Tuesday, July 12, 2011
MTF Surgery Thailand: Dr. Juta Jansi: Cosmetic Surgeon Expert In Thailan...
MTF Surgery Thailand: Dr. Juta Jansi: Cosmetic Surgeon Expert In Thailan...: "Dr. Juta is a known expert and undoubtedly one of the best surgeons in the field of cosmetic surgery. He was much sought after for his expe..."
MTF Surgery Thailand: How To Choose A Certified Plastic/Cosmetic Surgeon...
MTF 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..."
MTF Surgery Thailand: Why Thailand?
MTF Surgery Thailand: Why Thailand?: "Thailand is one of the most popular holiday destinations in the world today and foreigners seek cosmetic treatments for the following reaso..."
MTF Surgery Thailand: Scalp Reduction/ Scalp advancement
MTF Surgery Thailand: 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 di..."
MTF Surgery Thailand: Miracle Cosmetic Surgery Center Formerly Paknam Ae...
MTF Surgery Thailand: Miracle Cosmetic Surgery Center Formerly Paknam Ae...: "Miracle Cosmetic Surgery Center is located at 37/4-6 Sukhumvit 13 Paknam Muang Samutprakan 10270 Thailand where you will find the f..."
MTF Surgery Thailand: Scarless Male To Female Sexual Reassignment Surger...
MTF 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..."
MTF Surgery Thailand: Male to Female Sexual Reassignment Surgery
MTF Surgery Thailand: Male to Female Sexual Reassignment Surgery: "Overview of the surgery: Male to female Surgical Procedure: Sex change surgery for male to female involves the removal of the penile muscle..."
MTF Surgery Thailand: Chin Reduction
MTF Surgery Thailand: 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 verticall..."
MTF Surgery Thailand: Malar Bone Reduction/ Cheek Bone Contouring
MTF Surgery Thailand: 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 ..."
MTF Surgery Thailand: Forehead Contouring
MTF Surgery Thailand: Forehead Contouring: "You can easily tell the difference between male foreheads from female ones. Covering a large portion of the face, the forehead shows a marke..."
MTF Surgery Thailand: Temporal Fossa Augmentation
MTF Surgery Thailand: 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..."
MTF Surgery Thailand: Mandibular Angle Reduction
MTF Surgery Thailand: Mandibular Angle Reduction: "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 ..."
MTF Surgery Thailand: Lower Jaw (mandibular) angle surgery/ Mandibular A...
MTF Surgery Thailand: Lower Jaw (mandibular) angle surgery/ Mandibular A...: "A protruding or receding lower jaw can markedly decrease the aesthetic results of your facial feminization surgery. If your mandible doesn’t..."
MTF Surgery Thailand: Thyroid Cartilage Reduction/ Adam’s apple Removal
MTF 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 surrounding t..."
MTF Surgery Thailand: Lower Jaw Tapering- Angle Reduction/ V-line mandib...
MTF Surgery Thailand: Lower Jaw Tapering- Angle Reduction/ V-line mandib...: "Tapering the mandible or lower jaw is an important step in facial feminization surgery. Women have more tapered and narrower lower face. Men..."
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.
For more information about the procedures you may contact International Marketing Coordinator: osias05@hotmail.com or call mobile phone: +66816572522, Tel: (662) 753-9206
Mandibular Angle Reduction
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 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.
For more information about the procedures you may contact International Marketing Coordinator: osias05@hotmail.com or call mobile phone: +66816572522, Tel: (662) 753-9206
Lower Jaw (mandibular) angle surgery/ Mandibular Angle Reduction/ Gonioplasty
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
For more information about the procedures you may contact International Marketing Coordinator: osias05@hotmail.com or call mobile phone: +66816572522, Tel: (662) 753-9206
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.
For more information about the procedures you may contact International Marketing Coordinator: osias05@hotmail.com or call mobile phone: +66816572522, Tel: (662) 753-9206
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.
For more information about the procedures you may contact International Marketing Coordinator: osias05@hotmail.com or call mobile phone: +66816572522, Tel: (662) 753-9206
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.
For more information about the procedures you may contact International Marketing Coordinator: osias05@hotmail.com or call mobile phone: +66816572522, Tel: (662) 753-9206
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.
