Postoperative instructions
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Browse instructions →Plastic and Reconstructive Surgery · Hand Surgery
Advanced reconstructive surgery.
Close to home.
Bringing specialized techniques in plastic, reconstructive, and hand surgery to Western Massachusetts. Thoughtful, individualized care focused on restoring function, supporting recovery, and improving quality of life.
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Clinical resources
Reference documents and frequently used tools in one publicly accessible location.
Open resources →Contact & locations
Offices in Springfield, Palmer, and Northampton. Call (413) 794-5363 for appointments and location-specific availability.
Call the office →Practice locations
Serving Western Massachusetts
For appointments and to confirm which office to visit, call (413) 794-5363.
Springfield office
2 Medical Center Dr, Suite 206
Springfield, MA 01107
Palmer office
40 Wright Street
Palmer, MA 01069
Northampton office
325B King St
Northampton, MA 01060
About Dr. Naram
About Dr. Naram
Plastic and Reconstructive Surgery – Hand Surgery
Aparajit Naram, MD, FACSBoard-certified plastic surgeon · Hand surgery subspecialty certification
Meet your surgeon
Aparajit Naram, MD, FACS
Dr. Naram is a board-certified plastic and reconstructive surgeon with additional fellowship training and subspecialty certification in surgery of the hand. His practice in Western Massachusetts brings together hand and wrist surgery, peripheral nerve surgery, breast reconstruction, and complex reconstructive procedures.
His work spans both frequently performed operations—including carpal tunnel release, trigger finger surgery, and fracture repair—and more complex reconstructive problems involving nerves, tendons, bone, and soft tissue. His training in plastic surgery informs an approach that considers tissue healing, function, and future treatment options together, rather than treating each problem in isolation.
Dr. Naram believes that the best treatment starts with a clear understanding of the diagnosis and the patient's priorities. Not every condition requires surgery. When an operation is appropriate, he works with patients to weigh the expected benefits, risks, alternatives, and recovery requirements.
Education & credentials
Training and board certification
Board certification
American Board of Plastic Surgery certification in plastic surgery and subspecialty certification in surgery of the hand (CAQ). Fellow of the American College of Surgeons (FACS).
Hand surgery fellowship
University of Texas Southwestern Medical Center, Dallas, Texas (2017–2018).
Integrated plastic surgery residency
University of Massachusetts Medical School, Worcester, Massachusetts (2011–2017).
Medical education
Rensselaer Polytechnic Institute / Albany Medical College combined-degree program; MD, Albany Medical College (2011).
Academic appointment
Assistant Professor of Surgery, UMass Chan Medical School – Baystate Regional Campus.
Clinical focus
Reconstruction informed by both plastic and hand surgery
Dr. Naram's clinical practice includes hand and wrist conditions, fractures and arthritis, tendon and nerve injuries, peripheral nerve reconstruction, breast reconstruction, and complex wound and limb reconstruction. His reconstructive experience includes microsurgical techniques and procedures designed to restore function after injury, disease, or prior surgery.
His combination of plastic surgery and hand surgery training is particularly relevant to problems that involve multiple tissue types or require a balance between mobility, stability, sensation, and durable soft-tissue coverage.
Research & teaching
Academic surgery and ongoing scholarship
Dr. Naram serves as an Assistant Professor of Surgery at UMass Chan Medical School–Baystate and participates in resident education. His peer-reviewed publications include studies and technical reports concerning thumb carpometacarpal arthritis, tendon injuries, and targeted muscle reinnervation. The selected publications below provide examples of his scholarly work.
Selected peer-reviewed publications
- Spontaneous Rupture of the Extensor Pollicis Longus Tendon: A Systematic Review — HAND, 2024.
- A Technical Guide for Sciatic Nerve Targeted Muscle Reinnervation in a Transfemoral Amputee — Plastic and Reconstructive Surgery–Global Open, 2022.
- Comparison of Provocative Manoeuvres in Diagnosing Thumb Carpometacarpal Joint Arthritis — Journal of Hand Surgery (European Volume), 2019.
- Increased Complications in Trapeziectomy With Ligament Reconstruction and Tendon Interposition Compared With Trapeziectomy Alone — HAND, 2016.
For a broader publication list, see Dr. Naram's UMass Chan faculty profile.
Care in Western Massachusetts
Dr. Naram sees patients in Springfield, with additional office locations in Palmer and Northampton. For scheduling and location availability, contact the practice at (413) 794-5363.
View practice locations →Patient education
Postoperative instructions
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For patients & clinical teams
Clinical resources
Frequently referenced documents and practical tools. Publicly accessible without an account.
Mentor Implant Catalog
Implant reference catalog, 2023 edition.
Find reference PDF →BREAST-V
Published three-measurement model for estimating breast weight.
Open calculator →ICE principle · Round implants
Estimate inframammary fold position using implant diameter, projection, and nipple-to-fold distance on maximal stretch.
Open ICE calculator →Search clinical resources
Search the document library for handouts and other reference files.
Search documents →Clinical calculator
BREAST-V calculator
Enter three measurements in centimeters for the right breast, left breast, or both. Leave all three fields on one side blank for unilateral calculations.
Measurement (cm)
Right breast
Left breast
Enter three measurements on either side to calculate estimated breast weight.
Right breast—
Left breast—
Formula: −231.66 + 0.5747 × SN² + 18.5478 × FFp + 14.5087 × FN. Result is an estimated breast weight in grams, not a direct volume measurement in mL. In the original validation study of 108 mastectomy specimens from 88 women (specimen weights 150–1,250 g), the expected absolute error was approximately 89.7 g and the expected relative error was 18.4%. Accuracy may differ outside the study population; use as an adjunct to clinical assessment. Longo et al., Plastic and Reconstructive Surgery (2013).
No measurements are transmitted to the website or stored.
Clinical calculator · Round implants only
ICE principle: IMF incision planning
Enter implant base width (diameter), projection, and nipple-to-existing-IMF distance on maximum stretch, all in centimeters. The calculation uses 55% of implant diameter for round implants.
Measurement (cm)
Right breast
Left breast
Enter all three measurements for one or both sides.
Right · Fold displacement (E)—
Left · Fold displacement (E)—
Formula for round implants: I = 0.55 × W + P; E = I − C. A positive E indicates proposed IMF lowering below the existing fold; a negative E indicates that the calculated position lies above it, not a recommendation to raise the fold. The calculated nipple-to-new-IMF distance on stretch is I. This is an adjunct to surgeon assessment; assess fold integrity, skin envelope, implant selection, and risk of double-bubble deformity before using markings.
Source: Mallucci P, Branford OA. Design for Natural Breast Augmentation: The ICE Principle. Plast Reconstr Surg. 2016;137:1728–1737. Round-implant 55% implementation is described in subsequent comparative literature. No measurements are transmitted or stored.