Archives February 2024

Vaginoplasty is a surgical procedure that involves creating or reconstructing the vaginal canal. One of the variations of this procedure is minimal depth vaginoplasty, which has gained popularity in recent years. In this blog post, we will delve into the details of minimal depth vaginoplasty, exploring its benefits, considerations, and what to expect.

What is Minimal Depth Vaginoplasty?

• Minimal depth vaginoplasty is a surgical procedure that focuses on creating a shorter vaginal canal, typically ranging from 1 to 2 inches in depth.
• This procedure is often chosen by transgender individuals who may not desire or require a full-depth vaginal canal.
• Unlike traditional vaginoplasty, minimal depth vaginoplasty aims to provide a more streamlined and tailored approach to gender-affirming surgeries.

Benefits of Minimal Depth Vaginoplasty

• Increased comfort and satisfaction: Some individuals may find that a shorter vaginal canal better aligns with their gender identity and reduces potential discomfort.
• Reduced surgical complexity: With a shorter vaginal canal, the surgical procedure may be less invasive and have a faster recovery time.
• Customization options: Minimal depth vaginoplasty allows for a more personalized approach, taking into account individual preferences and needs.

Considerations Before Opting for Minimal Depth Vaginoplasty

• Realistic expectations: It is essential to have a clear understanding of what minimal depth vaginoplasty can and cannot achieve.
• Communication with healthcare providers: Open and honest communication with healthcare providers is crucial to ensure the procedure aligns with your goals and needs.
• Long-term implications: Consider the long-term effects and potential revisions that may be needed in the future.

What to Expect During and After the Procedure

• Preoperative preparation: Your healthcare team will provide detailed instructions on how to prepare for the surgery, including any necessary lifestyle modifications.
• Surgical procedure: The surgery typically takes a few hours to complete, with a focus on creating a shorter vaginal canal.
• Postoperative care: Recovering from minimal depth vaginoplasty may involve taking prescribed medications, attending follow-up appointments, and adhering to postoperative instructions.

Choosing to undergo minimal depth vaginoplasty is a significant decision that requires careful consideration and consultation with healthcare providers. By understanding the benefits, considerations, and what to expect before, during, and after the procedure, individuals can make an informed choice that aligns with their gender identity and overall well-being.

Remember, minimal depth vaginoplasty offers a unique and personalized approach to gender-affirming surgeries, providing comfort, customization, and reduced surgical complexity. Make sure to explore all options and communicate openly with your healthcare team to determine if this procedure is the right choice for you.

Labiaplasty refers to a surgical procedure that involves altering the labia minora or labia majora of the female genitalia.

Labiaplasty is a surgical procedure that involves altering the labia minora or labia majora of the female genitalia.
Labiaplasty is a surgical technique that entails the excision of surplus skin from the vaginal opening to revitalize the vaginal region. Postpartum, women may experience the presence of redundant skin, which can be alleviated through surgical intervention, ultimately contributing to the restoration of their self-assurance.

Who is eligible for labiaplasty?
Women who experience self-consciousness regarding the aesthetic aspect of their vagina may be suitable candidates for undergoing labiaplasty.
What can I anticipate during a labiaplasty consultation?
During the appointment for labiaplasty, the surgeon will thoroughly review your comprehensive medical history, dedicate time to comprehend your objectives, and address any inquiries you may have. He will address the anticipated and foreseeable results, elucidate the intricacies of the procedure encompassing the methodology, the recuperation process, the potential hazards, the expenses, and the available financing alternatives.
Where is the location of the labiaplasty surgical procedure?
The surgeon does labiaplasty treatments in both his clinic’s operating room and the connected hospital.
Which anesthesia is typically administered during labiaplasty?
Labiaplasty can be conducted using either general anesthesia or local anesthetic.
What is the procedure for performing labiaplasty?
The surgical cut for labiaplasty is made on the labia minora, which are the two little folds positioned between the labia majora. After making the incision, the surplus skin folds are removed.
What is the duration of a labiaplasty surgery?
The duration of the labiaplasty procedure typically lasts approximately one hour.
Does labiaplasty cause significant pain?
Following the labiaplasty treatment, patients may have mild discomfort, which can be well managed with medication.
What is the duration of the postoperative healing period following labiaplasty?
The postoperative recuperation period following labiaplasty typically spans from one to two weeks.
What is the postoperative recuperation process following labiaplasty?
The anticipated recuperation period following labiaplasty typically ranges from one to two weeks for patients. Minor ecchymosis and edema may manifest in the vicinity of the labia and adjacent tissue. No stitches require removal as dissolvable sutures are utilized. Patient discomfort can be effectively alleviated by the use of medicines.
What is the expected timeframe for my resumption of work following my labiaplasty procedure?
Patients typically experience a quick recovery and can resume work the day following the labiaplasty treatment.
What is the recommended timeframe for resuming physical activity following a labiaplasty procedure?
Patients should refrain from engaging in vigorous exercise and activities for a period of around four to six weeks following the labiaplasty treatment.
What are the potential hazards or adverse outcomes associated with labiaplasty?
Possible dangers or complications of labiaplasty may encompass hemorrhaging, infection, and scarring.

