Hi everyone,
I was originally thinking I would have GRS where I live in the Czech Republic. However, after meeting with the surgeons who preform the operation here, I have decided to look into other options. As much as I would love to go to Suporn, I simply cannot afford it and the wait time is simply too long for me for emotional and Kafkaesque bureaucratic reasons.
So, after a lot of reading and emails to various surgeons I have narrowed my choices down to three potential surgeons: Chett, Saran an PAI with Dr. Burin.
Price is a huge factor for me, especially as I will be paying for GRS mostly with a bank loan. That said, I don't want to sacrifice my outcome to save a few 1000 dollars. Anyhow, PAI is the least expensive at $8600, but the policy on revisions is a little less than comforting. Saran recently raised his price to $10000, but revisions are covered to some extent. If there is a need for secondary vaginoplasty I would need to pay for it. Chett is the most expensive. Though that in part is because of the extended time I would need to spend in a hotel. I also have not found out much about his current policy on revisions - though I might be looking in all the wrong places. The procedures each surgeon follows seem largely similar, but I am a little confused with all the terminology and each surgeon's use of glans material and about how each surgeon achieves a good functional depth.
Anyhow, if there is anyone out there who has found out more information on these three options, I would love some advice. Is Chett so much better than PAI to account for the difference in price? What about Saran? how does aftercare compare etc. Any information really would be greatly appreciated.
Mary
Hi Mary,
I can only comment on Dr Chettawut. As far as I understand, revisions are included in his initial surgery fee. Basically it is his personal guarantee. The depth achieved is dependent on both your internal anatomy and the amount of skin you have available. I am still in Bangkok recovering from my SRS with Dr Chett. The standard of nursing care I have received is excellent.
Hugs
Sorcha ;D
I think Thailand is far better option over Europe. I can only comment about chett. I had srs with him and revisions are free but very few patients need any. He is good in what he does and in general nobody has any complications or need for revisions. The thing with him is the additional skin graft. He seems to always require one which of course add to the price
Hi Possessed and Sorcha,
Thank you for the information. I booked surgery with Dr Chettawut finally. If all goes well i will be having surgery on 1 May!! I am very excited, but also terribly nervous :)
Mary
I think you have made a good choice. I wish you a successful surgery!
I had not thought about Dr Chet but after reading your comments I will visit him in Bangkok this week before Songkrans, which is thei biggest holiday. I have seen PIA, Suporn and some not so know thai surgeons.
Since 2009 PAI have used penile skin to construct the inner labia and have adopted a very similar method of fashioning a clitoris to that used by Suporn (and I suspect Chet). Whatever penile skin is left is used to invert with the supplement of scrotal skin to increase depth. The priority being the use of penile skin for the external structure. The presentation that they showed me before my surgery would indicate that the scrotal skin graft makes up most of the vaginal lining. However, I would suppose if somebody had an exceptionally long penis the ratio would change.
The only drawback that I can see is that you would have to pay for revisions if you require them (I believe around $2000). However looking at the price structure of other surgeons it seems clear that revision costs are charged up front whether you a going to need them or not.
I can assure you that PAI dissect the penile glans to make a "secondary organ" as Suporn calls it. The clitoris is not formed by an M shaped incision to create only a clitoral glans as you suggest but also to create 2 areas that extend from beneath the clitoral glans lining either side of the vestibule, as a corpus cavernosa similar to that of a natal female (The secondary organ). Urethral mucosa it the used to line the space in between.
The paper that you have quoted mentions this "The lateralflaps of the M-glans are sutured in the middle, in front of the body of the glans tip
Actually its very difficult to reconcile the intrasurgical photos with the eventual outcome. I suspect that that would be the case with any surgical method.
As far as I am aware only Suporn produces a mesh from scrotal skin for lining the vagina. this allows him to provide extra depth but also requires additional time in Thailand because of the greatly increased possibility of tissue necrosis.
Oh dear,there's a bit of mine is better than yours going on here!
