Vascularised Composite Allotransplantation

Request Appointment
Vascularised Composite Allotransplantation

If you or someone you know has been affected by an injury or disease that has resulted in the loss of a body part, vascularized composite allotransplantation may be an option. Get the best treatment from Dr. Nilesh Satbhai in Mumbai. Book your appointment today!

What is Vascularized Composite Allotransplantation?

Vascularized composite allotransplantation (VCA) refers to the transplantation of multiple tissues, such as skin, tendon, nerve, muscle, fat, lymph nodes, and bone, as a functional unit.

VCA is mainly for the life-enhancing purpose of achieving functional recovery and patient satisfaction. Vascularized composite allotransplants are grafts that are composed of multiple different tissues but are transplanted all together as one unit. An example is a hand graft, which consists of muscles, bones, skins, vessels, and nerves.

Types of transplant

  • Autograft
  • Allograft and allotransplantation
  • Xenograft and xenotransplantation
  • Domino transplants
  • ABO-incompatible transplants
  • Transplantation in obese individuals

The composite tissues transplanted usually include the upper extremities, such as

  • Face
  • Trachea and larynx
  • Abdominal wall

What to expect at the consultation for Vascularized Composite Allotransplantation?

During the consultation for vascularized composite allotransplantation, Dr. Nilesh Satbhai will review your medical history and conduct a physical examination. During the physical examination, Dr. Nilesh will evaluate the condition of your skin, the underlying tissue, and blood vessels. Dr. Nilesh will also assess your ability to tolerate the surgery and the potential risks involved.

After the review and physical examination, Dr. Nilesh will discuss the procedure in detail with you and answer any questions that you may have.

Face Transplant

A face transplant might be a treatment option for you if you have severe damage to your face or you have a visible difference in the appearance of your face. A face transplant replaces all or a part of the face with the donor tissue from someone who has died.

A face transplant is a very complex operation that requires months of planning and multiple surgical doctors. The face transplant procedure is performed in only a few transplant centers worldwide.

Why it’s done?

Face transplant is performed to improve the quality of life if you have experienced severe trauma, burns, disease or birth defects that affected your face. A face transplant is intended to enhance both appearance and functional abilities, such as chewing, talking, swallowing, and breathing through your nose. It is also done to reduce the social isolation that you experience while living with visible differences in your faces.

Who is an ideal candidate for Face Transplant?

You are an ideal candidate for a face transplant if you:

  • Have severe changes or damage to your face
  • Have lost facial function, such as talking or chewing
  • Have no history of chronic nerve conditions like peripheral neuropathy
  • Are not pregnant
  • Have no serious underlying medical problems, such as heart disease, diabetes, or any kind of untreated cancer
  • Have had no recent infections
  • Are a nonsmoker
Request Appointment

How do you prepare for a Face Transplant?

Once you’re approved for a face transplant, you will have to wait for a donor’s face, and when matching you with a donor face for a transplant, your surgeons will consider these factors:

  • Blood type
  • Tissue type
  • Color of the skin
  • Comparable ages of recipient and donor
  • Compatible facial size of recipient and donor

In the meantime:

  • You should undergo a complete exam that may include X-rays, CT scans and MRI scans, blood tests, and other measures of your physical health.
  • You should undergo an evaluation of your mental as well as emotional health, coping skills, family and social support, expectations, communication skills, and ability to manage post-transplant care.
  • Your face transplant team will ask you to stay at a nearby location that allows you to arrive at the hospital within a short period of time once you are contacted about your transplant date.
  • After your surgery is completed, you’ll likely be asked to stay near your transplant center for almost 2 to 3 months.
  • Stay in touch with your transplant surgeon or team. Let Dr. Nilesh know immediately if you face any changes regarding your medical care, such as starting new medications, having a blood transfusion, or receiving a diagnosis of a chronic medical condition.

Results of Face Transplant

Getting a transplant done can result in an improved ability to:

  • Smell
  • Eat
  • Drink
  • Talk
  • Smile and make other facial expressions

Your results will be affected by:

  • The extent of the operation you have undergone.
  • Your body’s response to the new tissue.
  • Other aspects of your recovery, such as your psychological and emotional response to living with a new face.

Risks of Face Transplant

A face transplant is a complex and lengthy procedure. Following are the risks of a face transplant:

  • Your body’s immune system might reject the new face and other donor tissues
  • Inflammation and a change in the color of your skin might be seen
  • Blood clots
  • Chances of infection

Dr. Nilesh Satbhai puts the safety of patients above everything else, taking every precaution to avoid any risks or unpleasant occurrences.

