle wall, which is pulled down and tightened before the skin flap is sutured back. In some cases, excess skin is cut, and liposuction is performed if there's a significant amount of fat that needs to be removed. The patient may have to wear a compression garment for one to two weeks for support.
Rhinoplasty is a surgical procedure performed on the nose to make it more proportionate to the rest of the facial features, drain the clogged sinuses, or repair a deviated septum. The procedure, which is typically performed under local anesthesia (the patient may opt to have general anesthesia though), requires the creation of incision either inside or outside the nostrils to fold the skin tissue and access the bones and cartilage, which are then reshaped, trimmed, or reduced. If the goal is to narrow the nose, a small amount of skin on each side is removed.
Post Delivery Body Shaping
Post-partum body contouring can be performed through surgical and non-surgical techniques. New mothers are often advised to avoid undergoing a more intensive cosmetic procedure and may, therefore, benefit from body-shaping garments that tighten the abdomen to create a more defined hip and waist. When allowed, women may choose between a complete (both upper and lower abdomen) or mini (only lower abdomen) tummy tuck to tighten the weakened muscles (as opposed to liposuction that only removes fat). Other options are mammoplasty (reshapes the breasts and makes them more proportionate to the rest of the body) and a partial body lift for the arms and thighs.
Pressure Sore (Bed Sore) Surgery
Also known as pressure ulcers, bedsores are lesions, deep wounds, and blisters that develop due to prolonged and excessive pressure on the skin. It normally happens to patients who have very limited mobility such as those who are bedridden or wheelchair-bound. Surgery becomes an option when the bedsores are already in either stage III or IV (development of gangrene and other systemic or localized infections), as well as when all other types of treatment like medications and wound care fail. These include amputation of the limb for the prevention of sepsis, debriding (removal of dead skin tissues using a scalpel), flap procedure (covering the affected tissue with healthy skin), or fecal or urinary diversion (during incontinence).
Thigh Lift (GA)
Thigh lift is a minimally invasive cosmetic procedure performed to reshape the legs by removing excess fat, tissue, and skin. An inner thigh lift is carried out to improve skin elasticity while a mini thigh lift is performed if sagging is present in the upper part of the leg. There’s also the bilateral lift if the skin outside the legs needs to be tightened. After the guide marks have been made and the anesthesia is administered, the surgeon decides on where to make a small incision and this is dependent on the ideal lift technique to be performed and the desired results. After creating the incision, excess skin, fat, and muscle are removed, and the remaining skin is tightened. If necessary, liposuction is also performed before the lift, especially if there’s a significant amount of fat present, using a cannula that goes into a small incision. Swelling, throbbing pain, and discomfort can be expected after the procedure but patients will be prescribed pain medications.
Thread Lift (Full Face)
Thread facelift is a minimally invasive cosmetic procedure performed on sagging and aging skin with fine lines, wrinkles, and crow’s feet. It uses very fine and absorbable threads to lift the skin with results visible almost immediately after the procedure. After a local anesthetic is applied to the skin, micro incisions are made on the targeted site, which can be the face, neck, forehead, and chin. The threads are then inserted and allowed to attach themselves to the skin tissues so when they are pulled, the skin is also lifted. This provides the patient with a more rejuvenated, younger-looking appearance.
Complete abdominoplasty or tummy tuck is a surgical procedure that aims to tighten the band of muscles (fascial wall) in the upper and lower abdomen to achieve toned abdominals. In many cases, this includes liposuction that removes stored fat in the area. After local or general anesthesia is applied, a hip-to-hip incision is made followed by another one to remove the original belly button. The skin is then lifted to reveal underlying muscles, which are then pulled and tighten using sutures. The incision is closed, a new navel is created, and a compression garment is worn for a few weeks or until the wounds have completely healed. Recovery time can take a couple of months while the results are noticeable once the swelling has subsided.
Ultrapulse Laser Skin Resurfacing for Scars, Keloids, and Skin Swelling
Laser skin resurfacing is a cosmetic non-invasive procedure that uses Ultrapulse fractional carbon dioxide laser to treat swelling, scars, moles, and keloids (excessive growth of the scar tissues). After a local numbing agent is applied to the targeted area to reduce swelling and discomfort, a hand piece connected to the Ultrapulse machine, which transmits laser energy, is placed near the surface of the skin. The energy waves, which travels in short bursts or one long beam, then penetrates deeper into the skin tissue to lift dead skin cells, stimulate collagen growth, and promote skin cell production. A dressing may be applied to the treated skin to prevent infection and allow it to heal quickly.
Varicose Vein TreatmentContact Clinic
Varicose veins are enlarged veins near the surface of the skin and are very common in the ankles and legs. Generally, they are not considered dangerous but they can potentially affect blood flow, reducing supply to other parts of the body that leads to muscle cramps and sores. Various treatments may be performed to reduce their appearance and these include sclerotherapy (injection of a chemical to create a scar that closes the vein), laser (application of laser energy as a precedent to sclerotherapy or to get rid of the varicose veins), endovenous ablation (closing off the vein using a radio wave), endoscopic (use of an endoscope to locate the problematic vein and utilize a microsurgical tool to close the vein), and vein stripping (creation of small skin incisions to shut the vein).