Liposuction

Liposuction, also known as lipoplasty, liposculpture suction lipectomy or simply lipo ("suction-assisted fat removal") is the most common cosmetic surgery operation that removes pockets of fats from many different sites on the human body. It can remove stubborn areas of fat that do not respond to traditional weight loss method but remember it is not a substitute for dieting and exercise. It also involves the use of a stainless steel suction tube called a cannula. The cannula is pushed and pulled through the fat layer, breaking up the fat cells and suction them out by a powerful suction pump, thus improving body contour and enhancing self image. Areas of the body where liposuction is performed are: abdomen, hips, outer and inner thighs, flanks, love handles, back, knees, arms, submental (chin), Gynecomastia.

The ideal candidates for liposuction are those who are physically fit, who exercise regularly and are not more than 20 pounds overweight. They may have bulging and flabby areas of the body from fat deposits, especially the abdomen, arms, thighs, and neck. Individuals with certain medical conditions may not be suitable candidates for liposuction.

In all types of liposuction methods, there are certain things that should be considered when having the surgery. It maybe performed as an outpatient procedure or the procedure that will be done in a hospital and may require an overnight stay.

The procedure is performed using a suction devise attached to a small, stainless steel tube called cannula. Through a small incision, the small bore cannula is inserted into fat layer between skin and muscle by alternately pushing and pulling it through the fat layer then suction it out by the use of a vacuum pump or a large syringe. The duration of the surgery will vary according to the amount of fat to be removed.

Duration of the operation:

The duration of liposuction Thailand depends on the number of areas, the size of the area and the amount of fat to be removed.

Post operation care:

1. A compression garment must be worn for two to four weeks.
2. If patient had liposuction by local anesthesia, he/she may resume usual diet immediately.
3. Drink adequate amount of water at least 8- 10 glasses a day or fruit juices to prevent dehydration.
4. Bed rest is recommended for the first few hours after surgery.
5. If non-absorbable sutures are placed, the surgeon will remove sutures after 5 to 10 days.
6. Pain killers will be prescribed to control pain that may last as long as 2 weeks depending on the extent of procedure.
7. Keep incision clean. Take a shower once or twice daily. Wound dressings need to be changed often. After one to three days, small self-adhesive bandages are sufficient.
8. Do not apply ice-packs or a heating pad to skin overlying the areas treated by liposuction.
9. Do not apply hydrogen peroxide or plastic Band-Aids to incision sites. Liposuction incision sites heal faster and better without topical antibiotics.
10. Do not soak in a bath, Jacuzzi, swimming pool, or the ocean for at least 7 days after surgery in order to minimize the risk of infection.
11. Patient taking Aspirin and Ibuprofen for at least 3 days after surgery. NSAIDs promote increase the risk of bleeding by impairing platelet function and depress immune response to infection.
12. Drainage is placed for about 3-7 days depending upon the extent of surgery.
13. Patient must maintain a proper diet and exercise regimen because the remaining fat cells could still enlarge and form cellulite thus creating irregularities.

Recovery period:

Depending on the extent of liposuction, patients are generally able to return to work between 2 days-2 weeks. Bruising will fade after 1-2 weeks. Swelling will occur and increase 5-10 days after surgery and should subside gradually over 2 weeks- 2 months while numbness persists for several weeks.

Results:

We guarantee quality service and satisfying results of the operation but in cases of surgical corrections, patient can assure a free of charge revision.

Please see before and after photos of Dr.Juta’s patients in the Photo Gallery (photographs showed are with patient’s consent).

Possible risk and complications:

With any type of liposuction procedure, complications may arise beyond the minor side effects but they are rare. Some possible complications include infection, allergic reaction to medication or material used during surgery, excessive fluid loss, thromboembolism, injury to the abdominal organs, and excessive loss of body heat (hypothermia), excessive intravenous fluids, aspiration pneumonia and cardiac arrest.

It is the surgeon’s responsibility to give the written list of signs and symptoms to watch for, along with instructions for post-op self-care.

