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Wednesday, June 15, 2011

Lateral Eyebrow Lift

Overview of the surgery:
Lateral Eyebrow Lift corrects the drooping of the outer brow line. This technique is also known as a temporal brow lift, and addresses sagging around the outside of the eyebrow almost exclusively. Lateral brow lifts can be performed in conjunction with blepharoplasty or other procedures.
During a lateral brow lift, incisions are placed in the hairline at the temples towards the sides of the face. The lateral brow lift removes excess skin, lifting the outer corners of the forehead. Unlike a traditional brow lift, a lateral brow lift will not raise the middle of the brow, but it will somewhat alleviate crow's feet (the creasing at the outer corners of the eyes). Lateral brow lifts are ideally suited to prospective patients who are only concerned with the drooping of the ends of the eyebrow.

Duration of the operation:
The procedure normally takes about 20-30 minutes.

Post operative care:
When your procedure is completed, your forehead may be taped and your head may be loosely wrapped with a soft compressive dressing usually for 1-2 days to minimize swelling and bruising. A thin tube may be present to drain any excess blood or fluid that may collect under the skin. You may experience little or no postoperative pain for the first few days. Analgesic medications for pain and antibiotics to prevent infection will be prescribed.

Recovery Period:
Swelling in the eyelids can be profound but is usually short lived. Most patients can go back to work in about a week. Sutures or staples maybe remove at 5-7 days post op.

Possible risk and complications:
Complications are rare; however, there are risks associated with any medical procedure. Some patients may not be able to move their eyebrows or forehead. Scar formation and permanent hair loss within the scar area may occur. Permanent lack of sensation at the incision line is also a rare complication. Infection, bleeding, and other minor complications are possible.

Anesthesia use:
Most brow lifts are performed under local anesthesia with sedation.

Hospital admission:
Lateral Brow Lift can be performed on an out patient basis or in the hospital under local or general anesthesia. You and your surgeon will discuss preferences.

Preparation before Surgery:
  • Assessment of the medical history (any allergies, serious medical condition and all medications taken both prescribed and non-prescribed), physical examination, and laboratory tests will be performed during consultation.
  • Smoking must be avoided for about 3-4 weeks prior to surgery, as nicotine interferes with circulation and will greatly affect healing process.
  • You will likely to be asked to stop drinking alcohol, a week before the surgery and throughout your recovery period.
  • Avoid taking any medications such as hormones, anticoagulants, anabolic steroids and supplements at least 4-6 weeks to prevent complicating medical factors prior to surgery. Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding.
For more information about the procedures you may contact International Marketing Coordinator: osias05@hotmail.com or call mobile phone: +66816572522, Tel: (662) 753-9206

Non-Incisional Suturing Technique

Overview of the surgery:
Non-Incisional Suturing technique is a minimally-invasive method that employs two sutures on each upper eyelid that are tied in three places and twisted around each other four or five times at the central tie. The threads can be tightened and the drooping upper lid can be elevated to a better position in more secure and therefore longer lasting results with no dissection of eyelid tissues is required.

Duration of the Operation:
The procedure can be done quickly, usually 15-30 minutes.

Post operative care:
You should rest preferably in bed on two pillows or in a recliner.  A bandage over the eyes is not needed. In the evening, you may take a bath. Avoid straining or bending over.  Watching television is acceptable. Apply clean (not sterile) cold compresses to the eyelids to prevent swelling. Pain after surgery is usually mild. You will be given pain medication.
Recovery Period:
It is normal for the eyelids to become red, swollen, and bruised for a few days and will gradually subside.  A small amount of bloody fluid draining from the wound is normal for a few days.  If you were given an antibiotic drop or ointment, gently apply a small amount to any stitches before going to bed, and then twice a day thereafter. 
Possible risk and complications:
Complications are rare; however there are risks associated with any medical procedure. Possible complications include: infection, bleeding (rare), uneven skin scars, asymmetry in healing, tissue injury, crease loss is common. You can help minimize certain risks by following the advice and instructions of your plastic surgeon, both before and after your eyelid surgery.

Anesthesia use:
General anesthesia or local with sedation

Hospital admission:
Non-Incisional Suturing Technique can be performed on an out patient basis or in the hospital under local or general anesthesia. You and your surgeon will discuss preferences.

Preparation before Surgery:
  • Assessment of the medical history (any allergies, serious medical condition and all medications taken both prescribed and non-prescribed), physical examination, and laboratory tests will be performed during consultation.
  • Smoking must be avoided for about 3-4 weeks prior to surgery, as nicotine interferes with circulation and will greatly affect healing process.
  • You will likely to be asked to stop drinking alcohol, a week before the surgery and throughout your recovery period.
  • Avoid taking any medications such as hormones, anticoagulants, anabolic steroids and supplements at least 4-6 weeks to prevent complicating medical factors prior to surgery. Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding.
For more information about the procedures you may contact International Marketing Coordinator: osias05@hotmail.com or call mobile phone: +66816572522, Tel: (662) 753-9206

Labial Reduction (Labiaplasty)

Overview of the procedure:
Labiaplasty is a surgical procedure that will reduce and/or reshape the labia minora - the skin that covers the female clitoris and vaginal opening.
During surgery, larger or uneven inner vaginal lips are cut and shortened using specialized scissors, a scalpel or a laser. In addition, the labia majora, on the outside of the body, can be reduced with either surgery or liposuction if needed. A hoodectomy, which exposes the clitoris in an attempt to increase sexual stimulation, may be performed at the same time.
The appropriate incision location depends on many individual factors, including the configuration, texture and size of the labia. The surgeon will then suture the incision closed with absorbable sutures

Duration of the operation:
Labiaplasty usually takes no longer than 2 hours or in some cases is no more than 1 hour.

