Feminine Surgery In Thailand: What About Dr. Juta Jansi

Feminine Surgery In Thailand: What About Dr. Juta Jansi: " Dr. Juta is a known expert and undoubtedly one of the best surgeon in the field of cosmetic surgery. He was much sought after for his e..."

What About Dr. Juta Jansi

 Dr. Juta is a known expert and undoubtedly one of the best surgeon 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 theUniversity of Chulalongkorn, Thailand in 1984. Prior to specializing in plastic surgery and sex reassignment surgery, Dr. Juta had 24 years of experience as a Plastic and reconstructive surgeon, performed over a thousand cosmetic reconstructions which continually improved and achieved excellent results because of his high standards and proven techniques in the surgical arena. He continually updates himself in all aspect of cosmetic surgery both national and international.

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 and Srinakarin 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.

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Feminine Surgery In Thailand: Adam's Apple Shaving (Thyroid Cartilage Shaving)

Feminine Surgery In 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.

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.

Anesthesia use:

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

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.

For more information about the procedures you may contact International Marketing Coordinator: osias05@hotmail.com or call mobile phone: +66816572522, Tel: (662) 753-9206

Feminine Surgery In Thailand: V-Line Mandibular Contouring

Feminine Surgery In Thailand: V-Line Mandibular Contouring: "V-line mandibular contouring surgery allows for reduction of the chin to a more slender and oval shape without increasing its length. The ..."

V-Line Mandibular Contouring

V-line mandibular contouring surgery 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. Duration of the operation: The surgery may be performed 3-4 hours depending on the extent of the operation. Post operative care: You will be told to keep your head elevated and as still as possible for a couple of days after surgery to help minimize swelling. Avoid alcohol, steam baths, and saunas for several months. Above all, get plenty of rest and allow your body to spend its energy on healing. Recovery period: You may be able to go back to work at least 1-2 weeks after the surgery. Strenuous activities should be avoided, including heavy housework for at least 2 weeks but walking and mild stretching is fine. Possible risk and complications: Complications may include hematoma (a collection of blood under the skin that must be removed by the surgeon), infection, asymmetry and reactions to the anesthesia. You can reduce your risks by closely following your surgeon's instructions before and after surgery.  Anesthesia use: The procedure uses General Anesthesia 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 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: osias05@hotmail.com or call mobile phone: +66816572522, Tel: (662) 753-9206

Feminine Surgery In Thailand: Chin Reduction

Feminine Surgery In Thailand: Chin Reduction: "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 ..."

Feminine Surgery In Thailand: Chin Reduction

Feminine Surgery In Thailand: Chin Reduction: "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 ..."

Chin Reduction

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.

Duration of the operation:
The surgery duration is approximately 2-3 hours

Post operative care:
In cases where the incision was made inside the mouth, regularly use antiseptic mouthwash during the first week to keep the wound clean. If incision is located underneath the chin, clean the external wound twice each day after being released from hospital. Keep wound dry for 2-3 days. Liquid diet such as soups, shakes, etc. for first few days. Eat soft food for 7-10 days.

Recovery period:
Most patients are able to go back to work within a week after surgery. However your surgeon may suggest you take 1-2 weeks off work. A soft diet is recommended for about a week and strenuous activities should be avoided for up to 2 weeks. Any situation which might involve facial contact should be avoided for up to 6 weeks.

Possible risk and complications:
All surgeries have inherent risks. With chin reduction surgery, the patient may experience swelling for several weeks or months while the bone heals. Infection is a less common risk to weigh when considering chin plastic surgery. Another potential side effect to consider following chin reduction surgery is small nerve damage. If small nerve damage occurs, this can cause the patient to experience numbness in the lower lip and chin. Additionally, complications can arise from adverse reactions to anesthesia, which can affect a patient's respiratory system.

Anesthesia use:
Chin Reduction procedures are undertaken using general anesthetics.

Hospital admission:
It depends on your preferences as well as your surgeon’s. Chin reduction can be performed on an out patient basis, in the hospital, or in an ambulatory surgical suite

Preparation before 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.
• 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: osias05@hotmail.com or call mobile phone: +66816572522, Tel: (662) 753-9206

Feminine Surgery In Thailand: Mandibular Angle Reduction (Reduction Angleplasty

Feminine Surgery In Thailand: Mandibular Angle Reduction (Reduction Angleplasty: "Mandibular Angle Reduction (Reduction Angleplasty) reduces the width of the lower face and change a square face to an oval one. The incisio..."

