Stuffs for Post-Operative Care – Sex Reassignment Surgery

Stuffs for Post-Operative Care – Sex Reassignment Surgery

Stuffs for Post-Operative Care – Sex Reassignment Surgery

Before leaving the hospital there are checklist on what stuffs to take home for your aftercare.

  1. Appointment card we will make appointment on 7th day after operation and the 2nd day after discharge from the hospital for partial stitch off. Surgeon will be examining the vaginal cavity and starts dilation.
  2. Name card of your doctor and hospital in case of emergency problem of your wound care and urination problem.
  3. A donut ring to sit on. It will make you comfortable than sitting in any other chair.
  4. Two sized of dilator or mold.
  5. Five pack of condom.
  6. Syringe ball for vaginal douches.
  7. Post-operation medications.
  8. One bottle of betadine.
  9. One tube of syerile gel.
  10. Eleven pack of bluepad.

Those are the stuffs that you need to take to your hotel or home for caring your wounds. The most important thing to keep in mind is that recovery period will depend on how you take care of yourself. In case that you have a normal healing and do not have other complications, you will be able to gain your confidence and you start living free. Actually the benefits depends on your outlook and reasons for having sex reassignment surgery (sexchange).

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The 5 Anti-Aging Benefits of Face Lift Surgery

The 5 Anti-Aging Benefits of Face Lift Surgery

Aging is inevitable but wrinkles and loosen skin can be controlled. If you are asking on what to do then you can have a facelift surgery to turn back the clock for your appearance.

Here are the five anti-aging benefits of facelift surgery.

Aging Facelift

Aging Facelift

  1. Younger-looking Skin

Having a fading look in the mirror can be a sad experience. It comes to the point where skin’s inability to retain oil and moisture. Getting facelift can repair and help remove unwanted wrinkles and tighten lose on facial skin.

  1. Boost Self-esteem

As you age, your face also age and it often lower people’s self-esteem. It is a natural process in the body but the effect can devastating for many. With the help of facelift surgery, patients raise their self-esteem.

  1. Regain Self-confidence

Low self-esteem is referred to people’s confidence level. Facelift can increase self-esteem and with that their self-confidence also soars.

  1. Saves Time

When you rely on natural time you might not be able to enough of it to wait for the outcome. Compared to facelift you don’t need to entail a long period of time to see the results. The adverse effect of aging can be eliminated within a day.

  1. Saves Money

It’s also true that you need to give cash away for the sake of looking good but one time cost for a face surgery could save money. Taking facelift surgery is a great way to subtract years from a patient’s look.

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Sex Reassignment Surgery Post-Operative Care

Sex Reassignment Surgery Post-Operative Care

After the sex reassignment surgery, the recovery period is on the go. You must keep in mind the aftercare procedures. Make sure that the wound should be washed gently with Hibiscrub with betadine solution and after that apply douching while seating in the toilet. The following are the procedures on how to apply douching.

Sex Change Male to Female Photos

Sex Change Male to Female Photos

Sex Reassignment Surgery Post-Operative Care

  1. Douche solution should be proportion. 5 – 10 ml (cc) of Betadine solution mixed with 1L of water.
  2. Insert the douche to full depth then squeeze and hold tightly the container.
  3. While holding the container make sure to extract the douche.
  4. Keep the wound dry and apply Betadine solution with cotton balls.
  5. Apply Kemicitine ointment with cotton applicator.

If there is some bleeding, make sure to put pressure with a dry cotton ball to the site for about 15 minutes. During the first few weeks after the operation, tampons should be changed several times in a day due to vaginal bleeding. After a month you will be required to apply Premarin cream two times a day. This would generally take around six months. Dilation is very important in post-operative care.  Here are some information’s about dilation.

  1. Dilating is a very important thing you can do to ensure the success of surgery. If the patient does not response correctly this can result to shortening of depth and width of the newly made vagina.
  2. Failure to dilate properly can cause serious injury. Patient will be instructed to gently dilate into the right direction after the vaginal packing is removed.
  3. Dilation can be very painful in the first few weeks but is essential for developing maximum depth and ensuring post-operative functioning of the neovagina.

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Advantages of Face Lift Surgery

Advantages of Face Lift Surgery

Advantages of Face Lift Surgery

Like other cosmetic surgery, facelift surgery can turn back the clock of your appearance in different ways. The following are the advantages of face lift surgery.

  1. Tightening facial muscles

The superficial musculo-aponeurotic system (SMAS) is the underlying structures of the face that tends to sag and weaken with age. The first thing to do is tighten and rearrange the underlying structure into a better configuration and then repair the loosen skin. In that way, there will be less tension on your skin and helps the results of your face lift to last much longer.

