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Thursday, June 9, 2011

Augmented Rhinoplasty (Nose Augmentation)

Augmented Rhinoplasty is very common among Asians and non-Caucasians to correct a flat nose with a round bulbous tip and flaring nostrils. The aim is to build an aesthetically pleasing nasal bridge with an elegant projection and well defined nasal tip, and at the same time narrow the flaring nostril base. An implant is usually used.

The implanted material is biocompatible and extremely safe. Incisions are made inside the rim of the nostrils. Soft tissues of the nose are then separated from the underlying structure to create the appropriate space for nose implant projecting the nasal tip and increase the height of the nose.

Of all the procedures performed by plastic surgeons, rhinoplasty is the most challenging. And it is with this procedure that society judges you by its shape and the skills of the surgeon because the nose is the first thing you see when you look at someone. There is no way to hide the nose, before or after the procedure. Noses are so variable in size and shape that it is hard to define what is normal. Every nose is different and every result should be different, fitting the patient’s face.

Nothing defines your appearance quite like your nose. Like it or not, people identify and even judge you by its shape and size. If your nose overwhelms your other features, it can hamper your self confidence by affecting your looks. That’s especially true if you are transitioning from your birth gender as a male to your new gender as a female. Having the nose that is bigger and wider than the small, narrowed version found in most women can ruin the feminine identity you wish to project. Can it be changed? Yes. By reshaping your nasal contours, rhinoplasty is one of the most important operations in facial feminization.

If you’re a transgender individual, your nose presents one of the most obvious facial challenges to your feminity. Distinct differences are found between the sexes. First, male nose are larger in every aspect than in female noses. They’re longer and wider with larger nostrils and generally bulkier tips than those features in women. Second, a man’s nose points either ahead or slightly downward at the base, as opposed to a woman’s nose which points slightly upward at its base. The female bridge in some ethnicities also “scoops” or dips before sloping gently straight downward or into a slightly upturned tip. 

Third, and perhaps most important, the angles between the nose and the forehead, and between the nose and the upper lip tend to be sharper in men than woman. As a male you may not have the chiseled profile but your nose likely projects off your forehead in a more abrupt way. You may even sport an unsightly bump, called a dorsal hump.

In changing our nose to fit your new gender, your surgeon will make sure that it not only slopes gently from your forehead but also is free of any humps or bumps. He or she will also downsize and resculpt until this part of your face fully reflects your new identity. 

For more information about the procedures you may contact International Marketing Coordinator: osias05@hotmail.com or call mobile phone: +66816572522, Tel: (662) 753-9206

Temporal Fossa Augmentation

The temporal fossa is located above your cheekbones, just to the side of your eyes. It is the shallow depression of your skull.

You know it as your temple. Created by an underlying pair of cranial or temporal bones, it houses the temporalis muscle, one of the strong muscles necessary for chewing. If you take away the muscle, you are left with a space called the temporal fossa. Normally, this indentation is a discreet hollow just below and behind your forehead. But if the depression is so pronounced that it makes you look sickly or gaunt, you may want your surgeon to fill it in. Augmenting a temporal fossa depression isn’t a necessary step in feminizing your face, but it will add immensely to a healthy, feminized look. 

There is no difference between the sexes when it comes to an exaggerated temporal fossa depression. Even though I have treated only one woman with a significant indentation, I believe strongly that a deeply concave or inwardly curved space has nothing to do with gender. Whether you are a man or a woman, a pronounced hollow just behind your lateral orbital rims, the bony ridges to the side of your eyes, can have a significant effect on your facial aesthetics. This hollow can make you appear starving when you are well fed. Although the majority of the people don’t have a temporal fossa depression that merits attention, it is not an uncommon occurrence.

The degree and precise location, however, can be variable. The depression also isn’t necessarily symmetrical or the same on both sides. When it does exist, augmenting the space can offer many aesthetic benefits. Improving the contour can create a more appealing look.  

For more information about the procedures you may contact International Marketing Coordinator: osias05@hotmail.com or call mobile phone: +66816572522, Tel: (662) 753-9206

Mandibular Angle Reduction

Mandibular Angle Reduction is usually done to individuals who have wide jaw line or square face. It reduces the width of the lower face and change a square face to an oval one.

