Saturday, August 6, 2011
SRS Surgery Thailand: Biography of Dr. Juta Jansi
SRS Surgery Thailand: Biography of Dr. Juta Jansi: "DR. JUTA JANSI M.D., F.R.C.S.T. PLASTIC AND RECONSTRUCTIVE SURGEON doctorjuta@gmail.com Dr.Juta Jansi is recognized as one of the most exper..."
Biography of Dr. Juta Jansi
DR. JUTA JANSI M.D., F.R.C.S.T. PLASTIC AND RECONSTRUCTIVE SURGEON
Dr.Juta Jansi is recognized as one of the most experienced cosmetic surgeons in Thailand
EDUCATIONAL BACKGROUND
· Doctor of Medicine, Chulalongkorn University , Thailand
SPECIALTY TRAINING
· General Surgery, Chiangmai University , Thailand
· Plastic and Reconstructive Surgery, Chulalongkorn University
DIPLOMA
· B.Sc.MD.
· Diplomate Board of General surgery, F.R.C.S.T.
· Diplomate Board of Plastic & Reconstructive Surgery, F.R.C.S.T.
MEMBERSHIPS
· Society of Plastic and Reconstructive Surgeons of Thailand
· Society of Aesthetic Plastic Surgeons of Thailand
· Royal College of Surgeons of Thailand
INTERNATIONAL TRAINING/SEMINARS ATTENDED
· American Society of Plastic & Reconstructive Surgeons, Dallas , Texas , USA
· Fellowships in Cranio-Maxillo-Facial Surgery, Changkang General Hospital , Taipei , Taiwan
· Fellowships in Microsurgery, Changkang General Hospital , Taipei , Taiwan
WORK EXPERIENCE – 24 YEARS
· General Practitioner, Chiangrai General Hospital , Thailand
· Surgical Consultant, Surgical Department, Chiangkam General Hospital , Thailand
· Teaching Staff, Surgical department, Srinakarinwirot University Hospital , Thailand
· Plastic and Reconstructive Surgery, Chulalongkorn General Hospital , Thailand
· Surgical Staff, Cosmetic Surgery Unit, Yanhee International Hospital , Thailand
· Cumulative cosmetic surgery cases over 10,000 cases
AT PRESENT
· Plastic Surgery Unit, Bumrungrad International Hospital , Thailand
· Cosmetic Surgery Unit, Samitivej Srinakarin Hospital , Thailand
· Miracle Cosmetic Surgery Center Formerly Paknam Cosmetic Surgery Clinic, Bangkok , Thailand
SRS Surgery Thailand: FAQS on Male to Female SRS
SRS Surgery Thailand: FAQS on Male to Female SRS: "Who is the candidate for sex change MTF surgery? A suitable candidate for sex change MTF surgery is a person who has been diagnosed with at..."
FAQS on Male to Female SRS
Who is the candidate for sex change MTF surgery?
A suitable candidate for sex change MTF surgery is a person who has been diagnosed with at least one of the following disorders:
- gender identity disorder
- gender dysphoria
- associated conditions
As our doctors follow Transgender sex change guidelines from "The Harry Benjamin International Gender Dysphoria Association's Standards of Care for Gender Identity Disorders" a patient must meet the following requirements before having the surgery:
1.) Legal age of maturity age in the patient's nation.
2.) Psychology certificate stating that you are a suitable candidate for sex reassignment surgery by a psychiatrist or clinical psychologist who is a professionally qualified specialist in the field of gender dysphoria.
3.) Hormone therapy certificate stating that you have been on hormone for at least 1 year.
A patient should see an obstetrician-gynecologist to ask for a hormone prescription. Side effects can be bad if there is over dosage. It is not advisable to take hormone on your own since you should be monitored for side effects while taking it.
A patient of sex change surgery should see a psychiatrist or clinical psychologist who is a professionally qualified specialist in the field of gender dysphoria.
