Seriously considering SRS, who is the best surgeon..?

[mrs izzy]

Thanks! I guess I was just curious about the clitoral hooding, for some reason I thought that was re-appropriated foreskin?

Dr.B makes the hood out of the urethra and lines the middle of the inner labia. The small section of the glans is then placed in the spot under the hood. That is why that area stays moist at the clitorus location


Izzy

[Flan]

My hood is based off penile skin ala labia minora. (yes I was snipped like everyone of a certain religion in the US) It's kinda overkill but that might just be the way the skin healed in me as I had some granulation tissue that needed to be removed by my gyno. A good surgeon will know what to do with materials available (as there is no "best" surgeon per se but ones that are known for aesthetic results and lack of surgery attributable complications).

[Jenna Marie]

Yeah, I'll ditto Isabelle; I don't know, but I do know I was NOT circumcised. (And she is correct, of course, that they use the urethral mucosa to make the clitoral hood.) I think it's another surgeon who does the foreskin = clit hood thing.

[Sabine]

I only wanted to add that vaginas vary in appearance, so I'm not sure what "perfection" would look like. Whomever you have as a surgeon, if you have some very specific ideas about appearance, I'd suggest you share that early on. They have only what you offer them to work with, and each of us is different.

As to scarring, Brassard reminded me that it will reflect your experience with scarring elsewhere, but that they do their best to minimize it. This also depends on whether you need skin grafts (from thigh).

As to sensation/orgasm, I was told that your chances of satisfaction in that area are enhanced if you are able to orgasm easily prior to surgery. Many of us simply have not for ages, so it helps to "practice" even if takes some effort.   

I'd also remind everyone that Brassard does his work WITH Dr. Maud Belanger, though he is the lead.

[JessikaBlackMage]

I only wanted to add that vaginas vary in appearance, so I'm not sure what "perfection" would look like. Whomever you have as a surgeon, if you have some very specific ideas about appearance, I'd suggest you share that early on. They have only what you offer them to work with, and each of us is different.

As to scarring, Brassard reminded me that it will reflect your experience with scarring elsewhere, but that they do their best to minimize it. This also depends on whether you need skin grafts (from thigh).

As to sensation/orgasm, I was told that your chances of satisfaction in that area are enhanced if you are able to orgasm easily prior to surgery. Many of us simply have not for ages, so it helps to "practice" even if takes some effort.   

I'd also remind everyone that Brassard does his work WITH Dr. Maud Belanger, though he is the lead.

yes I am well aware of that. I look at a lot of nude pictures for research purposes. I will look at porn to find what I want mine to look like. I think I want mine to be an "innie" with the lips not protruding out. I still have time to shop for my vagina system though. I do think it's cool that I get to pick out what my vagina will look like.

I am able to orgasm now, I enjoy masturbation so with a bit of relearning I will be able to do it after things have healed up once I have the surgery.

What about Dilation in the first few months how often do I have to do that..?

[kelly_aus]

yes I am well aware of that. I look at a lot of nude pictures for research purposes. I will look at porn to find what I want mine to look like. I think I want mine to be an "innie" with the lips not protruding out. I still have time to shop for my vagina system though. I do think it's cool that I get to pick out what my vagina will look like.

You can make requests regarding appearance, whether the surgeon can actually do that is dependent on a number of factors. Porn vaginas are not a great source for reference material.

[JessikaBlackMage]

You can make requests regarding appearance, whether the surgeon can actually do that is dependent on a number of factors. Porn vaginas are not a great source for reference material.

when I say porn I just mean pictures of naked girls. I  look at sites with post op transgirls as well.

[Vicky]

Dr, Suporn in Thailand does one of the most complicated and intricate surgery routines that exists.  The more intricate the surgery gets, the more chances for something to go awry, and that happens from time to time.  When his surgeries turn out right, they are beautiful and very close to natal.  He is the one who uses the foreskin for the clitoral hood and inner labia construction if the foreskin is still on the patient.  When complications come up though, --- well, there is an ongoing thread about Suporn's less than perfect results.  A good share of the problems can be linked to the patient but some are just luck of the draw.  The greater the perfection you go for the bigger the chance that there will be problems.  Hope that clears things up.

