SRS Surgery Thailand

SRS Surgery Thailand: Biography of Dr. Juta Jansi

2011-08-06T23:02:00.000-07:00

SRS Surgery Thailand: Biography of Dr. Juta Jansi: "DR. JUTA JANSI M.D., F.R.C.S.T. PLASTIC AND RECONSTRUCTIVE SURGEON doctorjuta@gmail.com Dr.Juta Jansi is recognized as one of the most exper..."

Biography of Dr. Juta Jansi

2011-08-06T23:01:00.001-07:00

DR. JUTA JANSI M.D., F.R.C.S.T. PLASTIC AND RECONSTRUCTIVE SURGEON

doctorjuta@gmail.com

Dr.Juta Jansi is recognized as one of the most experienced cosmetic surgeons in Thailand, for his excellent surgical results and low rate of complications. His cosmetic surgical experiences cover minor and major operations including face, breast, body contouring, and sexchange, especially special exclusive techniques for better results in durability face lift, intraoral facial bone surgery, scarless sexchange surgery(male to female).

EDUCATIONAL BACKGROUND

· Doctor of Medicine, Chulalongkorn University, Thailand, 1984

SPECIALTY TRAINING

· General Surgery, Chiangmai University, Thailand, 1990

· Plastic and Reconstructive Surgery, Chulalongkorn University, 1996

DIPLOMA

· B.Sc.MD.

· Diplomate Board of General surgery, F.R.C.S.T.

· Diplomate Board of Plastic & Reconstructive Surgery, F.R.C.S.T.

MEMBERSHIPS

· Society of Plastic and Reconstructive Surgeons of

Thailand

· Society of Aesthetic Plastic Surgeons of

Thailand

· Royal College of Surgeons of

Thailand

INTERNATIONAL TRAINING/SEMINARS ATTENDED

· American Society of Plastic & Reconstructive Surgeons, Dallas, Texas, USA

· Fellowships in Cranio-Maxillo-Facial Surgery, Changkang General Hospital, Taipei, Taiwan, 1997

· Fellowships in Microsurgery, Changkang General Hospital, Taipei, Taiwan, 1997

WORK EXPERIENCE – 24 YEARS

· General Practitioner, Chiangrai General Hospital, Thailand

· Surgical Consultant, Surgical Department, Chiangkam General Hospital, Thailand

· Teaching Staff, Surgical department, Srinakarinwirot University Hospital, Thailand

· Plastic and Reconstructive Surgery, Chulalongkorn General Hospital, Thailand (including sexchange surgical training with Dr.Preecha Tiewtranon

· Surgical Staff, Cosmetic Surgery Unit, Yanhee International Hospital, Thailand 1998-2008

· Cumulative cosmetic surgery cases over 10,000 cases

AT PRESENT

· Plastic Surgery Unit, Bumrungrad International Hospital, Thailand

· Cosmetic Surgery Unit, Samitivej Srinakarin Hospital, Thailand

· Miracle Cosmetic Surgery Center Formerly Paknam Cosmetic Surgery Clinic, Bangkok, Thailand

SRS Surgery Thailand: FAQS on Male to Female SRS

2011-08-06T21:20:00.000-07:00

SRS Surgery Thailand: FAQS on Male to Female SRS: "Who is the candidate for sex change MTF surgery? A suitable candidate for sex change MTF surgery is a person who has been diagnosed with at..."

FAQS on Male to Female SRS

2011-08-06T21:17:00.001-07:00

Who is the candidate for sex change MTF surgery?

A suitable candidate for sex change MTF surgery is a person who has been diagnosed with at least one of the following disorders:

gender identity disorder
gender dysphoria
associated conditions

What are the requirements to have sex change MTF surgery?

As our doctors follow Transgender sex change guidelines from "The Harry Benjamin International Gender Dysphoria Association's Standards of Care for Gender Identity Disorders" a patient must meet the following requirements before having the surgery:

1.) Legal age of maturity age in the patient's nation.

