Tracheal Shave -
Thyroid Cartilage Reduction (Procedure I & II): involves a fine
1.0 cm external horizontal incision to shave or cut the Adam's Apple
cartilage. This is usually done under general anesthesia in the hospital.
Scalp Reduction (also
known as 'scalp advancement'): involves advancing forward the scalp
between 2.0 cm to 3.0 cm to correct the receding masculine pattern hairline
and to approximate, when possible, a more feminine 'oval' pattern hairline.
Forehead Lift: involves an across-the-scalp incision in front
of the hairline or behind-the-scalp to lift the forehead to reduce the
horizontal age lines and lift the eyebrows to a more feminine shape (brow
lift).
Facial Feminisation Surgery (FFS) terminology for reduction of
bone, bony cartilage, soft cartilage
Procedure I (shaving/grinding) | Procedure II (cutting) | Procedure III
(reconstruction/osteotomy)
Forehead Reconstruction (Procedure III): this technique
(referred to as 'Forehead Type III' in Ousterhout) is indicated when the brow
bossing is prominent and the air cavities are large (evidenced by x-ray
radiographs) with a consequent thin anterior wall. This involves removing and
reconstructing the anterior wall of the frontal sinus with titanium
microplates and screws.
Forehead Contouring/Resetting (Procedure I & II): this technique
(referred to as 'Procedure Type II') involves: (I) contouring via shaving
across the forehead and brow bossing/orbital rims followed by (II) controlled
fracturing of the anterior wall to realign (reset) it to a more posterior
position. This technique, developed in 2002, is applied in the majority of
cases in 2003.
Forehead Augmentation: in selected cases, the forehead can
also be simultaneously augmented with Dermalive injections. The effect of
Dermalive treatment is guaranteed to last over 5 years and likely between 7 to
10+ years.
Upper blepharoplasty: involves recreating the upper eyelid to
correct for a sagging upper eyelid.
Lower blepharoplasty: involves reducing the age lines and
tightening the saggy skin and bags under the eyes.
SMAS/Platysma (deep plane) Rhytidectomy: involves lifting the
face, jowls, jawline, and neck and their underlying muscles (including
liposuction, if necessary).
Cheekbone Reduction (Procedure I): involves shaving/grinding
the bony structure via an intra-oral incision or/and lower blepharoplasty
incision which requires an extended recovery period (with severe facial
swelling/bruising for about 10 days).
Reconstructive Rhinoplasty (Procedure III): involves breaking the
nose at 3 positions (median line and lateral points), resetting the bone to a
radically smaller size, reducing the cartilage, repositioning closer the
nostrils (alarplasty), and improving the left-right symmetry.
Feminising Rhinoplasty (Procedure I & II): involves
aggressive shaving of the bone, straightening the nose, cutting the cartilage,
contouring via a fine sheet of hard silicone implant for a juvenile effect,
repositioning closer the nostrils (alarplasty), and improving the left-right
symmetry. Minor cases of a deviated septum can be corrected to improve the
airflow, but major cases should be done by an ENT (Ear-Nose-Throat) surgeon.
Most cases of rhinoplasty are done under general anesthesia in the hospital.
Upper Lip Lift: (referred to as 'upper lip reduction' in Ousterhout)
involves a shallow 'v' incision below the nose to reduce the distance between
the base (underside) of nose to the upper lip. This also has the effect of
slightly lifting the upper lip upward and outward giving a fuller and juvenile
effect.
Otoplasty: involves pinning back prominent ears and reducing the
lower earlobes if necessary.
Jaw Reduction (Procedure I & II): involves an extensive
intra-oral incision from the back of jaw forward to the chin ('U'-shaped
incision around the entire mandible). A fine extra-oral incision of 0.5 cm
remains necessary to drain the excess fluid.
Chin Reconstruction (Procedure III): this technique (also known as
'sliding genioplasty') involves an intra-oral incision and sliding forward or
backward the lower section of chin or/and sectioning out the mid-section of
chin and joining the upper and lower sections via titanium screws.
Chin Reduction (Procedure I & II): involves an intra-oral
incision to shave/grind/cut down the chin. It is usually done together with
jawline reduction for the best result.
Chin Advancement: involves an intra-oral incision to advance a short
or/and receding chin up to 1.0 cm with a feminising contouring hard silicone
implant. This can advance forward the chin without increasing its vertical
length.
Vertical or Horizontal Cleft Chin Correction: involves an
external incision ('z-plasty') to lift the deep crease above to a higher plane
to the surrounding surface.
Dermalive: semi-permanent collagen-substitute injection (per 0.6
cc/ml). These injections can be used to augment the forehead, lips, remove
creases, and occasionally replace a rhytidectomy. To produce a slight juvenile
'pout' in the lips requires 4 injections usually done under general
anesthesia. Dermalive is guaranteed to last over 5 years and likely between 7
to 10+ years.
Citation: SRS Thialand
