Tummy Tuck or Abdominoplasty

Overview of the surgery:

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.

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

Liposuction

Overview of the surgery:

Liposuction, also known as lipoplasty, liposculpture suction lipectomy or simply lipo ("suction-assisted fat removal") is the most common cosmetic surgery operation that removes pockets of fats from many different sites on the human body. It can remove stubborn areas of fat that do not respond to traditional weight loss method but remember it is not a substitute for dieting and exercise. It also involves the use of a stainless steel suction tube called a cannula. The cannula is pushed and pulled through the fat layer, breaking up the fat cells and suction them out by a powerful suction pump, thus improving body contour and enhancing self image. Areas of the body where liposuction is performed are: abdomen, hips, outer and inner thighs, flanks, love handles, back, knees, arms, submental (chin), Gynecomastia.

The ideal candidates for liposuction are those who are physically fit, who exercise regularly and are not more than 20 pounds overweight. They may have bulging and flabby areas of the body from fat deposits, especially the abdomen, arms, thighs, and neck. Individuals with certain medical conditions may not be suitable candidates for liposuction.

In all types of liposuction methods, there are certain things that should be considered when having the surgery. It maybe performed as an outpatient procedure or the procedure that will be done in a hospital and may require an overnight stay.

The procedure is performed using a suction devise attached to a small, stainless steel tube called cannula. Through a small incision, the small bore cannulas is inserted into fat layer between skin and muscle by alternately pushing and pulling it through the fat layer then suction it out by the use of a vacuum pump or a large syringe. The duration of the surgery will vary according to the amount of fat to be removed.

Duration of the operation:

The duration of liposuction Thailand depends on the number of areas, the size of the area and the amount of fat to be removed.

Post operation care:

1. A compression garment must be worn for two to four weeks.
2. If patient had liposuction by local anesthesia, he/she may resume usual diet immediately.
3. Drink adequate amount of water at least 8- 10 glasses a day or fruit juices to prevent dehydration.
4. Bed rest is recommended for the first few hours after surgery.
5. If non-absorbable sutures are placed, the surgeon will remove sutures after 5 to 10 days.
6. Pain killers will be prescribed to control pain that may last as long as 2 weeks depending on the extent of procedure.
7. Keep incision clean. Take a shower once or twice daily. Wound dressings need to be changed often. After one to three days, small self-adhesive bandages are sufficient.
8. Do not apply ice-packs or a heating pad to skin overlying the areas treated by liposuction.     
9. Do not apply hydrogen peroxide or plastic Band-Aids to incision sites. Liposuction incision sites heal faster and better without topical antibiotics.
10. Do not soak in a bath, Jacuzzi, swimming pool, or the ocean for at least 7 days after surgery in order to minimize the risk of infection.
11. Patient taking Aspirin and Ibuprofen for at least 3 days after surgery. NSAIDs promote increase the risk of bleeding by impairing platelet function and depress immune response to infection.
12. Drainage is placed for about 3-7 days depending upon the extent of surgery.
13. Patient must maintain a proper diet and exercise regimen because the remaining fat cells could still enlarge and form cellulite thus creating irregularities.

Recovery period:

Depending on the extent of liposuction, patients are generally able to return to work between 2 days-2 weeks. Bruising will fade after 1-2 weeks. Swelling will occur and increase 5-10 days after surgery and should subside gradually over 2 weeks- 2 months while numbness persists for several weeks.

Possible risk and complications:

With any type of liposuction procedure, complications may arise beyond the minor side effects but they are rare. Some possible complications include infection, allergic reaction to medication or material used during surgery, excessive fluid loss, thromboembolism, injury to the abdominal organs, and excessive loss of body heat (hypothermia), excessive intravenous fluids, aspiration pneumonia and cardiac arrest.

It is the surgeon’s responsibility to give the written list of signs and symptoms to watch for, along with instructions for post-op self-care.

Anesthesia use:

The procedure uses local or 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 the surgery:

1. Patient and the surgeon will agree ahead of time on exactly which area(s) will be treated and both will discuss what outcome to expect. Assessment of the medical history, physical examination and laboratory tests will be performed during the consultation as well as the explanation of the course of surgery, recovery period, risk and complications.

2. 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.

3. Daily exercises are an important factor to help enhance posture and strength at least 3-4 weeks prior to surgery.

4. Smoking must be avoided for about 3-4 weeks prior to surgery, as nicotine interferes with circulation and will greatly affect healing process. Patient must be free of nicotine patch or nicotine based products for a minimum of 4 weeks prior to surgery.

