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Friday, January 7, 2011

Plastic Surgery in Bangkok: Tummy Tuck

Plastic Surgery in Bangkok: Tummy Tuck: "Tummy tuck (appropriately known as abdominoplasty), is a major surgical procedure that gets rid of excess fat and skin, tightening mus..."

Tummy Tuck

Tummy tuck  (appropriately known as abdominoplasty), is a major surgical procedure that gets rid of excess fat and skin, tightening muscles in your abdominal wall and designed to flatten the abdomen.
The best candidates for this procedure are physically fit and healthy individuals who suffer from loose skin and excess fats in the lower portion of the abdomen which is typically the result of single or multiple pregnancies in women whose abdominal tone were lost after pregnancy or considerable weight loss and age related looseness of skin may also be corrected.
It usually requires a long incision across the abdomen from hip bone to hip bone and around the belly button. The shape of the incision is like a smile, with a flat bottom. The skin is separated from the abdominal wall, up to the ribs, exposing the vertical abdominal muscles (rectus muscles). These muscles have usually been stretched apart by previous pregnancies. The rectus muscles are then stitched into a new position, tightening the muscles and reducing the waistline. After the muscles have been repositioned and tightened, the excess skin is stretched and removed.The remaining skin is redraped over the abdominal area and sutured in place. The belly button is then brought out through the overlying skin in its new location.
Duration of the operation:
The procedure will take about 2-5 hours. A partial tummy tuck may take about 1-2hours.

Post operative care:
  1. Patients are required to take a rest for about 1-3 weeks before returning to work and a normal schedule.
  2. A day after the surgery, patient must have light to moderate physical activities.
  3. Some incision will be left open and drainage is inserted.
  4. Patients can start light to moderate activity after four weeks. After six to eight weeks, most people can resume all exercise and activity.
  5. Patient will be given pain medication as needed. This typically entails narcotics for the first few days after surgery and then non-narcotic pain relievers after that.
  6. The abdomen is swollen and sore for the first few days.
  7. The abdominal scars will appear to worsen during the first three to six months. They may take nine months before they flatten and lighten in color. The scars never disappear completely, but clothing can hide them easily.



Recovery period:
You may be able to go back to work after 2-4 weeks. More strenuous activities for 4-6 weeks or more. Fading and flattening of scars for 3 months to 2 years.

Results:
We guarantee quality service and satisfying results of the operation but in cases of surgical corrections, patient can assure a free of charge revision.
Please see before and after photos of Dr.Juta’s patients in the Photo Gallery (photographs showed are with patient’s consent).

Possible risk and complications:
These potential complications can be prevented if you carefully follow surgeon's instructions. Listed below are the potential complications:
·         Anesthetic medications
  • Tissue loss
  • Infection
  • Collection of blood beneath the skin (hematoma)
  • Collection of fluid under the skin (seroma)
  • Blood clot to the lungs
  • Aspiration pneumonia
  • Bleeding under the skin flap
  • Insufficient healing that may result in the need for a second surgery
  • Death
  • Unfavorable scarring
  • Poor wound healing

Anesthesia use:
Abdominoplasty is often performed with general anesthesia and can also be done using a local anesthetic with a sedative.
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 for 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.
  • If general anesthesia or sedation will be used, and the surgery will be in the morning, fasting from midnight the night before is required. If only local anesthesia will be used, fasting is not required
  • Maintain the best of health and hygiene in the weeks prior to surgery. Colds, virus, throat infection or other illness can result to rescheduling of surgery.
  • Eat a well balance diet several weeks prior to surgery. Over eating and crash dieting can greatly affect overall health status and well being of the patient
  • Daily exercises are an important factor to help enhance posture and strength at least 3-4 weeks prior to surgery.
For more information about the procedures you may contact: International Marketing Coordinator: osias05@gmail.com, doctorjuta@gmail.com or call (02) 753-9206


       

Plastic Surgery in Bangkok: Lipofilling (Fat Transfer)

Plastic Surgery in Bangkok: Lipofilling (Fat Transfer): "Lipofilling otherwise known as fat transfer, can either be done on its own or in combination with other surgical procedures such as face and..."

Lipofilling (Fat Transfer)

Lipofilling otherwise known as fat transfer, can either be done on its own or in combination with other surgical procedures such as face and neck lift. Done on its own it is possible to perform the procedure under local anesthetic as a day case, but is usually performed under general anesthetic.
Small incisions, less than 1 cm, are made in either the abdomen or inner thigh from where the fat will be harvested. This is done using a low pressure liposuction technique. Small dressings are placed on these wounds and occasionally an absorbable suture is used to close them. The fat that has been harvested from this area is re-injected into the required areas of the face again using tiny 3 – 4 mm. stab incisions which are covered with a Steri-strip sticking plaster.