2.) Psychology certificate stating that you are a suitable candidate for sex reassignment surgery by a psychiatrist or clinical psychologist who is a professionally qualified specialist in the field of gender dysphoria.

3.) Hormone therapy certificate stating that you have been on hormone for at least 1 year.

Where can I take hormone treatment?

A patient should see an obstetrician-gynecologist to ask for a hormone prescription. Side effects can be bad if there is over dosage. It is not advisable to take hormone on your own since you should be monitored for side effects while taking it.

Where can I get the psychology certificate?

A patient of sex change surgery should see a psychiatrist or clinical psychologist who is a professionally qualified specialist in the field of gender dysphoria.

What are the effects of estrogen hormone?

Genetic males treated with estrogen may expect the following results: breast growth, some fat redistribution to approximate a female body, decreased upper body strength, softening of skin, some decrease of body hair, slowing or stopping of scalp hair loss, decreased fertility and testicular size, less frequent and less firm erections. These changes are reversible, except for breast growth which may not regress after hormones are discontinued.

How is the sexual life after the surgery?

After sex change surgery, a patient can have normal sexual sensation. Sexual arousal is not only a physical sensation but it is also very much a psychological experience. It means that for you to have a fulfilling sexual experience, you have to be ready in both aspects. During removal of the penis and testicles, the skin, together with its nerve supply, are retained and used to line the new vagina. Also, a new clitoris will be formed from part of your glans penis (head of the penis) also with its nerve supply intact. Therefore, with this in mind, sexual sensation is still guaranteed.

How long should I stay in Thailand for sex change surgery?

In order for a patient to have sex change surgery, the patient should stay inThailand at least 2-3 weeks to complete a whole process and allow the proper healing. On an arrival day in Thailand, a patient should stay in a hotel to relax from a long flight and have a surgery on the following day. Gender reassignment surgery from male to female will require a patient to stay in the hospital for Approximately 14 nights.

How is surgery performed?

The sex change surgery is safe and effective. It takes approximately 4-8 hours. The procedure begins with the surgeon creating the vaginal cavity between rectum and the urethra by cutting some of the pelvic floor muscles to insert the neo-vagina. The surgeon then makes an incision to open the penis. The urethra is shortened and re-routed to emerge lower, just above the new vaginal opening. After the vaginal cavity is created, the surgeon cuts the scrotal skin to removes the testicles. The scrotal skin including the surrounding tissue is then used to construct the external genitalia such as labia minora and labia majora to create a neo-vagina similar to the biological female genitalia.

The surgeon uses the “Penile Inversion Vaginoplasty” technique which turns the penile skin inside out to line the vaginal wall. This technique limits the depth of the vagina depending on the amount of the penile skin available. In patients with short or small penis or who have had circumcision, the surgeon uses the scrotal skin graft in conjunction with the penile skin to increase the vaginal depth, usually 6-7 inches. The surgeon then constructs the clitoris by retaining a small section of the glans penis with its blood supply and nerves intact, since the nerves of the glans penis is analogous to the nerves of the clitoris in female. This is then positioned above the urethral meatus. At the same time the labia minora is created using part of glans penis and prepuce skin.

What is the post-surgical care?

After sex change surgery, the patient will be under the surgeon’s close supervision and he will inform you of everything you need to know. The following post-operative care guidelines should be observed:

The first 2-3 days the patient will be on a clear liquid diet and must avoid fibers and milky beverages that can induce defecation to avoid infection.
At bedtime, use the wrap to lie between legs while sleeping to prevent the wound being pressed.
Use a vaginal douche or sterile solution to clean the wound to prevent infection.
The patient will be able to walk after 5-7 days
Use a small size dilator and gradually increase in width and size, as you feel fit. You should dilate the neo-vagina 3-4 times a day. Dilation is needed everyday for 2-3 months then once a day after one year.
2 weeks after surgery return for a follow-up check and removal of stitches.

