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GRS with Dr. Thomas Satterwhite - May 19th, 2016

Started by RubyAliza, April 02, 2016, 11:43:50 PM

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RubyAliza

Hello Everyone,

       I made a thread for my FFS on the board dedicated to that topic but now it's time for my GRS. It's been a long time in the making! I'll start this thread now but I will update it as the healing comes along, up to perhaps 6 months or so. In my FFS thread I posted lots of before/afters and obviously that's not gonna happen here - too R-rated for you folks :) I'll just use as much descriptive language as possible and talk about the whole process.

       The first thing I wanted to say is that it should stand for genital reassignment surgery, not gender reassignment. In my personal opinion, you don't need a vagina to be a female. Not everyone agrees with that, but I believe it's true and I completely 100% respect any trans woman who doesn't want the surgery. And if you ask me, FFS is the more important surgery since few people walk around in public without pants or a skirt. So if you're a girl with penis, you're a girl no less beautiful!

     For me however, I have intense dysphoria about my nether-regions. It never felt like it was a part of me from as early as I can remember. I would describe it almost like a sharp mental pain, with pangs of extreme discomfort everytime I see, feel, or use "it." To me, forgoing GRS is not an option. I'm thankful that this amazing medical advancement exists, otherwise I don't know what I would do :(

     My road to GRS (or GCS) began about 7 months after I started taking hormones, just as I was beginning to live part time as a female. My amazing doctor at Lyon-Martin Clinic was able to put through a referral for a consultation with Dr. Marci Bowers. I waited 3 months before I was able to actually call up her office and schedule the consultation. I was taken aback to learn that there was a 5 month waitlist to see her. Having my heart set on going to her, I waited. The consultation came; we met. She was very nice! However, when she told me the waitlist was 2 and 1/2 years, I was in shock. It hurt so bad to hear that. I remember walking to the front desk after feeling beaten down and then I asked when they would call to schedule the surgery. They told me 4-6 months until they would schedule me! That's 3 1/2 years total! I felt so hopeless after that. My career/insurance was too unstable to depend on waiting that long. My dysphoria was nearly unbearable. I didn't know what to do.

     One day I was talking to my electrologist who routinely does pre- and post-op trans girls and trans guys. She knew my situation. She told me that she had worked on a few girls who had gone to a Dr. Thomas Satterwhite here in the Bay Area and she had also seen GRS results from all the main surgeons: Dr. Suporn, Dr. Meltzer, Dr. Bowers, Dr. Crane, Dr. Brassard - all the "big" hitters. To my surprise, she said Dr. Satterwhite's results looked just as good. And as it turned out, his office was very flexible with taking insurance. So I decided to send an email to his office.

    They responded to me within a few days, I filled out paperwork and sent everything to them, and then finally talked to them over the phone. I only had to wait 2 1/2 months for a consultation and then 6 months after that for the surgery. It was like a ray of sunshine, forgive the cliche :) I remember meeting him for the first time and thinking that he was so cool! Not only was he completely down to earth and to the brim with compassion, but he also gave me all the answers I needed to choose him. His technique is a combination of many different surgeons. He first began his career doing FFS in Miami but ended up training for GRS with Dr. Harold Reed. He took some techniques from Dr. Reed. He came to the Bay Area and trained with Dr. Crane, whose practice he works in, who had traveled around the world doing fellowships with Dr. Miroslav Djordjevick in Belgrade and Dr. Preecha in Thailand. He was also friends with Dr. Bowers and had been in the operating room with her during her surgeries, borrowing aspects of her technique. He also knew Dr. Brassard and used aspects of his technique. He even traded notes with Dr. McGinn! Suffice to say, he's developed his own technique with what he thinks are the best technical aspects of all these surgeons.

     Most importantly though were the photographic results he showed me that weren't on the website (some are now). I was very impressed. Actually, I thought some were the best I had ever seen, in my opinion because they had really nice labia minora and lots of nice pink urethral mucosal tissue in between them. And there was an interesting detail to his technique that sounded awesome which was that he would actually do fat transfers to the labia majora/minora - something I had never heard of. He's proof that we shouldn't play into the Thai technique vs penile inversion, east vs west dichotomy. Dr. Satterwhite uses a hybrid technique, using both scrotal grafts for the inside of the vagina, along with inverted penis, but also uses skin from the penis to create labia minora. Check out his results. The best ones on there website are from Dr. Satterwhite (no offense to Dr. Crane who is more a FTM surgery guy).

