FAQ
 Sex Change Surgery (Male to Female)
Is it possible to have other plastic surgery performed with the SRS?
Yes, it is, depending on what type of surgery you would like to undergo. Some surgery such as Vaginoplasty can be performed simultaneously with Chondioplasty (Adam’s apple), Augmentation Mammoplasty or Rhinoplasty while major Facial Feminization should be done separately around 5 days after SRS. Other surgeries can be done 2- 3 days after SRS.
Is there any weight limits for SRS?
The maximum weight should be limited to 100 kg. or 220 pound. If your weight is more, we would like you to loose weight before the surgery.
What is a sigmoid colon?
The primary sigmoid colon is being used when patient has very small penis and would like to get deeper vagina.
What is the usual method for SRS?
A Penile Skin Inversion.
What is a depth of vagina after the surgery?
You will get an average of six inches deep. Long term results are different depending on many factors such as dilation and wound care.
Depth of neo-vagina from penile skin inversion without skin graft depends on length of penile skin versus the height of the person. With the same length, the shorter person will have a deeper vagina. It also depends on other factors such as circumcision, or amount of penile skin.
What is a recommendation for patient who has already had SRS but would like to have more vagina depth?
A Sigmoid colon vaginoplasty is recommended for a deeper vagina.
Is there any chance of infection when using the colon in SRS surgery? If so, can it be treated with medication?
In any type of operation, there is 50:50 percent chances to develop infection, and it can be controlled by medication. Generally we mainly do the colon surgery for the patient who has undergone the primary and this colon surgery will be the second surgery. A breaking period is to allow the wound to heal and let you body to rest before the second one.
What is the Premarim Cream for?
It is for to smooth, deep and flexible in your vagina.
When will the scar from surgery be healed?
The scar will require some time to fade out. You can help speed up the process by using steroid cream or vitamin E oil 32,000 iu (good one)on it.
Why it is necessary to dilate?
The reason is because the vaginal lining is made from your skin, therefore it will naturally contract in the early process of healing for the first 6-12 months. Dilation will prevent the contracted vaginal space and will expand the pelvic muscles.
Why there are several sizes of dilator?
It is because you need to increase size each month.
How can I get name and gender change after surgery?
After surgery, we will give you a proof of letter regarding for your gender and name change. You may turn to your local government to change your gender identification.
When should I stop taking hormone before surgery?
All hormones and medicines such as Estradiol, spironolactone, Asprin, Vitamin-E, or non-steroidal anti-inflammatory such as Advil, Aleve, or Ibuprofen should be stop at least 7-10 days before surgery date.
Do I need to complete genital electrolysis?
It is not necessary to have it done before the surgery because during stage of scrotal skin graft, the doctor will scrape the hair follicle, which will help reduce the hair growth. Taking female hormone is also a good help. Therefore if you would like to get hair removal done in your country prior to arrival you can do it around bikini area, especially the midline of genital. The electrolysis session should be stopped 2 weeks before surgery.
Should I bring my hormones with me during visit to the hospital?
You can bring you the hormones with you and you may start taking it again after you leave hospital or ask doctor for recommendation.
What the medical test do I have to complete before surgery?
The medical tests that you should complete before coming here are chest x-ray, EKG, CBC, Ua and Anti-HIV test and send us an e-mail scan result 15-30 days before arrival.
Can I have the pre operative testing done in Bangkok?
Yes, you can have them done here at Bangkok 9 hospital.
What is the FBC test?
FBC is the same as CBC. It is a full Blood Count or a Complete Blood Count.
How many approval letters do I need to show before surgery?
You need to bring two letters from your doctors. One from your psychologist or psychiatrist stating that you are fit for SRS and the other one from you doctor to show how long you have taken female hormone.
Breast Augmentation / Augmented Mammoplasty
What can be expected from breast augmentation?
Breast augmentation will make your breasts fuller and enhance their shape. You will find it easier to wear certain styles of clothing. Like many women who have had breast augmentation, you may feel a boost in self-confidence.
Which part of skin would be transplanted?
We do not use skin implant in breast augmentation, but we use insertion technique which is the texture implant into underneath chest muscle.
What type of implant is used?
We use silicone gel implant (Mentor and PIP) from France and Netherlands.
Breast Lift
How long will bruising or swelling be disappeared?
It will be disappeared by the time passes. It will take about three months for breasts to regain softness and natural appearance.
Breast Reduction
What are the benefits of breast reduction?
It is quite successful in reducing the weight of very heavy breasts, making it easier for you to enjoy any active lifestyles. Many women find that this surgery relieves chronic back, neck, and shoulder pain. The primary benefit of the operation is functional, but you also get a breast lift, which may enhance your appearance and improve your body image.
When will I am fully recovered?
Although you may be up and about the next day, your breasts may still ache occasionally for a couple of weeks. You should avoid lifting or pushing anything over 6 kg or 15 pounds for three or four weeks. Most women can return to work (if it's not too strenuous) and social activities in about two weeks. Avoid sex for a week or more, since sexual arousal can cause your incisions to swell, and to avoid anything but gentle contact with your breasts for about six weeks.
What are the risks of Breast Reduction?
With any surgery, there is always a possibility of risks of bleeding and infection, or reaction to the anesthesia. Some patients develop small sores around their nipples after surgery; these can be treated with antibiotic creams.