Whoever you go with, be sure to find out about their policy on revision/dissatisfaction with your result. I saw Chet, my depth is fine, sensation is fine (although it's early days and will only improve) Anatomically though, I'd only use the term "female genitals" loosely. I'm thoroughly displeased with my anatomy thus far... Barring some "magic" occurring and the tissue healing into totally different geometries and locations, I'll be seeing a surgeon for revision as soon as possible. Wether I go to Chet, or see someone else, will depend on how the clinic responds to my concerns.. I've emailed twice wanting to discuss my situation and not received any reply... Funny cause when you're booking for new surgeries, they respond lightening quick..
This is a bit of an old thread now because Mary had her SRS in May with Chett and as far as I know was happily on her way home months ago.
As for Chett, He has been away for over a week on some kind of vacation in Vietnam, I know Som is only part time also and they seem to have replaced Rose with a new very pretty lady who seemed to still be learning how things work. I'm not defending him or disagreeing with anyone but I'd like to think responses will be forthcoming very soon. I had to delay my return home by a week because of his sudden trip so I don't know anymore than I've been told by Sri.
Hugs
Sorcha ;D
Totes, my post wasn't intended as the beggining of a lynch..
Quote from: Isabelle on October 26, 2015, 12:56:28 AM
Totes, my post wasn't intended as the beggining of a lynch..
Nope I never thought it was. I was just providing an update for those who may have thought something was wrong in Chettsville
Hugs
Sorcha ;D
Not to derail but does anyone know anything about Thiti? Does he still work for the PAI? And had anyone gone to him here? There seems to be little info about him online.
Quote from: Isabelle on October 25, 2015, 11:51:49 PM
Whoever you go with, be sure to find out about their policy on revision/dissatisfaction with your result. I saw Chet, my depth is fine, sensation is fine (although it's early days and will only improve) Anatomically though, I'd only use the term "female genitals" loosely. I'm thoroughly displeased with my anatomy thus far... Barring some "magic" occurring and the tissue healing into totally different geometries and locations, I'll be seeing a surgeon for revision as soon as possible. Wether I go to Chet, or see someone else, will depend on how the clinic responds to my concerns.. I've emailed twice wanting to discuss my situation and not received any reply... Funny cause when you're booking for new surgeries, they respond lightening quick..
You might have a look here:
https://www.susans.org/forums/index.php?topic=160388.10
Concerning surgeons you could look here:
https://www.susans.org/forums/index.php/topic,193067.msg1721458.html#msg1721458
https://www.susans.org/forums/index.php/topic,197264.msg1755116.html#msg1755116
Kamol and Sanguan Kunaporn you might inquire about...
I'd say do your due diligence and read up a lot...
thank you for the links, If the clinic won't help remedy my situation, I have no intention of returning to Thailand for any work. The major stuff is done now, I'd rather stay closer to home. For FFS I'm looking into a surgeon much closer to home because I'd prefer a surgeon who works mainly with north Western European facial types
My earlier post was before my Chett visit and I did like him but could not accept that the surgery was performed in his clinic. I have now seen around 5 Thai surgeons, including Suporn and Sutin at PAI. I found them to be equally as good and their aesthetics are all similar. Remember they are all students of Dr Preecha. Its a matter of how you personally liked them. I selected PAI and Dr Sutin for January 2016.
Quote from: warlockmaker on October 27, 2015, 12:16:30 AM
My earlier post was before my Chett visit and I did like him but could not accept that the surgery was performed in his clinic. I have now seen around 5 Thai surgeons, including Suporn and Sutin at PAI. I found them to be equally as good and their aesthetics are all similar. Remember they are all students of Dr Preecha. Its a matter of how you personally liked them. I selected PAI and Dr Sutin for January 2016.
Have you managed to look at results in person or are you going off photo's the surgeons show you? I wish I had the chance to see for myself, but not many people do. The results I have seen of Dr Suporn are better than the ones on his website, which I find kind of odd. You'd think it would be the other way around.
