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CarrieLiz's GRS With Dr. Chettawut, 8/9/16

Started by Carrie Liz, August 03, 2016, 04:02:10 PM

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Carrie Liz

In terms of SRS recovery, not much has changed.

I'm mostly still surprised how bother-free dilation has been as a whole, it still just feels like "doctor prescription to watch 90 minutes of TV per day." It doesn't feel like an hour and a half of time, because really you're only spending a total of about 10 minutes setting everything up, lubing, and then cleaning things, which is the only part that involves actual effort. And something I do which I learned from Jessica Tiffany on Youtube, I always put a paper towel under myself (on top of the sanitary mat,) so that cleanup is easy, I can basically just let all the excess lube dribble down freely onto the paper towel and just then wipe upward once the timer is up and I'm basically done.

Tomorrow afternoon is when I finally officially move up to the #1 dilator (I'll be doing 30 minutes with the #0 and then 10 minutes with the #1, so hopefully everything will be suitably stretched by the time I go in with the bigger size.) I'll report on that of course.

In terms of residual pain, now that the catheter is out the biggest hassle I'm still dealing with is just swelling pressure. There's still a persistent feeling of pressure and swelling in a few very specific areas... namely, along the stitch lines on both sides of the outer labia, and in the clitoral area where all of the stitches are. In both cases, it's pressure along the stitches. So fingers crossed that it will subside once the stitches are removed next Thursday.

I haven't been outside again since Wednesday's 40-minute trip to Seacon Square because I'm still feeling a bit sore, and standing up triggers some extra pressure along those stitch lines, so I really don't feel like aggravating it any more. Maybe tomorrow or Sunday I might go again, and then Mom and I are going to try to take a short tour of the Jim Thompson house on Monday, so I'm saving energy for then. The nurses have told me that healing is still going great, the discharge coming from the vaginal area has been getting clearer and clearer (and less and less in quantity) with every day, and they're the ones who told me that the pressure was probably coming from the stitches, which are now slowly beginning to dissolve, so the swelling feeling is to be expected and isn't a problem, so I should still be okay to go wherever, and I do have the stamina to, so it's just a matter of comfort right now.



Mentally, it's kind of funny, I realized today that my brain kinda doesn't even realize that it's had surgery half the time. Mostly I'm just lounging around on my computer, and mentally it feels like nothing's changed, I still feel like the same person, so there are some times where suddenly I'll snap out of that "normal" brain state and suddenly realize "oh crap, I just had sex reassignment surgery, that crazy super-taboo thing that every religious group freaks out about and everyone tries to label as some big humongous life-changing deal. I actually just went through that. And my body is permanently changed, I have a vagina now! And I always will! Wow!" but then I just shrug and go back to whatever it was that I was doing because frankly it's not a big deal, genitals are just genitals, I don't know why everyone acts like they're the end of the world when in reality you barely notice that they're there 95% of the time. Mostly just trying to think about surgery as this "oh my god" kind of big taboo deal I just laugh.

I'm still feeling a bit meh on the overall external appearance of everything. Basically I have a serious double-bump thing going on where my pubis hangs down a bit and then the outer labia is like this secondary bump just behind it that also hangs down, but the clitoris and other inside-inner-labia areas are really pulled inward toward the body and really tight compared to the loose pubis and loose swollen outer labia, and really it's not the most aesthetically pleasing. I'm definitely hoping that the outer labia swelling shrinks down as recovery progresses, and hoping that the inner labia becomes more prominent rather than looking like it's pulled tightly all the way between the clitoris and the vagina. Most of my elation has been based around how it feels rather than how it looks.

Anyway, back to recovery and back to waiting for the swelling and pressure to go down...
  •  

Tess2016

From what I have read about other SRS outcomes, it can take around 8 months before you get to see your new womanhood bits as they should be... SRS is a big thing to recover from..

Are you peeing ok yet...

Tess..
  •  

Carrie Liz

Quote from: Tess2016 on August 26, 2016, 07:23:33 PM
From what I have read about other SRS outcomes, it can take around 8 months before you get to see your new womanhood bits as they should be... SRS is a big thing to recover from..

Are you peeing ok yet...

Tess..

It's improved a little bit, there's some semblance of a stream going down now, but it's still spraying over everything.

I guess I can't complain too much, though, because even though it's a mess that gets all over myself every time I pee, at least it all goes down. At least it doesn't spray all over the toilet too.
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Carrie Liz

So, right now 3X daily dilation is definitely necessary.