You should not engage in sexual intercourse until at least 2 months after the surgery.

What are the possible risks and complications?

The possible main risks are swelling, bruising, bleeding, infection, scarring and numbness, or change in sensation. Following the surgeon’s advice will reduce risks and complications.

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

2011-04-22T01:02:00.000-07:00

SRS Surgery 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)

2011-04-22T01:01:00.001-07:00

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.

SRS Surgery Thailand: Scarless Male To Female Sexual Reassignment Surger...

2011-04-22T00:59:00.001-07:00

SRS Surgery Thailand: Scarless Male To Female Sexual Reassignment Surger...: "With the rapid advances in knowledge, several techniques were used to create the vagina; however, Dr. Juta”s technique is one of a kind, “Th..."

SRS Surgery Thailand: Biography Of Dr. Juta Jansi

2011-04-22T00:59:00.000-07:00

SRS Surgery Thailand: Biography Of Dr. Juta Jansi: "DR. JUTA JANSI M.D., F.R.C.S.T. PLASTIC AND RECONSTRUCTIVE SURGEON doctorjuta@gmail.com Dr.Juta Jansi is recognized as one of the most exper..."

SRS Surgery Thailand: How to Choose A Certified Plastic/Cosmetic Surgeon...

2011-04-22T00:58:00.000-07:00

SRS Surgery Thailand: How to Choose A Certified Plastic/Cosmetic Surgeon...: "When choosing a plastic surgeon, it is important to consider a number of factors. Medical training and surgical experience are primary indic..."

SRS Surgery Thailand: Why in Thailand?

2011-04-22T00:57:00.001-07:00

SRS Surgery Thailand: Why in Thailand?: "Thailand is one of the most popular holiday destinations in the world today and foreigners seek cosmetic treatments for the following reaso..."

SRS Surgery Thailand: Female to Male Sexual Reassignment Surgery

2011-04-22T00:57:00.000-07:00

SRS Surgery Thailand: Female to Male Sexual Reassignment Surgery: "Female to Male Surgery Female to male surgery (also known as sex reassignment or genital reassignment surgery ) is a process in wh..."

SRS Surgery Thailand: Male to Female Sexual Reassignment Surgery

2011-04-22T00:55:00.001-07:00

SRS Surgery 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..."

Male to Female Sexual Reassignment Surgery

2011-04-22T00:55:00.000-07:00

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:

Letter of recommendation from a psychiatrist.
Discontinued hormonal therapy at least 14 days prior to surgery. Hormones should be stopped before surgery to reduce the risk of thrombosis (blood clots).
Physical check up prior to SRS. Laboratory test should be taken. It includes the following: CBC, HIV, FBS, Creatine, Urinalysis, Alkaline phosphatase, SGOT LDH EKG and chest x- ray. You can have your private doctor perform the physical examination and send the results via email.
Patient must stop smoking 2-4 weeks prior to the surgery. Smoking interferes and delays wound healing process.
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.
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.
No intake of food or water 8 hours prior to surgery.
The surgery usually takes 4-8 hours and is usually done through general anesthesia.
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.

Female to Male Sexual Reassignment Surgery

2011-04-22T00:47:00.000-07:00

Female to male surgery (also known as sex reassignment or genital reassignment surgery) is a process in which a surgeon physically transforms a woman into a man. Sex reassignment surgery is actually a series of surgeries that includes: mastectomy (breast removal),hysterectomy (removal of female reproductive organs), genital reassignment, and testosterone treatment. The mastectomy may include additional plastic surgery like nipple realignment and removal of excess skin for a more masculine-looking chest. The process can take up to a year, allowing the skin to heal before additional adjustments are made.

Female to male surgical procedure:

This type of surgery consists of 4th stages operation as follow:

1st stage: is the removal of uterus, ovary, prepare the urethra skin abdominal tube and removal the Breast or reconstruction. This requires 7-9 days in Bangkok after surgery.