5.  Patient should 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.

6. 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.

7. 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.

Side effects:

·        Bruising: Can be painful in the short term, and should fade after a few weeks.

·        Swelling: is due to an inflammatory reaction to surgical trauma. This will occur and increase 5 to 10 days after surgery and should subside gradually over a month or two.

·        Scars: will vary in size depending on the particular procedure, and should fade over the weeks. Scarring is an individual thing, partly dependent on heredity. For some, scar healing may take as long as a year.

·        Pain: should be temporary and controlled by either over-the-counter medication, or by a prescription.

·        Numbness: sometimes persists for a few weeks.

·        Limited mobility: will depend on the exact procedure.

·        Nausea and vomiting: are among the side effects that may be associated with liposuction. Nausea can be caused by antibiotics, lorazepam, or local anesthesia.

·        Slight temperature elevation during the first 48 hours after surgery is a natural consequence of the body's reaction to surgical trauma.

·        Itching: may occur as part of a normal healing process. To help relieve itching, patient may try taking Benadryl as directed by the doctor

• 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 test.
• 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

Breast Capsulectomy

Overview of the surgery:

Breast Capsulectomy is the surgical procedure to remove capsules which have formed around breast implants. These capsules can thicken and so squeeze the implants which will distort the appearance of the breasts. This surgery can be done on one of both breasts and depends on the position of the capsule and the level of irritation caused by its presence.  Your surgeon will open the scar tissue of the capsule which releases the tension, and remove this.  He will then make an incision on either the crease underneath the breast, the armpit or the edge of the areola. This is where the new implant will be inserted. The incisions are then closed with fine stitches which are either dissolvable or non-dissolvable ones. He will place tapes over the stitches for additional support. A light dressing will also be put in place.

Duration of the operation:

This surgery takes around 1.5 hours to 3 hours to perform

Post operative care:

Vital signs will be checked. Surgical drains may still be in place. Early ambulation is advised to prevent formation of blood clots. Breasts will feel sore and bruised and will disappear gradually. A general anesthetic can make you feel groggy, nauseous and disorientated for up to 48 hours. You will have some pain but this can be controlled with pain medication. You will have to wear a special bra for a couple of weeks. You will also have to keep the dressings in place for that time. Make sure they do not get wet. Avoid any unnecessary bending, stretching or physical activity. You should get plenty of rest although you may be able to do some light activities after a couple of days.

Recovery period:

This will depend on the individual patient however most patients are able to go back to work after a couple of days. Do not undertake any sports or other physical activities for at least 7 to 10 days.The average recovery time is between 1-2 weeks.

Possible risk and complications:

This procedure is safe but complications do happen. The risks include: infection, bleeding, a loss of or reduced nipple sensitivity, ability to breastfeed is lost or affected, capsular contracture could re-occur, blood clots, nerve injury, breast asymmetry, etc.

Anesthesia use:

Usually done 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.
• Get a baseline mammogram before surgery and another one after surgery to help detect any future changes in your breast tissue.
• 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

Glabella Frown Lines

Overview of the surgery:

Glabella Frown lines are the most common reasons for a Botox procedure. The folds in this area are caused by vertically oriented fibers which are found on the glabellar area. When treating Glabellar frown lines, about 5 sites are to be administered with the toxin. About 25 units are used for all five sites. One is injected in the corrugator muscle and the other four are distributed around and on the sides of this muscle. Initially, the patient will be asked to frown and scowl so the target muscles can be palpated by the Botox therapist. The injections are then administered to various sites. The depth of injection is usually different for every individual. An EMG may also be necessary to spot the right site for injection. The same instructions will be given by the doctor. Bending over should not be done until four hours after the procedure. You are also asking to rest in an upright position to avoid the medication from being absorbed by other muscles.

Duration of the operation:

Botox procedure is done approximately 30 minutes

Post operative care:

A patient is required to rest without lying down in the first 2 hours after the treatment. Exercising or any strenuous activity is also prohibited during this period. A patient is also advised to avoid touching the treated area for the first 4 hours after the treatment. Results last for around 3 to 6 months. Re-injection of Botox is required to maintain the desired appearance. Results can be seen at 2 to 4 weeks after the treatment.

Recovery period:

After Botox injection, there is no downtime needed for the recovery period. Patients can go about their daily routine immediately after the procedure.

Possible risks and complications:

There are very minimal, and often rare, risks and side effects associated with Botox. Headache, flu-like symptoms, temporary redness, swelling, tiny pinching sensations and bruising are the most common side effects that usually fade over time. No fatal systemic side effects have been reported from locally administering Botox injections for facial wrinkles.

