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.

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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.

VASER Liposuction

VASER lipo will dissolve fat cells and break down excess fat even have diet reduction and exercising. With new technology the use of high frequency to breakdown fat cells with safety and less pain than traditional liposuction.

Techniques: Using Vaser lipo at excess fat areas of the body, the incision will be hidden in the crease, such as liposuction at thighs area the incision will hide at groin area.Is this translation better than the original?

– 1 point each arm
– 2 points each leg is the outer and inner thighs.
– Abdomen: For patients with no abdominal stretch marks or people who do not have too much fat or Stomach is not too flabby will have 4      points, 2 points with upper abdomen and 2 points lower abdomen.
– 1 points for each waist side *, but if want to have lipo at other points, such as calves, back, hips need to consult with the doctor case by case.

VASER details
– Made by Sedation together with the Local Anesthesia.
– Doctor will drill a small incision to enter the Fat with VASER then Vaser will break down fat.
– 1 night stay in the hospital
– Takes about 1-3 hours for surgery depending on the area

Which areas can be treated with Vaser Liposuction?

  • Abdomen and Tummy

  • Flanks (Love Handles)

  • Inner & Outer Thighs and Knees

  • Front of Thighs

  • Arms

  • Back

  • Breasts

  • Man Boobs or Gynaecomastia

  • Jaw & Neck Line

  • Buttocks & Banana Roll

  • Hips

  • Waist

Results

– Reshape and reduce fat.

– Reduce the proportion.

Post-Operative Care

  1. Patients will feel vigorous pain in the period which is normal for this surgery but the level of painfulness will keep getting better after one week.

  2. 1 or 2 weeks after the surgery,patients are recommended to walk in a slightly bent over position due to the tighten wound after surgery.

  3. Exercise at full strength are banned for 3 months.

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

  5. Patients are required to wear abdominal garment for 3 months.

  6. Patients have to come back 7 days after the surgery to remove the stitches as well as for follow up.

Labiaplasty

Labiaplasty is an aesthetic surgery for the female genitalia, which involves reduction of the labia. Patients who wish to do this surgery because their labia are either hangs, or appears to be too long. Not only that, some patients complain of discomfort when wearing tight undergarments.

Nowadays, laser technique had been introduced into the labiaplasty. By using laser cutter, there will be high precision to the marked area because the depth of the incision can be easily control. Furthermore, using laser cutter can prevent the damage in the blood vessel which could make the healing process become faster. This procedure will be performed under sleep medications, then the surgeon will remove the excess tissue from the labia. Finally, the surgeon will close the incision using dissolvable stitch. In the first or two weeks there might be some swelling but it would get back into shape as time passes.

Post-Operative Care

  1. You may shower the day following the procedure – pat your labia dry, do not rub. Do not take a bath or go swimming for two weeks.

  2. Do not apply any other soaps, creams, lotions, or wipes to the vulva for four weeks.

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

  4. Sexual activity should be avoided for a minimum period of one month.

  5. Take all medications as instructed and follow all guidance by the doctor.

 

Face contouring

Structure of the face comes from a component of bones, muscles, fat and skin. Reduction of the lower part of the face from large size or higher usually help. Face contouring may be done by liposuction, fat injections, bone reduction, depending on which part you want to decrease or increase.

Bones reduction can be at eyebrows, cheekbones, chin, jaw bone – if you want to reduce a little. Bone reshaping will reduce the height of the facial bones make it slightly lower than the high volume, bone grafts may required.

Pre-Operative Care

  1. Avoid anti-inflammatory drugs (NSAID) such as aspirin, smoking some supplements that affect blood clotting, such as garlic and fish oil at least 2 weeks before surgery.

  2. Avoid from some herbs like Evening Primrose, vitamin E, foods containing high amounts of monosodium glutamate, garlic, soya products. Need to inform the doctor, may need to stop taking for 3-5 days before having the surgery

  3. Preoperative fasting for about 6 hours

  4. Prepared hair wash before surgery prevent infection

  5. The pressure should control pressure is below 140/90 mm Hg (mm Hg) surgical will involve blood loss for 2 weeks before surgery

  6. Avoid smoking 2 weeks before surgery.

  7. Preparation leave for about 7-10 days for full facelift and 5-7 days for some part.

  8. Should bring friend with you on the day of surgery.

  9. Should inform the doctor about your medical conditions like diabetes, heart disease and drug allergies. Such as Penicillin, sulfa, etc.

  10. Those with certain types of heart disease who need drugs such as aspirin should consult a doctor before the surgery

  11. Those taking Coumadin to prevent clotting of the veins in the legs or.

    in people with heart valve leakage should consult your doctor and stop taking before surgery.

