Elective surgery sex change done in less responsiveness offers a “much better” than at older ages, because the youth of the body allows the reconstruction of tissues and vascularization is faster than in patients with higher age, according to the president of the Spanish Society of Plastic, Reconstructive and Aesthetic Surgery (SECPRE), Dr. Ezequiel Rodriguez.

In fact, surgeons who performed the operation “are members of the SECPRE perfectly formed and trained,” said its president. In any case, they “are just the latest link” in a process that “requires the validation of the family, psychologists, endocrinologists and judicial authorities,” he said.

Regarding the surgery itself, Dr. Rodriguez stressed that “there is no age limit to do it, or below or above”, although it can not be “free will”. “In any case, a surgeon can operate to all children at their request, that is tightly regulated in Spain and requires the approval of many professionals, the proof is that the case of Barcelona has been made in a public school,” said.

In this sense, the president of SECPRE recalled that “one can not generalize” when talking about sex changes in children. “Everyone knows that the convictions of adolescence can change upon reaching adulthood but, when indicated and has spent all protocols, it is clear that the operation is positive for both physical and psychological well-being of the patient,” said.

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The law only allows sex change operation at age 18 if they have a warrant. The approval of the parents is not enough. According to Dr. Ivan Manero, head of the gender disorders unit at the Hospital Clinic of Barcelona, ??in this case the operation is fully justified because, although the young are not of legal age, no doubt from the point medically. The family of the boy who wants to be a girl went to the doctor for a solution, and this explained the legal difficulties of the procedure.

Transsexualism is something you have to deal with. All we would get their hands on the head when told that a child with leukemia can not be treated until they turn 18,” he assured Manero. “10 years ago the 16 year olds did not know what to do with your situation, but now find what is wrong and they know they have a solution,” he added.

The president of the Association of Transsexuals of Catalonia, Gina Serra, confident that the judge authorizes the operation of the child. In his view, “a child for eight years and knows what he wants to be and what not, but everything depends on the support it finds in his family.” The minor, Serra explained, went two years ago the association for help, “got into trouble because the other students picked on her and was forced to change schools.” Serra has said that a favorable ruling would serve to “open new perspectives for the transsexual group.”

According Manero, the judge making the decision requested the opinion of independent medical experts who gave an opinion in favor of intervention. If approved the transaction, would be the first to be held in Spain to a person under 18 years and one of the few cases reported worldwide.

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The 16-year-old who underwent the sex change operation took more than a year in psychiatric treatment and hormonal, a necessary step to have this type of intervention.

The judge authorized the sex change operation on a minor after analyzing forensic reports were in favor of surgery. Spanish law only allows such operations to adults, unless there are exceptional circumstances, as is the case. The patient is a teenager he was a girl locked in the body of a boy. In fact, it took more than a year and a half following hormone treatment to prepare for surgery.

The operation, which was funded by the family of a teenager, was conducted successfully and the patient is recovering favorably.

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This is the first child who undergoes a sex change intervention in Spain and one of the few in the world. Clinic sources have indicated that the operation was in the hospital, but was the responsibility of the private health care company Barnaclínic, which is linked to the hospital.

The patient, a boy of 16 years, took more than a year and a half following hormonal and psychiatric treatment as a step to have an operation of this type. As recognized by Dr. Ivan Manero, the surgeon who performed the operation, suffered from gender dysphoria since age five. This means that “a woman’s head was in a body that developed in a man.”

The boy who wanted to be a girl had the support of his family and doctors, but the law only allows sex change operation at age 18 if they have a warrant. The judge gave the green light to the operation after analyzing the forensic reports were in favor of the intervention.

The operation, which has been paid by the family, it has successfully developed and she is well, “happy” and already has a normal life.

In the OR
To get what she craved from her infancy, the lowest was in the operating room about two hours and this time he created a space to give it a vagina in the perineum, which was covered with the skin of the penis.

And with a piece of glans and penile dorsal nerves, which are removed in surgery, he built a clitoris “fully functional and fully sensitive” and cut his urethra to leave it as that of women, the level of the vaginal entrance. The intervention also removed the testicles and scrotum were reconstructed with the labia majora.

After surgery, the child will no longer require psychological support, but hormone treatment-estrogen-female, for life to prevent early decalcification of the bones, as in women with menopause by the decline in hormones.

Seven out of ten people home undergoing gender reassignment intervention, as this surgery Mañero called, occurs in men who feel women.

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This type of surgery is the best solution for snoring problems to date. It is popular because its effect is permanent and is technically safe. The effectiveness of surgery for snoring laser evidenced poruvuloopalatopharyngoplasty or UPPP.

But to be really safe, you have to be in the hands of an expert when subjected to this type of treatment therapy. You need the help of a qualified health expert. After surgery and recovery time, you will experience almost immediate relief to snoring.

When comparing surgery with laser tools and devices used for snoring, the first would fair better. All others can only provide a temporary solution to snoring. surgery with laser, on the other hand, can give permanent relief. This is why laser UPPP is today the most popular.