The schedule that I'm on right now is basically dilating once at 9 am, once at 3 pm, and then one final time at 9 pm. Usually for me this schedule ends up being more like 11 am, 4 pm, 10 pm because I tend to sleep in and prefer eating breakfast later.

I've noticed that it's almost always harder for me to reach my full 6" depth during the morning dilation session, after 13 hours of not dilating. Usually the dilator only goes just past 5" on its own at first, and it's only after 5 minutes or so of applying pressure that things stretch back out and I get to my full 6" depth. (And I've actually been able to go a bit past 6", close to the 6.5" range, once everything is stretched. So I think healing is bringing some elasticity back to the skin graft. And it doesn't hurt, and it doesn't feel like I'm stretching anything too far, so all good!)

So yeah, going 12 hours without dilating is actually kind of stretching it, I feel like if I were to cut myself down to only 2X daily I'd probably be fighting to not lose depth.

So people have asked "is 3X per day really necessary?" And my personal answer is yes, it is. Because every single morning it's taking me a while to get back to depth, so without that afternoon dilation session it probably wouldn't be enough. So just follow the doctor's orders on that one and don't try to cut it down.

I'll keep this updated as time goes on, of course. They say "listen to your body" in regards to when you can scale down dilation frequency, and right now my body is definitely telling me that 3X per day is necessary. It's going to be difficult to keep this kind of a schedule once I go back to work in 5 weeks, so I'll see if my body is telling me that I can do 2 longer sessions or not. Being able to cut it down to 2 would definitely make my daily schedule with an 8-hour work day much easier to work with. I'll see once I get there.



So, the big thing today is that I'm going to take another trip to Seacon Square with Mom. I'm going to visit the Japanese street festival that's currently taking place in the plaza, eat some takoyaki, yakitori, taiyaki, dango, and sushi (because I've always wanted to try the first 4 on that list but can't get them in my culturally-non-diverse hometown of Toledo, OH,) and hopefully also do a video record of all of the amazing places in Seacon Square for my Youtube channel.

Then I'm going to take tomorrow off to recover, then hopefully on Monday I'm going to take a day trip to the Jim Thompson House with Mom.

(And I have discovered that I'm able to sit in certain positions comfortably without the "butt donut" cushion, so I should hopefully be able to handle it, take a taxi ride there and back and be able to walk around for the couple of hours or so that the guided tour lasts. It's going to be pushing it a little bit, but it's a site that I feel like I have to see before we leave Thailand, and it might be my only chance to do so since I only have another week before I leave, and Thursday and Friday are going to be booked with my final examination with Dr. Chettawut and going downtown to get my SRS certificate notarized respectively.)

Other big thing today is that I'm officially scaling up to the #1 dilator for the first time this afternoon. So once I've done that, (hopefully it's easy, and hopefully goes better than last time, again, I feel like I've gained some elasticity in the last few days,) I'll update.
  •  

Carrie Liz

Hooray! I used the #1 dilator this afternoon, (30 minutes with #0 and then 10 minutes with #1,) and this time there was no pulling, stretching, or bleeding. The 30 minutes of dilating with the #0 first suitably stretched everything and made everything elastic enough that the #1 went in with no problem. It did feel a bit tighter, but not to the point that it was uncomfortable at all. It was a mild and natural gentle-stretching feeling which felt like it was gently coaxing my vagina to be wider, completely unlike the first time where it hurt the whole way in.

So I've graduated up a dilator level without any problems.



Also, today I took a trip back to Seacon Square with my mom, it was only my 2nd time out of the hotel since surgery, and we visited the Japanese street fair.

I was up for 2 hours this time. The feeling of downstairs pressure took a LONG time to come back this time, and although there was a moment during the street fair where the combination of packed narrow alleyways between the food stands and crowds and lack of ventilation made me a little bit light-headed, this 2-hour trip by the end of it felt no more strenuous than the 40-minute trip I took last time. We ate some delicious street sushi, takoyaki octopus pancake balls, taiyaki fish cakes, and grilled yakitori skewers, all of which were heavenly (And which I'd been dying to try because I'm an anime fan, and lots of anime shows have street-festival episodes, so I've been dying to try takoyaki and taiyaki for years now, and FINALLY got to do it tonight, and they taste just as good as they look.)

So yeah, today was an AMAZING day.

And I was able to be up and about and walking for 2 hours today before things started getting uncomfortable, so it's official, I'm well enough to go on our planned 1-hour Monday tour of the Jim Thompson House, and probably also well enough to do our possibly-planned 2-hour Wednesday tour of the Vimanmek Mansion.

It feels so good to be up and walking and able to explore again!