Mandibular Angle Reduction (Reduction Angleplasty

Mandibular Angle Reduction (Reduction Angleplasty) reduces the width of the lower face and change a square face to an oval one. The incision of mandible angle reduction is inside the mouth.

Duration of the operation:

The procedure is performed about 2-3 hours.

Post operative care:
Swelling and skin discoloration are common and usually will subside within a week or two. Stitches will be removed after about seven days. When the operation is carried out from the inside of mouth, gargle your mouth with mouthwash for at least 10 days. Keep incision region clean and dry. Apply prescribed antibiotic ointment to staples and stitches. Dry thoroughly with gauze. Keep ice compresses on the surgical region continuously for the first 48 hours. Do not use hot dryer, when dry up your hair. Avoid steam baths and saunas for several months. Start with clear fluids and increase as tolerated. Avoid foods that are chewy for the first 2 weeks. No chewing of hard foods or tough foods for 2-4 weeks after surgery. You are to stay on a light diet. No alcohol and no smoking for 2 weeks if possible as they increase swelling; or have only in moderation. You will be asked to keep your head slightly elevated for a few days. Rest quietly in bed with head raised on 2 - 3 pillows. During the first 48 hours bed rest is recommended. During the next 3 to 5 days, you should restrict your normal activities, no housework and no physical labor. During the first 5 days after surgery, it is most important not to engage in any activity which will elevate the blood pressure and possibly increase bruising, swelling and bleeding. Walking is permitted as tolerable. Do not lie face down for one month. When bending down, bend at knees, not with head down. 

Recovery period:
Expect to feel tired for 7 - 10 days after surgery, especially after anesthetics. Don't rub or scratch surgical region for at least 2 weeks. Wound dressing should be done twice a day for 7 days, after tape is removed. Take antibiotic for 14 days after surgery. Do not take any vitamin E and aspirin (or acetyl salicylic acid) for 14 days after surgery, because they can increase your tendency to bleed and prescription pain medications will be given for pain relief.

Possible risk and complications:

Get lab testing or a medical evaluation Take certain medications or adjust your current medications. Stop smoking well in advance of surgery and avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding.

Anesthesia use:
Mandible angle reduction surgery is performed under General Anesthesia.

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

• 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: osias05@hotmail.com or call mobile phone: +66816572522, Tel: (662) 753-9206

Feminine Surgery In Thailand: Malar Bone Reduction

Feminine Surgery In Thailand: Malar Bone Reduction: "Malar bone Reduction is the key procedure for those who desire feminization to make face smaller. This is performed on patients with large ..."

Malar Bone Reduction

Malar bone Reduction is the key procedure for those who desire feminization to make face smaller. This is performed on patients with large cheek bones. This is a popular procedure among Asian women since an oval or heart shaped faced is considered to be more pleasing and desirable.
In zygomatic (cheek bone) reduction, both ends are cut and the intervening bone segment (zygomatic bone) is moved inward, backward and downward. So, cheek prominence is depressed and the patient can get small, shallow face and smoother, smarter impression.
The procedure is performed through an incision inside the ear in front of the ear canal, and from inside of the mouth, thus leaving no visible scars. This is then secured by stainless steel wires. The cheekbone heals very rapidly. In a week's time, it will be firm and stable.

Duration of the surgery:

This entire process approximately takes 4~5 hours.

Post operative care:
You will have to take it easy and keep your head elevated while resting and sleeping for 7-14 days after the procedure. Your face will look very swollen in the first 3 days. But, as the days go on the swelling and bruising will dissipate. Any sutures you may have will be removed 7-10 days after surgery.

Recovery period:
You may go back to work 1-2 weeks after surgery.

Possible risk and complications:

The possible risks include: bleeding and prolonged swelling, infection, asymmetry or over resection, injury to facial nerves
the facial nerve to forehead can be injured.

Anesthesia use:
The procedure usually uses General anesthesia.

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
Get lab testing or a medical evaluation. Take certain medications or adjust your current medications. Stop smoking well in advance of surgery and avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding

• 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: osias05@hotmail.com or call mobile phone: +66816572522, Tel: (662) 753-9206

Feminine Surgery In Thailand: Forehead Contouring

Feminine Surgery In Thailand: Forehead Contouring: "Forehead contouring surgery or hairline lowering surgery can be used to reduce an excessively high hairline or large forehead in both men ..."

