Has Anyone Had A Cosmetic Revision?

[Princess_baby]

Hi, I'm approaching 7 months post-op & I want to go back for a cosmetic revision. A little about my kitty, she was created by Dr. Chettawut, she has a full even 6 inches of depth, she has great sensation clit & vaginal (had my 1st orgasm exactly 13 days post-op while dilating & watching porn lol).

As for looks, my gynecologist & nurse said "Just looking at it, nobody would say you weren't born with it. It looks like the vaginas I see day in & day out". When I asked what were some of the differences between my kitty and cis women kitties, she said "There's a little more than average hair at the entrance, it's also a little dry at the entrance, there's no cervix at the end of vagina, & the small dip at the entrance from the pelvic bone". On the plus side she said my vagina is mucosal on the inside.

Anywho has anyone went back to their surgeon or a different surgeon for a cosmetic revision? How was the outcome? Were you satisfied with the revision? I want the revision because I want to add posterior labial commissure & frenulum of labia minora, also labia majora reduction.

[AnonyMs]

I'm not sure if I can post the links here so I pm'd you a couple of links for Suporn revisions.

He only does them for his own work, so not entirely useful, but perhaps it may help.

[Princess_baby]

I am also a Chettawut girl.
Overall I am very happy with my result.
Still there are quite the same issues I want to have addressed.
So I went for another consultation with Dr. Chettawut, doctors from PAI and Dr. Sanguan of PPSI in May 2016.
I will have my revision done with Dr. Sanguan from PPSI as soon as possible.  His artistic eye and the way he conducted the consultation and examination were absolutely the best I have had so far. If I had the chance to go with SRS again I definitely would choose Dr. Sanguan.

That is just my advice and the road I will take. As soon as I am done with my revision at PPSI, I will post a comment here and will absolutely help those who want to see before and after pictures of my result via PM.

When asking my gynaecologist about my Dr. Chettawut result he rated the vaginal lining first class, the clitoris as not quite cis since it is so big, the vaginal fourchette as unnatural - because of the constantly red urethral mucosa, making it look like infected tissue (although for most women that seems to fade, but it doesn't in my case) - with closed legs super nice - with legs spread very good but not  quite cis like.

What was Chettawut response to your concerns regarding the revision? My clitoris is also big, I wonder can it be reduced without damaging any nerves? It's funny because I actually emailed Sanguan before my SRS, but never received a response. So I crossed him off my list & went with Chettawut. I would definitely love to see the before & after when you have your revision. I'm still debating on who I want to perform the revision.

[V]

Not wanting to put a downer on anyone's hopes here, but a word of warning that any surgeon can have good and bad outcomes. I had my SRS with Dr. Sanguan in 2003, and whilst he was very nice and pleasant and professional, I did not have a good outcome. My vagina is not symmetrical, one side 'hangs down' more than the other, plus I have had plenty of other complications. Nowadays I have no depth and intercourse is not possible.
Of course Dr. Sanguan has offered to do reparative surgeries, but at full cost to me.
Of course YMMV.

[SorchaC]

Hi,

I had a revision performed by Dr Chett, I did a post about it while I was recovering and overall I cannot say I am either pleased or displeased with the results of the revision 9 months on. I can say the whole revision experience was extremely painful.

I'm not one to post bad things about any surgeon, I still am extremely grateful for the work Dr Chett did and would tell anyone who chose him as their surgeon that they will be well treated and will get good results but for revisions my caution would be that invariably a revision hurts more than the original surgery so before committing to one you have to be sure you will get a better result than you already have.

If you want more info please PM me

Hugs

Sorcha 

[V]

Also just to make it clear:

I also am 100% convinced that Dr.  Chettawut is one of the world's best GRS surgeons.

I didn't know all I know now about his technique and his concepts at the time when I decided to go with him for surgery.
I guess he was just the ONE surgeon for me on my path.

I now can draw from diverse experiences and after having had consultations with all of Thailand's best SRS surgeons I can help anybody with their process of finding the best surgeon for them with my doula project,  no matter if you want for me to come along with you or not.

It's also essential from my perspective to choose with your heart instead of with your mind.

I originally chose Dr. Sanguan because my three closest TS friends had all had their SRS with him, and as far as I know (they have not said otherwise), they all had good outcomes.
I guess I was the unlucky one.
Like I said elsewhere, it's a crapshoot at the end of the day, sometimes you win, sometimes you don't.

[Princess_baby]

I had my revision at PPSI now in July.

Dr. Sanguan and his staff have been absolutely tremendous and Dr. Sanguan surpassed my hopes for the revision by far!

The care at the clinic was absolutely excellent, rooms were spacious, clean and bright and the staff was simply wonderful.

Dr. Sanguan reduced the size of my clit to normal CIS clit size, fixed the elephant ear labia majora, created wonderfully defined labia minora, fixed the urethral vagina vestibule issue and reduced that to an acceptable amount were oral now is fun again.