Also, I'm going to be watching a lot of anime this year. :P I've already knocked out 2 anime shows on my "want to watch" list during dilations this week ("ERASED" and "Cute High Earth Defense Club LOVE," I'm slowly working my way through "Revolutionary Girl Utena," with some "Cardcaptor Sakura" and "Bojack Horseman" on the side. Yeah... LOTS of TV in my future. But I'm enjoying it, because I've wanted to finish those shows for a long time, and watch a lot of the shows in my backlog, but never had the impetus to before.
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Carrie Liz

...And now a day later I'm completely wiped out.

Exhausted, low energy, staying in bed all day and need a nap. :P

So yeah, if you do an outing during recovery, expect to need some rest for a while afterward. Being up and walking for a while takes a lot out of you.
  •  

Carrie Liz

Quote from: Carrie Liz on August 08, 2016, 02:15:41 AM
...Up until this point this trip has been a blur of activity. Now I've finally had a chance to relax and gather my thoughts. So here we go, this is what I just wrote in my journal about my anticipation for my upcoming surgery, which is now only 23 hours away.

(Possible moderate-TMI if you're uncomfortable reading about the physical sensations of tucking and sexual arousal.)



"   Tomorrow begins probably the biggest obstacle I've ever had to overcome in my entire life. Today is the last day I'm going to be in the body I've always known, the last day of this particular version of "normal." And again, I've long since realized that one of the reasons why I was scared about surgery before was just because even though I've always dreamed of having female genitals, I've gotten so used to this state of dysphoria, of begrudgingly dealing with this feeling of a lump in my pants and my primary form of sexuality being erections which make it impossible to enjoy any intimate encounters because they feel so wrong, it's still all I've ever known as normal, so it's hard to wrap my head around this. This really is the very last day of this old twisted version of "normal." Tomorrow begins weeks, months straight of pain, recovery, time-consuming dilation, the first time I've ever had any surgery in my entire life, and waking up to a body that will be completely different. I'm looking forward to it. But it is a bit scary simply because it's a great unknown.

   But at the same time, I'm so ready to be done with it that it's not even funny. I'm so tired of talking to friends and family about my convictions for surgery, having to explain myself and defend myself and go into elaborate detail explaining why I want it and how, no, this isn't because of some trauma or because of lacking a "male role model" or Mom somehow doing "male bashing" or all of these other nonsense accusations I've heard from other family members. I'm so tired of having to worry about what surgery, FFS/SRS/Voice, I should have done first or worrying about whether it really will be everything I've always wanted or not. As of tomorrow, no more speculation, no more uncertainty, no more explaining, I can simply let my body be what it is and enjoy it for that.

   Again, omigod, tonight is the last time that I'm going to go to bed and be dealing with this stupid lump in my pants flopping around, having to constantly re-adjust and re-tuck and everything just to find a comfortable sleeping/sitting position. From tomorrow on, I'll never have to deal with that again. Tomorrow, after dreaming about it for 13 years straight, this is it. I really am finally going to experience the reality of waking up and having girl parts between my legs. It's finally all of those dreams, all those years of wishing and dreaming, coming true. Tomorrow. Only 24 hours from now. And it's all real. YAY!!! (Even though I'm probably not going to remember much about that waking-up.)

   I had to write that. I had to get it out. Because otherwise I'm scared it would pass right by me and I wouldn't get to savor how big of a deal this is mentally. But writing this has given me a chance to let it all sink in. Tomorrow. In real life. I'm going to wake up and, for the first time in my entire life, be living in a body that is, to my own judgment, female. For the first time ever, and forever after that. No more questions, no more uncertainty, from then on it's just who I am.

   And THANK GOD, no more erections, no more tucking, and a flat beautiful feminine pubis just like every other girl has. No more jealousy, no more staring longlingly at girls wearing bikinis and leotards and athletic shorts and wishing so much that I could look like that, no more hating myself when I start feeling sexual because my body won't fundamentally betray me with its incompatible version of "arousal" that my brain isn't programmed to expect to feel, no more pants re-adjusting at work, no more tucks slipping, no more social anxiety about a bump showing or things slipping into visibility, I am SO ready to be done with that stuff forever.

   Also, I'm not sure if it's the T or what, but I've been getting medium-soft erections for like the last 3 days straight, and it's REALLY annoying, and I can't wait to not have that penis or its stupid erectile tissue anymore. I'm so tired of that feeling of pressure pushing this organ out of my body that I feel like shouldn't be there, and which every single time I feel it happening I can feel phantom sensations of a vagina/clit being there and what it would feel like for that area to be flat, flush against my body. I'm so tired of that mismatch, and so tired of feeling it and yearning for it to be different every single time it happens. Tomorrow it will be a reality, and I'll NEVER have to deal with erections or dangly bits again. My body will be mine, exactly the way I've always wanted it to be.

