The Plastic Surgery Center of Thailand: 2011

Thursday, August 25, 2011

Tips on How to Decrease complications with Cosmetic Surgery according to ASPS:

Your surgeon should keep you warm and give you extra oxygen during your surgery. If the body is allowed to cool during surgery, the heart can be affected and the infection rate is higher. Special warming techniques should be used for surgery that takes more than two hours and treats more than one-fifth of the body surface area.
You should not have surgery outside of a hospital if more than a pint of blood loss if expected.
No more than 5 kilograms (eleven pounds) of fat should be suctioned in a facility outside of a hospital.
Large-volume liposuction should not be performed in combination with a tummy tuck.
Only Operations taking less than six hours should be performed in the office
If your surgery is longer than thirty minutes, you should have some sort of blood-clot prevention
You should receive medication to decrease nausea and vomiting following surgery.
You should be given adequate pain-relief medication after surgery.
You should have a thorough history and physical examination prior to surgery. The surgeon might perform a cursory exam but let’s face it; they simple will not do the job of a board-certified internist. An appropriate letter with recommendations should be sent to you plastic surgeon.
Preoperative testing should include an electrocardiogram (EKG) for anyone over age 45 or younger if indicated. It is a good idea to have an EKG stress test of you age is over 50.
Laboratory testing should include a blood count and blood chemistry, and other tests depending on your individual circumstances.
Only normal healthy patients or patients with mild disease should be operated on in an office setting. Others should be operated on in the hospital, if at all.

For more information you may contact the information below:
Mobile#: +63922977537
Email: info@bangkokaestheticplasticsurgery.com
Line app: osias05
Whats app, viber: +63922977537
Website: http://www.bangkokaestheticplasticsurgery.com/
Facebook page: https://www.facebook.com/bangkokaestheticplasticsurgery, https://www.facebook.com/BangkokAestheticSurgeryCenter

Tuesday, June 7, 2011

Augmented Rhinoplasty (Nose Augmentation)

Augmented Rhinoplasty is very common among Asians and non-Caucasians to correct a flat nose with a round bulbous tip and flaring nostrils. The aim is to build an aesthetically pleasing nasal bridge with an elegant projection and well defined nasal tip, and at the same time narrow the flaring nostril base. An implant is usually used.

The implanted material is biocompatible and extremely safe. Incisions are made inside the rim of the nostrils. Soft tissues of the nose are then separated from the underlying structure to create the appropriate space for nose implant projecting the nasal tip and increase the height of the nose.

Of all the procedures performed by plastic surgeons, rhinoplasty is the most challenging. And it is with this procedure that society judges you by its shape and the skills of the surgeon because the nose is the first thing you see when you look at someone. There is no way to hide the nose, before or after the procedure. Noses are so variable in size and shape that it is hard to define what is normal. Every nose is different and every result should be different, fitting the patient’s face.

Nothing defines your appearance quite like your nose. Like it or not, people identify and even judge you by its shape and size. If your nose overwhelms your other features, it can hamper your self confidence by affecting your looks. That’s especially true if you are transitioning from your birth gender as a male to your new gender as a female. Having the nose that is bigger and wider than the small, narrowed version found in most women can ruin the feminine identity you wish to project. Can it be changed? Yes. By reshaping your nasal contours, rhinoplasty is one of the most important operations in facial feminization.

If you’re a transgender individual, your nose presents one of the most obvious facial challenges to your feminity. Distinct differences are found between the sexes. First, male nose are larger in every aspect than in female noses. They’re longer and wider with larger nostrils and generally bulkier tips than those features in women. Second, a man’s nose points either ahead or slightly downward at the base, as opposed to a woman’s nose which points slightly upward at its base. The female bridge in some ethnicities also “scoops” or dips before sloping gently straight downward or into a slightly upturned tip.

Third, and perhaps most important, the angles between the nose and the forehead, and between the nose and the upper lip tend to be sharper in men than woman. As a male you may not have the chiseled profile but your nose likely projects off your forehead in a more abrupt way. You may even sport an unsightly bump, called a dorsal hump.