Augmentation of the outer vaginal lips with fat grafting

What is the definition of fat injections?
Liposuction is a surgical technique that involves the removal of surplus fat from specific regions like the belly, flanks, hips, or thighs. This extracted fat is then carefully processed and subsequently injected into other parts of the body that require augmentation. The surgeon is an expert in utilizing the micro fat grafting procedure. The procedure necessitates the careful extraction of fat with the use of low-pressure liposuction and the employment of thin, gentle cannulas to safeguard the viability of each collected living fat cell. The adipose cells are subsequently purified and carefully introduced into the recipient site’s tissue through small incisions in the skin, using a small syringe and cannula. Small droplets are distributed evenly within the tissues to ensure that every transplanted fat cell receives sufficient blood supply, therefore promoting the long-term viability of the injected fat cells.
What is the rationale for performing fat transfer to the labia majora?
As women age, undergo childbirth, or experience weight fluctuations, this specific region might undergo alterations, such as enlargement or the presence of excess skin.Some women may experience substantial atrophy of the labia majora and thinning of the dermis beneath the skin as they age. These modifications lead to the labia majora becoming flattened, droopy, wrinkled, and discolored. Micro fat grafting can significantly revitalize the labia majora when performed by a surgeon. Fat injections are used to augment the areas beneath the skin, resulting in increased volume and a long-lasting, youthful appearance of the labia majora.
What is the process for performing the fat transfer procedure?

Fat is extracted by a little incision created in the designated donor region. For example, the extraction of fat from the abdomen requires a minor surgical cut done inside the umbilicus (belly button). The adipose tissue is extracted by specialist liposuction methods. Specialized liposuction cannulas with a narrow diameter are designed to facilitate the delicate extraction of fat during the transfer process. Typically, a handheld liposuction equipment is employed to provide suction, as opposed to the conventional suction machine. The utilization of the portable liposuction apparatus reduces the risk of fat injury caused by excessive negative suction pressure and increases the likelihood of fat survival.
After extraction, the fat is subsequently purified and concentrated using a specialized procedure that reduces the risk of harming the fat cells. The adipose tissue is divided into separate syringes and administered by a micro-injection method. This method utilizes specialized injectable cannulas with a width of roughly 1mm. The adipose tissue is distributed across many levels, with numerous fat droplets being formed in the targeted location. The utilization of micro-injection technology in fat transfer ensures the highest probability for the transplanted fat to have an ideal blood supply, thereby enhancing its chances of survival. Typically, an excessive amount of fat is deposited in each specific region, which is referred to as overcorrection. This is done due to the occurrence of fat resorption to some extent in the subsequent weeks. Estimating the exact amount of fat that will be shed in a specific patient might be challenging. Consequently, the majority of patients necessitate many fat transfer sessions in order to ultimately attain the appropriate level of augmentation.
Are there any potential hazards or complexities associated with the process of fat transfer?
While it is true that all surgical procedures have inherent hazards, fat transfer is considered to be a rather safe intervention. Occasionally, patients may observe the aggregation of adipose tissue in a specific region, which is typically indicative of the body’s natural recuperation rather than a procedural complication. If this happens, a mild massage can assist in evening out the shape. Alternatively, the use of steroid injections and/or lipodissolve injections may offer supplementary advantages.

Scalp grafting procedure

What are the prevailing advantages of this procedure?

Hair transplantation procedures can effectively restore a realistic and aesthetically pleasing head of hair. Although hair transplants do not physically increase the amount of hair on the head, they can provide the illusion of having more hair.

What can be expected during the initial consultation?

During the appointment, your doctor will discuss with you the modifications you desire to make in your physical appearance. The professional will elucidate the various alternatives at your disposal, the operation itself, as well as its associated hazards and constraints. In addition, the practitioner will provide a detailed explanation on the specific type of anesthetic that will be necessary, the precise location where the procedure will take place, as well as the associated expenses.

The physician will initiate the process by conducting a comprehensive medical assessment. In addition, the individual may capture photographs and provide you with precise guidelines on how to adequately prepare for the process. Ensure that you inform the doctor about any prior hair replacement operation, smoking habits, and the use of any drugs or medications, including aspirin.

What is the procedure for performing a hair transplant?

Hair grafts are harvested from the occipital region of the scalp. The hair in this region exhibits a reduced propensity for thinning, irrespective of the location it is transplanted to. The loss of hair from this area is nearly imperceptible. Up to 50% of the hair in this specific region can be extracted without causing any obvious disparity.

The extracted patches, also known as strips, are fragmented into smaller segments, which are subsequently transplanted into the area experiencing hair loss. The transplanted hair exhibits the same growth pattern as it did prior to the transplantation. The transplanted hair will only thin or die if the hair in the donor area of the head likewise experiences thinning or death.

There are two prevalent techniques employed for extracting hair to be transplanted. Hair can be extracted in discrete circular regions (plugs), with each plug typically comprising of eight to twelve individual hairs. Alternatively, hair can be eliminated by extracting lengthy sections from the sides or around the lower edge of the hairline. The second procedure offers the physician the benefit of having a greater amount of hair available for cutting and shaping into various-sized plugs and/or grafts. A single strip of hair can provide thousands of grafts, with each graft consisting of as little as 1-2 hairs.