Post-Operative Care
Clean the incision site with hydrogen peroxide and put antibiotic cream/ointment on a daily basis. Your stitches should dissolve within 2-2 ½ weeks. Swelling and tenderness should gradually disappear within 6 weeks. Oral medications can reduce pain. Oral antibiotics may be prescribed to reduce the risk of infection.

Recovery period:
After surgery, you can't have intercourse for about 4 weeks, and your genitals will be tender and swollen for several weeks. You will be asked to stop any heavy, strenuous exercise for three or more weeks after surgery. Also you cannot use tampons and douches for 3 to 6 weeks following surgery. While recovering, you will need to wear a pad for one week or less, due to the bleeding that results. Most women resume normal activities, like work, within four days.

Possible Risk and Complication
With any surgical procedure there are certain risks. The most common can include bleeding, infection, asymmetry, and scarring. Although these events are usually infrequent, they sometimes can occur. These will be discussed with you during the consultation for your procedure.
 Anesthesia use:
General or local anesthesia with sedation
Hospital admission:
Labiaplasty can be performed on an out patient basis or in the hospital under local or general anesthesia. You and your surgeon will discuss preferences.
Preparation before surgery
  • Assessment of the medical history (any allergies, serious medical condition and all medications taken both prescribed and non-prescribed), physical examination, and laboratory tests will be performed during consultation.
  • Smoking must be avoided for about 3-4 weeks prior to surgery, as nicotine interferes with circulation and will greatly affect healing process.
  • You will likely to be asked to stop drinking alcohol, a week before the surgery and throughout your recovery period.
  • Avoid taking any medications such as hormones, anticoagulants, anabolic steroids and supplements at least 4-6 weeks to prevent complicating medical factors prior to surgery. Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding.
  • Do not have sexual intercourse the night before the surgery.
For more information about the procedures you may contact International Marketing Coordinator: osias05@hotmail.com or call mobile phone: +66816572522, Tel: (662) 753-9206

Gluteal Augmentation/Buttocks Augmentation

 Overview of the surgery:
Gluteal Augmentation is a cosmetic surgical procedure that uses buttock implants to increase the size and reshape the appearance of the buttocks. Incision may be made in any one of the following places: where the cheek meets the back of the thigh, or down the buttock crease. The incision is usually made in the buttock crease, where scars are not noticeable. The surgeon then creates a pocket large enough to insert the butt implants. The implants can be placed either under the gluteus maximus muscle, or on top of the muscle. Sometimes, the surgeon performs liposuction in order to further enhance the shape of the buttocks. After performing the same procedure on the other buttock, the surgeon makes sure the buttocks are symmetrical and look natural. Then he/she stitches up the incisions.
Duration of the procedure:
Buttock augmentation surgery normally lasts between 2 and 4 hours.
Post-Operative Care:
 You will wear a compression garment over the buttocks to provide support, which should not be removed for the next few days following surgery. It is important to take the medication prescribed to you by your surgeon to manage discomfort from swelling and bruising. Someone will need to drive you home, and you may need assistance at home over the next couple of days. Expect to be in bed for the next 24 hours following surgery. Refrain from sitting down until the incisions have bonded and early ambulation after the first two days of surgery to promote healing and effective circulation.
Recovery Period:
You’ll experience swelling and bruising in the buttocks for the first 2- 3 days after a gluteal augmentation procedure. Swelling and bruising will gradually disappear for about 1 month. You will need 4 to 6 weeks before full recovery occurs and normal levels of activity can be resumed.
Possible Risks and Complications
All surgical procedures carry some risk. The risks of undergoing buttock implant surgery include infection, unsatisfactory results, excessive bleeding, adverse reaction to anesthesia, and the need for second, or sometimes third, procedures. Risks are minimal, although, as with any surgery, complications can arise.
Anesthesia use:
General or local anesthesia with sedation
Hospital admission:
Gluteal Augmentation can be performed on an out patient basis or in the hospital under local or general anesthesia. You and your surgeon will discuss preferences.
Preparation before Surgery:
  • Assessment of the medical history (any allergies, serious medical condition and all medications taken both prescribed and non-prescribed), physical examination, and laboratory tests will be performed during consultation.
  • Smoking must be avoided for about 3-4 weeks prior to surgery, as nicotine interferes with circulation and will greatly affect healing process.
  • You will likely to be asked to stop drinking alcohol, a week before the surgery and throughout your recovery period.
  • Avoid taking any medications such as hormones, anticoagulants, anabolic steroids and supplements at least 4-6 weeks to prevent complicating medical factors prior to surgery. Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding.
For more information about the procedures you may contact International Marketing Coordinator: osias05@hotmail.com or call mobile phone: +66816572522, Tel: (662) 753-9206

Friday, June 10, 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. 

For more information about the procedures you may contact International Marketing Coordinator: osias05@hotmail.com or call mobile phone: +66816572522, Tel: (662) 753-9206

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.  

For more information about the procedures you may contact International Marketing Coordinator: osias05@hotmail.com or call mobile phone: +66816572522, Tel: (662) 753-9206

Malar Bone Reduction/ Cheek Bone Contouring

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 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.

For more information about the procedures you may contact International Marketing Coordinator: osias05@hotmail.com or call mobile phone: +66816572522, Tel: (662) 753-9206