Here were a few comments :
https://www.susans.org/forums/index.php/topic,96561.msg706793.html#msg706793In essence it's like a high performance car. Fantastic when it works, but where as other surgeons go for reliability, suporn has gone for the absolute maximum possible performance, which means that you must be prepared for more discomfort in the healing phase and to be really careful to follow his postoperative care instructions to the letter.
He is imo the only one who meshes the tissue to gain extra depth.
And some people say with the meshing tissue might turn more easy into a mucosa.
With the presence of estrogen from hrt and possibly additionally from creams the neovagina can turn into a mucosa over time.
Concerning lubrication there are people who report a very slippery substance coming from the urethra .. with any surgeon ..
so not holding in when aroused might help.
Suporn has a few techniques put together which he makes into a bundle... many surgeons do this, its like a package.
Unique is his meshing the tissue . I saw a vid of an SRS where he puts the tissue through a drum like device where rectangular cuts are made through the tissue.
He seems to have experience in reconstructive surgery and integrated this method.
He seems to leave some erectile tissue in place which some say is more like a female arousal where there is also some erectile tissue.
Some well endowed candidates reported problems.
His philosophy seems to be its part of a natural arousal, women have erectile tissue too.
Not many surgeons do this. Many discard a lot of it, some almost all.
Suporn seems to prefer a more pronounced outer labia... and depth on average seems to be good because of a special technique...
drawback is a longer recovery and possibly painful dynamic dilation...
and some people report not so streamlined which might mean more variance and risk and some well endowed candidates reported some problems...
hugs
