Where does the tissue go in SRS? Can someone point to a diagram?

[emdash15]

Does anyone have a digram showing how the male parts pre-op map to the neo-female parts post-op, specifically for suporn or chettawut, with non-circumcised source material?  It's hard to get an idea from the text on his website and elsewhere.

Some of the photos I've seen indicate the main penis skin, after being delaminated from the erectile portion, gets pulled down, such that the top of the penile skin becomes the "front" of the vaginal area.  Am I understanding this correctly? 

If so, how does this coincide with the claim that there is "Complete anatomic homology between the reconstructed neovagina and the natal female genitalia"?  My understanding is that during fetal development, the parts that become vagina in females becomes the bottom (ventral) of the penis in males, hence the seam that exists on the ventral surface of the penis and scrotum.

Finally, how much of the foreskin is kept?  Specifically, is the tip (loose end) of the foreskin maintained intact?  It sounds like the end of the foreskin, and the prepuce area underneath, between the foreskin and glans, is maintained, so the sensitive part at the base of the glans is now the top of the inner labia.  Is this correct?  Even if so I'm having a hard time visualizing the reconstruction. 

I've also noticed that the foreskin is extremely flexible, and based on whether the skin is pulled back, it actually has a large ability to sheer; that is, the foreskin is not just a surface with some thickness, but instead can shift and slide around so the outside can be significantly translated from its inner (mucosal) counterpart.  Does dr. suporn take advantage of this flexibility?  What about other, inversion-style, surgeons?

thanks

[JoanneB]

My wife wanted to make ear-rings of the little guys but the doc said NYET... Medical Waste. The rest was recycled to make what was needed

[Dena]

This is difficult to respond to because it depends on both the procedure and what you have to work with. A good surgeon will alter the procedure to give you the best possible results with your existing material. Somebody who is undersized might require a skin graft and others it may be possible to use the existing skin differently. This is something you will need to discuss with any surgeon you are considering before you decide on the surgeon who will do your work.