While other types of surgery for snoring laser, one thing is their main goal – to remove all locks in the mouth or throat that are causing you to snore. The uvuloopalatopharyngoplasty or UPPP is a type of surgery laser that aims to remove the tonsils of the patient, along with some parts of the uvula and suavepaladar.

There are actually two types of surgery for snoring laser. The most preferred is assisted by laser, which is the main point of interest here. When it comes to prices, the laser-assisted UPPP is much cheaper than traditional UPPP. Here, the uvula, not completely eliminate, rather abbreviated. The soft palate is evaporated with the use of the laser beam.

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first loss of hair occurs for many reasons. Hormones, diet, stress and concurrent medical conditions and medications can contribute to hair loss. In this case, the laser only works under certain conditions of hair loss, such as male pattern baldness and female hair thinning due to the hormone dihydrotestosterone (DHT), this treatment only works on mild to moderate only condition. Laser hair therapy using photons to stimulate hair growth in hair follicle, you can use the shampoo and creams as recommended by the manufacturer for best results.

By contrast, depilatory system uses a different type of laser, which generates a wavelength selective attack melanin heat to the hair without damaging the skin. Hair Removal system kills the follicles of the area concerned and leaves around alone, making it a popular method among women. This system is quite permanent after a few months of treatment, the hair follicles do not grow back.

Hair loss can cause loss of confidence and self esteem. You can re-grow hair using a home kit some manufactures, but it is recommended to visit a doctor trained to treat your scalp with hair loss problems. While lasers are safe to use in the modern world, improper use can cause irreversible damage to the skin. Therefore, it is important to follow the instructions of the manufacturer to the greatest extent possible.

Before initiating treatment, the assessment will start for the potential patient. Only certain merits hair loss condition hair regrowth laser. The professional will consider many factors before deciding whether treatment is appropriate. If you are advised against laser treatment, you can consider other methods such as surgery or medication. Hair loss is part of aging and that is affected by many other causes, so it is important to accept the fact and carefully decide on its strategy to control or slow the progression of hair loss.

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It is necessary that before having a plastic surgery , your doctor is aware of his desire to be a mother to breastfeed her baby, so the doctor will perform the implant with much more tact and prevention.

There is also the risk of breast implants can prevent the detection of breast cancer. These are often not perceived during mammography, X-rays or ultrasound, have been many cases of breast implants could hide suspicious tumors or lesions. In loslaboratorios where mammograms are performed, the special care specialist and quite detalloso patients with breast implants. We need more observation and more time for imaging. When you schedule a mammogram, tell the receptionist about implants so you can schedule overtime.

Another point to mention is the loss of sensation that disturbs most patients after having had breast implants, they begin to experience some loss of sensation in the nipple and breast area. Loss of sensation of pain or pleasure in the nerve endings of breast and nipple. Often this loss of sensitivity can be temporary or in some cases become permanent. The surgical technique can play an important role in this complication. The surgeon can determine the most suitable implant and the surgical technique to minimize loss of sensitivity.

Another factor to consider before having breast implants is the deterioration of the same, no implants last forever. Implants can break or suffer ruptures, causing deflation. Many breakdowns are a result of natural aging of the implant, excessive compression of the breast or chest trauma. The most notable effect is the size and shape of the breast change. Depending on the size of the rupture, changes in breast appearance can occur in a few days or a very long period of time. If this occurs need further surgery to remove a breast implant deflated. Most women choose to have the implants decreases with augmentation surgery breast revision.

Before surgery, discuss the possible side effects with a qualified plastic surgeon breast augmentation. Selecting a plastic surgeon, following pre-and postoperative instructions, and set realistic expectations for their size and shape of the implant may be the key measures to prevent side effects.

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This has been assured the new general secretary of Health, Pilar Farjas, told the media after visiting the Instituto de Salud Carlos III, where the Minister Ana Mato and the director of the National Transplant Organization (ONT), Rafael Matesanz , took stock of donations and transplants in 2011 .

Farjas stressed the “commitment and effort” made ??by Health “to ensure continuity of care to women who received the implant warning order “and has insisted that the department went to work at the start with a group of experts scientific societies related to the subject.

He also praised the work done with the Autonomous Regions and the Committee on Safety of Health Products in the EU and has stressed that the results so far allow to reach the commitment that all women who have been implanted with this prosthesis “fraudulent” have “a center where the continuity of care is guaranteed. “

Women are being cared for and treated
Specifically, as explained, the women who received an implant of its kind in public schools are already being addressed and treated, and those that were operated at private schools, which have produced most of the implants, will these revisions in these last.

“A priori, the doctor to go is to that prescribed surgery,” he explained Farjas, who has said however that the operated women in private offices that have been closed, which do not exist or if the intervention was done outside Spain will have a reference unit in public health where you can make a review.

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The president of the Association of the Patient Advocate, Carmen Flores, warning that many concerned who, unable to bear the charges stemming from a new operation to remove the defective implants, are still awaiting to find an adequate solution to negligence that never waited. For its part, the Director of Plastic, Reconstructive and Aesthetic Surgery of the University Hospital of Navarra, Bernardo Hontanilla gives us one of the keys that you necessarily know if you in your day to an intervention subdued breast enlargement with implants PIP:

1. Do I have to go immediately to withdraw my implants? “In the event that any of the prosthesis has been broken, you must go as soon as we withdraw them,” says Dr. Hontanilla. Although health authorities have warned even a cause-effect on the tumors detected in several women who took these implants, “the withdrawal should be immediate, speaking a few days.”