The risks can be reduced by closely following the written instructions both before and after surgery. The procedure leaves noticeable, permanent scars, although your bra or bathing suit can cover them. (Poor healing and wider scars are more common in smokers.) The procedure can also leave you with slightly mismatched breasts or unevenly positioned nipples. Future breast-feeding may not be possible, since the surgery removes many of the milk ducts leading to the nipples. Some patients may experience a permanent loss of feeling in their nipples or breasts. Rarely, the nipple and areola may lose their blood supply and the tissue will die; the nipple and areola can usually be rebuilt using skin grafts from elsewhere on the body.
What bra size will I have after surgery?
Your breasts will be examined and measured. You and your doctor will discuss which proportion will please you versus the possibility in operation on obtaining it. You will also be discussed about the size and position of the areola and nipple that are “lifted” during the procedure. Your doctor will probably photograph your breasts for reference before and after surgery. Be openminded and honest about your hopes and expectations. Your surgeon’s goal is to provide you with aesthetically agreeable results that you’ll be happy with.
Liposuction
What does the point mean?
The point that we mention in our website means the area where you prefer to have liposuction. They are; waistline 2 points, upper abdomen 1 point, lower abdomen abdomen 1 point, outer thigh 1 point, inner thigh 1 point, buttocks 2 points, knee 1 point, calf 1 point, ankle 1 point and neckline 1 point.
Is there any dangers in Liposuction?
Though liposuction is very safe and effective, it is a surgical procedure that excessive bleeding and infection may occur. Aesthetic complications such as skin irregularity or waviness may also occur if too much fat has been removed. Fortunately, complications are rare and most patients are satisfied with their results.
How do I know I need a liposuction?
Generally people who have localized areas of protruding fat will achieve the most dramatic results. If you are slightly overweight, you can benefit from liposuction. Good skin elasticity permits the skin to shrink easily to the reduced contour. There are no absolute age limits for liposuction.
How long will result last?
The result of liposuction can be permanent as long as you maintain your postoperative weight. Even if you gain a few extra weights, you may find that the weight is distributed more evenly instead of accumulating in the areas that were a problem to you in the past.
Full Face Lift
What is a full face lift?
As we grow older the skin covering the fatty tissue on our faces begins to loose and sag in various places. The loosening of skin produces wrinkles and enhances the skin folds on the face, especially around the jaw, chin and neck area. A face lift is a procedure that tightens facial muscles and skin, and a younger looking appearance is a result. A face lift can be performed with other procedures such as brow contouring and forehead lifts, eyelid surgery, facial liposuction, chin contouring and nose reconstruction.
Will there be any scars left on the face?
The scars from face lift surgery will fade and finally barely noticeable.
How long does a full facelift last?
No one can say a definite time. Though the clock has turned back, it keeps running. Ten years later, you will look better than you will be if you never have a surgery. Many patients do not need to have a second lift, while others may desire further surgery after 7 to 15 years later.
Mini Face Lift
What is a mini face lift?
Mini facelift is good for people who have aging in shown in the middle of the face and do not have much of excessive skin around jaw line and neck.
What is the difference between mini facelift and full face lift?
A mini face lift has a shorter, more limited incision than that of a full face lift. The incision used for a mini face lift may be half length of full face lift incision and eliminates most of the incisions behind the ears. Mini face lift will improve the sides of face from temporal, lateral brow area, cheek, nasolabial fold and the jaw line. Not the neck area.
How long should I take a break after a mini face lift surgery?
Most patients are able to return to work in two to three weeks after surgery. You should allow 4-8 weeks before resuming major social activities.
Forehead Lift
Can I do forehead lift with other surgery?
Eye lid surgery may be performed at the same time as a forehead lift, especially if a patient has significant skin overhang in the upper eyelids. Sometimes, patients who believe they need upper-eyelid surgery find that a forehead lift can serve their surgical goals better. Usually, forehead lift is often performed together with a facelift to provide a smoother overall look to the face.
Upper and Lower Eyelid Surgery
How much is a pain in Eyelid Surgery?
There might be a feeling of tight sensation around the eyes, with minor discomfort that lasts for a day or two. A mild pain reliever can be taken as needed. Eyelid surgery can be performed under local anesthesia with a total recovery time as short as 7 to 10 days. (Recovery time varies from person to person.)
Are there any scars from the surgery?
Scar is a result of any surgical procedure. The incision that is made to accomplish the goal of the procedure is barely visible after several months pass as they are placed with the normal creases and folds of the upper and lower eyelids. Patients who only need to remove fat from the lower eye lids will have no visible scars.
Will the fine wrinkles around the eyes, sagging eyebrows and dark circles under eyes go away after Upper Eyelid Surgery (Blepharoplasty)?
The Blepharoplasty procedure will not eradicate the wrinkles around the eyes (crow’s feet) nor will it elevate droopy eyebrow. There are other procedures designed for these purposes. Dark circles under the eyes may improve a bit if this is related to large bags, but most often the dark appearance of the lower eyelid skin remains.
How do I know I need upper eyelid surgery (Blepharoplasty)?
If you have the following qualities;
Excess skin obscuring the nature fold of the upper eyelids,
- Leave skin hanging down from upper eyelids or perhaps impairing vision,
- A puffy appearance to upper eyelids, or making the eyes look tired,
- Fine creepy or excess skin, wrinkles of lower eyelids,
- Droopiness of the lower eyelids showing white below the iris (colored portion of the eyes).
What other procedures can be performed with upper eyelid surgery?
If you have sagged eyebrows, a forehead lift is recommended.
Bat Ears Correction (Otoplasty)
Will the operation affect my hearing?
No. Only the outer ear is being operated, not the middle or inner ear, where hearing takes place.
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