Genetic males treated with estrogen may expect the following results: breast growth, some fat redistribution to approximate a female body, decreased upper body strength, softening of skin, some decrease of body hair, slowing or stopping of scalp hair loss, decreased fertility and testicular size, less frequent and less firm erections. These changes are reversible, except for breast growth which may not regress after hormones are discontinued.
After sex change surgery, a patient can have normal sexual sensation. Sexual arousal is not only a physical sensation but it is also very much a psychological experience. It means that for you to have a fulfilling sexual experience, you have to be ready in both aspects. During removal of the penis and testicles, the skin, together with its nerve supply, are retained and used to line the new vagina. Also, a new clitoris will be formed from part of your glans penis (head of the penis) also with its nerve supply intact. Therefore, with this in mind, sexual sensation is still guaranteed.
In order for a patient to have sex change surgery, the patient should stay inThailand Thailand
The sex change surgery is safe and effective. It takes approximately 4-8 hours. The procedure begins with the surgeon creating the vaginal cavity between rectum and the urethra by cutting some of the pelvic floor muscles to insert the neo-vagina. The surgeon then makes an incision to open the penis. The urethra is shortened and re-routed to emerge lower, just above the new vaginal opening. After the vaginal cavity is created, the surgeon cuts the scrotal skin to removes the testicles. The scrotal skin including the surrounding tissue is then used to construct the external genitalia such as labia minora and labia majora to create a neo-vagina similar to the biological female genitalia.
The surgeon uses the “Penile Inversion Vaginoplasty” technique which turns the penile skin inside out to line the vaginal wall. This technique limits the depth of the vagina depending on the amount of the penile skin available. In patients with short or small penis or who have had circumcision, the surgeon uses the scrotal skin graft in conjunction with the penile skin to increase the vaginal depth, usually 6-7 inches. The surgeon then constructs the clitoris by retaining a small section of the glans penis with its blood supply and nerves intact, since the nerves of the glans penis is analogous to the nerves of the clitoris in female. This is then positioned above the urethral meatus. At the same time the labia minora is created using part of glans penis and prepuce skin.
The surgeon uses the “Penile Inversion Vaginoplasty” technique which turns the penile skin inside out to line the vaginal wall. This technique limits the depth of the vagina depending on the amount of the penile skin available. In patients with short or small penis or who have had circumcision, the surgeon uses the scrotal skin graft in conjunction with the penile skin to increase the vaginal depth, usually 6-7 inches. The surgeon then constructs the clitoris by retaining a small section of the glans penis with its blood supply and nerves intact, since the nerves of the glans penis is analogous to the nerves of the clitoris in female. This is then positioned above the urethral meatus. At the same time the labia minora is created using part of glans penis and prepuce skin.
What is the post-surgical care?
After sex change surgery, the patient will be under the surgeon’s close supervision and he will inform you of everything you need to know. The following post-operative care guidelines should be observed:
- The first 2-3 days the patient will be on a clear liquid diet and must avoid fibers and milky beverages that can induce defecation to avoid infection.
- At bedtime, use the wrap to lie between legs while sleeping to prevent the wound being pressed.
- Use a vaginal douche or sterile solution to clean the wound to prevent infection.
- The patient will be able to walk after 5-7 days
- Use a small size dilator and gradually increase in width and size, as you feel fit. You should dilate the neo-vagina 3-4 times a day. Dilation is needed everyday for 2-3 months then once a day after one year.
- 2 weeks after surgery return for a follow-up check and removal of stitches.
You should not engage in sexual intercourse until at least 2 months after the surgery.
The possible main risks are swelling, bruising, bleeding, infection, scarring and numbness, or change in sensation. Following the surgeon’s advice will reduce risks and complications.
Friday, April 22, 2011
SRS Surgery Thailand: Adam's Apple Shaving (Thyroid Cartilage Shaving)
SRS Surgery Thailand: Adam's Apple Shaving (Thyroid Cartilage Shaving): "Adam's Apple Shaving (Thyroid Cartilage Shaving) is a surgical procedure in which the thyroid cartilage is reduced in size by shaving down ..."
