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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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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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

Precaution and Risks in Facelift Surgery

Precaution and Risks in Facelift Surgery

Having a face lift is a very personal decision and for that reason you need to take it seriously. It must come in your own free will. You must first determine if the benefit of the operation will achieve your goals and that if the possible risks and complications are worth the risks.

facelift surgery in thailand

facelift surgery in thailand

Before the operation takes place, series of checkups and test will take place. Together with those are discussions on what are the possible risks and complications associated with the operation. You will be given consent form that you need to sign to ensure that you fully understand the side effects of facelift operation. The complications might include bleeding or so called hematoma, changes in skin sensation, fat tissue under the skin might die, skin loss, fluid accumulation, unfavorable scarring, infection and poor wound healing, anesthesia risks, pain that persist, skin contour irregularities, possible hair loss at the incisions, facial nerve injury, facial asymmetry, skin discoloration and sensitivity, possible revision of surgery, deep vein thrombosis, sutures that may require removal, pulmonary complications and cardiac complications, and unacceptable visible deformities at the ends of the incisions.

Those are just a few tips on what are the risks that you might encounter. Just be cautious and make sure to take care of yourself after the operation.

Get more information on preparing for your facelift surgery and taking care for your breasts after the surgery.
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How to do Rhinoplasty / Nose Surgery

How to do Rhinoplasty / Nose Surgery

How to operate your Nose Augmentation?

Before the surgery, the surgeon has to prepare raw material to augment on the nose which is “Silicone” by using nasal bone shaning method to be as preferred shape and be natural. For the nose surgery process, the Surgeon will give the patients Anesthesia after that he will use knife to open the skin within nose’s hole then using some equipments to open small hole on bridge area to put the Silicone  to maru up position to Satisfy patients’ need. Finally’he will use suture technique which hide incision within nose’s hold. The surgeon’s assistant will give the miwor to patierlts taking look on their nose which are already augmentation to emphasis that the patients will satify with the shape while the operation time. Most of patients don’t have any comments because they get an exciting for new nose and side effect from anesthesia,so they will node their heads.

Before/After Nose Surgery – Rhinoplasty in Thailand by Dr. Tanongsak 

After the surgery,the surgeon will give the patients suggestions to use cold clothes on incision aeea which is on the nose to reduse swollen, then give them pain killers, fever medicines and allow them go back home. The patients should come to the hospital with others to help them whide they take side effects from Anesthesia. When the side effects from Anestnesia is reduced, the patients will feel swollen so they need to use many pieces of soft clothes to freeze in the refreg irator to switch each other and massage on face at least 3-5 days until the swollen will be keeped on reduction.

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Before & After Photos by Dr. Tanongsak with Asia Cosmetic Hospital

alar reduction surgery - revised nose augmentation

alar reduction surgery – revised nose augmentation

Who was the first person to do Sex Change in the world?

Who was the first person to do Sex Change in the world?

It’s hard to live in the Society night now because we don’t know whether these persons are really men or Women. Nowadays,the plastic Surgery in Thailand has Keeped going on and Approved that Thailand is the best Plastic Surgery for Sex Change both from male to Female and Female to male, Except for Doctors and Medical Students can Classify who are the Reality for that Gender.

The first person who had done Sex Change from male to Female named George will iam Jorgensen, Jr, usae was born on May 30, 1926  and died on May 3,1989 by Cancer. He had done Sex Change Surgery after he Graduated from Christopher Colum bus high School. In Photographer major since 1945. He was Conscripteol for army Service in world war II. After he came back here, he Starteel talking about the right and support for the 3rd gender According to Dr. Joseph Angelo. he Travelled to Denmark for doing Sex Change Surgery by Dr. Christian hamburger and  came back to the united states in 1953. New york newspqper had been Headlined that the became blonde Beauty and Changed named to Ms. Christian Jorgensen. She got the Interes by Public, Presented on tv Programmes also to be an actress, dancer even expert who gave Acknowledge about  Sex Change. She also was the Inspiration for the third Gender to stay in the Society.

Sex Change – Sex Reassignment Surgery in Thailand

by Dr. Tanongsak with ASIA COSMETIC HOSPITAL

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