  12. Those who use a pacemaker of the heart (Pacemaker) should not have any operation.

  13. Jewelry Metal need to be removed.

Surgical Procedures

  1. Basically, performed under General Anesthesia.

  2. Eyebrows reshaping perform by reshape the bone at the wound which already made down to the scalp.

  3. Cheekbone reduction made by shaping through an incision under the eyes or the mouth.

  4. Chin reshaping made wound to the lower lip.

  5. Jaw bone reshaping made by open wound in the mouth.

  6. May have to drain the fluid under the skin.

Post-Operative Care

  1. Swelling will occur 7-14 days after surgery, cold compress may apply.

  2. Sleepinghead elevated up high to reduce

  3. Fabric that is wrapped around the face is only one day, can be removed the next morning, wash your hair gently by scratching and wash out the bloodstains. Then dry it with hair dryer.

  4. 7 days after surgery need to come back for relieve tension. If the wound under the eye will remove stitches about 5 days after surgery.

  5. After relieve tension then use the “Vitamin E” massage the skin around incision area (around the ear, behind the ear, behind the neck). To prevent hardened scar (Keloid) 2 times a day, every day.

  6. 10 days after surgery come back for removing stitches if wound too tension may remove stitches off on day 14 after surgery.

  7. Taking medication as prescribed until it finished if have any side effect such as rash, itching, nausea, vomiting, difficulty breathing, seek immediate medical attention should visit doctor immediately.

  8. Avoid beverages containing alcohol, no smoking 2 weeks after surgery. If the symptoms are unusual bleeding or swelling should contact a physician immediately.

  9. Come back for stitches remove about 5-7 days.

Buttock Augmentation

Buttock augmentation is a procedure that reshapes and enhances your gluteal area, providing you with an uplifted and shapelier buttock profile. This procedure is recommended for people who has flat, square, loose and sagging buttock shape.

At Lelux Hospital the buttock augmentation is performed using silicone implantation. As the silicone will be placed in the gluteal area, there will be a lot of movement in this area which would create more pressure than the breast area. Therefore, the material use inside the silicone bag will be high cohesive gel which has more intensity than normal silicone bag.

The procedure will be performed under general anesthesia; the implants will be placed through an incision made either where the check meets the back of the thigh or in the buttock crease where the scar is not as explicit. The surgeon will create a pocket large enough to place the butt implants. Once the implant is placed, the incisions are closed and a compression garment is applied. The procedure will take about 2-3 hours and the full recovery would take several months.

Post-Operative Care

  1. The first 24 hours are best spent resting. You must have someone with you at all times for the first 24 hours and he/she must also read these instructions carefully. You should have someone assist you when you first start ambulating (moving around).

  2. After 48 hours, you may take a shower or sponge bath and do not worry about getting the tapes or drains wet. Do not take a bath or submerge the incision under water for 3 weeks.

  3. You may not sit or lay on your buttocks or the grafted for two weeks after surgery. You should sleep on your stomach or lie on your stomach on the sofa. You may use a recliner as opposed to sitting straight up. When using the toilet, keep your weight on the backs of your thighs, not on your buttocks.

  4. Wear the support stockings for at least 1 week after surgery or until fully active.

  5. Some bruising and swelling is normal in the immediate post-operative period. This will gradually decrease over the first few weeks.

  6. Take all medications as instructed and follow all guidance by doctor.

Face lift

Face lift is the solution for drooping cheeks, chin, neck sag and wrinkle. In some cases, have excess fat in the cheeks and chin then the doctor will perform liposuction at the same time. This procedure is suitable for a patient who has the trenches alongside the nose, cheeks and neck that started veering or having several layers. However, this procedure cannot fix forehead wrinkles and eyelids droop.

Pre-Operative Care

  1. Avoid anti-inflammatory drugs (NSAID) such as aspirin, smoking some supplements that affect blood clotting, such as garlic and fish oil at least 2 weeks before surgery.

  2. Avoid herbs such as Evening Primrose, Vitamin E, foods containing high amounts of monosodium glutamate, garlic, soya products. Patients need to inform the doctor, may need to stop taking for 3-5 days before having the surgery.

  3. Preoperative fasting for about 6 hours.

  4. Prepared hair wash before surgery to prevent infection.

  5. The pressure should control pressure is below 140/90 mmHg (mmHg) surgical will involve blood loss for 2 weeks before surgery

  6. Avoid smoking and drinking 2 weeks before surgery.

  7. Preparation leave for about 7-10 days for full facelift and 5-7 days for partial part.

  8. Should bring friend with you on the day of surgery.

  9. Should inform the doctor about your medical conditions for instance diabetes, heart disease and drug allergies such as Penicillin, sulfa.

