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Augmented Rhinoplasty (Nose Augmentation)

Augmented Rhinoplasty is very common among Asians and non-Caucasians to correct a flat nose with a round bulbous tip and flaring nostrils. The aim is to build an aesthetically pleasing nasal bridge with an elegant projection and well defined nasal tip, and at the same time narrow the flaring nostril base. An implant is usually used.

The implanted material is biocompatible and extremely safe. Incisions are made inside the rim of the nostrils. Soft tissues of the nose are then separated from the underlying structure to create the appropriate space for nose implant projecting the nasal tip and increase the height of the nose.

Of all the procedures performed by plastic surgeons, rhinoplasty is the most challenging. And it is with this procedure that society judges you by its shape and the skills of the surgeon because the nose is the first thing you see when you look at someone. There is no way to hide the nose, before or after the procedure. Noses are so variable in size and shape that it is hard to define what is normal. Every nose is different and every result should be different, fitting the patient’s face.

Nothing defines your appearance quite like your nose. Like it or not, people identify and even judge you by its shape and size. If your nose overwhelms your other features, it can hamper your self confidence by affecting your looks. That’s especially true if you are transitioning from your birth gender as a male to your new gender as a female. Having the nose that is bigger and wider than the small, narrowed version found in most women can ruin the feminine identity you wish to project. Can it be changed? Yes. By reshaping your nasal contours, rhinoplasty is one of the most important operations in facial feminization.

If you’re a transgender individual, your nose presents one of the most obvious facial challenges to your feminity. Distinct differences are found between the sexes. First, male nose are larger in every aspect than in female noses. They’re longer and wider with larger nostrils and generally bulkier tips than those features in women. Second, a man’s nose points either ahead or slightly downward at the base, as opposed to a woman’s nose which points slightly upward at its base. The female bridge in some ethnicities also “scoops” or dips before sloping gently straight downward or into a slightly upturned tip. 

Third, and perhaps most important, the angles between the nose and the forehead, and between the nose and the upper lip tend to be sharper in men than woman. As a male you may not have the chiseled profile but your nose likely projects off your forehead in a more abrupt way. You may even sport an unsightly bump, called a dorsal hump.

In changing our nose to fit your new gender, your surgeon will make sure that it not only slopes gently from your forehead but also is free of any humps or bumps. He or she will also downsize and resculpt until this part of your face fully reflects your new identity. 

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Temporal Fossa Augmentation

The temporal fossa is located above your cheekbones, just to the side of your eyes. It is the shallow depression of your skull.

You know it as your temple. Created by an underlying pair of cranial or temporal bones, it houses the temporalis muscle, one of the strong muscles necessary for chewing. If you take away the muscle, you are left with a space called the temporal fossa. Normally, this indentation is a discreet hollow just below and behind your forehead. But if the depression is so pronounced that it makes you look sickly or gaunt, you may want your surgeon to fill it in. Augmenting a temporal fossa depression isn’t a necessary step in feminizing your face, but it will add immensely to a healthy, feminized look. 

There is no difference between the sexes when it comes to an exaggerated temporal fossa depression. Even though I have treated only one woman with a significant indentation, I believe strongly that a deeply concave or inwardly curved space has nothing to do with gender. Whether you are a man or a woman, a pronounced hollow just behind your lateral orbital rims, the bony ridges to the side of your eyes, can have a significant effect on your facial aesthetics. This hollow can make you appear starving when you are well fed. Although the majority of the people don’t have a temporal fossa depression that merits attention, it is not an uncommon occurrence.

The degree and precise location, however, can be variable. The depression also isn’t necessarily symmetrical or the same on both sides. When it does exist, augmenting the space can offer many aesthetic benefits. Improving the contour can create a more appealing look.  

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

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Mandibular Angle Reduction (Reduction Angleplasty)

Mandibular Angle Reduction is usually done to individuals who have wide jaw line or square face. It reduces the width of the lower face and change a square face to an oval one.

This procedure can enhance the masculine features, in men while in women it can give an impression of strength and confidence. In some, however, the jaw can be disproportionately wide as compared to the rest of the face or zygomas and mandibular angles are overly prominent that upsets the balance of the face.

