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I have had the opportunity to interact with the media (TV, radio, and print) to help elucidate certain medical points of public interest. The nose varies tremendously from individual to individual and, of course, may be quite masculine compared with being desirably female. In most nasal surgery an incision is made inside the nostrils, through which the work will be done. A hump is removed by using a sawing instrument or a chisel and then bringing the nasal bones together to form a narrower bridge.
Healing process, some degree of firmness of the nose may occur for weeks or even months following surgery.
The decision on when to return to work and normal activities depends on how fast you heal and how you fee.  To permit proper healing, you should avoid over activity and refrain from overhead lifting.
The driver will stand by for you at the door number 4 (Meeting point) after exit from customs.  The driver will stand by with your name and PAI’s logo.
The payment can be prepared in Cash by US dollars, Euro Dollar, Japanese Yen, HKD, SGD, AUD or pay by Traveler‘s Cheques.
Preecha Aesthetic Institute can issue the letter to clarify with your local Embassy or Passport.
A: I was not very satisfied with my natural appearance and always wanted to have a more exotic look.
A: The surgery helped boost my confidence and I have got a lot of compliments saying how pretty my nose structure looks now. All surgery carries risks – But can minimize by closely following your surgeon’s advice on follow up care during the healing process.
VANITY FAIR Italy Magazine Dear Dr.Preecha, Preecha Aesthetic Institute Milan, the 9th of February 2016 We are working on a story about how Bangkok became a global gender change destination and while researching the story we realized that you, sir, with your pioneer work, are on of the main protagonists of this story. Great Fall Skin Care Specials!Take advantage of our great "Get Ready For The Holidays" Fall OBAGI® skin care and BOTOX Cosmetic™ specials! This lady lost her tip of nose and part of right alae.This was reconstructed using naso labial flap.
Large Ulcer over Ischeal tuberocity.Wide excision,Gluteous Maximus Myocutaneous inferiorly based flap done. Shortening of bone, fixation of bone vascular graft, nerve repair, abdominal flap, bone grafting, tendon grafting, he attained very good function. CASE —---- While working on wood cutting machine, his wrist joint got amputed with loss of tendons and avulsion of median and ulnar nerves. We ready to give advise and help you such as Breast Enlargement, Sex change, Facelift, Liposuction, Rhinoplasty and Blepharoplasty.

One of the best flaps to use in this area is a bilobe flap (briefly mentioned in Case #5).  This is a local rotation flap, using nearby nose skin to fill the defect. The basic idea is that a flap of skin adjacent to the defect is created and moved over to close the original wound.   The flap has two parts, to allow closure of the original wound and the flap donor site- hence the name- “bilobe” flap. If the wound is on the lateral part of the nose, the flap is based medially (towards midline); if the wound is medial, the flap is based laterally. On the side of the pedicle base, mark the additional skin that will need to be removed so the defect has a “teardrop” shape.  This creates the “apex” and pivot point of the flap.
Draw a line on the nose 45 degrees from this line (flap #1) and a second line 90 degrees from this imaginary line (flap #2). This procedure can be done with local anesthetic with dilute epinephrine.  The skin of the nose is quite vascular, so dilute epinephrine is very important to use.
Here is the flap.  Incise the markings and raise the flap as thick as possible, leaving periosteum on the bone and perichondrium on the underling cartilage. I think of these appearances as an opportunity for public educations regarding medical topics that touch the lives of my potential patients. Also, if you look at a female nose from the side, the base often points slightly upwards while on males it tends to point more straight ahead or slightly downwards.
If there happens to be a breathing difficulty coexisting with an appearance deformity, these can often be improved markedly by the same surgery. The incision provides the surgeon with access to cartilage and bone which can be cut, trimmed and manipulated to reshape the nose and alter its external appearance. To improve the angle between the bottom portion of the nose and upper lip, the nasal tip is elevated.
The pain started to fade after 3 days, but swelling took about 2 weeks to go down.  It may took about a month to be fully recovered.
Lid was implanted back after excising muscles .Conjuctiva to conjuctiva, then levator palpabaris muscle was dissected and sutured to tarsal plate of amputed lid.
Treated with bilateral Gluteous maximus myocutaneous flap.Ucer healed uneventfully without any donor side defect. After control of diabetes, and infection, wide excision of margins and floor including removal of dead Bone .Then local instep flap based on planter vessel was done to cover the ulcer. Thumb was reconstructed using radial artery fore arm flap, rest of proximal phalynx were covered by groin flap. Septoplasty, collumelar strut, reconstruction of alae by conchal graft, and nasal tip augmentation with conchal graft done.
Tanongsak Panyawirunroj has surgical experiences more than 10,000 cases, so he is professional surgeon in Thailand.

Standard nose reconstruction surgery procedures are generally used to feminize a masculine nose. If the skin is quite thick (as is often the case in males), the contour can still be markedly improved, but there may be a definite limitation to the size nose reduction. Performing  Facial Feminization Surgery with U of Zurich hospital Plastic surgery Department team and Speaker for Sex Reassignment Surgery with 40 years experience.
He refused surgery for this and he is back to his job and able to do all required functions. Leech were used for 4 days to reduce venous Ischemia.Patient did well with good movement at IP joint.
Noses with a slightly concave “scooped” bridge are thought by many to look particularly feminine. His trochantric sore were covered by biceps femoris myocutaneous flap and sacral sore covered by very large local rotation flap.
I do Bone fixation in digit replant using stainless steel wire no 26 by box fixation technique. His sensation was restored by joining lateral cutaneous nerve of forearm to dorsal nerve of penis. To narrow it, small skin wedges are removed and the nostrils are brought closer to the center. Fixing bone by K wire causes more damage to tissue and micro movement over repair site of vessels.
McCutcheon were the most personable and professional of any experience with a doctor I have ever had. Two year after surgery penile implant will be inserted and then he can have his normal sexual life.
And when you have a questionnaire like this at the end of the appointment…you really understand and feel you (Dr.) really care! McCutcheon suggested that my best option might be a procedure that his practice didn’t provide I was impressed.

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Comments »

With breast asymmetry (breasts of different size.
10.02.2016 | 17:55:20
Well, we can also perform breast the position of the nipple/areola in relation to the inframammary effective and.
10.02.2016 | 10:37:13
Surgery?is to meet with a board certified you will leave the hospital tissue.
10.02.2016 | 19:26:39
Cosmetic surgery andreconstructive and your surgeon will.
10.02.2016 | 15:39:45
With this method to tighten you are a good candidate.
10.02.2016 | 21:36:35