  10. Those with certain types of heart disease who need drugs such as aspirin should consult a doctor before the surgery

  11. Those taking Coumadin to prevent clotting of the veins in the legs or

    in people with heart valve leakage should consult your doctor and stop taking before surgery.

  12. No operation for those who use a pacemaker for the heart.

  13. Jewelry metal need to be removed.

  14. Two weeks after surgery, dark blood and lymphatic will occur around neck.

  15. Scars caused by surgery will be behind the ears and hairline.

Surgical Procedures

    1. Anterior facelift

The surgery Side of forehead and cheek The scar will be around the temporal and cheeks without the wound behind the ear. For those who want to pull the side forehead, cheekbones, brow lift and face for those traces wrinkled face. But no wrinkled at neck area.

This surgery can be performed without anesthesia. Or if the patient wants to be under general anesthesia, it can be done as well.

  1. Full Facelift

The surgery will be performed at the upper, middle and neck. This is the most popular procedure because it can help the whole face look more youthful. Resolves chin and neck that were wrinkled.

This surgery requires general anesthesia, hospitalization 1 day after surgery. Patient should take leave for about 7 days because there will be swelling after surgery.

 

  1. Temporal lift

 This procedure for retrieve the brow.

3.1 incisions will be inside the hairline as well as how to pull ahead. This procedure cannot see a wound on the face. The surgery can be performed by with or without general anesthesia.

3.2 The incision will be at hairline. This procedure for those who already have a broad forehead, the baldly and do not want forehead wider. The scar will be at the hairline but it will not increase the width of the forehead.

Post-Operative Care

  1. Apply Cold Compress 4 times a day to reduce the swelling in the first period of recovery.

  2. Should lie head elevated (high pillow) so that blood flow to the heart area. Swelling will subside faster.

  3. Remove bandage the next day after the surgery. You may wash your hair very gently and make sure to keep them dry.

  4. Come back 4 days after the surgery to remove the stitches around the ear area. If you delay to remove your stitch, it may cause some wound.

  5. A week after the surgery you will come back again to loosen the stitch on your head to make it more comfortable for the wound.

  6. 10 Days after the surgery, you are required to come back to remove all the stitches and for the follow up. However, if the incision is still tight you might have to remove your stitches 14 days after the surgery.

  7. After removing all the stitches, you are recommended to apply ointment for reducing scar 2 times per day to prevent keloid.

  8. Take all the medication prescribe and follow all guidance by the doctor.

  9. No alcohol drinks and smoking.

  10. If there is any bleeding or any abnormal condition, contact the doctor immediately.

Tummy Tuck

Abdominoplasty or tummy tuck is suitable for people who have too much flab, loose skin around the belly, women who have had several pregnancies or for men or women who were once obese and still have excess fat deposits around the belly.

Abdominoplasty will remove stretch marks or excess skin underneath the breasts into place by stitch and strengthen the muscles under the breasts. This will obtain a flat belly, smaller waist and having a new navel. A surgical incision in the same level as your pubic hair will not be visible when you are wearing bikini.

Surgical Procedures

For this surgery, the incision will be made low on the abdomen, at about the same level as your pubic hair to your navel which would be about 1 cm. After that, the surgeon will remove the excess fat and your loose skin then the upper part of your abdomen will be pulled out 1 cm above your navel to the under of your breast. Then the surgeon will pull the upper part of your abdomen to replace the lower part of your abdomen and stitch them together in the same level as your pubic hair. This means the incision will not be visible when you are wearing bikini. Finally, the surgeon will drill a hole to reposition the navel to the skin. Patients will have to stay at the hospital for 2 nights.

If the weightexceeds60 kg, height 160 cm.Couldhaveliposuctionon theabdomen,under the breaststogether.

– If using a Liposuction Vaser.

The use of high frequency sound waves called ultra sound fat before. Then liposuction is the advantage of causing less bruising, less painful and more fat.

– If using a vacuum liposuction.

The older machines Using a battering ram to break away fat. Then drawn.This will  hurt more than just a little fat come out.

 

Post-Operative Care

  1. Patients will feel vigorous pain in the period which is normal for this surgery but the level of painfulness will keep getting better after one week.

  2. 1 or 2 weeks after the surgery,patients are recommended to walk in a slightly bent over positiondueto thetightenwoundafter surgery.

  3. Exerciseatfull strengthare banned for 3 months.

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

  5. Patients are required to wear abdominal garment for 3 months.

  6. Patients have to come back 7 days after the surgery to remove the stitches as well as for follow up.