This is one reason for aesthetic Mandible Angle Reduction. The incision is commonly done inside the mouth which means the scar will be invisible.

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

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Lower Jaw (mandibular) angle surgery/ Mandibular Angle Reduction/ Gonioplasty

A protruding or receding lower jaw can markedly decrease the aesthetic results of your facial feminization surgery. If your mandible doesn’t match your maxilla (upper jaw), and/or disproportionately wide as compared to the rest of the face, that upsets the balance of your over all facial profile. Thus, lower jaw (Mandibular) Surgery is an important step in facial feminization surgery.

Done to individuals who have wide jaw line or square face. It reduces the width of the lower face and change a square face to an oval one.

This procedure can enhance the masculine features, in men while in women it can give an impression of strength and confidence. In some, however, the jaw can be disproportionately wide as compared to the rest of the face or zygomas and mandibular angles are overly prominent that upsets the balance of the face. This is one reason for aesthetic Mandible Angle Reduction. The incision is commonly done inside the mouth which means the scar will be invisible

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

Thyroid Cartilage Reduction/ Adam’s apple Removal

Adam’s apple is a feature of the human neck that is characterized by a protrusion formed by the angle of the thyroid cartilage surrounding the larynx. During puberty stage, thyroid cartilage elongates eventually much larger in males than in females. Because this protrusion on the neck is so a distinctive characteristic of an adult male, it may cause you great concern. Yet, Adam’s apple can be reducing in size by a Thyroid Cartilage Reduction procedure transforming from masculine to feminine remarkably.

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

Lower Jaw Tapering- Angle Reduction/ V-line mandibular Angle Contouring

Tapering the mandible or lower jaw is an important step in facial feminization surgery. Women have more tapered and narrower lower face. Men have considerably prominent jaw line rendering a wide, square face which enhances the masculine features. With these differences, the surgery is essential in transitioning from male to female. Thus, improving femininity and eliminating obvious masculinity.

It allows for reduction of the chin to a more slender and oval shape without increasing its length. The surgery also reduces the overly strong bone flanking each side of the chin, thus transforming the more masculine U shape to a sharper and more feminine V shape. The chin line is excised into a smooth line. The chin end can be brought together without touch of the nerve. The protruding parts in both sides of the mandible are excised. The narrowed chin end produces the wholly oval V-line face type. 

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

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Chin Reduction

The chin is one of the most important features in gender identification. It is so different between the genders. In men, chins are vertically higher and wider than in women. The chin is the front portion of the mandible or lower jaw and the point on the lower face.

Chin reduction is a cosmetic surgical procedure that reduces the size of the chin by shaving down the bone through an incision made in the lower gums. Chin reduction surgery begins with the surgeon making an incision inside the mouth (near the lower lip) or under the chin. Using specialized instruments, the surgeon detaches the bone at the tip of the chin and then reshapes and removes the excess bone to properly proportion the contour. The tip is then repositioned with the remaining section of chin and held together using wires and plates. The incisions are sutured to complete the procedure.

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

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Malar Bone Reduction/ Cheek Bone Contouring

Cheek Bone Reduction is not a common procedure in transgender individuals among Caucasians, Hispanics or African Americans whose wide cheek structure is regarded as very attractive while in Asian individuals this is a very popular procedure since an oval-shaped face is considered to be more aesthetically pleasing and desirable.

Reduction Malarplasty is performed on patients with large cheek bones by either of two techniques. The first involves using a special drill to burr down or shave the excess bone at the zygomatic arch, the bony ridge that extends from beneath the eye socket along side the skull lateral to the temporal fossa. The second involves cutting out an appropriate amount of the zygomatic anterior arch, rotating or turning the lateral arch inward and securing with a small plate and two tiny screws. Both approaches maybe use depending on the problem.

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

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Forehead Augmentation (Forehead Contouring Surgery)

You can easily tell the difference between male foreheads from female ones. Covering a large portion of the face, the forehead shows a markedly different contour and projection in men than in females, although most people don’t realize how their forehead is shaped or even protrudes from the face.  

