Community Conversation => Transitioning => Gender Correction Surgery => Topic started by: Michelle_P on February 25, 2019, 08:34:57 PM Return to Full Version
Title: Labiaplasty (2nd stage GCS) and BA with Dr Salim at Kaiser San Francisco
Post by: Michelle_P on February 25, 2019, 08:34:57 PM
Post by: Michelle_P on February 25, 2019, 08:34:57 PM
I had a full depth Gender Confirmation Surgery (GCS) 16 months ago, done as a single-stage procedure, but unfortunately the clitoral hood and labia minora shrank away, leaving some very sensitive spots very exposed. There's a reason I don't wear pants very often! Ow...
I now ha a surgery scheduled for February 26 (tomorrow) with Dr. Salim of the San Francisco Gender Clinic, at Kaiser San Francisco for a revision and breast augmentation (BA).
On the GCS revision, the plan is to fuse the very top of the labia majora to construct a clitoral hood, produce a pair of folds within the labia majora so as to reconstruct the labia minora, and at the posterior end the fourchette or labial frenulum, a fold of tissue joining the labia, will be lowered to be level with the introitus or vaginal entry. (This will make dilation much easier.)
I'll be off dilation for 3-4 days after surgery, and may have to restart using a narrower dilator at first. Not a big deal.
I will be using that donut pillow again for a while, though.
For the BA, I'll be getting 275-300cc implants. These will be circular smooth-surface lightly cohesive with medium profile. (Other profiles may be flat to extended or conical). With my particular anatomy and pectoral muscle form, I will probably have the most natural appearance and improved aureole placement with an over-muscle implant, with incision in the new breast fold. I should wind up with something like a 36C. 🙂
I'll be on restricted activity for a month, and won't be able to lift my arms above shoulder height for a while. I'll have to shuffle the kitchen around quite a bit!
I now ha a surgery scheduled for February 26 (tomorrow) with Dr. Salim of the San Francisco Gender Clinic, at Kaiser San Francisco for a revision and breast augmentation (BA).
On the GCS revision, the plan is to fuse the very top of the labia majora to construct a clitoral hood, produce a pair of folds within the labia majora so as to reconstruct the labia minora, and at the posterior end the fourchette or labial frenulum, a fold of tissue joining the labia, will be lowered to be level with the introitus or vaginal entry. (This will make dilation much easier.)
I'll be off dilation for 3-4 days after surgery, and may have to restart using a narrower dilator at first. Not a big deal.
I will be using that donut pillow again for a while, though.
For the BA, I'll be getting 275-300cc implants. These will be circular smooth-surface lightly cohesive with medium profile. (Other profiles may be flat to extended or conical). With my particular anatomy and pectoral muscle form, I will probably have the most natural appearance and improved aureole placement with an over-muscle implant, with incision in the new breast fold. I should wind up with something like a 36C. 🙂
I'll be on restricted activity for a month, and won't be able to lift my arms above shoulder height for a while. I'll have to shuffle the kitchen around quite a bit!
Title: Re: Labiaplasty (2nd stage GCS) and BA with Dr Salim at Kaiser San Francisco
Post by: Megan. on February 25, 2019, 10:15:17 PM
Post by: Megan. on February 25, 2019, 10:15:17 PM
Best of luck Michelle, fingers crossed for a smooth Op and quick recovery. X
Sent from my MI 5s using Tapatalk
Sent from my MI 5s using Tapatalk
Title: Re: Labiaplasty (2nd stage GCS) and BA with Dr Salim at Kaiser San Francisco
Post by: LizK on February 26, 2019, 02:38:07 AM
Post by: LizK on February 26, 2019, 02:38:07 AM
hope it goes really well...get that girlfriend of yours running around looking after you....nothing like a bit TLC to speed the recovery
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Sent from my iPad using Tapatalk
Title: Re: Labiaplasty (2nd stage GCS) and BA with Dr Salim at Kaiser San Francisco
Post by: Jessica on February 26, 2019, 07:51:02 AM
Post by: Jessica on February 26, 2019, 07:51:02 AM
You'll do great Michelle. Afterwards you will feel much better, especially when you start your estradiol again! Laurie though will need to behave herself and leave your new additions alone for a bit.
Hugs and smiles from another California girl
Hugs and smiles from another California girl
Title: Re: Labiaplasty (2nd stage GCS) and BA with Dr Salim at Kaiser San Francisco
Post by: mm on February 26, 2019, 01:35:28 PM
Post by: mm on February 26, 2019, 01:35:28 PM
Michelle_P, good luck with your surgeries; you should be about through by now. Let us know how you are doing. With your BA you will have nice curves.
Title: Re: Labiaplasty (2nd stage GCS) and BA with Dr Salim at Kaiser San Francisco
Post by: Michelle_P on February 27, 2019, 12:24:09 PM
Post by: Michelle_P on February 27, 2019, 12:24:09 PM
The procedures went well, no major problems. Due to swelling at the labiaplasty site I came home yesterday evening with a little door prize, a Foley catheter and set of collection bags.
I've had to wear a Foley before, not a big deal. With a leg bag and drape cut pant or a long skirt, I can get around just fine. In a week I can remove the Foley and try my own hardware without it.
Other than that, I'm a little sore, and on bed rest for a few days. @Laurie is being her sweet and lovely self and helping me through recovery, even bringing me breakfast in bed!
I've had to wear a Foley before, not a big deal. With a leg bag and drape cut pant or a long skirt, I can get around just fine. In a week I can remove the Foley and try my own hardware without it.