Anesthesia use: Local 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

The surgeon will educate you with the procedure. This procedure is very quick and simple; there isn’t much that a patient must do to prepare 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.
• 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.
• The patient only required to undergo a test to ensure that they are not allergic to Botox. If the result is negative the patient is qualified to receive injections.

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

Brachioplasty or Arm Lift

Overview of the surgery:

Brachioplasty, also known as arm lift reshapes the under portion of the upper arm, from the underarm region to the elbow. Good candidates are those individuals who may have sagging upper arms due to the effects of aging and weight loss.

During the surgical procedures, medications are administered. It includes either intravenous sedation or general anesthesia.  Incisions are placed on the inside of the arm or on the back of the arm extending from the axilla (underarm) to the elbow, depending on the location and amount of excess skin to be removed as well as the surgeon’s preference.  Then, tissues are tightened and reshaped with sutures resulting in a smoother and shapely upper arm. The incisions will then be closed with absorbable or non- absorbable stitches.

Duration of the operation:

The procedure usually takes 1-2 hours

Post operative care:

Following your surgery, you may feel some mild discomfort and the surgeon will prescribe pain medications to alleviate pain.

Dressings will be applied to your incisions, and your arms may be wrapped in an elastic bandage or a compression garment to minimize swelling. A small, thin tube may be temporarily placed under the skin to drain any excess blood or fluid that may collect.

Swelling peaks two to three days after your arm lift typically disappear within two weeks. Elevating your arm with pillows can help reduce swelling and increase comfort during recovery.

Dressings are typically applied to the incision. Many of the stitches will dissolve, but those that are not self-absorbing are usually removed within a week. Your surgeon may prescribe a compression garment to allow the skin to adhere to underlying tissues.

Recovery period:

You can shower one week after the procedure, and most people can go back to work two to three weeks after the procedure. Your surgeon will likely tell you to avoid any strenuous exercise for one month, and to avoid heavy lifting for at least six weeks. Individual instructions vary.

Possible risks and complications:

With every medical procedure there is a possibility of complications, which can cause a longer recovery period. Arm lift risks include: Infection, hematoma, anesthesia risks, loss of sensation, scarring, swelling of the hands, Seromas (fluid filled masses along the incision line).

Anesthesia use:

The procedure uses general anesthesia or sedation

Hospital admission:

It depends on your preferences as well as your surgeon’s. Arm lift 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:osias@miraclecosmeticsurgery.net, info@miraclecosmeticsurgery.net or call   mobile phone: +66816572522, Tel: (02) 753-9206, or visit our website: www.miraclecosmeticsurgery.net

Buttocks Lift or Butt Lift

Overview of the surgery:

A buttocks lift or butt lift is a cosmetic surgical procedure that is more concerned with improving the tone and contour of the buttock by removing loose, sagging skin from the buttocks. It can be performed as a solo procedure or as part of the total body lift. The best candidates for buttock lift surgery are individuals who have a saggy appearance in the buttock area due to hormonal changes, extreme weight loss or aging and buttock that appears asymmetrical or lumpy due to burns, wounds or other types of trauma.

It requires short incisions made laterally at the top of the buttocks. After the incisions have been made, excess skin and fat is detached from the underlying muscles. The skin is then reshaped and pulled up to the waist over the muscles and drains are placed beneath the skin to remove excess fluid that may delay wound healing. It will then be closed with stitches which are either absorbable or non-absorbable.

Duration of the operation:

Buttock lift surgery usually takes between 3-6 hours

Post operative care:

After the surgery, sterile dressing is applied to the incision site and will be fitted with a compression garment to protect the incisions and reduce swelling and aid in the tightening of the skin after surgery. Patients will experience some swelling and soreness/pain around the surgical areas easily controlled with oral medications. Patients may sit one to two days after surgery on a soft, full pillow, however should avoid sitting for extended periods

Recovery period:

The healing process is usually 4-6 months and if fall goes well, bruising and swelling usually subsides within a month. Still it may be weeks before you can sit down without discomfort. Keep in mind that you may have to wait as long as three months before you can exercise, run or engage in any kind of strenuous activity. The foam pads come off in 3-4 days at which time the patient may shower.  We recommend continued use of the pillow for approximately 2 weeks.   Patient can generally return to work within one week and compression garment must be worn for two to four weeks depending on the extent of the procedure. People generally feel back to normal after approximately four weeks at which time exercise may be started.

