At Saxena Aesthetics, we offer specialized AV fistula surgery for dialysis under the skilled hands of Dr. Bharat Saxena, a Gold Medalist in Plastic and Reconstructive Surgery. Performed at both Nanavati MAX Super-Speciality Hospital and Saxena Aesthetics, Vile Parle, this procedure ensures safe and long-term vascular access for patients requiring regular dialysis. Dr. Saxena’s expertise in microsurgery and reconstructive vascular access makes him one of the best surgeons for AV fistula creation in Mumbai.
What is AV Fistula for Dialysis?

An Arteriovenous (AV) fistula is a surgical connection between an artery and a vein, typically created in the arm. It provides a durable and efficient access point for hemodialysis treatment in patients with end-stage renal disease. As a permanent dialysis access surgery, an AV fistula is preferred due to its longevity, lower infection risk, and better blood flow during dialysis sessions.
Common Indications
- Chronic kidney disease requiring long-term dialysis access
- Failed or exhausted previous vascular access sites requiring new creation
- Patient planned for hemodialysis in the near future with urgent preparation
- Preparation for end-stage renal disease management
Techniques Used
- The procedure is usually done under local or regional anesthesia
- A small incision is made in the arm to connect an artery and a vein
- Microsurgical tools and techniques are used to ensure precision
- Sutures are placed delicately to encourage vein enlargement and maturity
About the Surgery/Treatment
AV Fistula creation is a critical vascular procedure that provides a reliable and sustainable access route for hemodialysis. At Saxena Aesthetics, Dr. Bharat Saxena ensures every patient receives personalized evaluation and precise surgical care.
Treatment Process
- Initial assessment with ultrasound mapping of vessels
- Selection of the most suitable site (usually forearm or upper arm)
- Day-care procedure performed under anesthesia
- Post-op monitoring and instructions for arm care provided
Benefits of this Surgery
- Long-term dialysis access with minimal complications
- Reduced risk of infection compared to catheters
- Better blood flow leading to efficient dialysis
- Lower risk of clotting or narrowing of blood vessels
As a leading reconstructive and vascular surgeon in Mumbai, Dr. Bharat Saxena emphasizes minimally invasive techniques, ensuring quicker recovery and lasting outcomes for AV fistula procedures in India.
What to Expect After Surgery
Post-operative care is crucial in ensuring the AV fistula matures correctly and functions optimally. Most patients can return to routine activities within a few days.
Post-Surgery
- Mild swelling and bruising at the incision site
- Patients advised to avoid lifting heavy objects with the operated arm
- Fistula may take 6–8 weeks to mature before use
- Regular follow-ups and monitoring for any signs of failure
Recovery Milestones
- Initial healing within 7–10 days post-surgery
- Fistula thrill (vibration) can be felt clearly after a few days.
- Vein enlargement visible in 2–4 weeks
- Full maturity for dialysis in 6–8 weeks with proper care and monitoring.
Follow-Up Care
Consistent follow-up is essential to ensure successful fistula maturation and avoid complications.
Follow-up Schedule
- First check-up within 1 week post-surgery
- Follow-up at 3–4 weeks to assess vein growth
- Doppler ultrasound if fistula thrill is weak
- Final clearance for dialysis by nephrologist
Follow-Up Care
- Dressing changes and wound care
- Non-invasive vascular ultrasound assessments
- Suture removal and incision inspection
- Guidance on arm positioning and usage
Make Appointment
Treatments & Procedures
- Head and Neck Cancer Reconstruction
- Breast Reconstruction after Cancer
- Bone and Soft Tissue Reconstruction
- Skin Cancer Flap Surgery
- Pelvic and Vaginal Reconstruction
- Ortho-Oncology Reconstruction
- Microsurgery for Limb Salvage
- Facial Reconstruction Post Cancer Surgery
- Onco-Trauma Combined Reconstruction
- Advanced Hair Transplant Surgery
- Breast Augmentation Surgery
- Advanced Breast Reduction Surgery
- Mastopexy (Breast Lift)
- Liposuction
- Tummy Tuck
- Gynecomastia
- Rhinoplasty
- Blepharoplasty
- Fat Grafting for Face & Body
- Scar & Tattoo Removal
- Ear Lobe Repair Surgery
- Facial Fracture Repair
- Heel Reconstruction Surgery
- Lower Limb Trauma with Exposed Bone Reconstruction
- Diabetic Foot Surgery with Flaps and Skin Grafting
- Skin Grafting for Burns
- Burn Contracture Release
- Syndactyly Correction
- Polydactyly Repair
- Hand Fracture Care
- Advanced Tendon Repair Surgery
- Advanced Tendon Transfer Procedures
- Nerve Repair & Reconstruction
- AV Fistula for Dialysis
Specialized Treatment Categories
- Advanced Onco-Surgical Treatments
- Advanced Cosmetic Surgeries
- Trauma & Lower Limb Reconstruction
- Comprehensive Burn Care & Reconstruction
- Hand Reconstruction & Onco-Surgery
- Miscellaneous Reconstructive Procedures
Pre- & Post-Treatment Precautions
Before Surgery
- Inform the surgeon about any medications or blood thinners
- Do not eat or drink 6 hours before surgery
- Perform prescribed blood and imaging tests
After Surgery
- Keep the arm elevated to reduce swelling
- Avoid compressing or sleeping on the operated arm
- Follow antibiotic and pain medication instructions carefully
Recovery Period
- Resume light activities within a week with proper medical guidance.
- Avoid blood pressure checks or blood draws from fistula arm
- Monitor for pain, redness, or abnormal swelling