In changing our nose to fit your new gender, your surgeon will make sure that it not only slopes gently from your forehead but also is free of any humps or bumps. He or she will also downsize and resculpt until this part of your face fully reflects your new identity.

Temporal Fossa Augmentation

The temporal fossa is located above your cheekbones, just to the side of your eyes. It is the shallow depression of your skull.

You know it as your temple. Created by an underlying pair of cranial or temporal bones, it houses the temporalis muscle, one of the strong muscles necessary for chewing. If you take away the muscle, you are left with a space called the temporal fossa. Normally, this indentation is a discreet hollow just below and behind your forehead. But if the depression is so pronounced that it makes you look sickly or gaunt, you may want your surgeon to fill it in. Augmenting a temporal fossa depression isn’t a necessary step in feminizing your face, but it will add immensely to a healthy, feminized look.

There is no difference between the sexes when it comes to an exaggerated temporal fossa depression. Even though I have treated only one woman with a significant indentation, I believe strongly that a deeply concave or inwardly curved space has nothing to do with gender. Whether you are a man or a woman, a pronounced hollow just behind your lateral orbital rims, the bony ridges to the side of your eyes, can have a significant effect on your facial aesthetics. This hollow can make you appear starving when you are well fed. Although the majority of the people don’t have a temporal fossa depression that merits attention, it is not an uncommon occurrence.

The degree and precise location, however, can be variable. The depression also isn’t necessarily symmetrical or the same on both sides. When it does exist, augmenting the space can offer many aesthetic benefits. Improving the contour can create a more appealing look.

Mandibular Angle Reduction (Reduction Angleplasty)

Mandibular Angle Reduction is usually done to individuals who have wide jaw line or square face. It reduces the width of the lower face and change a square face to an oval one.

This is one reason for aesthetic Mandible Angle Reduction. The incision is commonly done inside the mouth which means the scar will be invisible.

Lower Jaw (mandibular) angle surgery/ Mandibular Angle Reduction/ Gonioplasty

A protruding or receding lower jaw can markedly decrease the aesthetic results of your facial feminization surgery. If your mandible doesn’t match your maxilla (upper jaw), and/or disproportionately wide as compared to the rest of the face, that upsets the balance of your over all facial profile. Thus, lower jaw (Mandibular) Surgery is an important step in facial feminization surgery.

Done to individuals who have wide jaw line or square face. It reduces the width of the lower face and change a square face to an oval one.

This procedure can enhance the masculine features, in men while in women it can give an impression of strength and confidence. In some, however, the jaw can be disproportionately wide as compared to the rest of the face or zygomas and mandibular angles are overly prominent that upsets the balance of the face. This is one reason for aesthetic Mandible Angle Reduction. The incision is commonly done inside the mouth which means the scar will be invisible

Thyroid Cartilage Reduction/ Adam’s apple Removal

Adam’s apple is a feature of the human neck that is characterized by a protrusion formed by the angle of the thyroid cartilage surrounding the larynx. During puberty stage, thyroid cartilage elongates eventually much larger in males than in females. Because this protrusion on the neck is so a distinctive characteristic of an adult male, it may cause you great concern. Yet, Adam’s apple can be reducing in size by a Thyroid Cartilage Reduction procedure transforming from masculine to feminine remarkably.

Lower Jaw Tapering- Angle Reduction/ V-line mandibular Angle Contouring

Tapering the mandible or lower jaw is an important step in facial feminization surgery. Women have more tapered and narrower lower face. Men have considerably prominent jaw line rendering a wide, square face which enhances the masculine features. With these differences, the surgery is essential in transitioning from male to female. Thus, improving femininity and eliminating obvious masculinity.

It allows for reduction of the chin to a more slender and oval shape without increasing its length. The surgery also reduces the overly strong bone flanking each side of the chin, thus transforming the more masculine U shape to a sharper and more feminine V shape. The chin line is excised into a smooth line. The chin end can be brought together without touch of the nerve. The protruding parts in both sides of the mandible are excised. The narrowed chin end produces the wholly oval V-line face type.