      After I got final approval from Kaiser, and after waiting about a month, I was finally scheduled for surgery in 9 months, September 6th. However, I kept calling the office every so often to see if they had cancellations and sure enough I was able to take one for May 17th. So here I am waiting in anticipation. Super excited :)

     Thanks for reading all this, if you even got through it. Lots of detail but I like thick, qualitative descriptions :) The last thing I'll say is that lately there has been too much an emphasis on the "big hitters" of GRS, the famous doctors. This is just not sustainable in my opinion. No wonder the wait times are horrendous. Everyone is lining up around the block (metaphorically lol) trying to go to the best of the best of the best, the most experienced, and I don't blame them. But don't forget that these doctors share techniques and that we're going to be seeing a lot of new names. As more people come out as transgender, the community should welcome these new doctors and trust that they can do fantastic work, that they've learned from the pioneering and experience of all the doctors who have come before. These aren't "new" surgeons - they've been trained and are worthy of our trust and respect as a community. I'm thankful to them because they give so many what we humbly want - to have the body that was always meant to be.
     

http://brownsteincrane.com/vaginoplasty-photos/

P.S. I finally got a call, 8 months after my consultation with Dr. Bowers to schedule surgery haha I was like thank you but I got mine coming in a few months, not a few years!

- Ruby



       
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RubyAliza

     My surgery is in two weeks. Another awesome forum-goer sent me this link :) someone was brave enough to post their 6 day post op pictures. Warning, it's a bit graphic but I have to say, I'm very impressed. Dr. Satterwhite continues to improve his technique. The results look very close to Suporn actually, with prominent labia minora all the way around the vulva, covering the introitus. The incisions are also done pretty far to the sides which is something he mentioned he would start doing.

  Dr.Satterwhite and Bowers with her new technique as well, are showing that there soon won't be much of a distinction between Northern American and Thai surgeons. They're catching up really quickly which is good because most insurance only pays for surgery here. For me, I literally only have to drive 20 minutes to the hospital where I'm getting my surgery. I'm happy I don't have to pay for a flight and stay in another country (having already done that for my ffs).

6 Days After:

http://imgur.com/a/RD94Z

Full post
https://www.->-bleeped-<-.com/r/MtF/comments/4hmlz7/xpost_rasktransgender_the_last_week_has_been_the/

Also my surgery is May 19th now but in CPMC, a really nice hospital in Castro, SF.
- Ruby
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reborn

The results look very good to me. I wish you a successful surgery. HUGS
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KristinaM

Oh wow that looks fantastic!  Something I can show my surgeon and say, "HERE DO THIS!"  LOL.
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michelle666

Does he take insurance? Insurance is the main reason why I'm going to Bowers.
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jessical

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Laura_7

Are you happy with the look of the clit ?
Its not visible ...


*hugs*
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RubyAliza

Like Jessica (hi jessica!) said, he takes insurance. In fact, a majority of his patients use their insurance. As for the clit not showing, could be because of the swelling. That's actually what I want though personally, for the clit not to be showing unless I want it to :) Keep it backstage until showtime. Actually, perhaps he's overcompensating. Previous patients told him there wasn't enough hooding so he's using more skin from above the base of the penis as extra hooding. In less than two weeks, I guess I'll find out haha.

Here's an example though of how he does the clit. Picture of the labia spread: 
http://brownsteincrane.com/vaginoplasty-photos/vag1yr2/

Same vagina not spread:

http://brownsteincrane.com/vaginoplasty-photos/vag1yr/

He's changed his technique from this result though, which is over a year and a half ago. From speaking to him, he wasn't yet satisfied and constantly looking for improvement, which is why he is constantly sharing technique notes with Dr. Bowers, who is his good friend.

Personally I believe that he and Dr. Bowers are really trying to get the best of both east and west so to speak, to really transform the old penile inversion technique by learning from the Thai surgeons. Look at Dr. Bower's latest results on her website. It looks pretty different from what she was doing even a few years ago. Incisions practically invisible, labia minora all the around the entire vulva, and lots of pink mucosal tissue. A lot of people will disagree with me but I think this Thai vs North America surgeons is an obsolete dichotomy.

This surgery apparently took 5 hours. Looks like Dr. Satterwhite is putting extra time into his surgeries now (my preop papers say to expect 6 hours).
- Ruby
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michelle666

Quote from: jessical on May 06, 2016, 03:42:27 PM
Satterwhite takes insurance.