Trachea/Larynx Transplant

A trachea and larynx transplant is a procedure in which a damaged voice box (larynx) and windpipe (trachea) is replaced with a new one. Your larynx enables you to speak, eat, and breathe, whereas your trachea connects your larynx to the lungs.

This procedure is complex, but it may restore your ability to breathe, eat and speak, allowing you to live a more active life.

Who is an ideal candidate for Trachea/Larynx Transplant

When you have a damaged trachea and larynx and you have undergone other treatments which did not work, you may need a trachea transplant.

Some of the reasons that you might need a trachea transplant include:

  • Scarring of the trachea or larynx
  • Severe injury and damage to your trachea or larynx
  • Narrowing of trachea since birth
  • Extra growths in your trachea or larynx

Trachea transplant may be an option if the below treatments have not helped you:

  • An opening in your neck, known as tracheostomy
  • Any previous surgery on your trachea or larynx
  • A tube or stent is placed to widen your trachea more
Request Appointment

What you can expect during Trachea/Larynx Transplant

You can expect the following during your trachea/larynx transplant:

  • You will be anesthetized during your transplant surgery, so that you do not feel pain.
  • The surgeon will then remove your damaged trachea and replace it with the new one in its place.
  • This procedure takes several hours to complete.
  • When you leave the hospital, you will need close follow-up care by Dr. Nilesh . Since you will be on anti-rejection medication, you should follow directions very carefully.
  • You should also follow diet and exercise guidance from Dr. Nilesh .

Results of Trachea/Larynx Transplant

  • A tracheal or larynx transplant can improve your quality of life.
  • This procedure can restore your tracheal or larynx functions that will improve your health and comfort.
  • A follow-up appointment with Dr. Nilesh will help you with other resources such as support groups, exercise programs, and speech therapy if needed.
  • You will also receive help with your meal planning and instruction about your medications.

Risks of Trachea/Larynx Transplant

Risks of trachea/larynx transplant include infection and bleeding. Your immune system might reject the new trachea. All these risks are rare. By following Dr. Nilesh ’s instructions, you can reduce these risks.

Abdominal Wall Transplant

Abdominal wall transplantation is a type of composite tissue allograft that can be used to reconstruct the abdominal wall of patients undergoing intestinal transplantation.

Why it’s done?

Abdominal wall transplant is indicated when:

  • There are multiple previous perforations, laparotomies, and subsequent adhesions.
  • Extensive enterocutaneous fistulae (for example, due to surgical complications or secondary to Crohn’s disease).
  • There is abdominal wall fibrosis.
  • Scarring preventing wall expansion, for example, following previous abdominal wall radiotherapy, or healing by secondary intention.
  • Resection of the abdominal wall due to tumor involvement.

Risks of Abdominal Wall Transplant

Risks of abdominal wall transplant are uncommon but involve sepsis or infection, sometimes fistula formation, and mild to moderate pain. Dr. Nilesh will take every precaution to avoid any risks or unpleasant occurrences from happening.

Benefits of Vascularized Composite Allotransplantation (VCA)

The advantage of VCA over the conventional reconstructive methods is its ability to give you aesthetically and functionally superior equal composite substitutes to the missing or deformed part.

What is the cost of Vascularized Composite Allotransplantation (VCA) in Mumbai

The cost of VCA varies depending on the type of procedure, the location of the transplant, and the complexity of the surgery. During the consultation, Dr. Nilesh Satbhai will go over the expected costs with you.

Request Appointment
Vascularised Composite Allotransplantation

Restore Face, Trachea, And Abdominal Wall with Vascularized Composite Allotransplantation (VCA) in Mumbai

Request Appointment

Meet the Doctor


Dr. Nilesh Satbhai
Dr. Nilesh Satbhai is a highly experienced and skillful plastic surgeon who has dedicated his career to helping patients feel at ease with their bodies. He completed his Plastic Surgery training at the prestigious Seth G. S. Medical College and K.E.M Hospital in Mumbai, after which he went on to earn his fellowship in various subfields of plastic and reconstructive surgery. Dr. Nilesh is a caring professional who takes the time to get to know his patients and understand their individual needs and goals. He is committed to providing the highest quality care possible and strives to make every patient feel comfortable and confident in their decision to undergo treatment. If you are considering plastic or reconstructive surgery, Dr. Nilesh Satbhai is a trusted surgeon who can provide you with the results you desire.
Calendar Phone