A female forehead shows a smooth and even surface while male forehead exhibit a pronounced brow bossing with greater hooding over their eyes and projects farther forward in front of the eyes.

Since the forehead contour is a distinct sign between both genders, forehead contouring is an important step in facial feminization surgery, thereby, creating a more naturally feminine appearance.

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

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Scalp Reduction/ Scalp advancement

The foreheads and scalps are facial features that show more clearly whether a person is a male or a female. Male foreheads are remarkably different from female ones. Naturally, the distance from the hairline down to the eyebrow at the mid pupil line in males averages 2.6 inches in contrast to about 2 inches in women.

High hairlines and vertically long foreheads are generally accepted in males but not fashionable in females, therefore scalp reduction is performed as part of facial feminization surgery.

With scalp reduction, the portion of the scalp area is removed then pulled together, thereby shortening the forehead and minimizing the receding hairline. The best candidates for this procedure are individuals who suffer from male pattern balding and those who wanted to look more like a woman.

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

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All About Cosmetic Surgery In Thailand: VASER Liposuction

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VASER Liposuction

Latest, third generation ULTRASONIC liposuction technique that is designed to virtually eliminate bleeding during surgery and to reduce inflammation and bruising. VASER Ultrasound technology literally liquefies the fat, which allows for greater precision and vastly superior results.

Ideal candidate for Vaser Liposuction

All candidates for liposuction should have realistic expectations of the results that can be achieved through the procedure and should be in good physical and mental health. The best candidate is someone who is in excellent health, is within 25 pounds of his or her ideal body weight, and has deposits of fat that have not responded to diet or exercise.   

At the consultation

You should express your desires and expectations from the surgical procedures. The surgeon will evaluate your medical health and explain the surgical techniques available to you. Your question will be answered as thoroughly as possible.  Examinations of your trouble are will be performed. The surgeon will go over the risks and potential complications of the procedure, as well as, the pre-operative and post –operative process.


Risk Factors

All surgeries carry some risks. Listed below are the risks or potential complications:

The risks of VASER liposuction are very similar to the liposuction risks associated with any other method. However, because LipoSelection minimizes damage to other body tissues, patients typically experience less pain and fewer side effects than with other forms of liposuction. Serious liposuction complications are quite rare. Fat clots or blood clots may form, and there is a chance these will migrate to the lungs and cause serious illness. The fluid loss that results from liposuction will be anticipated by a qualified doctor, as it can cause low blood pressure, friction burns, or fluid buildup. The LipoSelection probe’s ultrasound energy may injure the skin or deeper tissues; although in most cases the benefits of the ultrasound system make it safer than traditional liposuction. If a doctor inexperienced with the LipoSelection procedure applies too much fluid, the wetting solution may collect in the lungs. If there is too much lidocaine in the liposuction solution, lidocaine toxicity may develop.
 

Before the surgery

At this time, you will be given an opportunity to ask any further questions. Continuation of healthy diet and exercise is very important before the surgery. Smoking must be stopped at least two weeks before the surgery
 

On the day of the operation

No eating or drinking for 8 hours before the surgery.  You should wear loose fitting clothing and sneakers. Do not wear sandals or slippers. You will meet with our nurse to prepare you for surgery. The surgeon will discuss the procedure with you again and do pre-operative planning. You will meet with our anesthesia provider to discuss anesthesia. You will be given a choice of day surgery or general anesthesia which required at least one day hospital stay depend on your choice but normally if it is an extensive surgery,   we required 4 days and 3 night’s hospital stay.
 

Anesthesia used

This procedure can be performed using local or general anesthesia.
 

 During the surgery

First, the area to be sculpted is filled with a special saline solution that helps numb the site and shrink the blood vessels (to minimize blood loss and reduce bruising). This solution wets and fills the area to be treated, making fat easier to break up with the VASER System’s sound energy. Then a small probe transmits sound energy (similar to that used for cataract removal in the eye) that breaks up fat on contact, while leaving other important tissues relatively intact. Finally, gentle suction of the sculpted site removes the emulsified fat quickly. Thanks to its patented technology, only the LipoSelection procedure first emulsifies and then removes fat in this manner.
 

