Surgery Suporn Thailand

[Susan T]

No, the so called Chonbri flap refers to how the gans of the penis is used to form the clitoris, part of the inner wall of the labia minora and also line the floor of the vulva (like a lotus flower). It's not a unique procedure as most of the other Thai surgeons do exactly the same thing If you do an internet trawl for a pedicled flap neo-clitoris you will find a medical research paper from a European clinic carrying out the same procedure at the time that Suporn first "invented" it.  The scrotal graft in question is used to line the wall of the neovagina at the end of a very short penile inversion (short because nearly all of the penile skin is used on the outside). There is no such thing as a purely non inversion technique its just that the inversion doesn't extend any distance beyond the muscle. Where Suporns technique is unique is that after scraping the scrotal skin to remove the hair follicles, he passes it through a machine that cuts slits in it. The skin can then be stretched into a mesh in order to line the vaginal cavity, thus providing additional depth. The draw back with this method is that the graft is more susceptible necrosis and to tightening because of the formation of scar tissue. Hence Suporns insistence that patients stay longer in Thailand than anybody else and also his dilation programme

[dejan160]

From what I understood Dr Bowers uses the very same technique in the USA

[livinit]

No, the so called Chonbri flap refers to how the gans of the penis is used to form the clitoris, part of the inner wall of the labia minora and also line the floor of the vulva (like a lotus flower). It's not a unique procedure as most of the other Thai surgeons do exactly the same thing If you do an internet trawl for a pedicled flap neo-clitoris you will find a medical research paper from a European clinic carrying out the same procedure at the time that Suporn first "invented" it.  The scrotal graft in question is used to line the wall of the neovagina at the end of a very short penile inversion (short because nearly all of the penile skin is used on the outside). There is no such thing as a purely non inversion technique its just that the inversion doesn't extend any distance beyond the muscle. Where Suporns technique is unique is that after scraping the scrotal skin to remove the hair follicles, he passes it through a machine that cuts slits in it. The skin can then be stretched into a mesh in order to line the vaginal cavity, thus providing additional depth. The draw back with this method is that the graft is more susceptible necrosis and to tightening because of the formation of scar tissue. Hence Suporns insistence that patients stay longer in Thailand than anybody else and also his dilation program.

That's an awesome description of this method and more than I could posit. Thanks to Susan T for the greater specificity on this Chonburi Flap technique. I've known he created the labia skin (or part of it?) from the shaft skin. I've noticed the "mesh" scrotal skin ~ he has a picture on his site of it..I wondered how the mesh was created.

And sorry Swan, I mistakenly referred to Suporn's scrotal graft as a flap. I got derailed, talking about the dorsal flap part, which I know is a different part of the surgery. So yes...that scrotal graft is a bear. I worry about fighting any excessive scarring in there. I know that with my type of skin, I am much less prone to Keloid scarring (granulation), but I still wonder about how much I'll have, and don't look forward to any possibility of it.

I can understand just why the propensity for scarring much easier with his method, now too. But Susan T, that part is true, right?...this Chonburi Flap tissue is never disconnected from the dorsal nerve during the surgery? Because that's a big issue to me..the NON disconnection of the dorsal nervous line to the glans (and that extra sensate area he arranges, that GG's are not born with).

Incidentally, I see (pics) on the Bowers site that the scars are rather to the 'outside' of the labia and folks are advised to grow a little pubic hair over it, and so I wonder: Does the little partial penile inversion Suporn does...put the scars inside canal a little bit, and hidden from casual inspection/view?

The two or three Suporn girls I've interviewed have said they have no visible scarring about the labia. I've asked and re-asked (even looked for myself ). Same answer each time...and I wonder just why. Sophie (Suporn's mouth piece ~ seems you never get to actually communicate with Suporn until you meet him, which sucks, and is a different discussion altogether), says with any surgery, there's always scarring..but with Suporn, it's going to be very difficult to see. At that point, I'd wondered just what scarring she referred to: The usual Thai procedure, where they DON'T need any thigh fold tissue..or the scars from the harvesting of the thigh fold tissue from the thigh fold areas when they DO need thigh fold tissue (I'm told by Sophie that he never uses colon grafts)....it was just not clear in her answers to me. She said there's always visible scars..'with any surgeon'. But the girls I asked (all personal, local friends)..said 'none visible'. But in their cases..they also didn't need thigh fold donor tissue harvested.

Where are the Suporn's labia scars finally located? Inside? Outside? Can anyone advise?

And yes, regarding Swan's question, does Bowers use this same Suporn technique now? Can anyone speak to this?

Additionally, anyone who can "really" shed light on these methods (without vague hearsay and opinion) would be encouraged to post here. I would really like to get a handle on the specific technique differences, and their various facets. Since I'm most interested in non penile inversion, I've been researching and flushing out the details of the Thai techniques as I can. In cases where I'm not sure, I'll always try to put the words "I believe" in my post, and with a question mark by it, to encourage correction and clarification.

I still believe Susan's is the best place on the net for finding this information discussed by so many who actually know or have been there. What an awesome resource. Thanks to the 'other Susan' for creating such a wonderful place to get it.

[dejan160]

Most of the surgeons don't disconnect the glans from the nerves when creating the neoclitoris. It is not something only suporn does. I am not sure about the scars but as I have had an in person consultation with Suporn, I think you will have the same scars like with any other surgeon. Conburi flap is nothing specific but that he leaves the entire penis buried under the skin which causes serious problems with well endowed patients. I personally don't think the "conburi flap" is needed in order to be orgasmic.... Most of the doctors would remove everything but the nerves and a part of the glans and I think that would be the best way to do it... Only my believe and it doesn't have to be true...

[Susan T]

There will be scarring but scars will be very fine and hidden within natural folds do you won't see them unless you are looking very hard. I don't think that Suporn fails to remove any less erectile tissue than anybody else, there will be some left behind with every technique but it shouldnt be enough to restrict vaginal function. It can be felt but is not particularly visible. Removal of excess erectile tissue is a common revision though as surgeons have to make a judgement on how much to remove while it is flaccid.

Livinit, if you decide to go to Suporn you will be in the hands of a gifted surgeon. However, he is not the only gifted surgeon in Thailand he just has a better publicity machine. He is also twice the price of anybody else and in my view that cost cannot be justified. Take a look at Chetawutt, Preecha (PAI), or Kamol to name but a few. You will achieve the same result (with very slight variations) at a fraction of the cost and in the case of PAI, with superior medical facilities.