The Department of Plastic & Reconstructive Surgery at Mitera Hospital, Kottayam, offers specialised surgical care for a wide range of conditions affecting the skin, soft tissues, hands, nerves, face and other parts of the body. Led by Dr. Paul Joyce, Consultant Plastic, Reconstructive, Hand & Microsurgeon, the department focuses on restoring function, repairing damaged tissues and improving appearance through personalised surgical care.
Plastic surgery extends beyond cosmetic enhancement. It plays an important role in treating traumatic injuries, burns, hand and peripheral nerve conditions, congenital abnormalities, non-healing wounds and defects following cancer surgery. The department also provides reconstructive procedures for diabetic foot wounds, complex soft tissue injuries and vascular access for haemodialysis.
With services spanning reconstructive, functional and aesthetic surgery, Mitera Hospital aims to help patients recover movement, restore body function and achieve improved physical well-being. Each treatment plan is tailored to the patient’s condition, functional needs and recovery goals.
Our Services
At the Endocrinology Department of Mitera Hospital, we offer:
Hand & Peripheral Nerve Surgery
Specialised treatment for hand injuries and conditions affecting the tendons, nerves and movement of the hand.
– Hand trauma and tendon injuries
– Nerve injuries, nerve repair and nerve grafting
– Fingertip injuries and amputations
– Tendon transfer procedures
– Carpal tunnel syndrome
– Trigger finger and trigger thumb
– Dupuytren’s contracture
– Congenital hand anomalies
Trauma & Soft Tissue Reconstruction
Surgical reconstruction for injuries that cause significant skin and soft tissue damage, helping restore tissue coverage and function.
– Complex cuts and lacerations
– Degloving injuries
– Soft tissue defects
– Injuries with exposed bone, tendons, implants or blood vessels
– Local and regional flap reconstruction
– Skin grafting
– Pressure sore reconstruction
Burn Surgery & Reconstruction
Treatment for burn injuries and their complications, including procedures to improve movement and manage scarring.
– Escharotomy for selected severe burn injuries
– Burn wound excision and skin grafting
– Release of post-burn contractures
– Burn scar management
Oncoplastic & Reconstructive Surgery
Reconstruction to restore form and function following cancer removal and tumour surgery.
– Reconstruction after skin cancer excision
– Head and neck reconstruction
– Breast reconstruction
– Soft tissue tumour reconstruction
– Chest wall and trunk reconstruction
Maxillofacial & Facial Reconstruction
Surgical care for facial injuries and tissue defects to support function and improve appearance.
– Facial soft tissue injuries
– Facial nerve injuries
– Facial scar revision
– Eyelid reconstruction
– Lip and ear reconstruction
Congenital Anomaly Correction
Surgical correction of selected congenital conditions affecting the hands, ears and skin.
– Syndactyly (joined fingers or toes)
– Polydactyly (extra fingers or toes)
– Other congenital hand anomalies
– Congenital skin lesions
– Ear deformities
Diabetic Foot & Lower Limb Reconstruction
Reconstructive treatment for complex wounds and tissue defects affecting the feet and lower limbs.
– Diabetic foot wounds
– Chronic non-healing ulcers
– Lower limb soft tissue defects
– Post-traumatic wound coverage
– Amputation stump revision
Chronic Wound Care
Comprehensive surgical wound management for wounds that are slow to heal or require specialised tissue coverage.
– Wound debridement
– Vacuum-assisted closure (VAC) therapy
– Skin grafting
– Flap coverage
– Management of complex and difficult-to-heal wounds
Vascular Access Surgery
– Creation of arteriovenous fistulas (AVF) for haemodialysis
Aesthetic & Minor Surgical Procedures
Procedures to address selected skin conditions, scars and concerns affecting appearance.
– Scar revision
– Treatment of keloids and hypertrophic scars
– Removal of lipomas, sebaceous cysts and selected skin lesions
– Mole and wart excision
– Nail surgery
– Earlobe repair
Cosmetic & Body Contouring Surgery
Surgical procedures designed to address specific aesthetic concerns and improve body contour.
– Facial fat grafting
– Gynecomastia surgery (male breast reduction)
-Breast Reduction & Augmentation
– Liposuction
– Abdominoplasty (tummy tuck)
– Scar revision
Cosmetic Gynaecology Labiaplasty
– Labiaplasty
-Vaginoplasty
– Monsplasty
-Clitoral hood reduction
-Perineoplasty
– Scar revision
Meet Our Doctors
Dr. Paul Joyce, MBBS, MS, MCh (Plastic & Reconstructive Surgery)
Dr. Paul Joyce, MBBS, MS, MCh (Plastic & Reconstructive Surgery)
Conditions Treated
Specialised Surgical Care
The Department of Plastic & Reconstructive Surgery provides care across reconstructive, functional and aesthetic surgical needs.
- Hand and nerve surgery: Evaluation and surgical management of injuries and conditions affecting hand function and peripheral nerves.)