Anesthesia use:

The procedure uses local or general anesthesia

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:

1. Patient and the surgeon will agree ahead of time on exactly which area(s) will be treated and both will discuss what outcome to expect. Assessment of the medical history, physical examination and laboratory tests will be performed during the consultation as well as the explanation of the course of surgery, recovery period, risk and complications.

2. Eat a well balance diet several weeks prior to surgery. Over eating and crash dieting can greatly affect overall health status and well being of the patient.

3. Daily exercises are an important factor to help enhance posture and strength at least 3-4 weeks prior to surgery.

4. Smoking must be avoided for about 3-4 weeks prior to surgery, as nicotine interferes with circulation and will greatly affect healing process. Patient must be free of nicotine patch or nicotine based products for a minimum of 4 weeks prior to surgery.

5.  Patient should 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.

6. Maintain the best of health and hygiene in the weeks prior to surgery. Colds, virus, throat infection or other illness can result to rescheduling of surgery.

7. If general anesthesia or sedation will be used, and the surgery will be in the morning, fasting from midnight the night before is required. If only local anesthesia will be used, fasting is not required.

Side effects:

·        Bruising: Can be painful in the short term, and should fade after a few weeks.

·        Swelling: is due to an inflammatory reaction to surgical trauma. This will occur and increase 5 to 10 days after surgery and should subside gradually over a month or two.

·        Scars: will vary in size depending on the particular procedure, and should fade over the weeks. Scarring is an individual thing, partly dependent on heredity. For some, scar healing may take as long as a year.

·        Pain: should be temporary and controlled by either over-the-counter medication, or by a prescription.

·        Numbness: sometimes persists for a few weeks.

·        Limited mobility: will depend on the exact procedure.

·        Nausea and vomiting: are among the side effects that may be associated with liposuction. Nausea can be caused by antibiotics, lorazepam, or local anesthesia.

·        Slight temperature elevation during the first 48 hours after surgery is a natural consequence of the body's reaction to surgical trauma.

·        Itching: may occur as part of a normal healing process. To help relieve itching, patient may try taking Benadryl as directed by the doctor

• 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. 
• 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.

  For more information about the procedures you may contact: International Marketing Coordinator: osias05@gmail.com, doctorjuta@gmail.com or call  mobile phone: +66816572522, Tel : (02) 753-9206

     
 

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 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.

Female to male surgical procedure:

In rare cases, female to male surgery has achieved lesser success due to the difficulty of creating a functional penis from a smaller clitoral tissue in the female genitalia. Aside from building a genital organ, it also entails several procedures like breast augmentation until a female to male transsexual will be satisfied

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).

Results:

We guarantee quality service and satisfying results of the operation but in cases of surgical corrections, patient can assure a free of charge revision.

Please see before and after photos of Dr.Juta’s patients in the Photo Gallery (photographs showed are with patient’s consent).

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:

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.

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:

MCSC want to make your surgery experience as comfortable as possible. If you have any questions about your surgery, be sure to talk with your surgeon. We’ll do everything we can to address any concerns you may have about your surgical care. Don’t hesitate to ask questions for clarification. Call us on:

Tel no.0-2753-920

Fax no.0-2753-8617

Email add: doctorjuta@gmail.com

Website: www.doctorjuta.com

Address: 37/4-6 Sukhumvit 13 Paknam Muang Samutprakan 10270

Dr. Juta ensures safety and proper diagnosis of his patients by following the criteria for approval prior to 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.

Registration: Please call MCS at least 24 hours prior to your surgery by calling 0-2753-920 or by email doctorjuta@gmail.com

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.

Arrival: You will arrive at Bangkok International Airport. You will be accompanied by Dr. Juta’s staff going to the hospital.

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 Dr. Juta. 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.

 

For more information about the procedures you may contact: International Marketing Coordinator: osias05@gmail.com, doctorjuta@gmail.com or call  mobile phone: +66816572522, Tel : (02) 753-9206

    

Cosmetic Surgery Guides in Thailand: Breast Capsulectomy

Cosmetic Surgery Guides in Thailand: Breast Capsulectomy: "Breast Capsulectomy is the surgical procedure to remove capsules which have formed around breast implants. These capsules can thicken and..."

