More about advantages of treatments with Fat Derived Adult Stem Cells (ADSC); I recently treated a woman whom I discover a small skin cancer on her upper cheek near her eye. After surgical removal, since it was growing beneath the surface, a deep defect to the muscle about the size of the quarter resulted. The usual surgery with the skin graft or rotating with a skin graft or rotating adjacent skin and muscle to close the defect would leave visible scars. I chose to fill the defect with her own fat, augmented with her own ADSC and let mature heal it. This called healing by Secondary intent and I am a big proponent of it (there is no better surgery than Mother Nature!). The result was spectacular- complete healing in less than a month with no visible defects. Of course, she will be monitored for any future problems. This is great stuff! More later--- Stephen X. Giunta, M.D., F.I.C.S.

Hey! Watch your Ash! – And other words of Holiday advice. For many of us, the Holiday season brings much over- Indulgence in the food, drink, partying, smoking and general relaxation of healthy habits. For others not being able to do or provide the things we would like to – for our loved one’s leads to a different but likely a worse kind of stress. (More about that later). Let’s talk about a few things we can do to make the season ultimately less harmful to our general health and psyche. First we shouldn't beat ourselves up by putting unreal- istic expectations on ourselves. By this I mean you must not put restrictions on yourself about eating, drinking and merry- making that don’t allow you to enjoy yourself, “Christmas comes but once a year”. Over indulgence goes hand in hand with Over Abundance. There are, first, too many good things, celebrations and gifts to tempt us. Trying to avoid these is unrealistic! The old saying “All things in moderation” is still great advice. Set yourself reasonable limits. You don’t have to be a martyr or miss out on the joy of family, friends and all the good things. Remember nothing tastes as good as looking good feels! Second – Know your limitations and weaknesses. We have all fallen victim to our own “mistakes” in the past. We know what to avoid – that attitude of “just one more drink” or another helping of dessert get’s us every time. Pace yourself at parties. Third – for those who’s weight gain is easy and weight loss is difficult. Weigh yourself every two to three days – when you see the scale start to go up you can cut back. This prevents that horrible feeling when you first step on the scale after the holidays and found you've gained ten to fifteen pounds! Fourth, calories still count so count calories. Don’t fall into the trap of saying to yourself “if I just eat all the treats and not my regular meals I’ll be ok?” A balanced diet still works best. Fifth – remember diets don’t work without exercise. Make sure you have a reasonable program that you enjoy and is easy and convenient. Check with your doctor if you don’t already have a program. Happy New Year!! That’s all for now “Without wax” SXG, M.D.