Meet Dr. Bharat Saxena - Your Trusted Plastic Surgeon
Dr. Bharat Saxena is an experienced and highly qualified plastic surgeon specializing in both cosmetic and reconstructive surgeries. A gold medalist in M.Ch Plastic and Reconstructive Surgery from Sir JJ Group of Hospitals, Mumbai, he brings cutting-edge expertise in onco-surgery, trauma reconstruction, and aesthetic procedures. Dr. Saxena’s work is recognized worldwide, with numerous accolades highlighting his dedication to patient care and surgical excellence. He currently practices at Nanavati Max Super Speciality Hospital, one of Mumbai’s premier medical institutions, and leads his private clinic, Saxena Aesthetics, in Vile Parle—offering personalized, state-of-the-art treatments in a safe and comfortable environment.
- Globally Recognized Expertise
- Gold Medalist Surgeon
- Advanced Aesthetic Techniques
- Trusted at Nanavati
- Founder, Saxena Aesthetics
- Onco-Surgery Specialist
- Reconstructive Surgery Mastery
- Patient-Centric Approach

Expertise and Compassion Combined for Exceptional Results
Dr. Bharat Saxena offers unmatched expertise in both reconstructive and cosmetic surgery, with years of rigorous training and hands-on experience. At Saxena Aesthetics, we provide world-class aesthetic and reconstructive solutions, ensuring a personalized, patient-centric approach for every individual. Whether it's a complex reconstructive surgery or a cosmetic enhancement, our state-of-the-art techniques and compassionate care guarantee the highest quality outcomes.
- Award-Winning Surgeon
- Personalized Care
- Advanced Techniques
- Proven Results
- Ethical Practices
- Multidisciplinary Team
- Holistic Approach
- Compassionate Service

Your Trusted Clinic for Personalized Aesthetic Treatments
Saxena Aesthetics is a leading plastic surgery clinic based in Vile Parle, Mumbai, dedicated to providing exceptional cosmetic and reconstructive treatments. With a focus on cutting-edge technology, personalized care, and the highest standards of safety, we cater to the unique needs of each patient. Whether you’re seeking aesthetic improvements or reconstructive surgeries, we ensure that you receive the most advanced and effective solutions for your concerns.
- Trusted Clinic in Mumbai
- Advanced Aesthetic Solutions
- Personalized Treatments
- Reconstructive Expertise
- Patient-Centered Care
- State-of-the-Art Technology
- Compassionate Approach
- Comprehensive Services