Possible risk and complications:

All surgical procedures have risk and complications inherent to the surgery itself. These risks include: infection, as manifested by swelling, tenderness, redness and fever, is an uncommon risk. Hematoma formation (large blood clot in the wound), which is manifested by enlargement and discoloration of tissue, seroma formation (large serum collection in the wound), which is manifested by prolonged swelling,

Capsular contracture (a condition that can occur when thick/ hard connective tissue forms around the implant body, causing hardness, definitive implant edges that can be seen or restrict movement)

Anesthesia use:

The procedure is 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.
• 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:osias@miraclecosmeticsurgery.net, info@miraclecosmeticsurgery.net or call   mobile phone: +66816572522, Tel: (02) 753-9206, or visit our website: www.miraclecosmeticsurgery.net

Trachea Shave Surgery

Overview of the surgery:

Trachea Shave Surgery (commonly called Adam’s apple 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 shaves) 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:osias@miraclecosmeticsurgery.net, info@miraclecosmeticsurgery.net or call   mobile phone: +66816572522, Tel: (02) 753-9206, or visit our website: www.miraclecosmeticsurgery.net

Lipofilling

Overview of the surgery:

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

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

• 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:osias@miraclecosmeticsurgery.net, info@miraclecosmeticsurgery.net or call   mobile phone: +66816572522, Tel: (02) 753-9206, or visit our website: www.miraclecosmeticsurgery.net

Mastectomy

Overview of the surgery:

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 breast. The breast tissue is removed from the overlying skin and the underlying muscle. When an axillary dissection is done, it is typically via the same incision.

Duration of the operation:

1-3 hours duration

Post operative care:

One or two small plastic drains are usually left in place to prevent fluid from collecting in the space where the breast tissue used to be. Your surgeon will decide when these drains are removed, typically when the amount of fluid draining decreases to an acceptable volume. This may take a few days to a week or more.

Recovery period:

The patient is taken to a recovery room to be monitored after the surgery. After the blood pressure, pulse and breathing become stable, the patient is shifted outside the recovery room. Pain medication may be given to reduce severe pain. The patient needs to stay in the hospital for some days depending on the method of mastectomy and reconstruction. The result after the mastectomy is given in about one week.

Possible risk and complications:

Mastectomy is very safe surgery, and most patients recover well with no complications. As with any surgery, however, there are risks. Possible complications are listed here, but keep in mind that unless stated otherwise, they usually do not happen.

The risks of any surgery are bleeding, infection, and injury to nearby tissues. Some post-operative pain and soreness is expected, but can be effectively treated with pain medication. There will also be a scar on the chest wall. Scarring occurs with all surgery, and is unavoidable.

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.
• 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:osias@miraclecosmeticsurgery.net, info@miraclecosmeticsurgery.net or call   mobile phone: +66816572522, Tel: (02) 753-9206, or visit our website: www.miraclecosmeticsurgery.net

Areolar Reduction

Overview of the surgery:

Areolar Reduction procedure removes the excess areola tissue and improves the overall cosmetic appearance of your areola. Incisions are made in two concentric circles around the edges of the areola. Next, your surgeon removes a donut of tissue and skin, taking care to leave the area around the nipple intact. (The nipple is still attached to its blood supply and the milk ducts.) The surgeon then closes the incision with sutures around the areola that are pulled in to tighten the skin around the areola. The scar is hidden around the edge of the areola and will likely fade with time.

Duration of the operation:

The length of surgery is about an hour.

Post operative care:

Dressings and a light gauze bandage must be worn for several days. You will be able to shower the following day but as long as the sutures are not yet removed from the surgical site, you should avoid dirty water and sweat to get inside the wound by applying antibacterial ointment before showering.

Extra- sensitivity to pain and touch may be felt and will subside in a couple of weeks.

Recovery time will depend on the patient, but most patients can return to work and resume their normal activities within a day or two.

Recovery period:

A minimal discomfort is expected but can go back to work a day after surgery. Recovery time will depend on the patient, but most patients can return to work and resume their normal activities within a day or two.

Possible risk and complications:

All surgeries have risks, including areola reduction surgery. Risks may include: Anesthesia complications, infection hematoma (a break in a blood vessel, causing localized blood-filled area or blood clot), seroma (collection of fluid under the skin), tissue death, permanent numbness, or loss of sensation, scarring asymmetry or unsatisfactory cosmetic results.

Anesthesia use:

Under local 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.
• 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:osias@miraclecosmeticsurgery.net, info@miraclecosmeticsurgery.net or call   mobile phone: +66816572522, Tel: (02) 753-9206, or visit our website: www.miraclecosmeticsurgery.net