What do the following term mean and how they related to Sex Change Surgery(SCS) and to each other.  Sex Change, Phalloplasty, Gender Reassignment Surgery (GRS)  Transgender/Transexual  Heterosexual/Homosexual  Gay, Lesbian, Bisexual  Transvestite  Pedophilia A brief history will help explain the origin and evolution of these terms. Thru-out history sexual attraction and activity between opposite sexes has been the norm in all major cultures. Anything different has been treated in often diverse ways by different people and in different times. It is sometimes accepted as a normal activity without stigma, sometimes as being revered and elevated in status and sometimes as deviant, even criminal behavior subject to severe punishment, being social outcasts, even death. 21st Century Western Society is becoming more tolerant even accepting of different sexual “lifestyles” but certain cultures and even some so called educated westerners remain prejudiced and refuse to try to understand. Sex Change Surgery (SCS) now known as Sexual Reassignment Surgery (SRS) or Gender Reassignment Surgery (GRS) applies to surgical procedures for those who long suffering men or women who feel their real gender is opposite to the body they are living in and wish to live as the opposite sex. SRS/GRS burst upon the U.S.A. In the mid-20th Century with the famous case Christine Jorgensen a man who underwent GRS in Denmark. This became the media frenzy and was treated as a comic fodder. Little by little as more brave individuals sought relief from their suffering surgical procedures to change not only the genital organs but also masculinize or feminize the facial and even body habitus features have been developed. These are now part programs set up with strict physical and extensive psychological criteria for acceptance. Needless to say the whole subject of GRS remains somewhat controversial. PHALLOPLATY the term derives from the Greek “Phallus” meaning an erected penis and the PLASTICOS meaning “to change form”. There are two types; Cosmetic Phalloplasty (CP) which enlarges a normal penis and Reconstructive Phalloplasty (RP) which builds a new penis where there wasn’t one (female to male GRS) or repairs an injured or damaged penis – (war wounds, fire, cancer, etc.) I have specialized only in Cosmetic Phalloplasty and Ancillary masculinization/feminization procedures for more than 20 years (more about those later) Who are these people seeking GRS? The correct term is TRANSEXUALS. Better to answer who or what they are not! They are not homosexual, gay or lesbian or bisexual. I remember then “gay” meant happy, carefree enjoying life. A “gay blade” was a BON-VIVANT a “man about town”. How it transformed to meaning homosexual probably stems from the term “gay Blade” being associated with a “dandy” a rather foppish male thought to have feminine characteristics, not a “real” man. The term ”lesbian” comes from the association with the Greek Island “Lesbos” (now Lesvos) the home of the Sappho the ancient poet and her followers to whom homosexuality was attributed. They are not transvestite who have normal sexual orientation but like to dress as the opposite sex. They are not Pedophiles – attracted sexually to children- acting on this perversion is a criminal offense. However combinations of the about can exist. How are these surgeries performed? Firstly,, male to female GRS is by far more common. The goal is to end up with a normal functioning female body and facials features. This often requires more than one procedure at a time called “stages”. To summarize, the penile body is removed sparing the head to convert to a clitoris for normal sensation. The urine carrying channel is also spared for normal urinary function. The testicles are removed leaving the sac (scrotum) to convert to a vagina and normal labia or external genitalia. Ancillary procedures include;  Female Hormone Therapy  Breast Implants  Body Contouring- for example liposuction or fat transfer to produce more female like shape  Laser Hair Removal ?Hair & Makeup  Changing facial features – smaller nose and chin, building up higher cheek bones, smaller jaw. Reduce the size of the “Adam’s Apple” and sometimes the forehead.*  Voice lessons *these are my specialty Female to Male conversion – A more complicated surgery RECONSTRUCTIVE PHALLOPLASTY involves fashioning a new penis from either transfer of nearby (local) flaps of skin such as the inner thighs or groin area. Preserving the clitoris and the urinary channel to act as the head of the penis called METOIDIOPLASTY is done. A penis prosthesis which provides rigidity for erection is also done. Ancillary Procedures include;  Male Hormone Treatment  Breast Reduction  Body Implant - including; Pectoral Implant to increase muscular appearance of chest, arms and leg implant  Lipo transfer to masculinize the body shape  Voice lessons  Masculinize facial features ( my specialty – I have patented chin and nasal implants and surgeries to improve neck contour – my Hyoid Release Cervicoplasty and mentopexy open and close neck contouring  Hair transplants/Male grooming In summary – I cannot stress enough that the GRS is very serious surgery with the long term commitment and many potentially serious complications both physical and psychological. I hope that someday all people will join in recognizing all members of our sexually normal family. We are all God’s children – brothers and sisters I believe that someday GRS will not be necessary and Genetic Engineering will be the answer. My specialty is Cosmetic Phalloplasty, Facial Plastic Surgery and Body Contouring. Cosmetic Phalloplasty – involves advancing the normal inner penis – gaining length and adding your own concentrated fat to increase the thickness of the shaft. I do not do GRS/SRS or Reconstructive Phalloplasty but I can advise a person seeking these changes have to proceed.

