Monday, September 1, 2008

The procedure, technique and result

The procedure, technique and result

1.“Penile inversion technique”vaginoplasty (not good candidate for a case more than 200 lbs. and need more depth)
Surgeon uses the "Penile Inversion Vaginoplasty" technique which turns the penile skin "inside out" and uses it to line a vaginal cavity. The penis and testes are removed. A pure penile inversion limits the size of the vagina that can be created depends on the amount of penile skin available,also the vaginal depth is to depend on penile skin on the resting state not from your erectile state.This technique is called SRS with penile inversion vaginoplasty. You should know the depth hase been gained from your penile skin but not from your whole shaft of penis in resting stage not from your erectile stage.This technique will gain fast recovery and better healing.

2."Scrotal Graft Technique" Vaginoplasty
Some patient's penile tissue limit because the length of penis or the Peno - scrotal junction stays in high position, which will limit the vaginal lining or meaning that vaginal depth is limited.The surgeon will use "Scrotal Graft Technique" combination with penile skin to form the vaginal lining to create the new vaginal depth or new vagina, which is a better technique compared to the penile inversion technique.You will get the depth of your new vagina between 5-7 inches owning to your body structure. This is better choice for the case who have limit penile skin but they have more scrotal sac tissue to use.

Most surgeons currently prefer Scrotal skin graft much more than penile inversion and colon graft.

3."Sigmoid Colon-Vaginoplasty Technique" Vaginoplasty( it is not good case for weight over 200 lbs and larger abdomen.)

You will have two choices to do this surgery about delayed or immediate “ Sigmoid Colon-Vaginoplasty Technique” .Or in case of your penile skin is very short and small amount of your scrotal tissue and refuse to get other skin for grafting to line in your vaginal canal or limited in occasionally rare for some cases with healthy and body weight not over 200 lbs with stopping smoking at least 2 weeks before surgery or non smoking person with flat tummy may need to perform "Sigmoid Colon-Vaginoplasty" do in one stage( Immediate) . In some cases that it will be not appropriate cases to do this procedure ,they have been done by this technique in second step after 6 months(delayed technique) such as the case is not bigger tummy , the weight is over than 200 not more than 225 lbs or maybe need to do this surgery later after 6 months.
In the delayed type,it is better for some cases that have ever done before SRS c Penile inversion or Scrotal skin graft with vaginal shrinkage by the time or for some reason that and need to gain more depth with natural lubricant or they ever had overweight and can not do immediately but they will do later.

All of the cases ,I will construct the labia majora , sensated Labia minora, clitoral hood and sensated clitoris in the meantime. The surgeon also constructs labia majora and labia minora by using some part of your scrotal and sensated prepuce to create this part of female appearance.I don’t use the delayed type for this procedure.You will gain natural labia major and minora on this occasion.The surgeon constructs a clitoris by retaining a small section of the glans penis with its blood supply and nerves intact, and position this into an appropriate site above the urethral meatus. Since the nerves of glans in phenotypic male are analogous to the nerves of the clitoris in a female which patients can have feeling of erotic sensation like naturally – born female and maybe having this arousement sensation to reach orgasm in some case but I can not guarantee that in all of the cases,this is the special sense
All Our Services Pricing


Hair Transplant
Less than 1,000 Grafts outpatient 2,500 USD

Vagina
Posterior repair 1 night in hospital 3,000 USD
Sigmoid colon cut vaginoplasty (post sex change surgery with stricture vagina for more depth) 4 nights in hospital 7,000 USD
Reduction labioplasty outpatient 1,500 USD

Lip and Rhinoplasty
Hair (or cleft) lip surgery outpatient 2,500 USD
Palate repair 1 night in hospital 2,500 USD
Thining lip outpatient 1,500 USD
Rhinoplasty with implant and nasal bone shaving outpatient 2,500 USD

Wrinkle Correction
Botox: crow's feet, forehead and glabella lines per bottle: 650 USD
Restylane injection per syringe: 650 USD
Perlane injection per syringe: 650 USD

Nose
Augmented Rhinoplasty without shaving outpatient 1,200 USD
Augmented Rhinoplasty with shaving outpatient 2,500 USD
Alaplasty outpatient 1,200 USD
Hump correction outpatient 2,500 USD
Rhino shaving or reconstruction outpatient 2,500 USD

Face
Face lift surgery (cheekbone area lift, cheek area lift, lateral side of jowl and neck lift) 1 night in hospital 4,000 USD
Forehead lift or Brow lift by endoscopy outpatient 3,500 USD
Mid-face lift outpatient 3,500 USD
Neck lift outpatient 2,500 USD

Chin
Augmented chin outpatient 2,500 USD
Sliding chin (Bone Sliding of jaw) 1 night in hospital 3,000 USD

Eyelid Surgery
Double eyelid fold outpatient 1,200 USD
Upper blepharoplasty outpatient 1,200 USD
Lower blepharoplasty outpatient 1,200 USD

Breast Surgery
Breast enlargement outpatient 2,600 USD
Breast reduction 1 night in hospital 4,500 USD
Breast uplift 1 night in hospital 4,000 USD

Abdomen (tummy tuck)
Abdominal lipectomy (Abdominoplasty or Tummy tuck surgery) 3 nights in hospital 4,000 USD

Ear
Protruding ears outpatient 2,500 USD

Mandible (Jaw surgery)
Angle resection 1 night in hospital - 3,000 USD
Botox injections to reduce jaw muscles on both sides per bottle: 650 USD

Liposuction
First point outpatient 1,600 USD
Next point outpatient 500 USD

Sex Reassignment Surgery
Scrotal Skin Graft Vaginoplasty 4 nights in hospital 6,500 USD
Sigmoid Colon cut Vaginoplasty 4 nights in hospital 8,500 USD
Buttock or Hip Enlargement outpatient 4,000 USD

Cheek
Cheek dimples outpatient 1,500 USD
Cheekbone implants outpatient 3,000 USD
Cheekbone reduction 1 night in hospital 3,500 USD

Adam's Apple
Reshaving outpatient 1,500 USD
http://www.bangkokplasticsurgery.com/sex-change-surgery.html

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