Monday, May 22, 2017
Sex Change (SRS) Sex change surgery/sex reassignment surgery refers to the administration of surgery to change the sex appearance according to one’s sex identity. There are two kinds of surgery. Bangkok Technique BCOSS doctors have developed a sex change technique called the Bangkok technique with the following details that make the outstanding result not just the cosmetic appearance, but also better functional result. Dorsal Neurovascular Glans Penis Preputial Flap Secondary Sexual Sensated Organ Single stage with complex of scrotal-penile flap and scrotal skin graft that can make promisable depth of neovagina and full length of vagina can create by all scrotal skin graft Long posterior scrotal skin flap is designed to give thick sensated posterior wall of vagina. When compare between graft and flap on rectal wall, scrotal flap produce soft sensation and more elastic than skin graft during sexual arousal period. The scrotal flap can give more width and length of neovagina during sexual intercourse period while retract to be narrow and shallow during normal period (the same as female vagina) Moreover, the posterior sensated scrotal flap can facilitated orgasm though its own sensation that was preserved and by transmit the sensation to anterior rectum wall that is the organ that involve orgasm complex Clitoris From glans penis with intact sensory nerves and vessels Vestibule of Vagina between the Labia Minora and urethral flap to look similar to female vestibule from glans penis with intact sensory nerves and vessels. Narrow neurovascular flap to create narrow hood of clitoris and to look as close as genital female Thin pedical flap sensate clitoris technique: The Doctor makes the neo-clitoris by keeping sensory nerves as close as possible. Doctor also keeps neurovascular pedicle as small as possible without having excess fascia, which produces a natural look. Clistoroplasty, uses the top skin of the glans penis Sensate inner labioplasty. The penile skin that surrounds glans penis looks similar to skin of inner labia, but thinner and more flaccid. We use the skin of the glans and prepuce, with all nerves and blood vessels uncut. The penile skin that surrounds glans penis looks similar to skin of inner labia, but is thinner, and more flaccid. This cannot be used for the whole inner labia. The doctor uses two types of skin to create inner labia look more natural. The outer part is from scrotal skin, and inner part is from prepuces, which can sense just like neo-clitoris. G spot of neovagina is combination of sensated labia minora, critoris, remnant of urethral flap between dissection. The cavity will be created just beneath the capsule of prostate gland that will lie over the penile skin. During dilation of neovagina you can feel sensated prostatic capsule. This complex of sensated 5 organ can create sensitive neovagina. Long urethral flap technique: The doctor uses middle area of the outside, and above the urethral opening to create a urethral mucosa, which is smooth, lubricated, varnish, and in pinkish color close to natural appearance. The labia minora which are anterior enough to cover the clitoris, uretha, and vaginal cavity (as in genetic women). Labia minora which can be stretched manually (as in genetic women). Pink or red colour of the inner surface of labia minora (as in genetic women). Complete anatomic homology between the reconstructed neovagina and the natal female genitalia. The fenulum which extends below the clitoris and which is continued to both sides of the labia minora (as in genetic women). The advantage of Bangkok Technique One stage procedure. A more aesthetically pleasing and natural looking vagina. Less skin hanging below the urethral opening from too large size inner labia. Enhanced vaginal depth approximately 5-7 inches. Less recovery time; 2-3 weeks after surgery. More elastic vaginal wall with sensate G-spot at posterior and anterior vaginal wall. Criteria of patients that suitable for Bangkok technique age <60 years penis is longer than 5 cm has enough scrotal skin to raise scrotal flap Nowadays the techniques of MTF surgery that has been done are Penile skin inversion Penile skin inversion with scrotal skin graft Penile skin inversion with donor skin grafts from the abdomen, waist, thighs, buttocks rectosigmoid colonvaginoplasty (primary) rectosigmoid colonvaginoplasty (secondary) delayed scrotal skin graft Bangkok technique is the development of the second technique that add the width of vagina with scrotal flap and add the depth with all renant of scrotal skin graft Criteria of Approval