Adam's Apple Shaving (Thyroid Cartilage Shaving)
Adam's Apple Shaving (Thyroid Cartilage Shaving) is a surgical procedure in which the thyroid cartilage is reduced in size by shaving down the cartilage to achieve a more feminine appearance. The procedure can be done as an out patient surgery under local anesthesia or under a general anesthesia. The incision is usually 2-3 cm in length. The surgeon makes a horizontal incision at the highest crease of the skin on the throat below submental (chin) area then the vertical muscles in the throat are separated to expose the cartilage. The thyroid cartilage is reduced, usually by shaving in the most prominent area and the rim of its upper border. The thyroid cartilage contouring is a delicate process and need to be done meticulously especially for those who have calcified (hard) cartilage due to aging process.
Duration of the operation:
The feminization of the Adam’s apple (trachea shave) takes about 1 hour
Post operative care:
- During the first 24- 48 hours, patient may experience some varying degrees of swelling and temporary mild voice weakness that includes lowering of pitch and hoarseness following surgery.
- Apply ice pack to the surgical site for a couple of days to gradually decrease swelling. Swelling will subside over 1-2 weeks and bruising resolves in 1-3 weeks.
- Patient must rest voice following surgery. Avoid shouting or singing for 2 weeks after surgery.
- The procedure leaves a prominent red scar that lightens over 1-3 months.
- Patient will have stitches often supplemented by surgical tape or butterfly bandages for a few days.
- Wound dressing is performed daily. Stitches and tape must be kept dry at all times.
- Patient must avoid electrolysis immediately around the incision until surgeon recommends it to continue.
- Application of antibiotic ointments, vitamin E oil, or other topical preparations is prescribed by some surgeons to aid healing process.
Recovery period:
A piece of gauze will cover the incision for the first 2 or 3 days after Adam’s apple reduction. For about 7 to 10 days you will probably have a burning sensation and some difficulties when swallowing or talking. Patients who underwent Adam's apple removal report that the post op sensation is very similar to a simple sore throat, including a reduction in the ability to speak loudly.
A piece of gauze will cover the incision for the first 2 or 3 days after Adam’s apple reduction. For about 7 to 10 days you will probably have a burning sensation and some difficulties when swallowing or talking. Patients who underwent Adam's apple removal report that the post op sensation is very similar to a simple sore throat, including a reduction in the ability to speak loudly.
Possible risk and complications:
Complications include permanent change in vocal quality which is the result of too much revision or over dissection of the cartilage that may injure the vocal cords, infection may also occur and hematoma.
Complications include permanent change in vocal quality which is the result of too much revision or over dissection of the cartilage that may injure the vocal cords, infection may also occur and hematoma.
Anesthesia use:
Adam's apple removal is done under general anesthesia, with other procedures of facial feminization surgery, or alone.
Adam's apple removal is done under general anesthesia, with other procedures of facial feminization surgery, or alone.
Hospital admission:
This procedure may be performed in the cosmetic surgeon’s office-based facility, an outpatient surgery center, or at a hospital. This procedure is usually done on an outpatient basis
This procedure may be performed in the cosmetic surgeon’s office-based facility, an outpatient surgery center, or at a hospital. This procedure is usually done on an outpatient basis
Preparation before the 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.
- Blood and urine samples will be collected for routine preoperative laboratory tests. X-rays may be taken to evaluate the individual's bone structure.
- 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.
SRS Surgery Thailand: Scarless Male To Female Sexual Reassignment Surger...
SRS Surgery Thailand: Scarless Male To Female Sexual Reassignment Surger...: "With the rapid advances in knowledge, several techniques were used to create the vagina; however, Dr. Juta”s technique is one of a kind, “Th..."
SRS Surgery Thailand: Biography Of Dr. Juta Jansi
SRS Surgery Thailand: Biography Of Dr. Juta Jansi: "DR. JUTA JANSI M.D., F.R.C.S.T. PLASTIC AND RECONSTRUCTIVE SURGEON doctorjuta@gmail.com Dr.Juta Jansi is recognized as one of the most exper..."