Subsequently, smaller cuts are created in the area affected by hair loss, which are somewhat smaller than the hair plugs. Grafts include creating even smaller incisions using a minuscule scalpel or even a needle. These minuscule incisions can be created by your physician employing a laser. (Contrary to marketing assertions, a laser does not possess any distinct superiority over alternative incision instruments in this particular scenario.) The plugs/grafts are strategically placed to ensure sufficient vascularization and achieve a natural angle, growth direction, and look.

Sutures are used to seal the incision site where the grafts or plugs were extracted. The skin will naturally expand to include a broader surface. Sutures are unnecessary in the region where the plugs and grafts have been positioned. The body’s endogenous fluids will facilitate the adhesion of the plugs and grafts to the scalp.

What is the duration of the procedure?

Many clinicians do many transplant sessions in order to attain optimal outcomes. The duration of each transplanting session varies from two to four hours, contingent upon the magnitude of the treatment.

Where will the operation take place?

A hair transplant procedure can be performed either at an outpatient surgery facility or in an office surgical suite. The majority of hair transplants are conducted with local anesthesia, similar to that administered by dentists, in conjunction with a sedative to induce drowsiness. During the procedure, you will be conscious but calm, and while you may experience some pulling and slight discomfort, you will not experience any pain.

What is the intensity of the pain?

The level of pain is contingent upon the magnitude of the surgery and differs among individuals. Shortly after the surgery, there can be little discomfort which can be relieved by taking oral pain medication. To get optimal outcomes, it is advisable to engage in a comprehensive conversation with your doctor on your objectives, financial constraints, and ability to tolerate discomfort. This will aid the doctor in determining the most suitable technique, or a combination thereof, for your specific needs.

What outcomes can I anticipate following the procedure?

Within the initial 48 to 72 hours after the procedure, it is common to experience mild discomfort in both the donor location and the transplanted area. Common symptoms include a mild headache, edema, and bruising around the eyes.

Bandages are typically administered post-procedure and should be retained overnight. The sutures are typically extracted approximately 10 days following the surgical procedure. Medical personnel often cleanse the hair for the first time following the treatment, and your doctor will provide you with recommendations for hair care during your recuperation. Scabbing commonly develops in both regions and typically resolves within a span of 8-10 days. Additionally, there may be a sensation of numbness, which can persist for a duration of 2-3 months.

To minimize the possibility of dislodging the plugs/grafts, it is advisable to refrain from engaging in intense or demanding physical activity until the scabs have fully healed.

What is the duration of the recovery period?

With the exception of refraining from intense physical activity, the majority of individuals can resume their regular activities the day following the surgery.

Approximately 48 hours following the surgery, the hair derived from the transplant will commence shedding, and subsequent hair growth may exhibit reduced thickness for a duration of several months. This is a typical occurrence, resulting from the temporary reduction in blood flow that takes place throughout the surgery.

Within the initial six weeks, there will be minimal to no growth of new hair. Nevertheless, during a span of three months following the surgical procedure, fresh hair will commence to grow in the transplanted hair follicles. After an additional three months, the process can be repeated to address gaps between the transplants, resulting in a more voluminous and denser head of hair.

What is the typical long-term outcome for most individuals?

Transplants are sourced from robust and healthy parts of the scalp, ensuring their continuous growth over an individual’s whole lifespan. Although it is common for a few of the grafts to not successfully establish, the majority of individuals are satisfied with the outcomes of their hair transplant procedure.

What defines an ideal candidate?

The ideal candidates for hair transplants typically possess the following characteristics: – Sufficient maturity to comprehend the procedure fully – Well-informed about the intricacies of the procedure – In good overall physical and psychological condition – Motivated to enhance their physical appearance – Pragmatic in their expectations regarding the outcome – Non-smokers or capable of refraining from smoking during the healing period – Possessing healthy hair on the sides and back of the head – Knowledgeable about the influence of their hair texture on the final result
The aforementioned is merely an incomplete enumeration of the parameters that your surgeon will take into account when assessing the suitability of this surgery for you. Ensure that you inquire with your physician about whether they deem you to be an optimal candidate for this surgical procedure.

What are the potential hazards and complexities?

Minor complications are typically rare when a hair transplant is conducted by a proficient board-certified plastic surgeon who has expertise in executing such procedures. To minimize the likelihood of difficulties, it is crucial to diligently adhere to your doctor’s recommendations both prior to and during the treatment. It is important to note that scarring is a potential outcome at the graft sites. Nevertheless, the majority of scars are diminutive and concealed by the proliferation of hair. • The grafted regions are susceptible to infection. Prior to the procedure, your physician may opt to administer antibiotics as a preventive measure, or subsequently if an infection arises.
To minimize the likelihood of difficulties, it is imperative to diligently adhere to your doctor’s pre and post-procedure recommendations.

