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Dr. Brassard Questions

Started by Icephoenyx, September 05, 2011, 01:20:11 AM

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Icephoenyx

Ok, so I'm in a bit of a bind. As some of you know I have been approved for funding to go to Brassard in Feb. I am a little worried though, of all surgeons, he is the one who has the most 'complaints' based on what I've seen both online and in my hometown trans community. Things like depth and lack of hair removal have come up, to name a few. I'm in Canada so it's convenient to stay within my own country, and my funding only applies to Montreal (must be a natonalist thing). I just don't want to regret my decision, even if I'm not paying for it.

Chrissi
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jamiejo

I'm still going to Dr Brassard, no matter what I have read from a couple of other peoples post.  I'm getting electrolysis on the south pole - why risk it?  People love to attack other surgeons work.  Some people are just never happy.  If a surgeon "messed up" or did not do as sold - lawsuit (simple solution). 

I wish we all could have the perfect Barbie face and real VJ.  Surgery is surgery!!!

Jamie
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Icephoenyx

I wonder why Suporn would give more depth than Brassard. You would think it would all be the same. If I go to Brassard and I'm shallow, will it give me away if I'm with a guy?
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AbraCadabra

Preference for certain techniques that have been perfected? Be my first guess.

Week after next I go to Dr. Sanguan Kunaporn for SRS. He uses a two stage op with the need to stay 2 weeks in his hospital.
The aim is to achieve best depth possible with penile-inversion protocol.

One could imagine that this procedure be just too expensive in US or Canada?
That is just one thing, cost.

Yet he currently charges US$11k for the full two weeks.

Go figure,
Axelle
Some say: "Free sex ruins everything..."
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AbraCadabra

Val, let me be specific if I may, regards Dr. Sanguans protocol.

STAGE 1
Creation of a vaginal tunnel (Vaginoplasty)
Removal of penis (Penetectomy)
Removal of testes (Orchidectomy)
Construction of clitoris, clitoris hood, and labia minora (Labiaplasty)
Construction of new urethra opening (Urethroplasty)

STAGE 2 (after approx. 7 days)
Skin graft using, when ever possible, scrotal skin to line the new vaginal tunnel

Quite different from what you would have expected.

Axelle
Some say: "Free sex ruins everything..."
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Karynm8621

As a 5 1/2 month Brassard girl I am happy with my results so far but things are far from being completely healed. I guess from what I'm hearing it can be up to a year or more. I've gotten decent depth considering after 5 years of HRT I didn't have much to work with. Dilation will help with that. I am orgasmic as well

The level of care I got at the Asclepiade was nothing short of top notch and they continued to call and check on me at home. Brassard is a good chpoice and now with Dr Belanger they have changed technics again
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Icephoenyx

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HitOrMiss.

May I ask how long it took you to get approved and how long between approval and actual surgery date?
I want to sign up but I think the waiting list is horrendous.
If flesh could crawl / My skin would fall / From off my bones / And run away from here
- Garbage - As Heaven Is Wide
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Colleen Ireland

Not sure where you live, I'm sure that can be a factor, but I can speak to Ontario (CAMH in Toronto).  A friend of mine got her approval in August, and she has a date with Brassard in May.  She got the date Oct 20.  If that helps.

Edit:  ... oh, and CAMH has recently changed their approval criteria.  Now we only need ONE year of RLE, not two.  So I will be eligible next April, YAY!!

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HitOrMiss.

Thank you. I was under the assumption that Icephoenyx had gone through there due to the information within her profile. Nine months is better then I expected, though I'm sure there was an additional delay between when your friend began the application process and when she was accepted. I don't need to know all the details however, as I was just looking for a ballpark figure.

Thanks Colleen.
If flesh could crawl / My skin would fall / From off my bones / And run away from here
- Garbage - As Heaven Is Wide
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Julie Marie

B did my GRS in March, 2009.  I had no down south electro and have no "stray hair" problems.  Depth was satisfactory.  On the other hand things still aren't "normal" down there.  But what really is normal for this procedure?  And I think that's where most of the expectation problems lie.

You only have this surgery once.  Many go back for a revision, but the surgery that takes healthy tissue and forms it into something completely different can only be done once.  So you can't compare for yourself which surgeon does the better job.

When we ask others in our community their opinion of how their GRS went, we have to remember that opinion is based on their expectations.  Anyone expecting a fully functional vagina that is also fully sensate is setting themselves up for disappointment.  Nerves are cut, tissue is discarded, things are rerouted and your body immediately goes to work trying to repair the damage and close up the wound, and that means the vaginal cavity.

Being happy with your new equipment requires some work.  It's like a relationship, if you expect the other person to do all the work, the relationship will go bad.  You can weigh the positive vs. the negative and work to "accentuate the positive" and you'll probably be happy.  But it's still work.  Feelings, arousals, sensations down there will never be the same.  Nature does a better job making things work than humans.  And nerves can take forever to heal fully.

I'm not completely happy but I haven't worked on "our" relationship.  Maybe if I was straight and in a relationship with a guy, that other relationship would have been more important.  I suppose being younger would have helped too.  I really wanted to get rid of something more than than I wanted to gain something and that, I'm sure, had an impact on my results.