Breast Capsulectomy

Breast Capsulectomy is the surgical procedure to remove capsules which have formed around breast implants. These capsules can thicken and so squeeze the implants which will distort the appearance of the breasts. This surgery can be done on one of both breasts and depends on the position of the capsule and the level of irritation caused by its presence.  Your surgeon will open the scar tissue of the capsule which releases the tension, and remove this.  He will then make an incision on either the crease underneath the breast, the armpit or the edge of the areola. This is where the new implant will be inserted. The incisions are then closed with fine stitches which are either dissolvable or non-dissolvable ones. He will place tapes over the stitches for additional support. A light dressing will also be put in place.

Duration of the operation:

This surgery takes around 1.5 hours to 3 hours to perform

Post operative care:

Vital signs will be checked. Surgical drains may still be in place. Early ambulation is advised to prevent formation of blood clots. Breasts will feel sore and bruised and will disappear gradually. A general anesthetic can make you feel groggy, nauseous and disorientated for up to 48 hours. You will have some pain but this can be controlled with pain medication. You will have to wear a special bra for a couple of weeks. You will also have to keep the dressings in place for that time. Make sure they do not get wet. Avoid any unnecessary bending, stretching or physical activity. You should get plenty of rest although you may be able to do some light activities after a couple of days.

Recovery period:

This will depend on the individual patient however most patients are able to go back to work after a couple of days. Do not undertake any sports or other physical activities for at least 7 to 10 days.The average recovery time is between 1-2 weeks.

Results:

We guarantee quality service and satisfying results of the operation but in cases of surgical corrections, patient can assure a free of charge revision.

Please see before and after photos of Dr.Juta’s patients in the Photo Gallery (photographs showed are with patient’s consent).

Possible risk and complications:

This procedure is safe but complications do happen. The risks include: infection, bleeding, a loss of or reduced nipple sensitivity, ability to breastfeed is lost or affected, capsular contracture could re-occur, blood clots, nerve injury, breast asymmetry, etc.

Anesthesia use:

Usually done under general anesthetic.

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 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.
• Get a baseline mammogram before surgery and another one after surgery to help detect any future changes in your breast tissue.
• Blood and urine samples will be collected for routine preoperative laboratory tests.
• 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.

 For more information about the procedures you may contact: International Marketing Coordinator: osias05@gmail.com, doctorjuta@gmail.com or call  mobile phone: +66816572522, Tel : (02) 753-9206

      

Cosmetic Surgery Guides in Thailand: Glabella Frown Lines

Cosmetic Surgery Guides in Thailand: Glabella Frown Lines: "Glabella Frown lines are the most common reasons for a Botox procedure. The folds in this area are caused by vertically oriented fibers w..."

Glabella Frown Lines

Glabella Frown lines are the most common reasons for a Botox procedure. The folds in this area are caused by vertically oriented fibers which are found on the glabellar area. When treating Glabellar frown lines, about 5 sites are to be administered with the toxin. About 25 units are used for all five sites. One is injected in the corrugator muscle and the other four are distributed around and on the sides of this muscle. Initially, the patient will be asked to frown and scowl so the target muscles can be palpated by the Botox therapist. The injections are then administered to various sites. The depth of injection is usually different for every individual. An EMG may also be necessary to spot the right site for injection. The same instructions will be given by the doctor. Bending over should not be done until four hours after the procedure. You are also asking to rest in an upright position to avoid the medication from being absorbed by other muscles.

Duration of the operation:

Botox procedure is done approximately 30 minutes

Post operative care:

A patient is required to rest without lying down in the first 2 hours after the treatment. Exercising or any strenuous activity is also prohibited during this period. A patient is also advised to avoid touching the treated area for the first 4 hours after the treatment. Results last for around 3 to 6 months. Re-injection of Botox is required to maintain the desired appearance. Results can be seen at 2 to 4 weeks after the treatment.