I'm going to look in to him. I'm still over a year and a half away from my appt with Bowers.
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Laura_7

QuoteAre you happy with the look of the clit ?
Its not visible ...

Quote from: RubyAliza on May 06, 2016, 07:15:40 PM
As for the clit not showing, could be because of the swelling. That's actually what I want though personally, for the clit not to be showing unless I want it to :) Keep it backstage until showtime. Actually, perhaps he's overcompensating. Previous patients told him there wasn't enough hooding so he's using more skin from above the base of the penis as extra hooding.

Lol just meant to say that its not possible to have an impression of the clit yet so further information would be nice :)
The photo shows really well, thank you  :)

hugs
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RubyAliza

#10
Michelle666 - Hmm the total wait time including consultation and scheduling for Satterwhite is probably closer to a year total now so it's up to you. Personally, if I were in your situation, I might keep the Bower's date because she's done thousands of surgeries. She's awesome! It just didn't work out for me. Who cares, a vagina is a vagina lol can't obsess too much, get er' done and move with the life.

Laura7 -  I completely agree though, most of his results on the site you can't see the clitoris so I do wonder myself. Good obsveration - I hadn't thought about it. Another Satterwhite girl on the boards, JustASeq, posted on here somewhere (Post Op life forum) that her clit is really hidden. I don't want a super shy clit :D
- Ruby
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Laura_7

Quote from: RubyAliza on May 07, 2016, 10:20:31 AM

I completely agree though, most of his results on the site you can't see the clitoris so I do wonder myself. Good obsveration - I hadn't thought about it. Another Satterwhite girl on the boards, JustASeq, posted on here somewhere (Post Op life forum) that her clit is really hidden. I don't a super shy clit :D
- Ruby

Well it should be possible to tell him beforehand how shy you want your clit to be ;)


hugs
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RubyAliza

Hah! "Hey Doc, I have an odd request for you..." ;) anyhow else have the problem of being completely distracted before the surgery? I've been doing a lot of self-reflection lately about how difficult the road has been for me to get here (for all trans people). Such an uphill battle that I've been hardened and ready for the next one lol another sweet lady on the forums saying that she had a hole in her (no pun intended) life after the surgery.

The emotional and mental space that trans people occupy before their surgeries - it's an interesting topic I think.

-Ruby

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TinaVane

I saw this on your ->-bleeped-<- post and it had me thinking .... my penis is a virgin no playing with it or any sex with it (basically i am a true virgin really like a 41 year old virgin) ...  so what does he mean by fragile under the knife ?


"I tried to keep the tissue in good shape by masturbating on an every other day basis. I talked with the doc about it and he said that anecdotally he's noticed that girls who don't touch their junk tend to be more fragile under the knife"
C'est Si Bon
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reborn

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RubyAliza

#15
:) I am very excited. The timing is perfect because my body is really rejecting the spiro. I've had to reduce my dosage multiple times but I keep getting side effects (low sodium and chloride blood levels). I need to get rid of my gonads lol because with this lower dosage, my testosterone is roaring back.


-Ruby
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reborn

I wish you a successful surgery and swift recovery. I'll follow your progress :)
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Laura_7

Quote from: TinaVane on May 07, 2016, 05:49:53 PM
I saw this on your ->-bleeped-<- post and it had me thinking .... my penis is a virgin no playing with it or any sex with it (basically i am a true virgin really like a 41 year old virgin) ...  so what does he mean by fragile under the knife ?


"I tried to keep the tissue in good shape by masturbating on an every other day basis. I talked with the doc about it and he said that anecdotally he's noticed that girls who don't touch their junk tend to be more fragile under the knife"

People some time ago used to stretch their p a while before surgery regularly with a towel.
Using coconut oil for example might additionally help, it has small molecules and may help soften the tissue.
You might talk about it with a surgeon.

hugs
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RubyAliza

Quote from: Laura_7 on May 14, 2016, 08:49:03 AM
People some time ago used to stretch their p a while before surgery regularly with a towel.
Using coconut oil for example might additionally help, it has small molecules and may help soften the tissue.
You might talk about it with a surgeon.

hugs


I meant to comment on this but wasn't sure what to say at the time. To be quite frank though, it makes sense that consistent masturbation would help with skin elasticity, if that what the ->-bleeped-<- poster is inferring. However that can be tough for many transwomen and so using a towel and coconut oil like Laura (probably most helpful poster on the boards imo) might be a good idea, especially for many transwomen with bad dysphoria.
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