Buttock Enhancement

What is the expected date for my return to work, and when can I anticipate feeling fully recovered?
The previous rehabilitation duration was three to four weeks; however, due to recent developments in the technology, the healing period has significantly improved. The surgeon employs a regimen consisting of cryotherapy for the initial 48 hours, specific therapeutic activities elucidated by the surgeon, and administration of prescribed medications both during and post-surgery. While it typically takes one month to fully recover, the majority of patients are able to return to work within one to two weeks.
Is it necessary to wear any specific attire following my surgery?
As part of your surgical treatment, you will be provided with prescriptions for analgesics, antibiotics, and muscle relaxants. Following the surgery, you will be instructed to use ice packs or frozen peas to the buttock region for the subsequent 48 hours, in addition to commencing your stretching regimen. The surgeon will apply an abdominal binder to your buttocks to regulate pressure, which you will need to use for approximately one week. The surgeon enhances the shape of the buttocks by doing gluteal augmentations together with liposuction. This combination effectively emphasizes the desired contour. Additionally, if liposuction is performed, you will be required to wear a body garment for around 3-4 weeks.

What is the earliest date that I can resume my gym activities?
The timeline for resuming your exercise program will be contingent upon your pace of recovery. Typically, the majority of patients are able to return to the gym after one month. However, there have been cases where patients have successfully resumed their routine after only three weeks. It is advisable to begin with a slow pace and progressively intensify your physical endeavors, while being attentive to your body’s indications of its limits. Anticipate experiencing muscle soreness the next morning and consistently recall the stretching exercises provided by the surgeon.
What are the benefits of stretching exercises? Will this not exacerbate the level of pain and discomfort?
An important enhancement during the recovery phase has been the incorporation of stretching exercises. To grasp this notion, refer to the following example:
You are an individual who derives pleasure from engaging in physical fitness activities, but, you have been unable to partake in any form of exercise for an extended duration. Upon resuming your gym routine, you experience muscle soreness and discomfort the next day. What are the consequences if you choose not to come back the next day due to excessive discomfort? Indeed, you will have heightened discomfort and the soreness will linger and intensify as the week unfolds. Nevertheless, what would occur if you resolved that despite feeling sore, you are determined to go back to the gym under all circumstances. Initially, when you commence your exercise routine, you may have significant muscle soreness. However, as the workout advances, the muscles gradually relax and the discomfort diminishes, eventually subsiding almost entirely. The principle is the same for gluteal augmentation: the faster you stretch, the faster the muscle will relax and prevent spasms, thus enhancing your recovery time. Our patients are advised to engage in post-operative stretching exercises, performing them five times a day with five repetitions each time.

At what time am I allowed to take a seat?
The patient is able to sit for basic biological needs immediately after the operation. However, we recommend avoiding prolonged sitting, such as watching TV or doing computer work, for approximately one week. This alleviates the tension on the suture line and promotes enhanced wound healing. We advise our patients to assume a prone position during their free time and to sleep in the same position for a duration of one week. Additionally, it is necessary to wear a garment for a minimum of 2-3 weeks.

Will I be directly seated upon the implants?
This question is frequently asked, and the answer is unequivocally “No.” Kindly engage in the subsequent examination alongside me. Assuming you are in a seated position, kindly place your palm on the lower region of your buttock, namely the area that is in contact with the surface you are sitting on. The region in question is characterized by its osseous nature and is commonly referred to as the ischial tuberosity. Place your hand on this specific region and rise to a standing position. When assuming an upright position, you will observe a significant distance between your hand and your actual buttock. The implant is positioned submuscularly, well above this region, ensuring that you never exert pressure on the implant while sitting.
Is there a risk of implant rupture when I sit?
The buttock implant is composed of solid silicone, unlike silicone breast implants that contain a gel-like substance. This distinction is important because the gel in breast implants might potentially leak, rupture, and seep into surrounding tissues, whereas the solid silicone used in buttock implants is incapable of rupturing or leaking. The remarkable aspect of this implant is in its ability to maintain a robust structure while providing a soft tactile experience.
When someone touches your buttock, it feels naturally firm, as if you have been in intense physical training for an extended period.
Are there any health concerns associated with silicone?
Extensive research has been conducted to assess the safety of silicone, and thus far, no evidence has been found to establish a connection between silicone and autoimmune diseases or any adverse medical conditions. The majority of the investigations have focused on breast implants, specifically those made of liquid silicone. The solid silicone form has been utilized for an extended period of time without encountering any complications. To access additional research on silicone, please click here.