2. If the implant is not broken, do you also should remove it? “should be removed in any way”, says the doctor. “He has broken or not, my personal opinion is that we should not let too long before removing defective implants. One month, two at most, in my view, the time limit to wait to remove them.”

3. Is it possible not to realize that it broke? : It is “a very common case.” “On many occasions, says the doctor breaks prostheses are not noticeable. In fact, when performing a breast implant is advisable to perform an MRI after ten years in order to detect breaks that the patient has not noticed. ” For this reason, and yet they have not seen evidence of breakage, you should immediately seek a review if you relocate the PIP implants.

4. What happens if we wait too long before removing the implant? “The problem lies in the type of silicone. If we wait too long before removing the prosthesis and it ruptures, the patient may have severe problems, such as an inflammatory reaction, an autoimmune reaction … Not yet have precise investigations, although several patients with breast tumors with this type of implant. ” In any case, says Dr. Bernard again Hontanilla, “should be removed because they do not know the complications of bringing this material in the body.”

5. What kind of symptoms you will notice if you break a prosthesis? : Some of the adverse reactions that could lead to bring this type of implants are, according to the doctor, unusual swelling of the breast, redness, significant increase in the chest .. .

6. Should we stop doing certain activities until you withdraw the PIP implants? : “The ideal is to be calm and normal life, attending a clinic for us to withdraw the prosthesis and, meanwhile, continue with our routine. For example, you can play sports well, and that these activities pose no risk despite having these implants. “

7. After removing them, how long to wait to place the following? : Time to wait to place new implants depends on the state of the prosthesis at the time of removal. In the opinion of Dr. Hontanilla, “if not broken may be removed and put new ones.” In the event that the prosthesis had been broken before or during the operation “should not put other if we fail to remove all the silicone. When we remove a prosthesis must be removed also retains the capsule as it has been in contact with the material. If capsule and prostheses not removed successfully and the silicone spreads from the wound should wait to see if the patient develops any inflammatory reaction. In this case, the time-wise to put another prosthesis would be 6 to 12 months. “

8. How is the procedure?: The surgical procedure to remove the breast implant is “an intervention more complicated than putting the implant,” especially in the case where the prosthesis has been broken.

9. Is it an expensive operation? In Spain, unless the Ministry of Health take further decisions on the patient should afford the withdrawal operation of the prosthesis, and a second operation if you want to place the new implants. Not so in France, where the government has assumed the costs arising from the negligence of Poly Implant Prothese

10. Can be after-effects after removing the prosthesis? “It is possible and depends on the patient,” says Dr. Hontanilla. In any case, stresses that the consequences can occur when removing any type of prosthesis, not only the PIP.

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More and more people today talk about the revolutionary breast augmentation methods such as using stem cells,’s own fat or hyaluronic acid injections. Under these circumstances, it seems that traditional methods begin to fade in terms of efficiency.

However, breast augmentation with stem cells, hyaluronic acid and increased fat own breast are techniques that have not been used for many years, so long term complications are still unknown for most patients. More research is obviously necessary in a considerable number of women who undergo these interventions carried out over a period of at least 10 years to eliminate the possible relationship between these procedures and breast cancer or similar diseases. There have been numerous studies that have shown no link between breast implants and cancer and the risk of breast cancer in women without implants is the same as in women with implants. The same stands for other diseases suspected of being related to the enlargement of the breasts.

Chest fat gain transfer is a relatively new surgical intervention, which involves the use of cells other areas of the patient’s body to provide firm and large breasts. It is a complex process that involves removing fat from the abdomen or thighs through a liposuction procedure, and then continue with a process of separation of fat from other compounds.

Finally, other advanced techniques are used to inject fat into the breasts. Besides the fact that no known risks and that the breast volume can not be controlled because some cells have the ability to grow after being injected, the biggest disadvantage is the cost of the procedure, which is higher than that of a normal breast implants surgery. With the increasing use of chest fat transfer, the patient will get a more pleasing appearance of the breasts in a few months after surgery.

The obvious advantage is that no foreign materials are used, so there is no risk of rejection of the substances used by the body. On the other hand, hyaluronic acid injections are another method again the ladies are tempted to try to reshape their breasts. This non-surgical breast augmentation and breast lift is too recent and takes about 45 minutes. The results are maintained according to the injected substance, after which more injections are required maintenance (because the substance is resorbed).

But unlike surgical treatment, this process is irreversible. Injected substances can not be eliminated from the body. You should also know that hyaluronic acid or own fat is injected directly into the mammary gland and the process is quite aggressive for a very sensitive organ.

The recommended technique for most patients is breast augmentation with silicone breast implants, as it comes with a full stock of knowledge, and a long tradition and experience gained through the years of transition. This involves inserting breast implants behind the breast tissue to increase the existing volume and reshape the breasts.

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