   YES. I am so hyped now. And now that I've had the chance to type all of this out, to let my emotions on it out, I feel like I'm ready. It won't just pass me by without being able to enjoy the full magnitude. And here we go. :) Last day ever. Recovery will be hard, and my very daily definition of feeling "normal" isn't going to be the same again for several months after this because of the difficult recovery, but it will be worth it in the end. I'm sure. Here we go!"


Now that it's been almost 3 weeks since I wrote the above post where I was speculating on all of my excitements and fears, I thought I'd do an official follow-up, and answer the question of how much my own thoughts about surgery beforehand match up to, or don't match up to, all the things I was excited about and scared about before.



So basically, I was expecting it to be a WAY bigger deal than it actually was. I had myself so hyped up with fear, so scared over "either this is going to feel exactly like I've always wanted and it's going to be the best thing ever, or I'm going to have mental breakdowns because of how difficult recovery is," and the sheer anticipation and sheer not-knowingness of it really had me anxious and really had me hyped up. I was expecting that I was going to grin like crazy every single time I got to look at myself and see a flat pubis, I was going to feel this big sense of relief when I could lay in bed and finally not have anything flopping around, etc. In practice, this may sound anticlimatic, but it's not really a big deal.

I mean, on the one hand, it is absolutely a big deal. Everything I always wished really is happening. I'm able to sleep comfortably without moving around and adjusting. Clothes feel so much more comfortable. Sitting is more comfortable. My body itself feels so much more comfortable (except for the pressure/swelling pain part,) and it really is wonderful to not have to tuck and not have to wear two pairs of underwear everywhere I go and constantly be terrified of whether something is going to slip or not. And I know intimacy is finally going to feel "right" too.

But at the same time, it's not a big deal. It's still just life. And it doesn't really feel like my life has suddenly turned into this amazing super-great utopia of feeling those things... those things already feel normal. I've said this before and I'll say it again, to me transition is like the cure to a medical condition. Pre-transition, I was expecting the same thing, to be so super-happy because I could finally be pretty and finally be feminine, where in reality it was still just life afterward, the difference is just that I didn't constantly get bogged down by depressive episodes of dysphoria because I constantly felt like my body was wrong and everyone was treating me wrong. Everything just stopped being a hassle and more of life felt normal and "right" with that negative thing removed. And it's the same thing now. Life is still life. At the end of the day, it's still just the same me sitting here in bed watching anime series and doing everything that I've always done, and the only difference really is that the stressor of constantly having a body part flopping around that I didn't want there, and constantly having to hide it and constantly feel it when I didn't want to feel it, that stressor is gone now. And it's not that life is all sunshine and roses now, it's just that this persistent bother, this thing that constantly intruded into my life when I didn't want it to, now that negative thing doesn't happen anymore. And I barely even notice or have a chance to enjoy that it's not happening because it's simply not something that I ever have to think about.

That's what being post-op is like for me. I barely even realize that I'm post-op, because it feels normal already. It feels like me, and just with another persistent source of distress that constantly used to distract my mind and which constantly used to take me out of my default happy place no longer in the picture. But you don't really realize it's gone.

Think of it like the feeling after being healed from a sickness. While you're sick, it's distracting. It hinders your ability to enjoy life. But once it's gone, you don't really think about being sick, you don't really think "oh wow I used to be coughing and sneezing and have a fever but now I can walk and play and do things normally again," it's just that you're not bogged down by those irritating symptoms anymore, and they pass out of your life and you basically forget you were ever sick.

Go figure.

I'm still healing. And the healing is still a bit painful and makes me have really low energy levels. But already I'm forgetting that I used to constantly deal with floppy genitals that were constantly bothering me. And then I'm like "oh yeah, I used to constantly deal with that feeling of genital dysphoria, didn't I?"




So, hopefully I'm not being anticlimatic here, but once that initial feeling of euphoria and relief passes, this is what it is... life. Life going on minus a stressor, but still just feels like boring ordinary life going on as it always has.