Other than that, I'm a little sore, and on bed rest for a few days. @Laurie is being her sweet and lovely self and helping me through recovery, even bringing me breakfast in bed!
Title: Re: Labiaplasty (2nd stage GCS) and BA with Dr Salim at Kaiser San Francisco
Post by: LizK on February 28, 2019, 01:09:35 AM
Post by: LizK on February 28, 2019, 01:09:35 AM
Nice to hear you are progressing well. A little friend in the form of a catheter...hopefully it won't be an accompaniment for too long. @laurie should be looking after you....that's what girlfriends do isn't it lol Take good care
Liz
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Liz
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Title: Re: Labiaplasty (2nd stage GCS) and BA with Dr Salim at Kaiser San Francisco
Post by: Michelle_P on March 01, 2019, 04:10:35 PM
Post by: Michelle_P on March 01, 2019, 04:10:35 PM
Three days post-op...
There's a little discomfort at the labiaplasty site, nothing terrible. I did use a minimal half tablet of the Norco equivalent I was prescribed to get to sleep last night. The breast augmentation mostly just itches around the sides of the medical bra. The Velcro front fastening on the bra kept coming loose until I put a safety pin through it, before I even left the hospital. Having a BA? Bring safety pins!
This morning marked the date I was to remove the bra and shower. Oh, what a relief that is! Of course, the unveiling produced it's own reaction. For just 300cc on a side, well, damn! 🤩 The incisions are quite small, surprising me. It looks like they will wind up right on the fold, almost invisible. I'll start the silicone scar treatment as soon as I am cleared for this by the doctor.
I reapplied A&D ointment (allergic to bacitracin) on the labiaplasty sutures, and put on a fresh pad again. Bleeding has almost stopped, just a tiny amount of oozing there. I've been cleaning and swapping in fresh pads twice a day.
The Foley catheter is, well, a catheter, with all its own maintenance. I have a night bag, a leg bag for daytime, and I have to drain them periodically as well as the sanitizing after swapping bags. I've been more active yesterday afternoon and today, and of course that means the catheter tip and lumen (drain opening just behind the tip) have likely been brushing against the bladder lining. A couple of clots have shown up in the bag, right after a twinge that tells me bladder pressure dropped suddenly. They likely used a single-lumen catheter and the tiny opening was plugged by a clot. I have to keep an eye on this, as a plugged indwelling catheter can cause significant problems. (I can remove it, worst case, and suspect I can now pee on my own as swelling has started to subside.)
There's a little discomfort at the labiaplasty site, nothing terrible. I did use a minimal half tablet of the Norco equivalent I was prescribed to get to sleep last night. The breast augmentation mostly just itches around the sides of the medical bra. The Velcro front fastening on the bra kept coming loose until I put a safety pin through it, before I even left the hospital. Having a BA? Bring safety pins!
This morning marked the date I was to remove the bra and shower. Oh, what a relief that is! Of course, the unveiling produced it's own reaction. For just 300cc on a side, well, damn! 🤩 The incisions are quite small, surprising me. It looks like they will wind up right on the fold, almost invisible. I'll start the silicone scar treatment as soon as I am cleared for this by the doctor.
I reapplied A&D ointment (allergic to bacitracin) on the labiaplasty sutures, and put on a fresh pad again. Bleeding has almost stopped, just a tiny amount of oozing there. I've been cleaning and swapping in fresh pads twice a day.
The Foley catheter is, well, a catheter, with all its own maintenance. I have a night bag, a leg bag for daytime, and I have to drain them periodically as well as the sanitizing after swapping bags. I've been more active yesterday afternoon and today, and of course that means the catheter tip and lumen (drain opening just behind the tip) have likely been brushing against the bladder lining. A couple of clots have shown up in the bag, right after a twinge that tells me bladder pressure dropped suddenly. They likely used a single-lumen catheter and the tiny opening was plugged by a clot. I have to keep an eye on this, as a plugged indwelling catheter can cause significant problems. (I can remove it, worst case, and suspect I can now pee on my own as swelling has started to subside.)
Title: Re: Labiaplasty (2nd stage GCS) and BA with Dr Salim at Kaiser San Francisco
Post by: Michelle_P on March 06, 2019, 01:54:28 AM
Post by: Michelle_P on March 06, 2019, 01:54:28 AM
One week post-op...
While having a bowel movement yesterday i found myself voiding my bladder AROUND the catheter, confirming that it wasn't needed any more. I grabbed a syringe, deflated the Foley catheter's locking 'balloon', stepped into the shower and, with a slight tug and a wiggle, the catheter was gone. My shorter urethra sure makes that easier!
I did my one-week postop visit with Chris, my nurse practitioner. Everything looks good, and the labiaplasty stitches were removed. What a relief! I'm able to walk easily already, and just have the 10 lb lifting and arm position limits from the BA now. I'll be wearing a sports bra 24 hours a day for the next month.
My next followup is at the end of the month.
While having a bowel movement yesterday i found myself voiding my bladder AROUND the catheter, confirming that it wasn't needed any more. I grabbed a syringe, deflated the Foley catheter's locking 'balloon', stepped into the shower and, with a slight tug and a wiggle, the catheter was gone. My shorter urethra sure makes that easier!
I did my one-week postop visit with Chris, my nurse practitioner. Everything looks good, and the labiaplasty stitches were removed. What a relief! I'm able to walk easily already, and just have the 10 lb lifting and arm position limits from the BA now. I'll be wearing a sports bra 24 hours a day for the next month.
My next followup is at the end of the month.