For more information you may contact the information below:

Mobile#: +66830868173

Email: info@bangkok-plasticsurgery.com

Line app: osias05

Whats app+ viber: +66830868173

Website: www.bangkok-plasticsurgery.com; www.bangkok-plastic-surgery.info

Chin Reduction

The chin is one of the most important features in gender identification. It is so different between the genders. In men, chins are vertically higher and wider than in women. The chin is the front portion of the mandible or lower jaw and the point on the lower face.

Chin reduction is a cosmetic surgical procedure that reduces the size of the chin by shaving down the bone through an incision made in the lower gums. Chin reduction surgery begins with the surgeon making an incision inside the mouth (near the lower lip) or under the chin. Using specialized instruments, the surgeon detaches the bone at the tip of the chin and then reshapes and removes the excess bone to properly proportion the contour. The tip is then repositioned with the remaining section of chin and held together using wires and plates. The incisions are sutured to complete the procedure.

For more information you may contact the information below:
Mobile#: +66830868173
Email: info@bangkok-plasticsurgery.com
Line app: osias05
Whats app, viber: +66830868173
Website: www.bangkok-plasticsurgery.com;
Facebook Page: https://www.facebook.com/BangkokPlasticSurg
Twitter: https://twitter.com/bangkokplastic

Malar Bone Reduction/ Cheek Bone Contouring

Cheek Bone Reduction is not a common procedure in transgender individuals among Caucasians, Hispanics or African Americans whose wide cheek structure is regarded as very attractive while in Asian individuals this is a very popular procedure since an oval-shaped face is considered to be more aesthetically pleasing and desirable.

Reduction Malarplasty is performed on patients with large cheek bones by either of two techniques. The first involves using a special drill to burr down or shave the excess bone at the zygomatic arch, the bony ridge that extends from beneath the eye socket along side the skull lateral to the temporal fossa. The second involves cutting out an appropriate amount of the zygomatic anterior arch, rotating or turning the lateral arch inward and securing with a small plate and two tiny screws. Both approaches maybe use depending on the problem.

Forehead Augmentation (Forehead Contouring Surgery)

You can easily tell the difference between male foreheads from female ones. Covering a large portion of the face, the forehead shows a markedly different contour and projection in men than in females, although most people don’t realize how their forehead is shaped or even protrudes from the face.

A female forehead shows a smooth and even surface while male forehead exhibit a pronounced brow bossing with greater hooding over their eyes and projects farther forward in front of the eyes.

Since the forehead contour is a distinct sign between both genders, forehead contouring is an important step in facial feminization surgery, thereby, creating a more naturally feminine appearance.

Scalp Reduction/ Scalp advancement

The foreheads and scalps are facial features that show more clearly whether a person is a male or a female. Male foreheads are remarkably different from female ones. Naturally, the distance from the hairline down to the eyebrow at the mid pupil line in males averages 2.6 inches in contrast to about 2 inches in women.

High hairlines and vertically long foreheads are generally accepted in males but not fashionable in females, therefore scalp reduction is performed as part of facial feminization surgery.

With scalp reduction, the portion of the scalp area is removed then pulled together, thereby shortening the forehead and minimizing the receding hairline. The best candidates for this procedure are individuals who suffer from male pattern balding and those who wanted to look more like a woman.

Tuesday, March 15, 2011

VASER Liposuction

Latest, third generation ULTRASONIC liposuction technique that is designed to virtually eliminate bleeding during surgery and to reduce inflammation and bruising. VASER Ultrasound technology literally liquefies the fat, which allows for greater precision and vastly superior results.

Ideal candidate for Vaser Liposuction

All candidates for liposuction should have realistic expectations of the results that can be achieved through the procedure and should be in good physical and mental health. The best candidate is someone who is in excellent health, is within 25 pounds of his or her ideal body weight, and has deposits of fat that have not responded to diet or exercise.