(And as an aside, in case it's not obvious, it is SO nice to finally have my hormones permanently fixed. No more testosterone! Pre-surgery, I could not deal with my body's default hormonal state of affairs. It was making me have horrible emotional meltdowns. So I constantly felt like I was fighting against my own body's hormonal programming, and it was really distressing to know that if I ever lost access to hormones I was going to be right back to being constantly miserable. But now, I can deal with this no-hormones state just fine. I don't have the same kind of energy and zest and pep that I have on estrogen, but I still feel calm and relaxed and in control of my emotions again as things are now. So now should I ever be deprived of HRT for whatever reason, I can deal with it. I won't be angry and miserable and dysphoric and wanting to rip my own soul out of my body like I did that one day. Thank God. I am so freaking glad that I'm never going to have to deal with that again. Getting the T out of me after 3 weeks of being off hormones for the first time in 3.5 years was honestly probably an even bigger relief than finally having a vagina.)
  •  

Carrie Liz

Phew... LONG trip today.

I only have 5 days left in Thailand, so now that I'm mostly getting to the point where I can walk for a reasonable amount of time without getting pain/tiredness, Mom and I decided that we wanted to see at least a little bit more of Bangkok before we have to leave this weekend. So we took a day trip out to the Jim Thompson House.

This was by far the hardest I've pushed myself in terms of physical exertion since surgery. We left at about 11:45 this morning, the cab ride to the house was about 30 minutes, and then we spent over 2 hours taking a tour of the inside of the house, walking around the garden and taking pictures. We had delicious Tom Kha Gai soup for lunch, visited the house's art exhibit and gift shop, and then finally left to go back to the hotel at about 3:30. (After some hassle with finding a cab to take us back to the hotel, same problem that happened in Chinatown, none of the cab drivers were willing to drive all the way out to our hotel which is 20+ minutes to the east of downtown.)

I was spent by the end of this trip. Near the end of the walking part of the tour, my head was starting to spin a bit.

Here's the thing with walking after surgery... usually when you're up and walking somewhere and you start getting tired, you can simply sit down on a bench in order to rest and recover energy. I can't, because sitting upright is still an energy exertion which puts pressure on the surgery site. (Not as much as standing, but enough that you won't really recover energy by sitting.)

So basically, sitting only delayed the light-headedness I was feeling, it didn't really improve it. So by the end of the tour I was starting to feel that "oh God I'm going to pass out" feeling. We finally got a cab, and most of the trip was okay, but then once we got off the highway and did a lot of stop-and-go driving, I started feeling nauseous. My head was spinning again as soon as I got out of the cab, I was fighting the urge to pass out, and only just made it back to the hotel bed before I would have fainted. I was breathing heavily for a couple of minutes, and had to lay in bed with the air conditioning on me for a while before I could stand up again.

I feel all right now that it's been a couple of hours, and there was no abnormal discharge or blood or anything, so everything's good healing-wise. But yeah, I definitely did push my luck today energy-wise for the sake of a cultural experience. And while the physical-exhaustion part of it wasn't fun, it was a good tour, the garden around the house is really beautiful and peaceful, I got some great pictures, and since I don't know if I'm ever going to be in Bangkok again, it was worth taking in as much culture as I can while I'm here. (Again, I might come back for FFS, but I'm not sure if I'm going to do it or not, or when, and I still might pick a different surgeon for FFS if I do have it, so it's not a definite.)

I'm getting more and more strength every day, I was wiped out yesterday but managed today pretty well, this was a LONG day out, so things are looking good for us being able to go to the Dusit Palace Park in 2 days and getting one last dose of Thai architecture before we go.
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Carrie Liz

#188
Today was yet another day of being out in public and I was kinda monitoring how my body felt in relation to my persistent struggles with social anxiety.

Before surgery, as I've mentioned, I had this constant feeling that I was being stared at, judged, I always felt "clocky," I was always worried that people could tell, and when I was walking I always felt like I was having to hide something, hide some innate guyishness that I couldn't quite put my finger on where that feeling was coming from.

And now, yet again, today for whatever reason, I felt like a girl while I was walking. I don't really understand why surgery has had that impact on me, because it's stupid, I'm not even looking at my genitals. I'm looking at my face and my hair and my body shape, none of which have changed in the slightest due to surgery. And yet for some reason before, those body features didn't look female to me before, they just looked liked an androgynous maybe-slightly-female-ish overall shape. After surgery, for some reason, and it's been this way every single time I've been out, my body now looks female to me. My stomach looks like a girl stomach, my arms and legs look like girl arms and legs. I don't understand it. And when I'm walking I feel like a girl walking. I feel feminine when I'm walking.