The overall result is like a completely different genital compared to what Dr. Chettwaut created but I also want to add Dr. Chettawut's work on preserving nerves was excellent, since all of it is working just fine :-).

I do like Dr. Sanguan's approach for clitoroplasty better than that of my Thai papa Dr. Chettawut, but again, if you like a large clit Dr. Chettawut is definitely for you - I don't.

Should anybody be interested in before and after revision photos please send me a PM.

Congratulations on you're revision! I can't wait to see the results. I'm glad Dr. Sanguan was able to reduce the clit size without losing any sensation, as that is one of my main concerns.

[Isabelle]

Regarding Chett.
It's nice to see so many happy people. I am not one of them. I think surgeons should be judged not by how they treat their successes but how they treat their failures.
Cosmetically, I am appalled by his work. Is this his fault? Yes and no. He can only work with what I had to give him. I understand making a cosmetically normal looking vulva is virtually impossible in a single step procedure. I knew that going in. I'm not upset about it because I expected it, and assumed I'd need revision. If you're happy with your single step vulva, that's great.  The nurses that have seen my vuvla have been noticably confused by it. It does not look natural at all. And I mean that, considering there is wide variation among natural vulvas. For a nurse to see it and not want to catheterise you, and go find a specialist to do it, means something isn't right in vulvatown.
Functionally, he peirced my bladder. I've had MRI's scans to confirm the damage, and a team of 5 urologists tell me they have no idea how I could have done this myself unless I dilate with a scalpel yet, Chet claims I did it to myself by having sex. I've not had sex because I can't have sex. He then claimed I did it to myself by dilating. My urologists assure me this isn't likely at all, and the the damage was caused during dissection during surgery. Chet knows this, he would have seen the issue when he did a my final examination before I left Thailand. He didn't say anything. I know for a fact the issue was present during this examination. The issue was present immediately after surgery. Beyond offering to perform a colon vaginoplasty (at the full price, of course). With a vesicovaginal fistula, a a colon vaginoplasty wouldn't even help. The issue is a hole cut in my bladder, a new vaginal lining wouldn't fix that, it would just cause the fluid to leak into my abdomin elsewhere. Chet has been combatative and dismissive from the outset and now doesnt even respond to emails.
I wouldn't trust him. I would not recommend him to anyone. Understand that a lot of the time thins go fine. When they don't go fine, it's how issues are dealt with that are important.
I wish I had gone to Suporn.
Would I go back to Chett for cosmetic revision? At this stage, absolutely not and I would implore anyone considering him as their surgeon to have a back up plan if something goes wrong, because Chett won't be there for you.

I realise 99% of people that take the time to read my post will dismis is as one unhappy person out of thousands. That is correct, he has done a lot of great work and helped a lot of people. So, the only reason I am posting this is as warning to people considering him.
He doesn't guarantee his work
He doesn't accept the medical opinions of specialists
If you have a problem, he will ignore you.

[TinaVane]

Regarding Chett.
It's nice to see so many happy people. I am not one of them. I think surgeons should be judged not by how they treat their successes but how they treat their failures.
Cosmetically, I am appalled by his work. Is this his fault? Yes and no. He can only work with what I had to give him. I understand making a cosmetically normal looking vulva is virtually impossible in a single step procedure. I knew that going in. I'm not upset about it because I expected it, and assumed I'd need revision. If you're happy with your single step vulva, that's great.  The nurses that have seen my vuvla have been noticably confused by it. It does not look natural at all. And I mean that, considering there is wide variation among natural vulvas. For a nurse to see it and not want to catheterise you, and go find a specialist to do it, means something isn't right in vulvatown.
Functionally, he peirced my bladder. I've had MRI's scans to confirm the damage, and a team of 5 urologists tell me they have no idea how I could have done this myself unless I dilate with a scalpel yet, Chet claims I did it to myself by having sex. I've not had sex because I can't have sex. He then claimed I did it to myself by dilating. My urologists assure me this isn't likely at all, and the the damage was caused during dissection during surgery. Chet knows this, he would have seen the issue when he did a my final examination before I left Thailand. He didn't say anything. I know for a fact the issue was present during this examination. The issue was present immediately after surgery. Beyond offering to perform a colon vaginoplasty (at the full price, of course). With a vesicovaginal fistula, a a colon vaginoplasty wouldn't even help. The issue is a hole cut in my bladder, a new vaginal lining wouldn't fix that, it would just cause the fluid to leak into my abdomin elsewhere. Chet has been combatative and dismissive from the outset and now doesnt even respond to emails.
I wouldn't trust him. I would not recommend him to anyone. Understand that a lot of the time thins go fine. When they don't go fine, it's how issues are dealt with that are important.
I wish I had gone to Suporn.
Would I go back to Chett for cosmetic revision? At this stage, absolutely not and I would implore anyone considering him as their surgeon to have a back up plan if something goes wrong, because Chett won't be there for you.