As I said above, I am a Bowers' girl and darn near as happy with my outcome as if I had good sense.

[JessikaBlackMage]

Dr, Suporn in Thailand does one of the most complicated and intricate surgery routines that exists.  The more intricate the surgery gets, the more chances for something to go awry, and that happens from time to time.  When his surgeries turn out right, they are beautiful and very close to natal.  He is the one who uses the foreskin for the clitoral hood and inner labia construction if the foreskin is still on the patient.  When complications come up though, --- well, there is an ongoing thread about Suporn's less than perfect results.  A good share of the problems can be linked to the patient but some are just luck of the draw.  The greater the perfection you go for the bigger the chance that there will be problems.  Hope that clears things up.

As I said above, I am a Bowers' girl and darn near as happy with my outcome as if I had good sense.

can you link me to this thread..?

[JessikaBlackMage]

bump for interest

[Jenna Marie]

(If you look back through my posts, I had a long conversation with someone else who wants an "innie," and I've also posted my actual detailed dilation instructions a few times.)

[Junebug]

Full disclosure : I used Brassard, so I am only deeply familiar with his work.

I self-lubricate somewhat, I am similar enough to cis in appearance that several ER docs and one gynecologist couldn't tell, he recommends against genital hair removal

I'm confused, I thought most surgeons recommended to have hair removal down there?

[Ms Grace]

Not all, depends on the method they use.

[Jenna Marie]

Junebug : As Ms. Grace says, not all. Brassard says he removes the hair follicles during surgery, and previous hair removal will be either unnecessary or actively hinders his ability to remove it properly (if hair removal isn't completed a minimum of one year before surgery, the follicles will be weakened and easier for him to miss).

I had no hair removal and also no hair regrowth, so I'm personally content with his method.

[JessikaBlackMage]

I don't wanna go with a surgery that would require me to have hair removal in the area prior to SRS. It would just be too much dysphoria for me.

[Julieb1]

As a general rule you get what you are given depending on what you have to work with most thai surgeons no hair removal required when dr sanguan does your skin graft on the 2nd stage you see the nurses scraping you scrotal tissue ss you are wheeled in to the theater thats a surreal moment.

sensation yes
lubricate outside yes
orgasmic nearly
pain yes quite a bit but I had a hernia done aswell
looks yes think it will look fine when the swelling has gone
depth was 5.5 now 5 inches thats fine.
sensation inside yes prostate
Labia senstive made from penile skin
dilation 3x a day for 6mths 2x a day for 6mths then 1x a day then as needed

everyones mileage is different as no two bodys are the same

good luck x

[eggy_nog]

Can I just ask what is granulation tissue after srs? Is it bad? If someone could let me know that would be great

[Jenna Marie]

Granulation tissue forms after any major wound in the skin, and it's the body's way of filling in the gaps and helping it heal. However, sometimes, the granulation tissue continues growing after it's supposed to be done with its part in healing (when it would have blended back into the skin and finished healing up completely).  It's not a big deal - it's a sign of healing *too well,* and it can be treated simply and easily with silver nitrate by any doctor or nurse afterwards. It's not ideal, and it can be pretty sore, but it's among the least scary of the possible complications.

[victoria n]

Can I just ask what is granulation tissue after srs? Is it bad? If someone could let me know that would be great
[/granulation tissue (GT) is connective tissue that forms in  the lining of the neo vagina. the body sees the neo vagina as a wound and is trying to heal it. This is why you need to dilate. if not it will close up.
They  treat this with silver nitrate or laser.   I don't know if anyone has died from it.   
(GT) is a PIA. it can discharge blood, mucus , smell horrible , over grow,  but eventually heal. healthy GT  is pain free.
I believe Dr.Suporn uses GT to get extra depth from a skin graft by punching tiny holes in it stretching it out and lets the GT fill in the spaces.