I was amazed by the amount of misinformation in the above blog. I can’t imagine it was written by anyone with a scientific background. The statement that the average penis is between 3 and 5 inches is about as accurate and misleading as saying the average American male is 5’9” when the range of average is 5’3” to 6’9”. The point there is a big difference between four inches and six inches – about 50% The confusion lies in equating average with normal. Normal is best thought of in terms of function a normal penis has a shape and a size that allows the person to function with it as it was meant to function. A normal penis can be small or large and, if you will medium in size and still function “normally” the other reason that measurement can be misleading is that even though the size maybe the same it looks different on different bodies! It is correct that there is little support & scientifically for nonsurgical methods and they do damage. There is for surgery. Surgery, called Phalloplasty, is recognized by the American Academy of Cosmetic Surgery as safe and effective. It is given that is should be done a well-trained and experienced certified surgeon. It is also a given that not everyone us a good candidate for surgery just because he has a penis. I have been doing cosmetic phalloplasty for over 20 years and over seven thousand cases. I know it works on the properly selected patient. This is too serious a subject not to devote my time and energy to improve the quality of life and relieve the pain that men really suffer with. Dr. G

Looks does matter

Do you have a dream? I do……….. That no man or woman should suffer the needles indignity of feeling insecure or inferior about their physical appearance. We’ve all heard the phrase “looks don’t matter”. Let’s go to the real world – looks do matter, not only how others view us but most importantly how we view ourselves – our own self image! We all feel insecure about something. It is well known that even some of those considered extremely handsome or beautiful are among the most afflicted; for example Marilyn Monroe. Needless to day, this is not the forum for the psychiatric examination so I will just stick to the facts, not the reasons. Whether it is a feature, you don’t like such a big nose, ears that stick out, signs of aging face or neck excess fat, small breasts, or even a small penis. You don’t need to suffer. If is my dream (and my job) to help you feel better about yourself. Do you want to become the you that you always wanted to be? Then talk to me -! S.X. Giunta, M.D.

Hi Folks, Today I want to share some really great news with you. I am hoping that what I am going to report to you could be a BREAKTHROUGH in treating areas where defects that are essentially “holes” in the soft flesh are left after removing bad things like skin cancer ugly scars or injuries. Let me tell you about “Barbara” (not her real name). I was doing Face Lift on her when I spotted a small “spot” on her cheek near her eye, she was vaguely aware of it but didn’t pay much attention to it. I didn’t like the look of it, so I biopsied it. The pathology showed a skin cancer called – Basal Cell Carcinoma. These tend to go below the surface and spread out. The standard treatment is called MOHS Chemotherapy (name after Dr. Mohs who devised it). This is removing small bits of tissue a little at time and checking it right then & there under a microscope until all the cancer is removed. Then the defect that is left is dealt with. In “Barbara’s” case a large hole over the side of the cheek near the corner of her eye was left. Closing the defect by standard surgery would leave a possibly unsightly scar and pull down the corner of her eye. I am a great believer in Mother Nature being the greatest healer. This would mean let the body heal this wound and deal with fixing a much smaller defect rather than fixing it right away – usually leaving a large scar. Since I have had a large experience with using ADULT STEM CELLS extracted from the person’s own fat and using them in my free fat grafting procedure to enlarge penis size I decided to fill the defect that went to almost down to the cheek bone with her fat own bits of fat along with the stem cells, I then covered the area with an antibiotic dressing. To make a long story short – this healed completely leaving no noticeable defect or scar in about three weeks. (see photos) She has been completely healed and no scar is visible – she is almost a year after the procedure now. This is so EXCITING I am continuing to work on the use of adult FAT derived STEM CELLS in healing. Please feel free to contact me with questions or your ideas. “Without Wax”* Stephen X. Giunta, M.D. P.S. What does that mean???

For Men Only (Phalloplasty Enlargement/Lengthening Procedure

Male surgery: Hi Folks,
Allow me to introduce myself;
Myname is...: Hi Folks, Allow me to introduce myself; My name is Dr. Stephen X. Giunta , M.D. (pronounced June-ta), it is of Italian origin ...