At the consultation

You should express your desires and expectations from the surgical procedures. The surgeon will evaluate your medical health and explain the surgical techniques available to you. Your question will be answered as thoroughly as possible. Examinations of your trouble are will be performed. The surgeon will go over the risks and potential complications of the procedure, as well as, the pre-operative and post –operative process.

Risk Factors

All surgeries carry some risks. Listed below are the risks or potential complications:

The risks of VASER liposuction are very similar to the liposuction risks associated with any other method. However, because LipoSelection minimizes damage to other body tissues, patients typically experience less pain and fewer side effects than with other forms of liposuction. Serious liposuction complications are quite rare. Fat clots or blood clots may form, and there is a chance these will migrate to the lungs and cause serious illness. The fluid loss that results from liposuction will be anticipated by a qualified doctor, as it can cause low blood pressure, friction burns, or fluid buildup. The LipoSelection probe’s ultrasound energy may injure the skin or deeper tissues; although in most cases the benefits of the ultrasound system make it safer than traditional liposuction. If a doctor inexperienced with the LipoSelection procedure applies too much fluid, the wetting solution may collect in the lungs. If there is too much lidocaine in the liposuction solution, lidocaine toxicity may develop.

Before the surgery

At this time, you will be given an opportunity to ask any further questions. Continuation of healthy diet and exercise is very important before the surgery. Smoking must be stopped at least two weeks before the surgery

On the day of the operation

No eating or drinking for 8 hours before the surgery. You should wear loose fitting clothing and sneakers. Do not wear sandals or slippers. You will meet with our nurse to prepare you for surgery. The surgeon will discuss the procedure with you again and do pre-operative planning. You will meet with our anesthesia provider to discuss anesthesia. You will be given a choice of day surgery or general anesthesia which required at least one day hospital stay depend on your choice but normally if it is an extensive surgery, we required 4 days and 3 night’s hospital stay.

Anesthesia used

This procedure can be performed using local or general anesthesia.

During the surgery

First, the area to be sculpted is filled with a special saline solution that helps numb the site and shrink the blood vessels (to minimize blood loss and reduce bruising). This solution wets and fills the area to be treated, making fat easier to break up with the VASER System’s sound energy. Then a small probe transmits sound energy (similar to that used for cataract removal in the eye) that breaks up fat on contact, while leaving other important tissues relatively intact. Finally, gentle suction of the sculpted site removes the emulsified fat quickly. Thanks to its patented technology, only the LipoSelection procedure first emulsifies and then removes fat in this manner.

Post Operative Expectation

The treated area will be wrap with compression garments snugly and continuously for 6 days-2wks. Usually drains are placed removing excess fluid over a period of 2-3 days.

Back to normal work

Regular exercise work out may start after 2 weeks, start with light exercise then gradually move your way up to your regular routine as tolerated by your body.

Pre-Operative instruction

Consultation with surgeon
Evaluation for other medical conditions
ECG and Blood test will be taken
No intake of food or water 6 hrs prior to surgery
Compression garments should be available to be used post-op
Stop smoking and alcohol intake at least 2 weeks before surgery
Anticoagulants, vitamins, hormones (including birth control pills), anti-depressants and some other medications also to be stopped at least 2 weeks before surgery.

Post-Operative instruction

Wrap treated area with compression garments snugly and continuously for 6 days-2 weeks.
A day after the surgery, patient may have light to moderate physical activities
Some incisions will be left open and drainage is expected, absorbent pads should be used and changed frequently as needed.
Incisions will close by themselves within 2-3 days. Use band aid to protect incision sites.
Keep incision clean
May have quick bath after 2 days post op. Regular shower when incisions are closed.
May use regular girdle 2 weeks after compression garments.
Do not apply ice packs or a heating pad to skin overlying the areas treated by liposuction
Do not soak in a bath, Jacuzzi, pool or beach at last 7 days post-op
Bruising may diminish after 2-3 weeks
Return for check-up after 4 days removal of stitches.
Swelling is expected, Maximal in the first 2 weeks, then gradually subsides. Final result in 3-4 months.
Skin may feel numb on the surface but insides are tender to touch.
Some areas may become hard and lumpy; this is normal and will go away when fully recovered

How To Choose A Certified Plastic Surgeon?

