Non-Incisional Suturing Technique

Overview of the surgery:

Non-Incisional Suturing technique is a minimally-invasive method that employs two sutures on each upper eyelid that are tied in three places and twisted around each other four or five times at the central tie. The threads can be tightened and the drooping upper lid can be elevated to a better position in more secure and therefore longer lasting results with no dissection of eyelid tissues is required.

Duration of the Operation:

The procedure can be done quickly, usually 15-30 minutes.

Post operative care:

You should rest preferably in bed on two pillows or in a recliner.  A bandage over the eyes is not needed. In the evening, you may take a bath. Avoid straining or bending over.  Watching television is acceptable. Apply clean (not sterile) cold compresses to the eyelids to prevent swelling. Pain after surgery is usually mild. You will be given pain medication.

Recovery Period:

It is normal for the eyelids to become red, swollen, and bruised for a few days and will gradually subside.  A small amount of bloody fluid draining from the wound is normal for a few days.  If you were given an antibiotic drop or ointment, gently apply a small amount to any stitches before going to bed, and then twice a day thereafter. 

Possible risk and complications:

Complications are rare; however there are risks associated with any medical procedure. Possible complications include: infection, bleeding (rare), uneven skin scars, asymmetry in healing, tissue injury, crease loss is common. You can help minimize certain risks by following the advice and instructions of your plastic surgeon, both before and after your eyelid surgery.

Anesthesia use:

General anesthesia or local with sedation

Hospital admission:

Non-Incisional Suturing Technique 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

Incisional Suturing Technique

Overview of the surgery:

Incisional suturing technique is the type of cosmetic surgery procedure where the skin around the eye is reshaped to create an upper eyelid with a crease (double eyelid) from an eyelid without a crease (single eyelid). The method of suturing is the most common in Asian double eyelid surgery. The skin is incised with a scalpel at a desired height. A small strip of skin above this initial incision is excised using scissors. The incision is carried deeper into the eyelid through the orbicularis muscle and orbital septum until the orbital fat is exposed. Small strips of muscle and fat are excised. The final crease height and shape are the result of both selective tissue removal and precise internal tissue rearrangement. The incisional approach is considered the "gold standard" in Asian double eyelid surgery.

Duration of the operation:

The surgery lasts less than an hour.

Post operative care:

After your surgical procedure is already completed, cold compress and lubricating ointment may be applied to the surgical area to control the discomfort of swelling, bruising, dryness of the eyes, and in some cases your eyes may be loosely covered with gauze.

Recovery Period:

Sutures are placed and removed anywhere from 5-7 days after surgery and will usually take about 7-10 days recovery period. Activities and exercise can be resumed about 1 month after surgery.

Possible Risks and complications:

Complications are rare, however, there are risks associated with any medical procedure. Possible complications include Ptosis (asymmetrical eyes), hollow eyes wherein too much fat were removed that will result to incapability of the patient to close eyes fully and scarring. These risks can be easily corrected with surgery

Anesthesia Use:

Incisional suturing technique can be performed under local anesthesia with minor sedation or with general anesthesia.

Hospital admission:

Incisional Suturing Technique 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 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.
• 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

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

Bangkok Plastic Surgery Guides: Temporal Fossa Augmentation

Bangkok Plastic Surgery Guides: 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..."

About Cosmetic Surgery Thailand: Temporal Fossa Augmentation

About Cosmetic 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..."

Cosmetic Surgery Thailand: Temporal Fossa Augmentation

Cosmetic 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..."

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