What are the potential complications associated with the procedure? What steps should be taken in the event of a complication?
Similar to other surgical treatments, problems, however infrequent, still occur.
The complications are as follows:
1. Hemorrhage or Hematoma – This refers to the accumulation of blood in the vicinity of the implants. Although quite uncommon, this situation may arise. If it happens, it would necessitate medical examination of the wound, evacuation of the hematoma, and management of any ongoing bleeding.
2. Infection – Although highly uncommon, if this does occur, the implant will necessitate removal and you will be required to take medications tailored to your unique infection. The implant can be reinserted around 3 months later, provided that the infection has been eradicated.
3. Capsular contracture refers to the abnormal hardening of a breast implant due to excessive scar tissue formation. Buttock augmentation rarely presents this issue, but it is more commonly observed in breast augmentation. The implant is typically positioned beneath the muscle in the buttocks region, which experiences continuous movement. As a result, the capsule generally maintains its softness. If such a situation arises, one may consider administering specific medications such as papaverine, vitamin E, and indomethacin, in conjunction with ultrasound therapy, as a means to potentially alleviate the hardness of the capsule. Occasionally, this therapeutic approach becomes ineffective, necessitating the possibility of undergoing a second operation and maybe requiring the removal of the implants.
4. Peripheral neuropathy or alterations in leg feeling – The sciatic nerve is the particular nerve of interest in this case. If this scenario were to occur, you might experience sensations of pain, discomfort, or an electric-like shock that travels down the leg. This occurrence is exceptionally uncommon as the implant is positioned at a higher location than the nerve’s actual placement. If such an event transpires, our initial approach would involve using conservative therapy as a means to facilitate the natural progression of edema reduction and wound healing. In addition to medication therapy, such as neurontin, Vitamin B6, and B12, we could incorporate ultrasound therapy. However, if the issue persists, it may be necessary to extract the implant. As previously said, this issue is quite uncommon. However, it is more frequently observed that individuals may have brief alterations in skin sensation, such as numbness or sweating in the buttock region, as well as variations in temperature perception, resulting in a sensation of either coolness or warmth. Typically, this condition cures within a span of one to three months, primarily due to inflammation. In addition to medication therapy, such as neurontin, Vitamin B6, and B12, we could incorporate ultrasound therapy. While these suggestions may be beneficial, it is advisable to seek guidance from your physician beforehand.
5. Implant displacement – In this situation, the implant shifts excessively downwards in the buttock area or excessively to the side. The implant dissects the tissues, resulting in the enlargement of the implant pocket. To rectify the issue, one option would be to do internal suturing of the capsule in order to reduce the size of the implant pocket. Alternatively, the implant might be removed altogether. If the implant is extracted, it can be reinserted after a period of 3 months.
6. Wound healing complications or Wound dehiscence – The wound may have a separation, necessitating regular dressing changes until it fully heals. The region where the incision is made, precisely along the midline of the sacrum, experiences tension and poses challenges in terms of maintaining cleanliness. Consequently, certain patients may experience modest complications with their wounds, such as wound dehiscence or prolonged exudate. This issue typically resolves spontaneously and merely requires allowing time for the wound to heal.
7. Persistent exudation of fluid from the incision site – Typically, this refers to the limited discharge of fluid in the vicinity of the incision, rather than from the implant itself. Often, it is necessary to thoroughly examine the wound to ensure that it is not a more serious infection. Frequently, it is a suture that has become contaminated and need removal. One possible remedy is to extract the suture, which would resolve the problem. Alternatively, the incision may need to be left uncovered and allowed to heal naturally over time, with the assistance of regular dressing changes.
8. The presence of fluid surrounding the implant is most likely a seroma, characterized by the production of clear sterile fluid as a bodily reaction. This can be readily evacuated with a needle. This is a harmless issue that typically resolves spontaneously and may not necessitate draining. Infrequently, it may necessitate more assertive treatment such as drainage, re-operation, or sclerosis. Nevertheless, it is crucial to differentiate this fluid from an infection. An infection necessitates the extraction of the implant due to significant differences between the two.
9. Scar formation is rarely an issue due to the scar’s placement. Located at the midpoint of the sacrum, it is remarkably inconspicuous, making it difficult to observe. Even in the event of acquiring a detrimental scar, its visibility will be very inconspicuous to others. Nevertheless, the scar may cause itching.
10. Asymmetry refers to the condition where one side of the buttock seems different from the other side. This is not considered a difficulty, as it is a natural aspect of our anatomy to have one side of the body distinct from the other. During the process of augmentation, you are likely to develop a heightened awareness of the disparities. Upon reviewing your pre-surgery photographs, you will observe that the disparities already existed beforehand.

Shaving the Adam’s apple

What are the necessary steps to adequately prepare for surgery?
In order to mitigate potential difficulties and minimize risk factors, it is imperative that you abstain from smoking, consuming alcoholic drinks, ingesting hormone tablets, herbal supplements, and medications (unless specifically permitted by your physician) for a minimum of two weeks prior to your scheduled appointment. Individuals afflicted with illnesses want approval from their medical specialist prior to undergoing surgery.

What will be the nature of my post-operative period?
You may encounter transient discomfort accompanied by constriction at the surgical wound location and mild challenges in swallowing.

Will my neck have a perfectly flat and feminine appearance?
The surgeon cannot provide an absolute assurance of achieving a perfectly even outcome, as excessive shaving might cause harm to the voice cords and result in hoarseness.

Will my scar be visible?
Due to the placement of the incision along a natural skin fold in the neck, it will gradually become less noticeable as it heals. If you have a history of developing keloids, it is important to consider the advantages of reducing the prominence of your Adam’s apple compared to the potential drawback of having a noticeable scar on your neck.

What are the potential hazards associated with this surgical procedure?
Similar to other surgical procedures, potential dangers encompass hemorrhaging, negative response to anesthesia, infection, delayed wound healing, nerve damage, and unsatisfactory scarring. Excessive resection might result in the condition of hoarseness, as previously mentioned.

SEX REASSIGNMENT SURGERY FROM FEMALE TO MALE

Who is the candidate for female-to-male (FTM) sex reassignment surgery?
Patients must receive a diagnosis of either gender identity disorder, gender dysphoria, or related problems such as anxiety or depression.
What are the prerequisites for undergoing female-to-male (FTM) sex reassignment surgery?
Patients must undergo uninterrupted hormone therapy for a duration of 12 months and furnish a valid prescription from a physician for the hormone treatment.