2nd stage: Penile reconstruction from the abdominal skin required 1 night hospitalization and 10 days recovery in the Bangkok.

3rd stage: (after 6 months) to connect the urethra and silicone testicles. 1 night in hospital. 7 days in Bangkok.

4th stage: (after 3 months) inserting the silicone penis to make it hard and sculpture the gland penis plus minor corrections. One night in hospital. 7 days in Bangkok

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.

· Patient should avoid strenuous activities which can interfere with the circulation.

. 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.

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, Nipple numbness, Scarring,

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:

1. Legal age of maturity in the patient’s nation. At least 18 years of age and will require permission from parents.

2. At least 12 months of continuous hormonal therapy for those without medical contraindications. Patient should present a Hormonal therapy certificate.

3. At least 12 months of continuous full time real life experience in a cross gender role.

4. Patient should present a Certificate of recommendation from a qualified psychiatrist/psychologist dealing with transsexuals for the diagnosis of gender dysphoria.

5. Physically fit for the surgery.

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. Patients who are HIV positive will pay 30% extra charge from the standard price due to the necessity of using disposable instruments.

10. 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 surgeon for clearance. If medical clearance is not yet received at the expected date of completion, surgery maybe delayed or cancelled.

Stop smoking: Smoking must be avoided for about 3-4 weeks prior to surgery, as nicotine interferes with circulation and will greatly affect healing process.

Stop 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.

Arrival: You will arrive at Bangkok International Airport.

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)

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.

· 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.

Why in Thailand?

2011-04-22T00:32:00.003-07:00

Thailand

is one of the most popular holiday destinations in the world today and foreigners seek cosmetic treatments for the following reasons:

· Low cost surgical treatments

The treatment fees in Thailand are generally between 50-70% less than they used to be in the western countries. This low cost treatment allows tourist to shop for an affordable price and can find a qualified plastic surgeon of choice. Foreigners can leave for an exciting vacation, have the surgery, relax, recover and return home a completely renewed individual.

· Quality healthcare services

Thailand

has developed a world class series of hospitals and clinics that offers modern medical facilities with access to the latest technology and treatments as well as highly educated and world class trained surgeons. Many foreigners had cosmetic surgery in

Thailand

and experienced plastic surgeons that treated them with outstanding skills and innovative techniques.

· Highly developed infrastructure

Thailand is famous of its magnificent beaches and nature's best scenes. The country has a rich culture with a superb cuisine. Tourist will enjoy many different attractions and a wide choice of accommodation from first class hotels to guest houses and also a safe and friendly place suitable for treatment and recovery.

How to Choose A Certified Plastic/Cosmetic Surgeon?

2011-04-22T00:32:00.001-07:00

When choosing a plastic surgeon, it is important to consider a number of factors. Medical training and surgical experience are primary indicators of the surgeon’s qualifications. Board certification is another important criterion. No single factor can guarantee you the best doctor for a specific procedure. Ultimately, it is up to you to decide which surgeon is best for your specific goals and expectations.

To become a plastic surgeon, a doctor must obtain an M.D. (Doctor of Medicine) or a DO (Doctor of Osteopathy) degree. Following this, there are several paths the doctor may follow. Many doctors now spend five to six years in an integrated plastic surgery residency, although some complete three years of general surgery and two years in plastic surgery.

What does it mean to be a Board Certified Plastic Surgeon?

Choosing a Board certified surgeon can be a very tough job because of the personal information being shared. Just open the yellow pages, magazines, brochures or view news paper advertisements and you’ll find plastic surgeons promoting all kinds of society memberships and board certifications but don’t be confused between boards and societies. Societies are merely professional associations. Board certification is the minimum criterion you should use in selecting a plastic surgeon. So, it is very important that you learn about the doctor’s education, training, certification, and experience in order to guarantee a successful outcome and to make the best choice.

