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.
Why in Thailand?
· Low cost surgical treatments
The treatment fees in Thailand
· Quality healthcare services
· Highly developed infrastructure
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 indicators of the surgeon’s qualifications. Board certification is another important criterion. No single factor can guarantee you the best doctor for a specific procedure. Ultimately, it is up to you to decide which surgeon is best for your specific goals and expectations.
To become a plastic surgeon, a doctor must obtain an M.D. (Doctor of Medicine) or a DO (Doctor of Osteopathy) degree. Following this, there are several paths the doctor may follow. Many doctors now spend five to six years in an integrated plastic surgery residency, although some complete three years of general surgery and two years in plastic surgery.
What does it mean to be a Board Certified Plastic Surgeon?
Choosing a Board certified surgeon can be a very tough job because of the personal information being shared. Just open the yellow pages, magazines, brochures or view news paper advertisements and you’ll find plastic surgeons promoting all kinds of society memberships and board certifications but don’t be confused between boards and societies. Societies are merely professional associations. Board certification is the minimum criterion you should use in selecting a plastic surgeon. So, it is very important that you learn about the doctor’s education, training, certification, and experience in order to guarantee a successful outcome and to make the best choice.
Beware of lots of Letters after the Doctor’s Name:
Many fraudulent doctors’ have quite a few letters after their names. In fact, multiple letters may be the telltale sign of an inadequately trained doctor trying to impress the public. Definitely, your doctor should have the letters M.D (Medical Doctor) or D.O (Doctor of Osteopathy) after his name. He might even have one or more master’s degrees or might also have PhD but these degrees are irrelevant to plastic surgery. Patients are advised to select a board certified plastic surgeon.
Many fraudulent doctors’ have quite a few letters after their names. In fact, multiple letters may be the telltale sign of an inadequately trained doctor trying to impress the public. Definitely, your doctor should have the letters M.D (Medical Doctor) or D.O (Doctor of Osteopathy) after his name. He might even have one or more master’s degrees or might also have PhD but these degrees are irrelevant to plastic surgery. Patients are advised to select a board certified plastic surgeon.
Guide to choose a Plastic Surgeon:
- Get Referrals: Begin your search for a plastic surgeon by asking friends, relatives, family doctor, colleagues that are willing to meet with you and share their results of the surgery. Hospital staff such as nurses, surgeons and anesthesiologist is also excellent sources of referrals. You may also do research on the internet, magazines, or in the yellow pages. Chances are a few names will stand out from the others. It will help give you the best possible recommendations.
- Check the qualifications of the surgeon: One of the most important qualifications you should look for in a plastic surgeon is that they are board certified but you must need to know what board has certified your plastic surgeon and be sure that the surgeon has graduated from an accredited medical school.
- Meet the surgeon: Look at pictures of past procedures done by the surgeon. Choose an ethical and confident surgeon and friendly staff members for a long lasting relationship and you should expect good communication, understanding and comfort from the surgeon.
Scarless Male To Female Sexual Reassignment Surgery
With the rapid advances in knowledge, several techniques were used to create the vagina; however, Dr. Juta”s technique is one of a kind, “The Scarless Sexchange” wherein there will be no visible scar on the labia majora after the operation. Certainly, he is the only doctor performing a high quality SRS “Scarless Sex change” in Thailand
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
PRESENT
· Plastic Surgery Unit, Bumrungrad International Hospital , Thailand
· Cosmetic Surgery Unit, Samitivej Srinakarin Hospital , Thailand
· Parkman Cosmetic Surgery Clinic, Bangkok , Thailand
Subscribe to:
Posts (Atom)