I realise 99% of people that take the time to read my post will dismis is as one unhappy person out of thousands. That is correct, he has done a lot of great work and helped a lot of people. So, the only reason I am posting this is as warning to people considering him.
He doesn't guarantee his work
He doesn't accept the medical opinions of specialists
If you have a problem, he will ignore you.

wow sorry that occurred with you but Chett was off my list when i heard one has to walk stairs (uh I think not ).

[V]

Hy Isabelle,

Just a side not on your post - and it's really sad to hear what happened to you.

There are also a few cases where Dr. Suporn was apparently not willing to correct bad results of his surgeries - so in that case, I believe the "Salvador Dali" geniuses in the SRS field have their opinion on their work.
I don't know if it will help you to uphold a - "what if I only .... " thought.

For you the question should be: who will fix this vesicovaginal fistula and what to do then.

I was also not really too happy cosmetically with Dr. Chett's result - and from my Thai sources the Thai kathoey prefer PAI or PPSI (Dr. Sanguan) to both the western favourites  - Dr. Chettawut is no choice because his cosmetic results are not appealing enough for them and Dr. Suporn is too expensive and has a reputation of being not as caring and loving as PAI or PPSI surgeons.
Surprisingly for me Dr. Sanguan gets way too few recognition and attention.

Dr. Sanguan's revision on my issues took a full 4 hours. Very few SRS surgeons will do that, and Dr. Sanguan confirmed, that revision work is done by only a few because it is so tricky, demanding and most of the time it's like performing a full SRS - which it was in my case. Dr. Suporn only does revisions on his patients.

Choose your steps wisely and make sure to make peace with your body and get its full support by loving and accepting it before you go into any other surgery - that is my advice from my experience as being a coach for surgeries.

If you saw my vagina you might be less impressed with Dr. Sanguan's work.
No surgeon is foolproof or faultless, they're only human after all.
I'd be less hard on the guy if he offered to fix his 'handiwork' (my fanny) for me. I mean, if he can't do the revision for free, at least give me a discount or something? I mean, as a self-employed person, any time off work means no wages for me, plus flight costs and hotel costs to go back to PPSI, and on top of that he wants over $22K!?!
Madness!

[Isabelle]

Things go wrong. I don't live in fairy land. I only posted to let people know what happens when you have a problem. I'm glad most people don't have a problem. But, ask yourself, if you're paying the money, do you want to take that gamble? I'm in my early thirties and, barring finding some one willing to help me, I'll be incontinent for the rest of my life, I'm on antibiotics constantly because the fistula causes a continuous cycle of bladder infections. My "vagina" (and I use the term loosely) is constantly bathed in urine. If you're considering him as your surgeon, ask yourself what will you do, if this happens to you? So far, I can't even find a urologist willing to help. The top team of urologists in my country won't. My next plan is to research Dr's in Europe to see if I can find someone that will take me on.

[Namaste1813]

Wow this is a good topic and I appreciate everyone's response. I had not thought of dr kunaporn ( Sanguan) before. I entrusted myself to PAI as I had wonderful result in the past from Dr Preecha but uunfornateky not from Dr Burin. I left me with an enlarged cut , no hood , and my colon puffs out Badly from my vaginal hole   I'm super insecure about it and I'm 4 years have had sex only once, very fast , to which he looked at me strangely   
Iv put it off thinking my change was more spiritual and ego oral and I should be happy that I survived the surgery.  Am healthy , and have fabulous self inflicted orgasms. But the truth is that whenever it pops into my mind, I get very depressed.
I've seen dr Burins most recent work on a friend and wow it's drop dead gorgeous   Beautiful job.
I want that feeling of confidence and beauty and I would like to have a somewhat healthy sex life like I did preop.
I'm thinking of dr Sanguan who I gather is dr Kunaporn. But is he really over 22k for a revision?  Mine didn't cost more at 12k for my colon surgery with PAI in 2012.
Maybe princess baby can help with more clarification

I started OM - orgasmic meditation - about 6 weeks after my revision. It's explained in detail at onetaste's website, even with step by step instructions on how to perform it.

The OM has a noticing step, where the stroker describes the strokees pussy, which means he looks at my pussy with my legs butterflied open and simply describes something he notices at that point of time - in bright clear daylight - no dark hidden sex where a partner might not notice anything but that there is a whole he can use.

Prior to my revision I would not have dared to do that - now I am at ease and very comfortable doing that - and sensation is really great - I also discussed that with Dr. Sanguan prior to revision and he assured me it should not have any effect on sensation - and he was right :-).

Please PM me if you want to see the comparison before and after.

[Namaste1813]

Also how are the doctors in the USA with revisions ?  Beuaitiful?

[Tiu]

There hasn't been anything going on on this thread for a while, but anyway. Isabelle, I'm so sorry to hear what happened to you. Frankly. I hope you were able to get this issue fixed somehow. Must have been really bad. I don't know much about it but it seemed to be treatable in many cases. 
From where are you?