For more information about the procedures you may contact International Marketing Coordinator: osias05@hotmail.com or call mobile phone: +66816572522, Tel: (662) 753-9206
Forehead Contouring
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.
For more information about the procedures you may contact International Marketing Coordinator: osias05@hotmail.com or call mobile phone: +66816572522, Tel: (662) 753-9206
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.
For more information about the procedures you may contact International Marketing Coordinator: osias05@hotmail.com or call mobile phone: +66816572522, Tel: (662) 753-9206
Miracle Cosmetic Surgery Center Formerly Paknam Aesthetic Surgery Clinic
MCS is specially designed to provide quality cosmetic unit and standard medical procedures, surgical and non- surgical. It covers all treatments performed by Dr. Juta Jansi, a highly trained surgeon with proven track records and experience of his chosen cosmetic surgery field and professional staffs who are always available to render services for our patients with confidence of a safe patient care that modern medicine has to offer.
We believe that our services and proven techniques will help you enhance your natural beauty with best possible results.
For more information about the procedures you may contact International Marketing Coordinator: osias05@hotmail.com or call mobile phone: +66816572522, Tel: (662) 753-9206Scarless 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
For more information about the procedures you may contact International Marketing Coordinator: osias05@hotmail.com or call mobile phone: +66816572522, Tel: (662) 753-9206
Male to Female Sexual Reassignment Surgery
Overview of the 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:
· After surgery patient should remain on bed for the first 24 hours.
· The surgeon will perform the necessary care and do the dilation at least 2 weeks.
· Patient must dilate to achieve the desired depth and width of the newly made vagina. If patient will not dilate properly, the result would be narrowing of the width and depth of the newly made vagina due to scar contractures.
· After each dilation session with the doctor, wound dressing should be performed to speed up healing process.
· Patient should avoid strenuous activities which can interfere with the circulation.
- The vaginal packing, 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.
- Patient can start vaginal dilatation 2 times a day for the first few of months about 1 hour each time with an adequate amount of lubricant. Vaginal stents typically range in size from about 1-1/8 to 1-1/2 inches or more in diameter (28 to 38 mm), and must be inserted to full depth (4 to 6 inches or more).
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.
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.
The goal of Sex reassignment surgery for Male to Female:
· To create an erotic sensate area including clitoris, labia minora, labia majora and vaginal opening.
· To achieve satisfactory vaginal depth.
· To preserve orgasm during sexual intercourse.
Preparation before the surgery:
Criteria for approval are as follows:
- Letter of recommendation from a psychiatrist.
- Discontinued hormonal therapy at least 14 days prior to surgery. Hormones should be stopped before surgery to reduce the risk of thrombosis (blood clots).
- 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. 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.
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.
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.
· Genital electrolysis must be done prior to SRS to prevent hair in and around their new vagina.
· 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.
It is important that you follow the written instructions given to you when you are discharged.
For more information about the procedures you may contact International Marketing Coordinator: osias05@hotmail.com or call mobile phone: +66816572522, Tel: (662) 753-9206
Dr. Juta Jansi: Cosmetic Surgeon Expert In Thailand
Dr. Juta is a known expert and undoubtedly one of the best surgeons in the field of cosmetic surgery. He was much sought after for his expertise in the leading edge of Sex reassignment Surgery, Facial plastic Surgery, Mammoplasty and liposuction.
Dr. Juta received his Doctor of Medicine Degree from the University of Chulalongkorn , Thailand
He received several citations as a General and plastic surgery specialist, member of the Society of Aesthetic Plastic Surgeons of Thailand and The Society of Plastic Surgeons of Thailand. He also attended Fellowship in Maxillo-Facial Surgery Taipei, Taiwan and Fellowship in Microsurgery Taipei, Taiwan. At present, Dr. Juta Jansi joined the prestigious Plastic and Reconstructive Surgeons at Bumrungrad Hospital
With his passion and artistic talent, Dr. Juta is highly respected by his peers and patients for his unique techniques that ensure satisfaction, safety and outstanding performance.
How To Choose A Certified Plastic/Cosmetic Surgeon In Thailand
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.
Why Thailand?
· Low cost surgical treatments
The treatment fees in Thailand
· Quality healthcare services
· Highly developed infrastructure
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