Face Lift Surgery

Face Lift Surgery

  1. Repairing loose skin

In this case, the sagging skin will be carefully trimmed and tightened to restore a more vibrant, youthful, and natural look. But be careful not to overly tighten or it can lead to pulled appearance.

  1. Improving facial contours

A lower facelift creates more attractive and beautiful jawline contour and eliminate jowls and smoothing out the neck are. A mid facelift can help restore smoother look to the cheeks and lower eyelids. Liposuction can potentially be used on areas that have an excessively fleshy jowls and neck.

Those are just the few advantages that facelift surgery that can brought to your life.

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Sex Change Pre-Operative Care

Sex Change Pre-Operative Care

There are pre-operative cares that you should undertake before taking the actual operation. The following are needed in order to proceed with the surgery.

sex reassignment surgery

sex reassignment surgery

Sex Change Pre-Operative Care

  1. Letter of recommendation. It is either from (1) Therapist (2) Psychiatrist (3) Endocrinologist or General Practitioner.
  1. Discontinue the use of hormonal treatment at least 14 days prior to surgery. It is because hormone treatment can increase the risk of thrombosis or blood clots. Oral tables should be stopped two weeks prior to surgery while injectable should be stopped four weeks prior to surgery. Oral antiandrogens can be stopped three days before surgery while if injectable four weeks.
  1. Have preoperative physical check-up within three months prior to Sex Reassignment Surgery. You must also be confirmed by a private physician to be free from serious medical diseases. Patient should pass the following blood tests which includes:
  • CBC, HIV Electrolytes, FBS, Creatinine Urinalysis
  • Alkaline Phosphatase, Chest X-ray
  • SGOT LDH EKG
  1. Make sure to reduce smoking, stop taking aspirin, ibuprofen, and other vitamin like Vitamin E.
  1. Make appointment one month prior to surgery date and itinerary.
  1. HIV positive patients can be done but will cost extra 30% because of the necessity of using disposable instruments.
  1. The period of your total stay should be discussed before scheduling your flight. So better arrange your flight to arrive Bangkok before your surgery 2-3 days.
  1. No need for any particular vaccination except for those who come from or through the countries where there are reported cases of Yellow Fever.

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Preparations for Facelift Surgery

Preparations for Facelift Surgery

Preparations for Facelift Surgery

Before the operation, you need to consult to your doctor where you discuss specific details and information about your face lift. You and your doctor will discuss on what type of facelift technique that will be appropriate for your natural anatomy and desired results.

It is really important for your doctor to understand on what you hope to accomplish after the surgery. It is a common method to combine facelift with other operations such as eyelid lift and or brow lift to achieve patient’s desired results.

During the consultation with your surgeon, he or she will examine your face structure and measure the natural bone that you possess and the elasticity of skin, and wrinkles and folds. Together with that, the doctor will look at your hairline to determine the appropriate places of incisions.

If you are taking medications such as anti-inflammatory or blood thinning drugs like aspirin in the week leading to your surgery then you need to stop taking them because these medications will increase the risks and side effects associated with your facelift. Smokers need to refrain from smoking for month preceding surgery. It is because smoking increases the risk of necrosis in facelift patients.

Make sure that doctor is a board-certified plastic surgeon to ensure that he or she is a qualified and experienced surgeon.

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Facelift Consultation

Facelift Consultation

Face lift surgery

Face lift surgery

Facelift Consultation

In order to achieve a successful facelift surgery one should need to have random consultation. In taking facelift surgery a series of consultations are needed to attain complete information. The safety of your facelift will depend on your complete inquiry and the doctor’s ability.

Your chosen surgeon will be the one to give instructions and checkup. At the same time it will be the same surgeon who will perform the operation. In that case you should be vocal to him or her and share your personal fears and problems with regards to the surgery.

Your doctor will ask multiple questions like for example your health, desires, and lifestyle. The following are few of the common questions.

  1. Why you really wanted the surgery?
  2. Give your desired outcome and expectations.
  3. What are your medical expectations, drug maintenance, and other treatments?
  4. Give the current medications you are taking at the moment like for example vitamins, herbal supplements, alcohol, tobacco and drugs.
  5. Did you take any previous surgeries?

It will also be discussed on what are the common risks and complications. They will also examine your face, face measurements, and medical records. Discuss the possible outcome of the operation and discuss the type of anesthesia that will be used in you.