Forehead Contouring

Forehead contouring surgery or hairline lowering surgery can be used to reduce an excessively high hairline or large forehead in both men and women. The forehead reduction procedure can be performed at the same time as a Forehead Lift (Browplasty), or alone. In this procedure, an incision is made at the hairline. A portion of the scalp that does not contain hair can then be removed which results in making the hairline appear lower. The hair follicles near the incision will eventually grow through it and hide the scar. Duration of the operation: The procedure usually takes about 2 hours to perform. Post operative care: After the forehead reduction procedure, there will be some bruising and swelling. Ice compresses can be used to control the swelling. Your forehead will be loosely wrapped overnight, which further helps to minimize swelling. A drain might be used to help get rid of the fluids and that can collect in the tissues. The individual might also experience numbness and slight pain, both of which will eventually subside and can be controlled with medications. You will be able to shower and shampoo your hair within two days, or as soon as the bandage is removed Recovery period: Individuals vary on their recovery time. Many patients are healed enough to go back to work after a week. After one week, your sutures will be removed. Most patients return to work in 7-10 days after their hairline lowering surgery, but some patients return to work even sooner. Most of the visible signs of surgery should fade completely within about three weeks. There may be some shedding of the hair in the front of the scalp within 2-4 weeks after surgery. The hair will come back after several months. Dr. Juta suggests that patients apply 5% Minoxidil to the front of the scalp starting 2-6 weeks before surgery and resuming it for 3 months after surgery. Possible risk and complications: Some risks associated with forehead reduction are fluid accumulation, scarring, hair loss at the incision site, and infection. Any hair loss should grow back within a couple of months, however, and antibiotics are generally prescribed to help thwart infections. Unsightly scarring is usually covered by the new hair growth. However, in some cases the individual can opt to have an additional hair graft done in order to cover up the scars. Anesthesia use: The procedure usually uses General anesthesia Hospital admission: The forehead reduction surgery 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 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. 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: osias05@hotmail.com or call mobile phone: +66816572522, Tel: (662) 753-9206

Feminine Surgery In Thailand: Scalp Reduction

Feminine Surgery In Thailand: Scalp Reduction: "Scalp reduction surgery involves removal of bald scalp and bringing the hair-bearing scalp closer to it to fill in the bald area on the scal..."

Scalp Reduction

Scalp reduction surgery involves removal of bald scalp and bringing the hair-bearing scalp closer to it to fill in the bald area on the scalp. In this operation the surgeon reduces the baldness by cutting out a segment of the bald scalp skin.

Duration of the procedure:
Scalp reductions require about 3-4 hours for each step of the operation.

Post-Operative Care:
You will wear a compression garment over the head to provide support, which should not be removed for the next few days following surgery. It is important to take the medication prescribed to you by your surgeon to manage discomfort from swelling and bruising. Someone will need to drive you home. Patients normally experience swelling and some numbness for the first few days following the procedure. Because the skin needs time to soften, tightness in the scalp is also common for several months after the operation. Scabbing is also common

Recovery Period:
. Most patients will be able to return to work within 3-5 days following the procedure.

Possible Risks and Complications

There might be some minor complications and side effects of scalp reduction surgery. Some possible complications during and after the surgery include scarring at the suture lines, scalp skin “stretch back” at the excised bald area and central midline scar called slot deformity. Side effects of this hair restoration surgery include temporary discomfort, swelling and numbness in the operated area.

Anesthesia use:
General or local anesthesia with sedation

Hospital admission:
Scalp reduction surgery can be performed on an out patient basis or in the hospital under local or general anesthesia. You and your surgeon will discuss preferences.

Preparation before 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.

• 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: osias05@hotmail.com or call mobile phone: +66816572522, Tel: (662) 753-9206

Feminine Surgery In Thailand: Male to Female Sexual Reassignment Surgery

Feminine Surgery In 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 ..."

Feminine Surgery In Thailand: Feminine Surgery In Thailand: Biography Of Dr. Jut...

Feminine Surgery In Thailand: Feminine Surgery In Thailand: Biography Of Dr. Jut...: "Feminine Surgery In Thailand: Biography Of Dr. Juta Jansi : 'DR. JUTA JANSI M.D., F.R.C.S.T. PLASTIC AND RECONSTRUCTIVE SURGEON doctorjuta@g..."

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:

• 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 Thailand at least 2-3 weeks to complete the whole process and allow proper healing and at least 1 week hospital stay for observation and management.
• 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.

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:

• Legal age of maturity in the patient’s nation. At least 18 years of age and will require permission from parents.
• At least 12 months of continuous hormonal therapy for those without medical contraindications. Patient should present a Hormonal therapy certificate.
• At least 12 months of continuous full time real life experience in a cross gender role.
• Patient should present a Certificate of recommendation from a qualified psychiatrist/psychologist dealing with transsexuals for the diagnosis of gender dysphoria.
• 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:

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. 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 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:

• 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