Post Operative Expectation

The treated area will be wrap with compression garments snugly and continuously for 6 days-2wks. Usually drains are placed removing excess fluid over a period of 2-3 days.
 

 Back to normal work

Regular exercise work out may start after 2 weeks, start with light exercise then gradually move your way up to your regular routine as tolerated by your body.
 

Pre-Operative instruction

1. Consultation with surgeon
2. Evaluation for other medical conditions
3. ECG and Blood test will be taken
4. No intake of food or water 6 hrs prior to surgery
5. Compression garments should be available to be used post-op
6. Stop smoking and alcohol intake at least 2 weeks before surgery
7. Anticoagulants, vitamins, hormones (including birth control pills), anti-depressants and some other medications also to be stopped at least 2 weeks before surgery.
    

Post-Operative instruction

1. Wrap treated area with compression garments snugly and continuously for 6 days-2 weeks.
2. A day after the surgery, patient may have light to moderate physical activities
3. Some incisions will be left open and drainage is expected, absorbent pads should be used and changed frequently as needed.  
4. Incisions will close by themselves within 2-3 days.  Use band aid to protect incision sites.
5. Keep incision clean
6. May have quick bath after 2 days post op. Regular shower when incisions are closed.
7. May use regular girdle 2 weeks after compression garments.
8. Do not apply ice packs or a heating pad to skin overlying the areas treated by liposuction
9. Do not soak in a bath, Jacuzzi, pool or beach at last 7 days post-op
10. Bruising may diminish after 2-3 weeks
11. Return for check-up after 4 days removal of stitches.
12. Swelling is expected, Maximal in the first 2 weeks, then gradually subsides.  Final result in 3-4 months.
13. Skin may feel numb on the surface but insides are tender to touch.
14. Some areas may become hard and lumpy; this is normal and will go away when fully recovered

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

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Miracle Cosmetic Surgery Center

Miracle Cosmetic Surgery Center is located at 37/4-6 Sukhumvit 13 Paknam Muang Samutprakan 10270 where you will find the famous Erawan Museum. 
It is very accessible and convenient to most tourists because it takes only about 30 minutes to travel back and forth between Suvarnabhumi Airpot and MCS.

Miracle Cosmetic Surgery Center offers an incomparable level of care throughout your cosmetic surgery journey. We render a friendly and relaxing environment to discuss your cosmetic surgery needs to achieve the looks you’ve always wanted.

MCS is specially designed to provide quality cosmetic unit and standard medical procedures, surgical and non- surgical. It covers all treatments performed by Dr. Juta Jansi, a highly trained surgeon with proven track records and experience of his chosen cosmetic surgery field and professional staffs who are always available to render services for our patients with confidence of a safe patient care that modern medicine has to offer.

We believe that our services and proven techniques will help you enhance your natural beauty with best possible results.

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

Who is Doctor Juta Jansi?

Dr. Juta is a known expert and undoubtedly one of the best surgeon in the field of cosmetic surgery. He was much sought after for his expertise in the leading edge of Sex reassignment Surgery, Facial plastic Surgery, Mammoplasty and liposuction.

Dr. Juta received his Doctor of Medicine Degree from the University of Chulalongkorn, Thailand in 1984. After specializing in plastic surgery and sex reassignment surgery, Dr.
Juta had  20 years of experience and more than  10,000 cases performed that cover all treatments both major and minor surgery with less complications  at various hospitals which continually improved and achieved excellent results because of his high standards and proven techniques in the surgical arena. He continually updates himself in all aspect of cosmetic surgery both national and international. He received several citations as a General and plastic surgery specialist ,member of the
Society of Aesthetic Plastic Surgeons of Thailand and The Society of Plastic Surgeons of Thailand. He also attended Fellowship in Maxillo-Facial Surgery Taipei, Taiwan and
Fellowship in Microsurgery Taipei, Taiwan. At present, Dr. Juta Jansi joined the prestigious Plastic and Reconstructive Surgeons at Bumrungrad Hospital and Srinakarin hospital.