Patients must demonstrate 12 consecutive months of successful full-time real-life experience in the gender role opposite to their assigned sex. Additionally, they must produce an identity document from a registered psychiatrist (MD).
What is the necessity of undergoing hormone therapy?
Hormonal therapy is a crucial component of the gender transition process, impacting both the physical and psychological aspects. These procedures are frequently deemed medically essential to enable individuals to live in accordance with their preferred gender identity.
What is the necessity of having a consecutive period of 12 months where I have achieved consistent achievement in full-time real-life activities?
The real-life experience refers to the complete embrace of a new or developing gender role or gender presentation in one’s daily existence. This step is crucial in an individual’s gender transition. It is a significant decision that impacts not just the individual, but also their immediate family, relatives, friends, and colleagues. Due to the immediate and significant impact on individuals and society, it is crucial to have a clear understanding of the familial, vocational, interpersonal, educational, economic, and legal outcomes.
Are there any post-treatment ramifications following testosterone administration?
Testosterone medication can provide both beneficial effects and adverse consequences. The beneficial outcomes of testosterone therapy include vocal cord thickening resulting in a deeper voice, clitoral growth, slight reduction in breast volume, heightened growth of facial and body hair, and the onset of male pattern baldness. Possible adverse effects of females include infertility, acne, emotional instability, elevated sexual drive, alteration of lipid profiles towards male patterns, which heightens the risk of cardiovascular disease, potential development of benign or malignant liver tumors, and liver dysfunction. Given these adverse effects, it is imperative that patients adhere to the guidance of their physician when taking hormones.

Will I be able to conceive a kid with my partner after the surgery?
The penis of a transgender male is constructed from soft tissue from the forearm, which differs from the specialized tissue and testicular composition seen in the penis of a cisgender male. Therefore, the transgender male is unable to conceive a kid with his spouse.
What is the recommended duration for staying in Thailand for sex reassignment surgery?
For optimal recuperation, it is recommended that patients remain in Thailand for a minimum of 2-3 weeks during the initial two stages, and one month for the last step. Typically, it is advisable for a patient to spend their first night in a hotel upon arriving in Thailand in order to recuperate after a lengthy travel and prepare for surgery the following day. The hospitalization for female-to-male sex reassignment surgery is contingent upon the specific stage of the patient’s transition.
What is the preoperative preparation advice?
Prior to undergoing surgery, it is imperative that you abstain from smoking tobacco products, ingesting alcohol, and taking any prescriptions or vitamins for a minimum of 2 weeks. Furthermore, it is imperative that you observe an 8-hour fasting period before to the surgery, during which you must abstain from consuming any food on the day of the procedure.
What is the procedure for performing surgery?
The process of female-to-male (FTM) sex reassignment surgery involves three distinct stages, with each stage spaced 3-6 months apart to provide adequate healing:

Phase 1: Mastectomy and hysterectomy:

Subcutaneous mastectomy, often known as breast reduction surgery, effectively decreases breast size and imparts masculine characteristics to the patient’s breasts.

Hysterectomy surgery involves the removal of the uterus and ovaries, which effectively resolves issues related to menstruation and also eliminates the hormone-producing organs.

Duration of hospital stay: 6 nights
Duration of visit to Thailand: 2 weeks

Stage 2 involves two procedures: vaginal closure and urethral extension, as well as urethral prefabrication.

Vaginal closure and urethral lengthening involve modifying the urinary tract by closing the vaginal opening. Due to the differing orientations of the female and male urinary tracts, the surgeon must modify the direction of the urinary tract and fully shut the vagina. In the final step, the urethra is elongated and readied to connect with the urethra at the forearm.

Urethral prefabrication is carried out to ready the urethra for attachment to a penis utilizing the forearm flap Phalloplasty technique. The skin, nerves, and blood arteries from the forearm are elevated and subsequently transplanted. The recovery period for this step will last around 3 months until the urethra, which is being built in the forearm, is prepared for the next stage.

Duration of hospital stay: 7 nights
Duration of visit in Thailand: 2 weeks

Phase 3: Construction of the male genital organ (phalloplasty):

This stage involves the construction of the male genital organ by transferring a flap of skin from the forearm and connecting the structures using microsurgical techniques. A penis length of approximately 4-6 inches can be achieved, depending on the length of the patient’s forearm. The surgeon dissects the blood arteries and nerves of the forearm in order to establish connections with the blood vessels and nerves in the pubic region. Subsequently, a scrotal sac is constructed using the tissues derived from the labia. The scrotal sac is comprised of adipose tissue and pigmented skin from the labia, but does not contain testicles.

Duration of hospital stay: 14 nights
Duration of visit in Thailand: 1 month
What does post-surgical care entail?
Similar to other significant surgical procedures, individuals who have undergone sex reassignment surgery should refrain from engaging in physically demanding activities. Adhere to the surgeon’s postoperative instructions for a period of 3-4 weeks.
What are the potential hazards and adverse effects?
Adhering strictly to the surgeon’s advice will minimize the likelihood of dangers and problems. The primary potential hazards include edema, contusion, hemorrhage, infection, cicatrization, and paresthesia, or alteration in sensory perception.

