Facial Surgery Thailand: June 2011

Sunday, June 5, 2011

Chin Advancement (Advancement Genioplasty)

Chin Advancement (Advancement Genioplasty) is one of the most advanced, precise and sophisticated types of chin surgery to take the lower front part of your chin and bring it forward. This procedure is more involved than placing a chin implant and requires making incisions in the bone and also stabilizing it at the end with space age technology of rigid fixation. In some cases bone grafting in front and the top of the chin plate may be necessary to create an attractive final results.

Duration of the operation:

The procedure will take approximately 30 minutes to perform

Post operative care:

Antibiotics are prescribed to control infection and swelling. Cold compress will be applied to face for 24 hours. Your chin will be taped following surgery. Do not remove the tape and reinforce it with additional tape if needed. Take your medications on time and finish the course of treatment. For the first day, liquid food is advised, cold food for 24 hours then soft food for the next five days. Rinse your mouth three or four times a day with warm salted water may brush your teeth if the brush is soft and you are quite careful to keep the bristles away from the stitches.

Recovery period:

The recovery takes one to two weeks. Most people are back to work within a week or two. We encourage our patients to return to work as soon as they can within few days after surgery.

Possible risk and complications:

As with any surgery, there is always a possibility of complications following chin surgery, including infection, bleeding, a reaction to the anesthesia, hematoma (localized swelling filled with blood resulting from a break in a blood vessel), seroma (a mass or swelling), extrusion (the implant works its way back up to the skin surface), capsular contracture (excess tightening of the scar tissue) which may distort the implant, asymmetry, nerve damage and bone erosion.

Anesthesia use:

Local Anesthetic (while you are awake), combined with a sedative to make you drowsy. You'll be awake but relaxed.

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.

Preparation before Surgery

Avoid aspirin, any aspirin containing medication or any other non-steroidal anti-inflammatory drugs (NSAID), such as Motrin or Advil, for one week prior to treatment. Because aspirin thins the blood, it can interfere with normal blood clotting and increase the risk of bleeding and bruising
Smoking inhibits the healing process, so stop smoking before your procedure and if you start again, make sure it is after you are completely healed
Avoid drinking alcohol a few days before your surgery
Make sure to not to eat or drink for at least 8 hours prior to your surgery
Make sure that you arrange for someone to bring you home
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.

For more information about the procedures you may contact: International Marketing Coordinator: info@bangkok-plasticsurgery.com or call mobile phone: +66830868173 line: osias05, whatsapp+viber:+66830868173 or visit our website: www.bangkok-plasticsurgery.com; www.bangkok-plasticsurgery.info

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: info@bangkok-plasticsurgery.com or call mobile phone: +66830868173 line: osias05, whatsapp+viber:+66830868173 or visit our website: www.bangkok-plasticsurgery.com; www.bangkok-plasticsurgery.info

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.

Mandibular Angle Reduction (Reduction Angleplasty)

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 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: +66830868173 or visit my site at www.bangkok-plasticsurgery.com

Lower Jaw Tapering- Angle Reduction/ V-line mandibular Angle Contouring

A protruding or receding lower jaw can markedly decrease the aesthetic results of your facial feminization surgery. If your mandible doesn’t match your maxilla (upper jaw), and/or disproportionately wide as compared to the rest of the face, that upsets the balance of your over all facial profile. Thus, lower jaw (Mandibular) Surgery is an important step in facial feminization surgery.

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

Facial Surgery Thailand: Thyroid Cartilage Reduction/ Adam’s apple Removal

Facial Surgery Thailand: Thyroid Cartilage Reduction/ Adam’s apple Removal: "Adam’s apple is a feature of the human neck that is characterized by a protrusion formed by the angle of the thyroid cartilage surroundin..."

Thyroid Cartilage Reduction/ Adam’s apple Removal

Adam’s apple is a feature of the human neck that is characterized by a protrusion formed by the angle of the thyroid cartilage surrounding the larynx. During puberty stage, thyroid cartilage elongates eventually much larger in males than in females. Because this protrusion on the neck is so a distinctive characteristic of an adult male, it may cause you great concern. Yet, Adam’s apple can be reducing in size by a Thyroid Cartilage Reduction procedure transforming from masculine to feminine remarkably.

Lower Jaw Tapering- Angle Reduction/ V-line mandibular Angle Contouring

Tapering the mandible or lower jaw is an important step in facial feminization surgery. Women have more tapered and narrower lower face. Men have considerably prominent jaw line rendering a wide, square face which enhances the masculine features. With these differences, the surgery is essential in transitioning from male to female. Thus, improving femininity and eliminating obvious masculinity.

It allows for reduction of the chin to a more slender and oval shape without increasing its length. The surgery also reduces the overly strong bone flanking each side of the chin, thus transforming the more masculine U shape to a sharper and more feminine V shape. The chin line is excised into a smooth line. The chin end can be brought together without touch of the nerve. The protruding parts in both sides of the mandible are excised. The narrowed chin end produces the wholly oval V-line face type.

Chin Reduction

The chin is one of the most important features in gender identification. It is so different between the genders. In men, chins are vertically higher and wider than in women. The chin is the front portion of the mandible or lower jaw and the point on the lower face.

Chin reduction is a cosmetic surgical procedure that reduces the size of the chin by shaving down the bone through an incision made in the lower gums. Chin reduction surgery begins with the surgeon making an incision inside the mouth (near the lower lip) or under the chin. Using specialized instruments, the surgeon detaches the bone at the tip of the chin and then reshapes and removes the excess bone to properly proportion the contour. The tip is then repositioned with the remaining section of chin and held together using wires and plates. The incisions are sutured to complete the procedure.

Malar Bone Reduction/ Cheek Bone Contouring

Cheek Bone Reduction is not a common procedure in transgender individuals among Caucasians, Hispanics or African Americans whose wide cheek structure is regarded as very attractive while in Asian individuals this is a very popular procedure since an oval-shaped face is considered to be more aesthetically pleasing and desirable.

Reduction Malarplasty is performed on patients with large cheek bones by either of two techniques. The first involves using a special drill to burr down or shave the excess bone at the zygomatic arch, the bony ridge that extends from beneath the eye socket along side the skull lateral to the temporal fossa. The second involves cutting out an appropriate amount of the zygomatic anterior arch, rotating or turning the lateral arch inward and securing with a small plate and two tiny screws. Both approaches maybe use depending on the problem.

Forehead Augmentation (Forehead Contouring Surgery)

You can easily tell the difference between male foreheads from female ones. Covering a large portion of the face, the forehead shows a markedly different contour and projection in men than in females, although most people don’t realize how their forehead is shaped or even protrudes from the face.

A female forehead shows a smooth and even surface while male forehead exhibit a pronounced brow bossing with greater hooding over their eyes and projects farther forward in front of the eyes.

Since the forehead contour is a distinct sign between both genders, forehead contouring is an important step in facial feminization surgery, thereby, creating a more naturally feminine appearance.

Scalp Reduction/ Scalp advancement

The foreheads and scalps are facial features that show more clearly whether a person is a male or a female. Male foreheads are remarkably different from female ones. Naturally, the distance from the hairline down to the eyebrow at the mid pupil line in males averages 2.6 inches in contrast to about 2 inches in women.

High hairlines and vertically long foreheads are generally accepted in males but not fashionable in females, therefore scalp reduction is performed as part of facial feminization surgery.

With scalp reduction, the portion of the scalp area is removed then pulled together, thereby shortening the forehead and minimizing the receding hairline. The best candidates for this procedure are individuals who suffer from male pattern balding and those who wanted to look more like a woman.

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Sunday, June 5, 2011