I'd be uneasy about Dr Chett not working out of a hospital, but no one seems to have died yet. If there's no special risk factors, like age, then I'd assume its not too dangerous. I also find it worrying that's he not operating out of a hospital, because it raises the question of why? Personally I'm super cautions, and I'd not choose him because of that.
I believe Dr Suporn has evolved his technique significantly since he was a student of Dr Preecha so I'm not that means much in terms of aesthetics. I don't know anything much about the others, and I've not seen any of their results. Suporn's hospital seems to be 2nd tier, but again I'm not aware of any problems. I think its some historical accident, and considering his prices and waiting list he has no reason to change.
I like Suporn so I know a lot about him; the others not so much.
Quote from: AnonyMs on October 27, 2015, 12:39:29 AM
Have you managed to look at results in person or are you going off photo's the surgeons show you? I wish I had the chance to see for myself, but not many people do. The results I have seen of Dr Suporn are better than the ones on his website, which I find kind of odd. You'd think it would be the other way around.
Well im it has to do with expectations.
If you show off the best cases more people are disappointed if their case is a bit less appealing.
If mostly medium cases are shown and the results are better people are thrilled.
Chett works with a similar strategy imo...
Quote from: Laura_7 on October 27, 2015, 04:52:45 AM
Well im it has to do with expectations.
If you show off the best cases more people are disappointed if their case is a bit less appealing.
If mostly medium cases are shown and the results are better people are thrilled.
Chett works with a similar strategy imo...
I'm pretty sure that in Suporn's case it's because its not important to them - they care about other things.
Quote from: Susan T on April 08, 2015, 02:12:04 AM
I can assure you that PAI dissect the penile glans to make a "secondary organ" as Suporn calls it. The clitoris is not formed by an M shaped incision to create only a clitoral glans as you suggest but also to create 2 areas that extend from beneath the clitoral glans lining either side of the vestibule, as a corpus cavernosa similar to that of a natal female (The secondary organ). Urethral mucosa it the used to line the space in between.
The paper that you have quoted mentions this "The lateralflaps of the M-glans are sutured in the middle, in front of the body of the glans tip
Actually its very difficult to reconcile the intrasurgical photos with the eventual outcome. I suspect that that would be the case with any surgical method.
I'm actually going with Dr. Thiti who works using the PAI method. Is there any way i can PM you or ask you some questions through email?
Theres not too many visual examples of a PAI outcome, either.
Hi All.
Never thought to see this thread again :)
Yes, so in the end I did go to Chett. Largely because I had a short time to make my choice and there was a lot more info on his work.
All in all, I am quite happy with my result. I have 7" of depth with number 4, can pee like a champion, have great sensation (first orgasm at 3 months), and a satisfactory visual appearance. If I were to be really nit picky I would say my clit is a little bigger than I though it would be and one of my labias minora (??) is less defined than the other. Nothing serious and i don't think it would out me. Though I do plan a cosmetic revision after a year or so, at least to have my posterior commissure closed. In any respect, my gyno was quite impressed by Chett's work and from what I have been told from a friend who works at the main OB/GYN clinic here, my vagina is a bit of a local celebrity.
It's true Chett operates out of a private clinic, but it was impressive and I felt more than comfortable there. Aftercare was excellent too. Sri and Noi are the nicest people ever. Communication with Chett's office after my return home was fine, but a little slow. That said, it was a little slow when I was still in the planning stage :) I did develop BV after coming home. It took took courses of Augmentin to clear up, but none of that was Chett's fault.
I know people tend to hate or love their SRS surgeons, so don't put too much value on my opinion. That said, I am pretty happy and I can easily recommend Chett to anyone considering SRS.
Mary
Hi Mary! Thanks for your input RE: your results. I have chosen Chett. and will have my GCS in Jan. He's very thorough regarding pre-op. screening before he clears you for surgery.
Hugz,
Joi
Hi Warlock Maker,
wishing u the best for ur surgery at PAI.