With his passion and artistic talent, Dr. Juta is highly respected by his peers and patients for his uniquetechniques that ensure satisfaction, safety and outstanding performance.

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

When It Comes To Cosmetic Surgery, Why in Thailand?

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 who 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.

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

Scarless Male to Female Sexual Reassignment Surgery By Dr. Juta Jansi

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.

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

Top Procedures of Miracle Cosmetic Surgery Center (Formerly Paknam Aesthetic Surgery Clinic)

	Full Face Lift 3,300 USD As we age, our facial skin loosens and wrinkles, the muscles  of the neck may weaken as well. A facelift can address  these problems by firming and tightening the skin of  the face and neck all in one step.
	Breast Augmentation 2,800 USD  Breast Augmentation is a surgery designed to  enlarge the breasts. This surgery is frequently sought  by women who are unhappy with the small size of  their breasts, sometimes as a result of pregnancy  or weight loss.
	Male to Female 8,000 USD  The goal of transsexual surgery is to provide  an aesthetically attractive and functional result which  permits both effortless intromission and full orgasmic  potential. Creation of an adequate vaginal pouch, a  sensate and hooded clitoris, and a feminine vulva  with delicate labia are paramount. Ultimate conjugation  of the labial axis to the anterior midline requires a  second stage procedure called a labiaplasty. To  maintain and extend vaginal depth, medical grade  dildos will be worn for a portion of each day. After  suitable wound healing, sexual activity is a natural way to establish the permanency of the result.
	Double Eyelid 600 USD  Double eyelid surgery is extremely popular in  most Asian nations and has been performed  for many decades, long before the infiltration of  Western media and before Hollywood movie  stars became popular there.
	Augmentation Rhinoplasty 600 USD The incisions are placed on the rim of the alar  of nose. Dissection along the nose is done to  create the appropriate space for silicone implant.  Soft medical-grade silicone implant is carved  intraoperatively and inserted through an incision inside the nose. For more information about the procedures you may contact International Marketing  Coordinator:  osias05@hotmail.com or call  mobile phone: +66816572522,  Tel : (662) 753-9206

3D Jaw Angle Reduction

Dr. Juta Jansi is a plastic surgeon who performs jaw reduction surgery using a unique technique that is particularly common among Asians. He operates to reduce the width of the lower face and change the square face to an oval one.  The incisions are usually made inside the mouth, through the gums and along jaw line leaving no visible scars and focused in making the facial frame look narrower and noticeable at the frontal view not just at the lateral view.

Jaw Angle reduction gives the jaw a sense of proportion and keeps the facial features in correct balance. For a successful jaw reduction surgery, consult a certified plastic surgeon for recommendation and assessment.

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

Durability Face Lift

A facelift is a popular surgical technique where the skin is tightened and reduces the appearance of wrinkles to give a younger looking appearance for both men and women. With Dr. Juta’s skills and expertise, he was able to achieve desirable results with minimal scarring .His technique can make incisions unnoticeable as much as possible giving patients’ long lasting results that will remain throughout the years from his/her appearance.

Face lift have various types and targets specific areas of the individual’s face.  It involves the forehead, cheeks, brows, neck and even the Glabella frown lines, thus improving facial features and reducing appearance of wrinkles that signals aging.

Our goal is to help patients’ look and feel better and to meet their needs so that he/she can achieve satisfaction and incredible results.

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

Scarless Cheek Bone Reduction

One of the most popular procedures among Dr. Juta’s patients is cheekbone reduction since an oval or heart shape face is considered to be more pleasing, and desirable.

Cheekbone reduction can be done by two methods, through shaving off the outer layer of the cheekbones or repositioning the cheekbones. Both procedures are done to correct excessively prominent cheekbones. At our cosmetic surgery center, Dr. Juta performs cheekbone reduction by approaching the cheekbones through an incision inside the mouth  with a combination of bone shaving and bone cutting thus leaving no visible scars. Dr. Juta’s extensive experience in cheekbone reduction and contouring has helped to perfect his techniques for narrowing the face.

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