Vaginal Prolapse Repair Surgery

Vaginal wall repair is a surgical procedure used to correct vaginal prolapse. By the term “Prolapse” means slip out of place. An ideal candidate for this surgery would be women whose bladder or urethra slips down into their vagina. There are many factors why this happened such as overweight or deliver a baby vaginally. The symptoms of vaginal prolapse mainly include pain during sexual intercourse, a sense of fullness or discomfort in your vagina as well as the leakage of urine. This procedure is used to tighten the front wall of your vagina, it would help your bladder or urethra to stay in place.

Types of Procedures

  1. Posterior Repair (Back wall of the vagina) – This is a small surgery for patient who wish to tighten their vagina. The surgery will be done at the back part of the vagina. General anesthesia is not needed; only local anesthesia is enough.

  2. Anterior and Posterior Repair (Front and back wall of the vagina) – The incision will be made inside of the vagina which enables the surgeon to access the tissue supporting the vagina. This tissue is strengthened with stitches and reattached to the supporting structures within the pelvis. Finally, the incision inside the vagina are then closed with stitches that will dissolve in few weeks.

Post-Operative Care

  1. For patient who choose to do both anterior and posterior repair will remain in the hospital for 2-3 days.

  2. In the first 3 days, avoiding moving or shifting around for fast healing.

  3. Avoid lifting or carrying heavy object.

  4. Shower is allowed but no chemical solution such as feminine wash from contacting the vaginal area.

  5. Try to eat

  6. Do not refrain from urinating and defecating.

  7. If there is any swelling or you are not able to urinate, contact the doctor immediately.

  8. If there is any bleeding on the first 2-3 days, you may use sanitary pad.

  9. The incision will be healed in 7-10 days and the stitches will dissolve in few weeks.

  10. Clean your wound by immersing in warm water.

  11. Take all the medication prescribe and follow all guidance by the doctor. You will have to come 1 week after the surgery for checkup.

  12. No sexual activities during the recovery process at least 45 days after the surgery.

  13. No fermented food, alcoholic drink, seafood and smoking at least 1 month.

Buccal Fat Pad Removal (Cheek Reduction Surgery)

Buccal fat pad removal is also known as cheek reduction surgery. If the buccal fat pads are too large, it could create “chubby cheeks” or a “chipmunk cheek” effect. The “chubby cheek” look can result from a variety conditions such as overweight or genetic predisposition. Buccal fat removal cannot be treat through diet or exercise; the surgery is designed to reduce the fullness in the lower cheek by removing the fat pads. An ideal candidate for this surgery would be an individual with excessive fullness in the lower cheek area.

Surgical Procedures

  1. Clean your face with sterilizing solution and rinse your mouth with antiseptic mouthwash.

  2. Check for blood pressure and heartrate.

  3. Apply local anesthesia on both side of the lower cheek.

  4. A small incision is created inside of the mouth, the surgeon will gently remove part of both left and right buccal fat pad. When the Buccal fat pad is removed, the area beneath the cheek bones sinks in and accentuates the high cheekbone appearance.

  5. A small incision will be stitch together using dissolvable stitch.

  6. Patient will be put in the recovery room to observe for any complications after the surgery.

Post-Operative Care

  1. Swelling typically last 2-3 weeks for most patient. Within a month the swelling should be almost or entirely gone and you will begin to see a beautiful contour below the cheekbone.

  2. Apply cold compress frequently, as well as eating ice cube for 2 days after the surgery.

  3. During the first 3-4 days you will be on a soft semi-liquid diet such as congee or rice porridge. Avoid spicy food, no alcohol and smoking.

  4. Rinse your mouth every time after finishing your meal to prevent any leftover clotting the incision.

  5. The surgeon will prescribe medications which you have to follow cautiously.

Otoplasty (Ear Surgery)

Otoplasty is also known as cosmetic ear surgery. It is procedure to improve the shape, position or proportion of the ear by setting prominent ears back closer to the head or to reduce the size of large ears. Suitable candidate for otoplasty is for people who has ear stick out too far from their head or whose ear are large in proportion to their head. The surgery can be done at any age after the ears have reached their full size, usually after age of 6 through adulthood.

Surgical Procedures

  1. The surgery will be performed under local anesthesia to relieve anxiety.

  2. Small incision is made at the back of the ear to expose the ear cartilage.

  3. Excess cartilage and skin is removed, then the surgeon will fold the cartilage into the proper position and secure it with stitches. The procedure typically takes about an hour.

Post-Operative Care

  1. After the operation, your ears will be covered in bandages for protection and support. About 2 days after, you are allowed to remove the bandages and apply ointment prescribe by the doctor.

  2. You are allowed to wash your hair 2-3 days after the surgery.

  3. After 10-14 days, you will have an appointment with the surgeon to remove the stitches.

  4. Drinking and smoking are banned 1 weeks before and after the surgery.

เสริมคาง

Mentoplasty (Chin Augmentation)

A well-defined chin helps give balance to the face and creates a major part of one’s profile. Surgeons who specialize in rhinoplasty often suggest that changes in chin size or shape may enhance a profile as much as rhinoplasty.

Using silicone in chin augmentation can be said to be one of the safest way in doing this surgery. There are 2 types of silicone which can be used in this procedure which are instant silicone or custom made silicone to bring out the best fit shape for you.

Surgical Procedures

  1. The surgery is performed under sleep medications follow by local anesthesia to make the patient become comfortable.

  2. An incision will be made either in the natural crease line just under the chin or inside the mouth, where gum and lower lip meet.

  3. The surgeon will create a space where an implant can be inserted.

  4. After the implantation, the surgeon will use fine sutures to close the incision. When the incision Is inside the mouth, no scarring is visible.

Post-Operative Care

  1. Apply cold compress until the swelling is gone.

  2. Sleep on high pillow for good blood circulation so the swell will heal faster.

  3. Avoid smiling or laughing in the first period after the surgery.

  4. Use straw when drinking water.

  5. No spicy food, seafood, fermented food. alcohol drinks and smoking.

  6. No alcohol drinks and smoking for 2 weeks after the surgery.

  7. Rinse your mouth out with salt water or mouthwash persistently.

  8. No exercise for 10 days.

  9. Remove the plaster after 3-5 days.

  10. The follow-up date is 1 week after the surgery.