This procedure can enhance the masculine features, in men while in women it can give an impression of strength and confidence. In some, however, the jaw can be disproportionately wide as compared to the rest of the face or zygomas and mandibular angles are overly prominent that upsets the balance of the face.

This is one reason for aesthetic Mandible Angle Reduction. The incision is commonly done inside the mouth which means the scar will be invisible.

For more information about the procedures you may contact International Marketing Coordinator: osias05@hotmail.com or call mobile phone: +66816572522, Tel: (662) 753-9206

Lower Jaw (mandibular) angle surgery/ Mandibular Angle Reduction/ Gonioplasty

A protruding or receding lower jaw can markedly decrease the aesthetic results of your facial feminization surgery. If your mandible doesn’t match your maxilla (upper jaw), and/or disproportionately wide as compared to the rest of the face, that upsets the balance of your over all facial profile. Thus, lower jaw (Mandibular) Surgery is an important step in facial feminization surgery.

Done to individuals who have wide jaw line or square face. It reduces the width of the lower face and change a square face to an oval one.
This procedure can enhance the masculine features, in men while in women it can give an impression of strength and confidence. In some, however, the jaw can be disproportionately wide as compared to the rest of the face or zygomas and mandibular angles are overly prominent that upsets the balance of the face. This is one reason for aesthetic Mandible Angle Reduction. The incision is commonly done inside the mouth which means the scar will be invisible

For more information about the procedures you may contact International Marketing Coordinator: osias05@hotmail.com or call mobile phone: +66816572522, Tel: (662) 753-9206

Thyroid Cartilage Reduction/ Adam’s apple Removal

Adam’s apple is a feature of the human neck that is characterized by a protrusion formed by the angle of the thyroid cartilage surrounding the larynx. During puberty stage, thyroid cartilage elongates eventually much larger in males than in females. Because this protrusion on the neck is so a distinctive characteristic of an adult male, it may cause you great concern. Yet, Adam’s apple can be reducing in size by a Thyroid Cartilage Reduction procedure transforming from masculine to feminine remarkably.

For more information about the procedures you may contact International Marketing Coordinator: osias05@hotmail.com or call mobile phone: +66816572522, Tel: (662) 753-9206

Lower Jaw Tapering- Angle Reduction/ V-line mandibular Angle Contouring

Tapering the mandible or lower jaw is an important step in facial feminization surgery. Women have more tapered and narrower lower face. Men have considerably prominent jaw line rendering a wide, square face which enhances the masculine features. With these differences, the surgery is essential in transitioning from male to female. Thus, improving femininity and eliminating obvious masculinity.


It allows for reduction of the chin to a more slender and oval shape without increasing its length. The surgery also reduces the overly strong bone flanking each side of the chin, thus transforming the more masculine U shape to a sharper and more feminine V shape. The chin line is excised into a smooth line. The chin end can be brought together without touch of the nerve. The protruding parts in both sides of the mandible are excised. The narrowed chin end produces the wholly oval V-line face type. 

For more information about the procedures you may contact International Marketing Coordinator: osias05@hotmail.com or call mobile phone: +66816572522, Tel: (662) 753-9206

Chin Reduction

The chin is one of the most important features in gender identification. It is so different between the genders. In men, chins are vertically higher and wider than in women. The chin is the front portion of the mandible or lower jaw and the point on the lower face.

Chin reduction is a cosmetic surgical procedure that reduces the size of the chin by shaving down the bone through an incision made in the lower gums. Chin reduction surgery begins with the surgeon making an incision inside the mouth (near the lower lip) or under the chin. Using specialized instruments, the surgeon detaches the bone at the tip of the chin and then reshapes and removes the excess bone to properly proportion the contour. The tip is then repositioned with the remaining section of chin and held together using wires and plates. The incisions are sutured to complete the procedure.

For more information about the procedures you may contact International Marketing Coordinator: osias05@hotmail.com or call mobile phone: +66816572522, Tel: (662) 753-9206