I have mine next month (feb 18th) at PAI also! :)
jacintaandrews and warlockmaker ... hi... I'm Alexi and here in Bangkok recovering from SRS with Dr Sutin on 1/26... My own fault feeling so isolated and then seeing that you all are here either recovering or getting ready for the big day :) Would love to make contact... for life of me cant figure out how to PM people here, I just get 'access denied' when I try clicking on a user name.
Anyhow hope all's going well for both of you :)
Quote from: ak1972 on February 13, 2016, 07:04:49 PM
Would love to make contact... for life of me cant figure out how to PM people here, I just get 'access denied' when I try clicking on a user name.
You can't pm until you have 15 posts.
I must apologize for not responding sooner. My surgery with PAI was incredible from surgery to the follow up. The hospital was wonderful.
I actually started doing too much too early as the surgery went so well. On the 2nd day of dilation I was out for 8 hours and I suffered that night as I had some minor tears which expanded with dilation. It's my fault ...my cocky nature ( forget the pun)!.
I'm now more careful snd keeping less active. But it was painful to dilate with tears...what an idiot I am .
I now live in Bangkok. Had my first social function with the elite in Bangkok and once again over did it...paying for this again. I just can't stay inactive...but I got to try .
PM me. Get your 15 post quickly ...would love to catch up if you are still here.
Happy Valentine Day to you all. Xoxo
Quote from: warlockmaker on February 14, 2016, 03:53:49 AM
I must apologize for not responding sooner. My surgery with PAI was incredible from surgery to the follow up. The hospital was wonderful.
I actually started doing too much too early as the surgery went so well. On the 2nd day of dilation I was out for 8 hours and I suffered that night as I had some minor tears which expanded with dilation. It's my fault ...my cocky nature ( forget the pun)!.
I'm now more careful snd keeping less active. But it was painful to dilate with tears...what an idiot I am .
I now live in Bangkok. Had my first social function with the elite in Bangkok and once again over did it...paying for this again. I just can't stay inactive...but I got to try .
PM me. Get your 15 post quickly ...would love to catch up if you are still here.
Happy Valentine Day to you all. Xoxo
Congratulations on your surgery and recovery :)
If your time allows would it be a good idea to give a review of the procedure, how the rooms are, of the surroundings etc ?
Others have made similar descriptions from other surgeons ... so it might be nice to read an up-to-date description..
Did you try the bromelain and did you have a feeling it helped ? :)
hugs
Quote from: warlockmaker on February 14, 2016, 03:53:49 AM
I must apologize for not responding sooner. My surgery with PAI was incredible from surgery to the follow up. The hospital was wonderful.
I actually started doing too much too early as the surgery went so well. On the 2nd day of dilation I was out for 8 hours and I suffered that night as I had some minor tears which expanded with dilation. It's my fault ...my cocky nature ( forget the pun)!.
I'm now more careful snd keeping less active. But it was painful to dilate with tears...what an idiot I am .
My day is tomorrow with Chett. At 4pm Saturday... I am so excited.. I am in a peaceful place, my mind and body... Ready. I am listening to music and a little dancing as I clear my system.. I dance to the bathroom often.. LOL..
Love you, see you soon and OMG you just look so wonderful and happy... Just like sunshine.. You shine with a glow ..
Keri
I now live in Bangkok. Had my first social function with the elite in Bangkok and once again over did it...paying for this again. I just can't stay inactive...but I got to try .
PM me. Get your 15 post quickly ...would love to catch up if you are still here.
Happy Valentine Day to you all. Xoxo
Quote from: warlockmaker on February 14, 2016, 03:53:49 AM
I actually started doing too much too early as the surgery went so well. On the 2nd day of dilation I was out for 8 hours and I suffered that night as I had some minor tears which expanded with dilation. It's my fault ...my cocky nature ( forget the pun)!.
You are really not the only one.
Its a common mistake many people make.
Because of pain and stabilizing meds people feel much stronger than they are.
So being careful the first days is a good idea .
*hugs*