Gender Reassignment

Who is the candidate for male-to-female (MTF) sex reassignment surgery?
An eligible candidate for male-to-female (MTF) sex reassignment surgery is an individual who has received a diagnosis of one or more of the following disorders:
◦ Gender identity disorder refers to a condition where an individual’s gender identity does not align with their assigned sex at birth. ◦ Gender dysphoria is the distress or discomfort experienced by individuals whose gender identity differs from their assigned sex. ◦ Associated conditions are additional psychological or medical conditions that may coexist with gender identity disorder or gender dysphoria.
What are the prerequisites for undergoing male-to-female (MTF) sex reassignment surgery?
In accordance with “The Harry Benjamin International Gender Dysphoria Association’s Standards of Care for Gender Identity Disorders,” our doctors adhere to transgender sex change criteria. Before undergoing the procedure, a patient must fulfill the following prerequisites:
1.) Legal age of majority in the patient’s country.

2.) Obtain a psychology certificate from a certified psychiatrist or clinical psychologist who specializes in gender dysphoria, declaring that you are a suitable candidate for sex reassignment surgery.

3.) Certificate of hormone therapy documenting a minimum duration of one year on hormone treatment.
Where can I receive hormone therapy?
A patient should consult an obstetrician-gynecologist to request a hormone prescription. Excessive dose can result in adverse side effects. Self-administering hormones is ill-advised as it is crucial to undergo monitoring for any negative effects during hormone intake.
Where can I obtain a psychology certificate?
Individuals seeking sex change surgery should consult with a psychiatrist or clinical psychologist who is a certified specialist in the field of gender dysphoria.
What are the impacts of the estrogen hormone?
Genetic males who undergo estrogen treatment can anticipate the following outcomes: development of breasts, redistribution of fat to achieve a more feminine physique, reduced strength in the upper body, softer skin, decreased body hair, slowed or halted hair loss on the scalp, decreased fertility and testicular size, and less frequent and less rigid erections. These alterations can be undone, with the exception of breast development, which may not revert back after discontinuing hormone usage.
What is the quality of one’s sexual life following the surgery?
Following gender reassignment surgery, a patient can experience typical sexual sensation. Sexual arousal encompasses both physical sensations and psychological experiences. It implies that in order to have a satisfying sexual encounter, you must be prepared in both physical and emotional aspects. During the procedure of penectomy and orchiectomy, the integumentary tissue, together with its innervation, is preserved and utilized to form the lining of the neovagina. Additionally, a novel clitoris will be generated using a portion of your glans penis, while preserving its nerve innervation. Thus, considering this, sexual pleasure remains certain.
What is the recommended duration for staying in Thailand for sex reassignment surgery?
To have sex reassignment surgery, it is necessary for the patient to remain in Thailand for a minimum of 2-3 weeks to finish the entire procedure and facilitate appropriate recovery. Upon arriving in Thailand, it is advisable for a patient to check into a hotel in order to unwind after a lengthy travel and prepare for a surgical procedure scheduled for the next day. The process of transitioning from male to female through gender reassignment surgery necessitates a hospital stay of approximately 14 nights.
What is the procedure for performing surgery?
Sex reassignment surgery is a secure and efficient procedure. The duration is estimated to be from 4 to 8 hours. The surgery commences with the surgeon surgically constructing the vaginal cavity by incising certain pelvic floor muscles, hence facilitating the insertion of the neo-vagina between the rectum and the urethra. Subsequently, the surgeon creates an incision to expose the penis. The urethra is surgically modified to be shorter and redirected to exit at a lower position, located immediately above the newly created vaginal opening. Once the vaginal cavity has been formed, the surgeon proceeds to incise the scrotal skin in order to extract the testicles. The scrotal skin, together with the adjacent tissue, is utilized to form the external genitalia, specifically the labia minora and labia majora, in order to produce a neo-vagina that closely resembles the anatomical structure of female genitalia.

The surgeon employs the “Penile Inversion Vaginoplasty” method, which involves inverting the penile skin to form the lining of the vaginal wall. This method restricts the depth into the vagina based on the quantity of penile skin that is accessible. For patients with a short or small penis or who have undergone circumcision, surgeons utilize a scrotal skin graft together with the penile skin to augment vaginal depth, typically achieving a length of 6-7 inches. Next, the surgeon creates the clitoris by preserving a little portion of the glans penis along with its blood supply and nerves. This is because the nerves in the glans penis are similar to those found in the female clitoris. Subsequently, it is placed above to the urethral meatus. Simultaneously, the labia minora is formed by utilizing a portion of the glans penis and the skin of the prepuce.

What does post-surgical care entail?
Following gender reassignment surgery, the patient will be closely monitored by the surgeon, who will provide you with comprehensive information. It is important to adhere to the following guidelines for post-operative care:
During the initial 2-3 days, the patient will follow a clear liquid diet and should refrain from consuming fibrous foods and milky liquids that may stimulate bowel movements in order to prevent infection.
◦ Before going to bed, place the wrap between your legs to avoid applying pressure on the wound while sleeping.
◦ Employ a vaginal douche or sterile solution to cleanse the wound in order to avert infection.
◦ The patient will regain the ability to ambulate after a period of 5-7 days.
◦ Utilize a diminutive dilator and progressively augment its width and size according to your discretion. It is recommended to do vaginal dilation 3-4 times daily. Regular dilation is required on a daily basis for a period of 2-3 months, followed by a reduced frequency of once per day after one year.
◦ Return for a postoperative examination and suture removal 2 weeks after the surgery.
It is advisable to abstain from sexual intercourse for a minimum of 2 months following the procedure.
What are the potential hazards and adverse outcomes?
Potential primary hazards include edema, contusion, hemorrhage, infection, cicatrization, and paresthesia or altered sensory perception. Adhering to the surgeon’s guidance will mitigate risks and minimize consequences.