SRS Surgery Thailand: How to Choose A Certified Plastic/Cosmetic Surgeon...
SRS Surgery Thailand: How to Choose A Certified Plastic/Cosmetic Surgeon...: "When choosing a plastic surgeon, it is important to consider a number of factors. Medical training and surgical experience are primary indic..."
SRS Surgery Thailand: Why in Thailand?
SRS Surgery Thailand: Why in Thailand?: "Thailand is one of the most popular holiday destinations in the world today and foreigners seek cosmetic treatments for the following reaso..."
SRS Surgery Thailand: Female to Male Sexual Reassignment Surgery
SRS Surgery Thailand: Female to Male Sexual Reassignment Surgery: "Female to Male Surgery Female to male surgery (also known as sex reassignment or genital reassignment surgery ) is a process in wh..."
SRS Surgery Thailand: Male to Female Sexual Reassignment Surgery
SRS Surgery Thailand: Male to Female Sexual Reassignment Surgery: "Male to female surgical procedure: Sex change surgery for male to female involves the removal of the penile muscle and testicles reshaping..."
Male to Female Sexual Reassignment Surgery
Male to female surgical procedure: Sex change surgery for male to female involves the removal of the penile muscle and testicles reshaping it to appear more female thereby constructing a vagina. An incision is made into the scrotum, the flap of skin is pulled back and the testis is removed. The skin is stripped from the penis but is left attached and the urethra is cut. The excess skin is used to create the labia and the vagina.. Duration of the operation: The surgery usually takes 6-8 hours to complete according to the extent of the procedure. Post operative care:
Recovery period:
Possible risk and complications: Patients must keep in mind surgeon’s instructions to prevent potential risk and complications following surgery. Possible complications include: Hematoma (bleeding), delayed wound healing, swelling, scarring and numbness or change in sensation, infection, hypertrophic scarring, partial or complete flap necrosis, intra-vaginal hair growth, recto-vaginal fistula. Anesthesia use: The procedure requires a general anesthesia. Hospital admission: You will be requested to sign in hospital consent form. Then you need five nights admission to hospital for recuperation. Requirements to have sex change surgery? According to “The Harry Benjamin International Gender Dysphoria Association’s Standard of Care for Gender Identity Disorders “a patient must qualify on the following criteria prior to the surgery:
The goal of Sex reassignment surgery for Male to Female:
Preparation before the surgery: Criteria for approval are as follows:
One month before the surgery: Prepare and Plan: Put your schedule together for the day before, day of, and first few days following the surgery. Appointment: should be one month prior to the date and time of surgery. Preoperative tests: Make certain all test ordered (CBC, EKG, X-ray) by your surgeon MUST be completed at least 5 days before surgery and no more than 30 days before surgery. Test results should be received by Dr. Juta for clearance. If medical clearance is not yet received at the expected date of completion, surgery maybe delayed or cancelled. Stop smoking: Smoking must be avoided for about 3-4 weeks prior to surgery, as nicotine interferes with circulation and will greatly affect healing process. Stop taking medications: 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. Stop drinking alcohol: You will likely to be asked to stop drinking alcohol, a week before the surgery and throughout your recovery period. Vital information: A preoperative visit or call is essential to review your health, your goals and any vital information including allergies and health considerations. One week before the surgery: Confirm your day of surgery: Review all orders and instructions and put your schedule together a few days before the surgery. Continue to practice healthy habits: No smoking, no drinking alcohol and stop taking medications to ensure safety. Relax: Get plenty of rest. Anxiety is common over the thought of surgery, so don’t hesitate to contact our office. We are here to support you and answer all of your concerns regarding surgery. One day before surgery: Pack your personal belongings for the day of surgery. Nothing by mouth. No candy, gum or mints. Anything more than a small amount of water as needed for brushing teeth or swallowing medication may result in the need to cancel surgery. Dress appropriately: do not wear jewelry, hair clips, body piercing, cosmetics. (If there is something you cannot remove, let the admitting nurse know right away) Wear comfortable, clean, loose- fitting clothing: Do not wear jeans or any tight fitting bottom; rather have a pair of loose, drawstring sweatpants to wear home. You may wear a robe. Wear slip on, flat shoes with a slip proof sole; no heels. Wear clean cotton socks as the operating room can feel cool. During the surgery:
It is important that you follow the written instructions given to you when you are discharged. |
Female to Male Sexual Reassignment Surgery
Female to male surgery (also known as sex reassignment or genital reassignment surgery) is a process in which a surgeon physically transforms a woman into a man. Sex reassignment surgery is actually a series of surgeries that includes: mastectomy (breast removal),hysterectomy (removal of female reproductive organs), genital reassignment, and testosterone treatment. The mastectomy may include additional plastic surgery like nipple realignment and removal of excess skin for a more masculine-looking chest. The process can take up to a year, allowing the skin to heal before additional adjustments are made.