I have no freaking clue why suddenly I feel that way, but didn't feel it before. It really is an intangible thing that for some reason having a vagina has made it possible for me to see the rest of my body as a female body. (And I kinda feel bad about that, because my body was absolutely a female body before surgery, and yet for some reason no matter how many times I told myself that, it just didn't feel like it to me, but now it does. I feel bad about that. Genitals shouldn't define my sex or my gender. And yet it took surgery to finally feel like the person I knew on an intellectual level that I was. Now I feel like it on a heart level too.)

And this doesn't mean that I don't still have insecurities. In fact, I have a LOT of them. During the tour, there were a lot of girls with smoother skin than me, and more feminine frames and builds and faces. And I was still really jealous, and still really wished that my body could be that way. But the difference is, it doesn't feel like dysphoria as much now. Before surgery, those things hurt a little bit more. It was like "how can I even deserve to call myself a girl compared to them? That's a REAL girl right there." And I had breakdowns because I felt like a fake. That "fake" feeling, the feeling that I'm not a woman at all and that these other ideally-feminine people are rubbing that fact in my face just by existing isn't there anymore. Now it's just good old fashioned jealousy. :P Lots of it.

So yeah, as I say, surgery doesn't fix all of your problems. The same old insecurities are still there. But for me, it really has been the difference between feeling like I'm somewhere between the genders, and just dressing up as a woman and trying to "pass" as one even though I'm not (no matter how much positive self-affirmation I did to say otherwise,) and actually feeling like I really am living in a female body, and feeling like when I'm walking I'm a girl walking, feeling like my walk is feminine, my body is feminine, and actually being able to see the feminine body features that other people could find attractive when looking at me. I honestly couldn't see those things before, no matter how hard I tried, and no matter how much self-affirmation I did. It's true, I really was always distracted by the feeling that I had a penis between my legs. And it was keeping me from seeing what was blatantly there in front of my eyes all along. I feel like I can finally see what other people had been seeing for all this time.

I feel so shallow. I feel so bad for not being able to talk myself into feeling valid. I feel so bad for how much I had to reassure myself "I really am a girl, and I really am REAL" for these past 3 years of transition straight, and yet in the end, it didn't do anything. I tried so hard. And it should have worked, because I was valid, I was real, I was a girl regardless of whether I got surgery or not. And yet after all of that, it still took SRS for me to finally feel it inside.

And honestly, I'm NOT okay with that. Before surgery, I actually thought of telling my Facebook friends directly something along the lines of "I know it's common practice to post "It's a girl!" and things like that when someone has bottom surgery. Please don't do that. I don't want to reinforce cisnormative genital-centric notions of human sex. And I refuse to have my legitimacy as a woman reduced down to whether I have the ability to afford a $10,000 surgery or not. Plus it would kinda insinuate that I somehow wasn't a woman before surgery even though for the last 2 years I've been accepted as a woman by everyone around me and living as a woman, and I'm really not okay with that. Plus I refuse to throw my non-op and pre-op friends under the bus."

And yet apparently I really am that shallow. Apparently SRS really did make me finally feel like a girl.

I wish I could say otherwise. I really do. I actually feel guilty about surgery taking that "fake" feeling away. I actually feel like I'm betraying my own values.
  •  

Jenna Marie

CarrieLiz, I bet that if a non-op friend were to tell you that she feels "like a real girl" (or however you choose to phrase it) without a vagina, you would have no qualms whatsoever in believing and supporting her. I had to wrestle with similar feelings, in that I 100% do not think that having a vagina makes someone [more of] a woman, and yet I felt so much more comfortable in my own skin after GRS. The conclusion I came to is that there is a difference between how you feel about your personal body and how you think about *other people's* bodies; you don't need to feel guilty that this was something that worked for you and your psyche as long as you don't in any way suggest that there's a way to generalize that feeling to judging other trans women. And I think I know you well enough by now, if virtually, to know that you would never do that. :)

In addition, you do make it clear that the rest of your body didn't change - what changed was your perspective of it, and there's nothing particularly controversial about the realization that GRS was a way to change your *mind,* not your body. Some people can achieve that same perspective without bottom surgery (and some will tell you that it's impossible without FFS, for that matter); there are a lot of different routes to the same outcome, which is all you need to say to prove that GRS isn't a *necessity* to get there.

(There are similar discussions going on around the subject of, for example, cochlear implants for deaf people and a cure for autism; some people want to be "changed," some don't, and it can get pretty contentious when either group tries to translate their personal desires into the needs of the whole population.)
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KimSails

So, I'm not the only one?!?