Mini-abdominoplasty, often known as a mini-TummyTuck, is a surgical procedure that focuses on improving the appearance of the lower abdomen.

What does the term “mini-tummy tuck” refer to?
A mini-abdominoplasty can enhance the aesthetic of surplus adipose tissue and lax, elongated dermis in the inferior abdominal region. This surgical body sculpting technique is suitable for individuals, regardless of gender, whose issues do not warrant a full abdominoplasty due to their less severe nature.

What is the duration of the procedure?

Approximately one to two hours

What may I anticipate post-surgery?
Patients undergoing a mini-tummy tuck procedure are need to wear a compression garment for a period of around two to three weeks following the operation in order to aid in the healing process. The recovery time for this treatment is shorter compared to a full stomach tuck, with sutures typically being removed within a few weeks. Resumption of work: 1 to 3 weeks. Resume light activity: within 2-3 days. Refrain from engaging in physically demanding tasks for approximately one month.

What are the potential hazards and potential adverse outcomes?
Transient edema, pain, and paresthesia, Durable; changes in weight or pregnancy can impact outcomes.

What is the procedure for performing surgery?
During a mini-abdominoplasty procedure, the surgeon will create a small cut directly above the pubic area. The surgeon will excise redundant skin and may also perform liposuction concurrently to eliminate surplus fat. Unlike a full stomach tuck, repositioning of the belly button is not necessary. The surgical cuts are sealed with tiny sutures and small tubes are typically introduced to prevent the accumulation of fluid. Subsequently, elastic bandages are put to the designated location and fastened.

Which form of anesthetic is utilized?

Options for anesthesia include local, sedation, and general anesthesia.

Body lift

A body lift is a surgical procedure that involves removing excess skin and fat from various parts of the body to achieve a more toned and sculpted appearance.
A body lift is a surgical technique that eliminates surplus skin and adipose tissue from the belly, buttocks, and hips, thereby restoring an aesthetically pleasing body contour.
Who is eligible for a body lift?
Individuals who are in optimal physical condition who desire to enhance the aesthetic of their abdominal area by reducing excess skin and fat may be suitable candidates for a body lift procedure. This technique is appropriate for people who have residual skin and adipose tissue after significant weight loss.
What can I anticipate during a body lift consultation?
During the appointment for a body lift, the surgeon will thoroughly review your comprehensive medical history, dedicate time to comprehend your objectives, and address any inquiries you may have. You will get the opportunity to view preoperative and after photographs of past patients who have undergone body lift procedures. Additionally, computer imagery will be utilized to assist you in visualizing the potential outcomes specific to your own body. The surgeon will provide a comprehensive consultation, covering the anticipated and realistic results, as well as providing a detailed explanation of the treatment, including the methodology, recovery process, potential dangers, associated expenses, and available financing alternatives.
Where is the location of the body lift surgery?
The surgeon does the body lift procedure in the operating room of his clinic and the associated hospital. This enables the patient to stay overnight for enhanced comfort.
Which anesthesia is administered for the body lift procedure?
The body lift procedure is conducted under the administration of general anesthesia.
What is the procedure for performing a body lift?
A circumferential incision is performed for the body lift, encircling the lower abdomen and positioned above the buttocks. After making the incision, the surgeon eliminates surplus skin and fat from the belly, lower back, and hips.
What is the duration of a body lift surgery?
The duration of a body lift procedure typically ranges from four to six hours.
Where are the surgical incisions typically located for a body lift procedure?
The body lift incision is a circumferential one, encircling the lower abdomen and positioned above the buttocks.
Are there any visible scars after a body lift procedure?
Following the body lift procedure, patients will develop a scar situated in the lower abdominal region and above the buttocks.
Does the body lift technique cause significant pain?
Patients may encounter postoperative discomfort following the body lift treatment, however medicine can effectively alleviate this.
What is the duration of the postoperative healing period following a body lift?
The recuperation period following a body lift typically lasts approximately fourteen days.
What is the postoperative recuperation process following a body lift?
The body lift procedure typically entails a recovery period of approximately two weeks for patients. Wearing a compression garment may be necessary for the duration of the recuperation period. The drainage tubes inserted post-surgery can be extracted within a span of five to 10 days. Edema and contusions may manifest.
What is the expected timeframe for my return to work following my body lift surgery?
Typically, patients can resume their work activities within a span of two weeks following the body lift procedure.
What is the recommended timeframe for resuming physical activity following a body lift procedure?
Patients are advised to defer vigorous activities and physical exercise for a period of approximately four to six weeks following the body lift procedure.
What are the potential hazards or adverse outcomes associated with the body lift procedure?
Possible hazards or complexities linked to the body lift procedure encompass hemorrhaging, infection, formation of scars, and delayed wound mending.