Fore Head Lift (Brow Lift) A brow lift, or forehead lift, is a surgical procedure that smoothes out the forehead, while raising the upper eyelids and reducing frown lines. The procedure is one of the least complicated and least painful of all cosmetic surgeries. A forehead lift erases many of the effects of aging, leaving you with a smoother, more youthful looking appearance Someone is a candidate for the process Low or sagging eyebrows that may result in a tired or sad appearance. Eyebrows low enough to cause redundant tissue of the upper eyelids (this hooding of eyelid skin can sometimes interfere with raising the upper eyelids. Deep horizontal creases in the forehead. Frown lines or vertical furrows between the eyebrows or across the top of the nose which may make you look angry and upset. Brow lift surgery can help all of these problems. Any one or a combination of these problems can mean that brow lift surgery should be considered. It sometimes is done in conjunction with facelift surgery (rhytidectomy) and or eyelid surgery (blepharoplasty). Those who are bald, have a receding hairline, or prior upper eyelid surgery may still be good candidates. Surgical options depend on scars and other factors. Remember, a brow lift can enhance your appearance and self confidence. It is surgical sculpture and has its limitations. The surgery will not cause people to treat you differently. If you have unrealistic expectations, you will not be happy. To see what a forehead lift may offer, stand in front of a mirror. Place your hands on the outer edges of the eyes above the brows. Gently pull the skin up to raise the eye brows and forehead. This is a rough approximation of what a brow lift has to offer. Several choices need to be made about the type of browlift to be done. In patients with good skin elasticity, an endoscopic brow lift can often be performed. This operation makes three to five small incisions in the hairline, then releases and pulls the brows up. The scars are very small and hidden in the hair and your hairline shifts minimally. Frown lines and wrinkles of the forehead and brows can also be treated through the endoscopic approach. When skin needs to be cut away, there are three standard approaches: a temporal brow lift with two small hairline incisions; an anterior hairline brow lift with one longer hairline incision; and a coronal incision over the top of the head. No aspirin, ibuprofen, or similar drugs should be taken within two weeks of surgery. These medications can cause serious excess bleeding during, and after, the operation. If you have any questions about drugs you are taking, including over the counter preparations and natural herbs, please call the pharmacist or doctor. If you are a smoker you will be advised to stop smoking prior to surgery in order to prevent unnecessary complications. Arnica tablets, vitamin E in large doses, analgesics like Aspirin and even some anti-inflammatory drugs should also not be taken
Face lift Thailand Cost As people age, the effects of gravity, exposure to the sun and the stresses of daily life can be seen in their faces. Deep creases form between the nose and mouth (nasolabial fold). The jawline grows slack and jowls emerge. Folds and fat deposits appear around the neck. A facelift (rhytidectomy) is the name for a group of operations that address these issues. Surgery cannot stop the aging process. What it can do is “set back the clock,” improving the most visible signs of aging by removing excess fat, tightening underlying muscles, and redraping the skin of your face and neck. A facelift can improve the deep cheek folds, jowls, and loose skin around the neck that come with age. A facelift can considerably reduce these signs of aging by removing excess fat, tightening the underlying muscles, and redraping the skin around the neck and face. Facelifts can be done alone, or frequently performed in conjunction with another procedure such as a browlift, eyelid surgery, or nose reshaping. If your problem areas are limited to the neck, a more conservative procedure, known as a “necklift” will be recommended. In some cases, a facelift can reduce the outward signs of aging by ten or fifteen years. Pre-Operative The Operation Post-Operative FAQ Before having a facelift it is important to prepare yourself. If you color your hair you may want to do so before having surgery .You cannot use hair dye for 4 to 6 weeks after having a facelift. Do not take any medications or pills that contain before or after the surgery. Aspirin thins the blood. A successful facelift impart depends upon the ability of your blood to clot. If your blood is too thin it can harm the healing process.Here is a list of some other medications to avoid surgery. Make sure to let us know any and all medications and vitamins you are taking during your consultation. Below is a more complete list of Medications to Avoid: Aspirin Products Alka-seltzer Products Bayer Products Excedrin Pepto-Bismol Lbuprofen Medications Advil Alleve Dimetapp Motrin Smoking can be harmful if you are intending to have a facelift. Smoke restricts the blood vessels in your face that are important for healing. Smoking, or being around smokers can result in necrosis. Necrosis is where the skin dose not receive enough blood, turns black and eventually dies. If you are a smoker you must quit two weeks before surgery and two weeks after. You must also avoid being around others who are smoking.