My surgery is a month away, not behind me like yours.  Yet, I've had a lot of those same feelings.  In fact, I had a dream just last night that I came out of surgery and saw "It's a girl!" signs in my room.  In my dream I was telling people that I didn't want that.  That I already was female before surgery.  But in reality I am so excited that my date is almost here.  And I fully expect to feel some sort of validation from it even though, intuitively, I know its not right. I would never question another woman's validity over this surgery.  I don't know if this makes me shallow or not, but either way, I am right there with you.
Twenty years from now you will be more disappointed by the things you didn't do than the ones you did. So throw off the bowlines. Sail away from the safe harbor. Catch the trade winds in your sails. Explore. Dream. Discover.
-Unknown 

~~~~~/)~~~~~
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Carrie Liz

#191
So, unfortunately, my level of happiness with the aesthetic results of my surgery have dropped a bit over the last few days...

Immediately after surgery, when there was still a lot of swelling in the outer labia and the inner labia was therefore pulled very tight, I felt like things were a bit more correct, and I felt more optimistic about how things were going to heal because I figured "once swelling goes down, the insides will become more prominent and the outside will become less prominent."

As swelling has gone down and things have settled down a bit, though, it hasn't quite gone that way. And I've become less satisfied with how everything looks.

The outer labia has slowly deflated. When I first woke up from surgery it was a bit puffy and tight, I felt only a little bit of loose material there. Where now as the swelling has gone down it's become loose to the point that it's almost droopy. Basically, there's a lot of loose material on the outside now, and I feel like it's not a good kind of loose, it's like a "there's too much skin here" kind of loose.

The inner labia still hasn't gained ANY definition whatsoever. Everything is still pulled completely tightly back into the vagina, to the point where I still basically don't see any inner labia at all, and there's not even any loose skin in the area where it's supposed to be to suggest that eventually there will be one once swelling goes down.

Dr. Chett was honest with me before surgery that making a defined inner labia was going to be difficult with me because my anatomy was so small, but I'm still bummed that I don't have that "defined stretchy inner labia coming down from the clitoral hood" look that one associates with a cis vagina. Like, the part of Chett's demonstration cases that I liked the most was how he created such a natural-looking inner labia, and his "2-year post-operative SRS" video on his Youtube channel shows EXACTLY the kind of inner labial structure I was hoping for, and was one of the big reasons why I chose him. And, well, I feel like I don't have that. I will be really bummed if I don't ever get that same kind of inner labial structure. And again, the appearance on the outside is looking a bit droopy and loose right now while the inside is practically non-existent.

All of the internal structures are perfect. Clitoris is exactly the right size and the right definition and has perfect sensation and perfect placement. And the structures that are inside of the inner labia area, the urethra, the vagina, all perfect. Totally happy with that. But I'm not completely happy with how the outside is starting to look as it's healing. I might be asking for a cosmetic revision down the line, asking for a reduction of the outer labia and enhancement of the inner labia, if things don't improve.

(And yeah, I know, it takes time, wait, let things heal, but, well... I don't think that this is an issue of swelling. I don't see how swelling going down could possibly fix both of these issues at once. And it's a bit distressing because I actually said before surgery "I care about how it looks on the outside more than depth. Specifically I care about the definition of the inner labia. So if you need to sacrifice a bit of depth to give me a better-looking result, I'd actually prefer that." So basically I feel kinda bummed that the only specific request I made, to make sure the inner labia looked defined and good, is the one and only thing about the surgery that I'm now unhappy with.)




I guess what happened here is that up until this point I was giving the nurses the benefit of the doubt, their reassurances of "everything looks normal, it will heal" reassured me. Where today I read a topic ( https://www.susans.org/forums/index.php/topic,213763.0/topicseen.html ) about someone unhappy with their SRS results with Chett for the EXACT same reasons that are making me currently concerned about mine, so now I'm sorta panicking about those things never correcting themselves or getting worse, so I'm a bit more concerned now.



How it feels is the most important part of SRS to my mental health, in case it's not obvious, and the "feel" of everything is a HUGE success, Chett did such an amazing job with the nerves and the function and the internal structure, so this isn't a huge deal, it's just the superficial cosmetic things on the outside. But it is still something that I'm going to be a bit disappointed about if it doesn't improve (or gets worse) as swelling continues to go down.

So basically, happiness with how everything feels/functions is a 10/10. Happiness with how it looks was about a 7/10 immediately after surgery, but now down to about a 5/10.