- Reconstructive procedures: Skin grafting and flap reconstruction for selected injuries, wounds and tissue defects.
- Reconstructive procedures: Skin grafting and flap reconstruction for selected injuries, wounds and tissue defects.
- Burn and scar management: Surgical treatment of burn injuries, contractures and problematic scars.
- Complex wound management: Assessment and treatment of non-healing wounds, including diabetic foot wounds and other soft tissue defects.
- Post-cancer reconstruction: Procedures to restore tissue coverage and appearance after selected cancer and tumour surgeries.
- Cosmetic procedures: Individualised assessment for suitable aesthetic and body contouring procedures such as breast augmentation, breast reduction
- Cosmetic Gynaecology: Personalised surgical procedures to address concerns related to the appearance, comfort and function of the female intimate area such as Labiaplasty, Vaginoplasty, Monsplasty, Clitoral hood reduction, Perineoplasty
- Vascular access surgery: AV fistula creation for patients requiring haemodialysis.
Patients receive an individual assessment to determine the most appropriate treatment approach based on their condition, functional requirements and overall health.
Testimonials
Appointment and Contact
Ready to Take the Next Step?
Contact Us:
- Phone: +0481 279 2999
- Email: info@mitera.in
Address: SH 1, Thellakom, Kottayam, Kerala, Pin: 686630
FAQ
What does a plastic and reconstructive surgeon treat?
A plastic and reconstructive surgeon treats a wide range of conditions, including hand injuries, nerve damage, burns, complex wounds, congenital abnormalities, scars and tissue defects following cancer surgery. Plastic surgery also includes cosmetic procedures that address concerns about appearance and body contour.
Is plastic surgery only for cosmetic purposes?
No. Plastic surgery includes both reconstructive and cosmetic procedures. Reconstructive surgery aims to restore function, repair damaged tissues and improve appearance following injuries, burns, cancer surgery or congenital conditions. Cosmetic surgery focuses on enhancing appearance and body contour.
Can plastic surgery help with burn scars and restricted movement?
You may need to consult a hand surgeon for tendon or nerve injuries, fingertip injuries, carpal tunnel syndrome, trigger finger, Dupuytren’s contracture or congenital hand abnormalities. Prompt medical evaluation is important after significant hand injuries, especially when there is loss of movement, sensation or blood supply.
What is the best way to manage diabetes?
Yes. Selected burn scars and post-burn contractures can be treated with procedures such as contracture release, skin grafting and other reconstructive techniques. The appropriate treatment depends on the extent of scarring, its location and the degree of movement restriction.
Can a plastic surgeon treat diabetic foot wounds?
Yes. Plastic and reconstructive surgeons can help manage selected diabetic foot wounds, chronic ulcers and soft tissue defects. Treatment may involve wound debridement, specialised wound care, skin grafting or flap reconstruction, depending on the wound and the patient’s overall health. Early assessment is important to reduce the risk of complications.
What is the difference between skin grafting and flap reconstruction?
Skin grafting involves transferring skin from one area of the body to cover a wound or tissue defect. Flap reconstruction involves moving skin and sometimes underlying tissue, often with its own blood supply, to cover damaged areas. The choice depends on the wound’s depth, location and the tissues that need to be covered.
Can plastic surgery help after cancer removal?
Yes. Reconstructive surgery can help restore the shape, tissue coverage and function of areas affected by cancer surgery. Depending on the condition, procedures may include breast reconstruction, head and neck reconstruction or reconstruction of other soft tissue defects.
What is carpal tunnel syndrome, and does it require surgery?
Carpal tunnel syndrome occurs when the median nerve is compressed at the wrist. It can cause numbness, tingling, pain and weakness in the hand. Treatment depends on the severity of symptoms, and surgery may be recommended when symptoms are severe or do not improve with non-surgical treatment.
What is gynecomastia surgery?
Gynecomastia surgery is a procedure to reduce enlarged male breast tissue. The treatment approach depends on the amount of glandular tissue and fat present and the individual’s clinical assessment.
What is an abdominoplasty or tummy tuck?
Abdominoplasty is a cosmetic surgical procedure that removes excess skin and fat from the abdomen and may tighten the abdominal wall when indicated. It is commonly considered by people with loose abdominal skin following pregnancy or significant weight changes. Suitability depends on individual health and surgical assessment.
When should I seek medical attention for a wound that is not healing?
A wound that remains open, becomes increasingly painful, develops redness or swelling, or produces discharge should be assessed by a healthcare professional. People with diabetes, exposed deeper tissues or wounds following significant trauma should seek prompt medical attention.
How can I consult a plastic and reconstructive surgeon at Mitera Hospital?
You can contact Mitera Hospital, Kottayam, to enquire about an appointment with Dr. Paul Joyce, Consultant Plastic, Reconstructive, Hand & Microsurgeon. The consultation will help determine the appropriate investigations and treatment options for your condition.