Duration of the operation:
The operation for lipofilling alone usually takes between 45 minutes and 1 hour.

Post operative care:
You will expect swelling and bruises. These are all normal and should be taken cared of. You will be instructed to take all of your medications on time, keep your treatment are immobile and allow proper healing. This includes no high impact exercise or activities for approximately 2-3 weeks, depending upon the extent of the surgery.

Recovery period:
The area is usually swollen after the treatment and sometimes bruised, a cold pack, i.e. a bag filled with ice can be soothing. The swelling and bluish  colour gradually clears up a few days after the treatment. With a reasonable skin concealing cream product, you can disguise any skin discoloration, allowing you to resume your social life more quickly

Results:
We guarantee quality service and satisfying results of the operation but in cases of surgical corrections, patient can assure a free of charge revision.
Please see before and after photos of Dr.Juta’s patients in the Photo Gallery (photographs showed are with patient’s consent).

Possible risk and complications:
The risks for fat grafting are asymmetry, infection, fatty cysts, hematoma, fat embolism, seroma, permanent discoloration from the bruises and others.

Anesthesia used:
Lipostructure takes place under local anaesthesia. Both the donor and recipient zones are treated with an anaesthetic (liquid form) that also prevents bleeding

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
The aims and expectations of surgery will have been discussed at consultation. Smokers have a high risk of developing complications, in particular wound healing and re-absorption and it is therefore advised that patients should refrain from smoking at least six weeks prior, and between two to four weeks following surgery.
Aspirin and other anti-inflammatory drugs should be avoided for at least the week before surgery and a week after surgery to help reduce the amount of bleeding and bruising.

  • 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@gmail.com, doctorjuta@gmail.com or call (02) 753-9206


      

Plastic Surgery in Bangkok: Male Breast Reduction

Plastic Surgery in Bangkok: Male Breast Reduction: "Male breast reduction also known as gynecomastia, breast reduction for men is the surgical correction of over-developed or enlarged breasts ..."

Male Breast Reduction

Male breast reduction also known as gynecomastia, breast reduction for men is the surgical correction of over-developed or enlarged breasts in men.
During an excision procedure, the incision is made either on the edge of the nipple (areola) or in the underarm area. The surgeon cuts away the excess glandular tissue, fat and skin from around the pigmented area surrounding the areola and from the sides and bottom of the breast by working through the incision. Major reductions that involve the removal of a significant amount of tissue and skin may require larger incisions and more visible scars.
If liposuction is also used to remove excess fat, a slim, hollow tube (cannula), is inserted directly through the existing incisions. The cannula is attached to a vacuum pump to suction out the fat.
Duration of the operation:
 The procedure takes about 1-2 hours

Post operative care:
To help reduce swelling, you'll probably need to wear an elastic pressure garment continuously for a week or two, and for a few weeks longer at night. Although the worst of the swelling will subside in the first few weeks, it may be three months or more before the final results of your surgery are apparent.You'll be encouraged to begin walking around on the day of surgery, and to return to work when you feel well enough, which could be in a couple of days. Stitches are removed one to two weeks after the procedure.Your surgeon may advise you to avoid sexual activity for a week or two and heavy exercise for about three weeks. You will be told to stay away from any sport or job that risks a blow to the chest area for at least four weeks. Your activities should be back to normal after about a month.
Recovery period:
Back to work: 5-7 days
more strenuous activity: 2-3 weeks
Full recovery from bruising: 3-6 months

Results:
We guarantee quality service and satisfying results of the operation but in cases of surgical corrections, patient can assure a free of charge revision.
Please see before and after photos of Dr.Juta’s patients in the Photo Gallery (photographs showed are with patient’s consent).





Possible risk and complications:
Infection, fluid accumulations, injury to the skin, rippling or bagginess of skin, and asymmetry. Pigment changes (possibly permanent if exposed to the sun). Excessive scarring if tissue was cut away, and need for a following procedure to remove addition tissue.

Anesthesia use:
Local with sedation or general
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
·         Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding
·         What to do on the day of surgery
·         Post-operative care and follow-up

  • 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@gmail.com, doctorjuta@gmail.com or call (02) 753-9206


      

Plastic Surgery in Bangkok: Mastectomy

Plastic Surgery in Bangkok: Mastectomy: "Mastectomy is surgery to remove all breast tissue from a breast as a way to treat or prevent breast cancer. An incision is made into the bre..."