Recovery period:

After Botox injection, there is no downtime needed for the recovery period. Patients can go about their daily routine immediately after the procedure.

Results:

We guarantee quality service and satisfying results of the operation but in cases of surgical corrections, patient can assure a free of charge revision.

Please see before and after photos of Dr.Juta’s patients in the Photo Gallery (photographs showed are with patient’s consent).

Possible risks and complications:

There are very minimal, and often rare, risks and side effects associated with Botox. Headache, flu-like symptoms, temporary redness, swelling, tiny pinching sensations and bruising are the most common side effects that usually fade over time. No fatal systemic side effects have been reported from locally administering Botox injections for facial wrinkles.

Anesthesia use: Local anesthesia

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 Surgery

The surgeon will educate you with the procedure. This procedure is very quick and simple; there isn’t much that a patient must do to prepare for 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.
• 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.
• The patient only required to undergo a test to ensure that they are not allergic to Botox. If the result is negative the patient is qualified to receive injections.

For more information about the procedures you may contact: International Marketing Coordinator: osias05@gmail.com, doctorjuta@gmail.com or call  mobile phone: +66816572522, Tel : (02) 753-9206

      

Cosmetic Surgery Guides in Thailand: Brachioplasty

Cosmetic Surgery Guides in Thailand: Brachioplasty: "Brachioplasty, also known as arm lift reshapes the under portion of the upper arm, from the underarm region to the elbow. Good candidates..."

Brachioplasty

Brachioplasty, also known as arm lift reshapes the under portion of the upper arm, from the underarm region to the elbow. Good candidates are those individuals who may have sagging upper arms due to the effects of aging and weight loss.

During the surgical procedures, medications are administered. It includes either intravenous sedation or general anesthesia.  Incisions are placed on the inside of the arm or on the back of the arm extending from the axilla (underarm) to the elbow, depending on the location and amount of excess skin to be removed as well as the surgeon’s preference.  Then, tissues are tightened and reshaped with sutures resulting in a smoother and shapely upper arm. The incisions will then be closed with absorbable or non- absorbable stitches.

Duration of the operation:

The procedure usually takes 1-2 hours

Post operative care:

Following your surgery, you may feel some mild discomfort and the surgeon will prescribe pain medications to alleviate pain.

Dressings will be applied to your incisions, and your arms may be wrapped in an elastic bandage or a compression garment to minimize swelling. A small, thin tube may be temporarily placed under the skin to drain any excess blood or fluid that may collect.

Swelling peaks two to three days after your arm lift typically disappear within two weeks. Elevating your arm with pillows can help reduce swelling and increase comfort during recovery.

Dressings are typically applied to the incision. Many of the stitches will dissolve, but those that are not self-absorbing are usually removed within a week. Your surgeon may prescribe a compression garment to allow the skin to adhere to underlying tissues.

Recovery period:

You can shower one week after the procedure, and most people can go back to work two to three weeks after the procedure. Your surgeon will likely tell you to avoid any strenuous exercise for one month, and to avoid heavy lifting for at least six weeks. Individual instructions vary.

Results:

We guarantee quality service and satisfying results of the operation but in cases of surgical corrections, patient can assure a free of charge revision.

Please see before and after photos of Dr.Juta’s patients in the Photo Gallery (photographs showed are with patient’s consent).

Possible risks and complications:

With every medical procedure there is a possibility of complications, which can cause a longer recovery period. Arm lift risks include: Infection, hematoma, anesthesia risks, loss of sensation, scarring, swelling of the hands, Seromas (fluid filled masses along the incision line).

Anesthesia use:

The procedure uses general anesthesia or sedation

Hospital admission:

It depends on your preferences as well as your surgeon’s. Arm lift can be performed on an out patient basis, in the hospital, or in an ambulatory surgical suite.

Preparation before 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.

For more information about the procedures you may contact: International Marketing Coordinator: osias05@gmail.com, doctorjuta@gmail.com or call  mobile phone: +66816572522, Tel : (02) 753-9206