When choosing a plastic surgeon, it is important to consider a number of factors. Medical training and surgical experience are primary indicators of the surgeon’s qualifications. Board certification is another important criterion. No single factor can guarantee you the best doctor for a specific procedure. Ultimately, it is up to you to decide which surgeon is best for your specific goals and expectations.

To become a plastic surgeon, a doctor must obtain an M.D. (Doctor of Medicine) or a DO (Doctor of Osteopathy) degree. Following this, there are several paths the doctor may follow. Many doctors now spend five to six years in an integrated plastic surgery residency, although some complete three years of general surgery and two years in plastic surgery.

What does it mean to be a Board Certified Plastic Surgeon?

Choosing a Board certified surgeon can be a very tough job because of the personal information being shared. Just open the yellow pages, magazines, brochures or view news paper advertisements and you’ll find plastic surgeons promoting all kinds of society memberships and board certifications but don’t be confused between boards and societies. Societies are merely professional associations. Board certification is the minimum criterion you should use in selecting a plastic surgeon. So, it is very important that you learn about the doctor’s education, training, certification, and experience in order to guarantee a successful outcome and to make the best choice.

Beware of lots of Letters after the Doctor’s Name:

Many fraudulent doctors’ have quite a few letters after their names. In fact, multiple letters may be the telltale sign of an inadequately trained doctor trying to impress the public. Definitely, your doctor should have the letters M.D (Medical Doctor) or D.O (Doctor of Osteopathy) after his name. He might even have one or more master’s degrees or might also have PhD but these degrees are irrelevant to plastic surgery. Patients are advised to select a board certified plastic surgeon.

Guide to choose a Plastic Surgeon:

Get Referrals: Begin your search for a plastic surgeon by asking friends, relatives, family doctor, colleagues that are willing to meet with you and share their results of the surgery. Hospital staff such as nurses, surgeons and anesthesiologist is also excellent sources of referrals. You may also do research on the internet, magazines, or in the yellow pages. Chances are a few names will stand out from the others. It will help give you the best possible recommendations.

Check the qualifications of the surgeon: One of the most important qualifications you should look for in a plastic surgeon is that they are board certified but you must need to know what board has certified your plastic surgeon and be sure that the surgeon has graduated from an accredited medical school.

Meet the surgeon: Look at pictures of past procedures done by the surgeon. Choose an ethical and confident surgeon and friendly staff members for a long lasting relationship and you should expect good communication, understanding and comfort from the surgeon.

Why in Thailand?

Thailand is one of the most popular holiday destinations in the world today and foreigners seek cosmetic treatments for the following reasons:

· Low cost surgical treatments

The treatment fees in Thailand are generally between 50-70% less than they used to be in the western countries. This low cost treatment allows tourist to shop for an affordable price and can find a qualified plastic surgeon of choice. Foreigners can leave for an exciting vacation, have the surgery, relax, recover and return home a completely renewed individual.

· Quality healthcare services

Thailand has developed a world class series of hospitals and clinics that offers modern medical facilities with access to the latest technology and treatments as well as highly educated and world class trained surgeons. Many foreigners had cosmetic surgery in Thailand and experienced plastic surgeons that treated them with outstanding skills and innovative techniques.

· Highly developed infrastructure

Thailand is famous of its magnificent beaches and nature's best scenes. The country has a rich culture with a superb cuisine. Tourist will enjoy many different attractions and a wide choice of accommodation from first class hotels to guest houses and also a safe and friendly place suitable for treatment and recovery.

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Thursday, August 25, 2011

Tuesday, June 7, 2011

Tuesday, March 15, 2011