Beware of lots of Letters after the Doctor’s Name:
Many fraudulent doctors’ have quite a few letters after their names. In fact, multiple letters may be the telltale sign of an inadequately trained doctor trying to impress the public. Definitely, your doctor should have the letters M.D (Medical Doctor) or D.O (Doctor of Osteopathy) after his name. He might even have one or more master’s degrees or might also have PhD but these degrees are irrelevant to plastic surgery. Patients are advised to select a board certified plastic surgeon.

Guide to choose a Plastic Surgeon:

Get Referrals: Begin your search for a plastic surgeon by asking friends, relatives, family doctor, colleagues that are willing to meet with you and share their results of the surgery. Hospital staff such as nurses, surgeons and anesthesiologist is also excellent sources of referrals. You may also do research on the internet, magazines, or in the yellow pages. Chances are a few names will stand out from the others. It will help give you the best possible recommendations.

Check the qualifications of the surgeon: One of the most important qualifications you should look for in a plastic surgeon is that they are board certified but you must need to know what board has certified your plastic surgeon and be sure that the surgeon has graduated from an accredited medical school.

Meet the surgeon: Look at pictures of past procedures done by the surgeon. Choose an ethical and confident surgeon and friendly staff members for a long lasting relationship and you should expect good communication, understanding and comfort from the surgeon.

Scarless Male To Female Sexual Reassignment Surgery

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With the rapid advances in knowledge, several techniques were used to create the vagina; however, Dr. Juta”s technique is one of a kind, “The Scarless Sexchange” wherein there will be no visible scar on the labia majora after the operation. Certainly, he is the only doctor performing a high quality SRS “Scarless Sex change” in Thailand today. With Dr. Juta, you can achieve a successful outcome both in appearance and function, and there are far lesser incidents of complications. The goal of Doctor Juta is to create female sexual organs that look as natural as possible and that allow as much sexual arousal as possible.

Biography Of Dr. Juta Jansi

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DR. JUTA JANSI M.D., F.R.C.S.T. PLASTIC AND RECONSTRUCTIVE SURGEON

doctorjuta@gmail.com

EDUCATIONAL BACKGROUND

· Doctor of Medicine, Chulalongkorn University, Thailand, 1984

SPECIALTY TRAINING

· General Surgery, Chiangmai University, Thailand, 1990

· Plastic and Reconstructive Surgery, Chulalongkorn University, 1996

DIPLOMA

· B.Sc.MD.

· Diplomate Board of General surgery, F.R.C.S.T.

· Diplomate Board of Plastic & Reconstructive Surgery, F.R.C.S.T.

MEMBERSHIPS

· Society of Plastic and Reconstructive Surgeons of

Thailand

· Society of Aesthetic Plastic Surgeons of

Thailand

· Royal College of Surgeons of

Thailand

INTERNATIONAL TRAINING/SEMINARS ATTENDED

· American Society of Plastic & Reconstructive Surgeons, Dallas, Texas, USA

· Fellowships in Cranio-Maxillo-Facial Surgery, Changkang General Hospital, Taipei, Taiwan, 1997

· Fellowships in Microsurgery, Changkang General Hospital, Taipei, Taiwan, 1997

WORK EXPERIENCE – 24 YEARS

· General Practitioner, Chiangrai General Hospital, Thailand

· Surgical Consultant, Surgical Department, Chiangkam General Hospital, Thailand

· Teaching Staff, Surgical department, Srinakarinwirot University Hospital, Thailand

· Plastic and Reconstructive Surgery, Chulalongkorn General Hospital, Thailand (including sexchange surgical training with Dr.Preecha Tiewtranon

· Surgical Staff, Cosmetic Surgery Unit, Yanhee International Hospital, Thailand 1998-2008

· Cumulative cosmetic surgery cases over 10,000 cases

PRESENT

· Plastic Surgery Unit, Bumrungrad International Hospital, Thailand

· Cosmetic Surgery Unit, Samitivej Srinakarin Hospital, Thailand

· Parkman Cosmetic Surgery Clinic, Bangkok, Thailand