Aging Face with Asia Cosmetic Hospital

  • Forehead Lift
  • Neck Lift
  • Temporal Lift
  • Eyebrow lift
  • Aging Face

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Types of Facelift Surgery

Types of Facelift Surgery

cosmetic face

cosmetic face

Types of Facelift Surgery

Having a facelift surgery is a very personal decision. Many people are now doing it and for the past decade different improvements are made and different techniques are implemented. Because of that several types of facelift were formed. The type of facelift will depend on one’s natural anatomy and desired results. At the end you and your doctor will decide on what techniques will be appropriate for you. The following are the different techniques in face lift.

  1. SMAS Lift

It stands for Superficial Musculo Aponeurotic System. In this kind of technique the surgeon manipulates the muscle system below the surface of the face. It requires deeper and large incisions that spans from the temples above the hairline to the front.

  1. Deep Pane Lift

Incisions are made in front, behind, and below the ear to the hairline. The surgeon lifts and repositions the skin and muscle tissues of the cheekbone and mid face region. This type of procedure generally lasts 10 to 15 years. But the side effects are higher because of the surgeon’s close proximity to facial nerves.

  1. Short Scar Facelift

It is also called minimal incision facelift. As it speaks by its name, does not require incision to extend behind the ear. This kind of procedure is less extensive than the traditional facelift and it is usually used on younger patients.

  1. Endoscopic Facelift

This kind of technique does not correct sagginess but instead it allows doctor to view superficial tissues through small camera connected to a monitor. It requires small incisions and usually the recovery period is smoother.

Aging Face with Asia Cosmetic Hospital

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The advantages and disadvantages Nose Augmentation

The advantages and disadvantages Nose Augmentation

best nose surgery

best nose surgery

Nose Augmentation has various methods, let’s see which one is suitable for us.

  1. Nose Augmentation by silicone Implant  : this is the most basic one by putting silicone into the small nose hold. The surgeon will design the nose structure, then sharpening the silicone according to the shape to satisfy patients’ needs and make face the most beautiful.

The side effects after surgery by silicone implant;

  • The nose will swollen or inflected case or eve pimple around operation area.
  • The nose is lean. It may occur within the first 2 weeks, please come back to consult with the surgeon to protect revision.
  1. Nose Augmentation by suturing : this is the popular method for Tip Plasty by lifting bridge of the nose up a little bit and using dissolved suture, then putting into the nose to make more point or suturing Glabella to lift bridge of the nose up. This method has not recovery period, but it will appear only for bruised area, then disappear within 6-8 months by dissolved suture, don’t be worried.

The side effects after surgery by suturing

  • The suture will stay outside because skin is quite thin, if you don’t choose the expert surgeon and it’s bad.
  1. Nose Augmentation by Filler Injection : this is also the most popular method right now, but it can stay only for 6 months then you have to repeat it again and it seems to be not good when you always to inject it.

Whatever method you choose for Nose Augmentation, please consult with only expert surgeon because he/she can give you good advices before you decide to do surgery.

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Sex Change Procedure

Sex Change Procedure

Just like other cosmetic procedure, all cases are done under general anesthesia. Position is set in standard lithotomy. Silicon made cushion is used to support the weight bearing area just before the operation starts. The perineal skin flap is made in proper shape and size. It is joined with inverted penile flap for vaginal opening reconstruction.

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The vaginal space and opening are created below the urinary tube or urethra and prostate gland. After passing the prostate capsule at about four inches depth, plane become loose and direction will be downward slant until to the recto-vescicle pouch. It will cause newly created space normally 6-7 inches or even more that depends on the anatomy of individuals.

Bilateral orchidectomy or removal of testes and spermatic cord can also be done as a sex change procedure. The inverted skin flap from the penis is used for the skin lining of neovagina. Scrotal skin graft will be routinely added for additional depth. Penis shaft is removed except some small parts of the gland and of course the sensory nerves and vessels should remain intact for constructing the sensate clitoris.

Sex Change in Thailand by Dr.Tanongsak

The Male to Female SRS is completed with one stage with result of 

a. Sensate Glans- Clitoris

b. Neourethra

c. Vulva Floor

d. Labia major and minor

e. Neovagina of 5-6 inches

Our Serviece

Male to Female Sex Change

Female to Male Sex Change

Sex Change Surgery Before & After Photos

by Dr. Tanongsak with Asia Cosmetic Hospital, Thailand

SRS Surgery

Reviews Sex Reassignment Surgery (SRS) – Sex Change Male to Female

Sex Change - SRS

Reviews Sex Reassignment Surgery (SRS) – Sex Change Male to Female