Meet the Experts Behind Your Transformation
At Saxena Aesthetics, we pride ourselves on having a highly skilled, compassionate team of professionals. Led by Dr. Bharat Saxena, our multidisciplinary team includes specialists in gynecology, dermatology, and plastic surgery, all working together to provide the best care for every patient. From advanced surgical procedures to non-surgical treatments, our team ensures comprehensive care tailored to each individual's needs.
- Experienced Specialists
- Multidisciplinary Team
- Personalized Treatment Plans
- Advanced Aesthetic Solutions
- Compassionate Professionals
- Holistic Patient Care
- Leading Experts in the Field
- Commitment to Excellence
Frequently Asked Questions
An AV fistula provides a durable and high-flow access site for regular hemodialysis, ensuring safer and more effective treatment for kidney failure patients.
It usually takes about 6 to 8 weeks for the fistula to mature, allowing veins to enlarge and support repeated dialysis sessions.
The procedure is done under anesthesia, so patients do not feel pain during the surgery. Mild discomfort may occur post-operatively, which can be managed with medication.
Dr. Bharat Saxena is widely recognized for his expertise in vascular access surgery, offering advanced care at Nanavati Hospital and Saxena Aesthetics, Mumbai.
A vibrating sensation (thrill) and a whooshing sound (bruit) indicate proper blood flow. These signs should be checked regularly by your doctor.
Testimonial
Feedback From our happy patients
Lakshaami Shetty2025-04-17Trustindex verifies that the original source of the review is Google. Dear Doctor, Thank you from the bottom of my heart for your care and kindness during such a scary time. When the slab suddenly fell on us while we were sleeping on the floor at midnight, I was terrified. But your calm words, gentle approach, and encouragement made me feel safe and hopeful. You not only treated my injuries—you healed my fear too. I will always recommend you, not just for your skill, but for the compassion you show. With deep gratitude, Dinesh Sanjeeva Shetty anita gulati2025-04-07Trustindex verifies that the original source of the review is Google. Dr Bharat Saxena is an excellent doctor. He is efficient, helpful and caring. He performed two surgeries amazingly well on my husband, Dr Ravindra Gulati, for oral cancer. Recovery has been smooth, and the care provided pre, during and post surgery is excellent. We are grateful for his service. -By Dr Anita Gulati, Bhopal brijesh kumar2025-03-04Trustindex verifies that the original source of the review is Google. Dr.Bharat saxsena sir and team is best Apps Bhattar2025-01-23Trustindex verifies that the original source of the review is Google. Me and my family are grateful to Dr. Bharat Saxena as he had operated on my dad left side face profile including jaw replacement. Post surgery with his guidance my dad has a great improvement. We really appreciate it. Thanks a lot doctor. Shanu Siddique2024-09-18Trustindex verifies that the original source of the review is Google. Very good surgeon , Good counseling Rageshree Parkar2024-09-18Trustindex verifies that the original source of the review is Google. Dr. Bharat Saxena is exceptionally passionate about his work, approaching it with the dedication of someone who truly worships his profession. Meeting him changed my perspective on how compassionate and humble a doctor can be, especially in a country like India, where human life often isn’t valued as it should be. In these times, Dr. Saxena stands out, treating his patients with the utmost respect, care, and compassion. I am profoundly grateful to Dr. Saxena for the way he treated my father during his mouth cancer surgery. He assured us that my father’s face would look flawless after the procedure, and true to his word, no one can tell that he underwent surgery. My entire family is indebted to his care and professionalism. We wish him all the best in his future endeavors and pray that his passion for his work continues to shine. Thank you, Doctor Saxena 🙏 Akshat2024-09-18Trustindex verifies that the original source of the review is Google. Dr Bharat is always available to help and clear doubts which arise frequently to patients and their families. He explains in detail about the process that has to be done and post operative care. Highly recommended!! Ayush Gupta2024-09-18Trustindex verifies that the original source of the review is Google. One of the best Plastic and Reconstructive Surgeon in the Country
Trust your dialysis access to expert hands.
Schedule your AV Fistula for Dialysis consultation with Dr. Bharat Saxena at Nanavati Hospital or Saxena Aesthetics, Vile Parle.
Choose Your Location
Visit either Nanavati MAX Super-Speciality Hospital or Saxena Aesthetics, Vile Parle for expert care by Dr. Bharat Saxena—Best Plastic Surgeon in Mumbai for transformative, trusted, and personalized results.
Check OPD Timings
For Nanavati: Mon/Tue/Thu/Fri 9:30–11:30 AM; Sat 11:30–1:30 PM. For Saxena Aesthetics: Mon–Sat, 02:00 PM - 8:00 PM. Advanced Plastic Surgery in Mumbai made accessible.
Book Your Slot
Call Nanavati at (022) 61347500 or WhatsApp Saxena Aesthetics at 8779866853. Get Personalized Aesthetic Treatments in Vile Parle or Reconstructive Surgery by Experts.
Visit with Confidence
Meet Dr. Bharat Saxena—Renowned, Experienced, Trusted M.Ch Gold Medalist Plastic Surgeon Mumbai, trusted for ethical, holistic care in cosmetic and reconstructive surgery in Mumbai.