Female to male surgical procedure:
This type of surgery consists of 4th stages operation as follow:
1st stage: is the removal of uterus, ovary, prepare the urethra skin abdominal tube and removal the Breast or reconstruction. This requires 7-9 days in Bangkok
2nd stage: Penile reconstruction from the abdominal skin required 1 night hospitalization and 10 days recovery in the Bangkok
3rd stage: (after 6 months) to connect the urethra and silicone testicles. 1 night in hospital. 7 days in Bangkok
4th stage: (after 3 months) inserting the silicone penis to make it hard and sculpture the gland penis plus minor corrections. One night in hospital. 7 days in Bangkok
Duration of the operation:
The surgery usually takes 6-8 hours to complete according to the extent of the procedure.
Post operative care:
· After surgery patient should remain on bed for the first 24 hours.
· Patient should avoid strenuous activities which can interfere with the circulation.
. All drains and urinary catheter are usually removed on the fourth or fifth day following surgery.
· Increase fluid intake at least 8-10 glasses per day to promote urination.
· Wound dressing is done daily to prevent infection.
· The surgeon will remove the stitches after 5-10 days.
Recovery period:
- The patient should stay in
- Patients can resume taking hormonal medications in 10-14 days after the surgery. Consult the doctor for adjustment of the dosage.
Possible risk and complications:
· Patients must keep in mind surgeon’s instructions to prevent potential risk and complications following surgery. Possible complications include: Hematoma (bleeding), delayed wound healing, swelling, scarring and numbness or change in sensation, infection, Nipple numbness, Scarring,
Anesthesia use:
The procedure requires a general anesthesia.
Hospital admission:
You will be requested to sign in hospital consent form. Then you need five nights
admission to hospital for recuperation.
admission to hospital for recuperation.
Requirements to have sex change surgery?
According to “The Harry Benjamin International Gender Dysphoria Association’s Standard of Care for Gender Identity Disorders “a patient must qualify on the following criteria prior to the surgery:
1. Legal age of maturity in the patient’s nation. At least 18 years of age and will require permission from parents.
2. At least 12 months of continuous hormonal therapy for those without medical contraindications. Patient should present a Hormonal therapy certificate.
3. At least 12 months of continuous full time real life experience in a cross gender role.
4. Patient should present a Certificate of recommendation from a qualified psychiatrist/psychologist dealing with transsexuals for the diagnosis of gender dysphoria.
5. Physically fit for the surgery.
Criteria for approval are as follows:
1. Letter of recommendation from a psychiatrist.
2. Discontinued hormonal therapy at least 14 days prior to surgery. Hormones should be stopped before surgery to reduce the risk of thrombosis (blood clots).
3. Physical check up prior to SRS. Laboratory test should be taken. It includes the following: CBC, HIV, FBS, Creatine, Urinalysis, Alkaline phosphatase, SGOT LDH EKG and chest x- ray. You can have your private doctor perform the physical examination and send the results via email.