Yes, Brassard has a lot of surgeries under his belt.  I'm pretty sure he was the first to do a single stage procedure.  But he's often lightening fast, almost twice as fast as other surgeons.  You can't do as good a job when you're racing through it.  Maybe he's bored.  Maybe that's just his style.  But I do know talking to him about it won't change anything. 

We had a discussion prior to my surgery and I really thought it would have mattered.  It didn't.  And after the surgery, when I saw a suture job that made me wonder if it was done by a hack, I expressed my concerns to the nurse and said I wanted to talk to Brassard. That didn't matter either.  He passed off that too.  He's the surgeon.  He knows better than you.  That's the impression I got when I walked away from the whole experience.

Take from this what you will.  I can't really judge him against anyone else because he's the only surgeon I have any experience with.  Maybe no matter who I went to, the results would have been the same.  Maybe some are better and some are worse.  I will never know.  And that's what we all have to accept.  We only get one shot at this and as long as we do our homework, we can hope for the best but have to accept less if that's how things work out.
When you judge others, you do not define them, you define yourself.
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juliekins

I agree with Julie on much of what she said about Dr. Brassard. Overall, I'm happy or should I say much more happy than I was pre-op.

I also feel that Dr. B could slow down, with a focus on his patient's sensate abilities and his suturing. I had BA and bottom surgery in June pf 2008. My whole procedure took about 3 1/2 hours. I opted for the BA procedure where they go under the breast to do the implant, I chose this so that I could still retain sensation around the nipples. This would not prove to be the case. I lost about 75% of the sensations that I had pre-op.

As for my bottom surgery, I was told and instructed NOT to get electro in my genital area. The theory from the doctor, was that he would not be able to do his scrotal shave technique effectively. I took his advice and skipped the painful electro. This was a mistake. I now still have hairs growing internally. I wrote Dr. B, was was essentially told that nothing could be done. Surgery to permanantly remove the hair was not practical. He's at odds with every other GRS surgeon regarding genital electro. My advice-get it done!

As for sensations down below, I would say I lost about 80% of my pre-op sensations. I am orgasmic, but the feelings kind of sneek up on me.

I think Dr. B can be a very capable surgeon. His aftercare and recover facility program is second to none. However, either his ego or boredom or need for financial efficiencies cause him to rush through his surgeries at a breakneck pace. I read somewhere on Susan's, where one woman had said her GRS took under 2 hours. Don't know if that's true or not. Still, this is a 4-5 hour surgery when done with care. By comparison, my FFS took 7 hours, and the suturing was among the best I've ever seen.

Would I go back to Dr. B? For me, I would say no. I don't which to dissuade anyone here. I'm simply reporting my own personal experiences. Too often on this board, girls wish to only take the glass is half full approach. For those about to trust their dollars and bodies to a surgeon, I think that they would like an honest, blunt assessment of other's experiences.

Good luck to everyone!
"I don't need your acceptance, just your love"
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Kristyn

My surgery took around two hours.  I went in around noonish and was out around 2:20-25.  I was kind of amazed at how short a time it took also but, unlike the 'two Julies', I had no problems with suturing or hair regrowth.  As a matter of fact, I thought the sutures were taking forever to come out and what's left of the scars don't look too bad.  I have full sensation and am orgasmic and everything is looking good.  My guess is that a surgeon can do only what he/she can do--they can't guarantee how well your body will heal.  Regaining sensations is not entirely dependent on the surgeon but on the patient as well.  Your overall health and nutritional intake play an important role in how well you heal i.e. a smoker, drinker or someone with a poor diet will not heal as well as someone who lives a healthier lifestyle.  I guess my only complaint is a little puffiness which is taking its own sweet time to go down.
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Colleen Ireland

Quote from: juliekins on November 13, 2011, 11:16:07 AMAs for my bottom surgery, I was told and instructed NOT to get electro in my genital area. The theory from the doctor, was that he would not be able to do his scrotal shave technique effectively. I took his advice and skipped the painful electro. This was a mistake. I now still have hairs growing internally. I wrote Dr. B, was was essentially told that nothing could be done. Surgery to permanantly remove the hair was not practical. He's at odds with every other GRS surgeon regarding genital electro. My advice-get it done!

My first mentor was a 2002 Dr. B alum, and even tho she was told the same thing, she did get scrotal electro.  She has no complaints with internal hair.  On her advice, I've been getting laser and electro downstairs since March.  It's pretty clear now.  I wrote Dr. B's office back in Feb and asked whether it was something I could do, or did they specifically advise against it.  I was told it was up to me to do it or not, but if I opted to do it, to make sure there was no regrowth for a year prior to surgery.  Between the laser and electro, the area is pretty clear now, I expect I should be able to clear it completely by the time my RLE is done next April.  So I don't think I'll have a problem being "in compliance" in that department.

I agree with The Julies on the subject of expectations.  One has to go into this with open eyes.  But also, and I'm just extrapolating here, I think there are things a patient can do to maximize her chances of a positive result.  As far as sensation, I think anyone who expects things to be "pretty much the same after" is setting themselves up for disappointment.  But things begin to change in that realm very early on - my responses are very different now than they were pre-HRT.  I think it's important to continue sexual activity, in whatever form, so one remains aware of their responses and how they're changing.  Certainly, the post-op changes are huge, but I think the more awareness and activity beforehand, the better chance of having a good outcome regarding sensation.  Am I making sense?

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