I've kinda already expressed a little bit of concern to the nurses, (I haven't vocalized it as if it's an "I'm unhappy with this," more just "I'm a bit concerned about how this is healing, is it going to improve?") And they've just always responded with "no, this is normal. Good result. It looks beautiful," so I let it pass, assumed it was just a matter of healing and would improve, but maybe I'm kinda getting to the point where I should actually say I'm a bit unhappy with it? Point out the differences between how I look and how the results I was hoping for look, and ask for more clarification? I don't know...
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AnonyMs

Carrie, have you asked him what he could do in terms of a revision to improve things later? I think it would be a good idea to ask while you're still there.
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Carrie Liz

Quote from: AnonyMs on August 30, 2016, 03:26:32 AM
Carrie, have you asked him what he could do in terms of a revision to improve things later? I think it would be a good idea to ask while you're still there.

I'm going to send an email with pictures today so that hopefully I can get answers in time for my final checkup in 2 days.
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Carrie Liz

...and I just got a call that they're moving my final checkup date up a day, so now it's tomorrow morning at 7 instead of Thursday at 9.

Um... hopefully that had nothing to do with my email... Ms Som did say "I got your email with the pictures, you can ask him these questions tomorrow." So now I'm a bit scared that I'm not going to get the questions from the email answered directly, that it will just be "everything looks fine" and then I'm on my way back home still worrying.

So, uh, well... I'll see? :/

This scares me, because Chett's responses (or lack thereof) to post-surgery concerns is one of the areas where people have criticized his staff the most...
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Carrie Liz

#195
Having a breakdown now...

I'm so scared that Chett is going to brush off my concerns, say "everything is fine" without answering a single one of my questions directly, I'm going to get shipped off, and then I'm going to spend the next several months straight freaking out about the healing progress and possibly ending up with a permanently less-than-what-I-was-hoping-for aesthetic result.

My brain runs away with me a lot. This is one of those times. Uncertainty over something so important to me turns me into a nervous crying mess.



And really, I'm not worried about a "bad" answer, them saying "sorry, you were too small before, so you won't ever have an inner labia and we can't fix the outer." I can deal with that. I'm good at coping. What I'm terrified of is a non-answer... an "everything is fine, you look beautiful" answer that doesn't answer whether such a loose outer labia or tight inner labia is normal or not normal for my point in recovery. What I'm scared of is months and months of feeling like something is off and yet having to wonder if it really is or not. What I'm scared of is waiting and waiting, hoping and hoping that things are going to settle and look as beautiful as the demonstration pictures/videos, but never knowing for sure.

Coping with bad things is easy for me. Uncertainty and not knowing, not knowing if I should be hoping or not, is what eats me alive.
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AnonyMs

Hi Carrie, I'd not worry too much at this point. Dr Chettawut would be very foolish to dismiss you so causally. Yours is a great series of posts by a high profile poster on a major trans site and anything you post here that's particularly noteworthy about Dr Chettawut is going to get linked from other major sites. I'd hope he takes very good care of you.

I'm looking forward to your posts tomorrow to hear how it went and I'm sure I'm not the only one.

Worst case there's other surgeons you can go to.
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reborn

I think it is too early to judge the results. Plus you certainly experienced post operative euphoria due to general anesthesia and now you are experiencing perhaps mild depression and you start seeing the dark side of the things. Give yourself a few weeks to get past this emotional journey, get fit and wait for the swelling to subside and evaluate the results than. In the worst case scenario revisions are always an option. Things that can not be revised are sensations, hard to revise depth and cosmetic outcome is easy to fix.
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Jenna Marie

The good news is that "too much skin in one place and not enough in another" is one of the easiest things for a plastic surgeon to fix. :)

Also, for the record, Brassard says to wait at least a year to see the final results - and for me it was closer to two years - so things really can change *amazingly* much over the next few months. You may be shocked by how different it looks in another month, much less a year. Heck, it's already changed dramatically over the past few days, as far as you're concerned (I know that wasn't for the better, but that's also normal with healing at this stage - one thing they don't always mention is that early on the swelling doesn't so much leave as move around, and things often do look worse a few days post-op).
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Jacqueline

Carrie Liz,

From what I understand Jenna Marie is right. One should wait a year before making decisions on revision. Like so much of our journey patience is our best friend.

I was recently editing a post about Dr Chett that you had replied to, from 2014.

https://www.susans.org/forums/index.php/topic,160388.msg1371849.html#msg1371849

Most of the ladies with experience said you really should wait a year. It will take that long to really show your final result.

With warmth,

Joanna
1st Therapy: February 2015
First Endo visit & HRT StartJanuary 29, 2016
Jacqueline from Joanna July 18, 2017
Full Time June 1, 2018





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