4. Patient must stop smoking 2-4 weeks prior to the surgery. Smoking interferes and delays wound healing process.
5. Patients must stop taking medications such as anticoagulants (aspirin), anabolic steroids and supplements (Vit. E) at least 4-6 weeks to prevent complicating medical factors prior to surgery.
6. Assessment of the medical history and physical examination will be performed during the consultation with the surgeon as well as explanation of the course of surgery, recovery period, risk and complications.
7. No intake of food or water 8 hours prior to surgery.
8. The surgery usually takes 4-8 hours and is usually done through general anesthesia.
9. Patients who are HIV positive will pay 30% extra charge from the standard price due to the necessity of using disposable instruments.
10. Appointments should be one month prior to the date and time of the surgery.
One month before the surgery:
Prepare and Plan: Put your schedule together for the day before, day of, and first few days
Following the surgery.
Appointment: should be one month prior to the date and time of surgery.
Preoperative tests: Make certain all test ordered (CBC, EKG, X-ray) by your surgeon MUST be completed at least 5 days before surgery and no more than 30 days before surgery. Test results should be received by surgeon for clearance. If medical clearance is not yet received at the expected date of completion, surgery maybe delayed or cancelled.
Stop smoking: Smoking must be avoided for about 3-4 weeks prior to surgery, as nicotine interferes with circulation and will greatly affect healing process.
Stop taking medications: 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.
Stop drinking alcohol: You will likely to be asked to stop drinking alcohol, a week before the surgery and throughout your recovery period.
Vital information: A preoperative visit or call is essential to review your health, your goals and any vital information including allergies and health considerations.
One week before the surgery:
Confirm your day of surgery: Review all orders and instructions and put your schedule together a few days before the surgery.
Continue to practice healthy habits: No smoking, no drinking alcohol and stop taking medications to ensure safety.
Relax: Get plenty of rest. Anxiety is common over the thought of surgery, so don’t hesitate to contact our office. We are here to support you and answer all of your concerns regarding surgery.
One day before surgery:
Pack your personal belongings for the day of surgery.
Arrival: You will arrive at Bangkok International Airport
Nothing by mouth. No candy, gum or mints. Anything more than a small amount of water as needed for brushing teeth or swallowing medication may result in the need to cancel surgery.
Dress appropriately: do not wear jewelry, hair clips, body piercing, cosmetics. (If there is something you cannot remove, let the admitting nurse know right away)
Wear comfortable, clean, loose- fitting clothing: Do not wear jeans or any tight fitting bottom; rather have a pair of loose, drawstring sweatpants to wear home. You may wear a robe. Wear slip on, flat shoes with a slip proof sole; no heels. Wear clean cotton socks as the operating room can feel cool.
During the surgery:
· Appointment for consultation with the surgeon. The discussion will be regarding medical health history as well as the explanation of the course of surgery, recovery period, risk and complications. Don’t hesitate to ask questions for clarification and the technique to be used for SRS.
· Routine Physical examination
· Admission to hospital
· Singing of informed Consent for legal purposes.
· The operation date and time will be arranged within twenty-four hours after Preoperative consultation.
· During surgery, your vital signs will be watched closely.
· Patches containing leads for monitoring your heart will be placed on your chest. .
· After your surgery, you will be taken to a recovery area where you will stay for about an hour.
· A nurse will closely monitor you as you wake up from the anesthesia, checking your vital signs frequently.
· If you feel pain, ask your nurse to give you pain medication.
· Once you are awake and your vital signs are normal, you will be taken to your own hospital room and your family will be able to visit you there.
· You will be discharged from the hospital as soon as your surgeon believes that you are ready and are not experiencing any complications from the surgery or anesthesia.
· Please remember that the effects of the anesthesia medications go away very slowly. Do not plan on doing anything important the day of or day after your surgery. You will feel drowsy for hours after your surgery. For these reasons, you MUST NOT drive a car, work with machinery, or sign any important papers for at least 24 hours.
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