Susan's Place Transgender Resources

Community Conversation => Transitioning => Gender Correction Surgery => Topic started by: anjaq on October 09, 2015, 03:52:28 AM

Title: Late SRS revisions possible in Thailand?
Post by: anjaq on October 09, 2015, 03:52:28 AM
Hi.

Its been 15 years since my GRS and I am considering doing a revision surgery. The reason is that 15 years ago, plastic surgery was not that good, so my vulva has markers of something being odd. Things like a clitoris that is not shaped right, missing inner labia and missing clitoral hood lead to me being insecure, avoiding sex. I was single for 10 years now and last week when I was having a holiday romance , I was asked what is up with my clitoris, its "not normal" and if I had surgery there. I denied it and it worked, but this was a close call and I dont know if it will work next time again.

So does anyone know of plastic surgeons in Thailand who will do revisions that are not damaging my nerves but can give a more realistic look to my vulva? I know Dr Suporn does not do this anymore for patients not having had GRS with him originally. I also asked a few GRS surgeons locally, but they are all unwilling or unable to do this...

Thank you
Title: Re: Late SRS revisions possible in Thailand?
Post by: Laura_7 on October 09, 2015, 04:06:53 AM
You could have a look here:
https://www.susans.org/forums/index.php/topic,193370.msg1724055.html#msg1724055
They offer labiaplasty... and clitoroplasty...

and here:
https://www.susans.org/forums/index.php/topic,190787.msg1699717.html#msg1699717
those were us adresses offering revisions...

https://www.susans.org/forums/index.php/topic,190787.msg1699794.html#msg1699794
this was an example from europe...

Just do your due diligence and have a further look at their reputations...
Title: Re: Late SRS revisions possible in Thailand?
Post by: anjaq on October 09, 2015, 11:52:04 AM
Thanks, its a start. Maybe someone can comment who had a correction surgery done in one of these places?
I just heard of four names in Thailand.

One was Dr Preecha, I believe, the other was Suporn who does not do this and then there was Chettawut and one Dr Sangon (?). Two of them are doing PI for vaginoplasty (Preecha and Sangon), which is what I had, so they may be more suited then suporn and Chettawut who does a similar method, I believe.

so does anyone have experience with one of these two?
Title: Re: Late SRS revisions possible in Thailand?
Post by: Laura_7 on October 09, 2015, 12:24:34 PM
The name is Sanguan Kunaporn.
The first link above has more information, also their pricing concerning post grs labiaplasty.

Here are more opinions:
https://www.susans.org/forums/index.php?topic=125088.0

and here:
https://www.susans.org/forums/index.php/topic,69392.0.html

here is more about the european surgeon from the third link above:
https://www.susans.org/forums/index.php/topic,115086.msg1439533.html#msg1439533

If you have found a surgeon you might do a more in depth analysis... like what weak points are, for example accomodation...
Title: Re: Late SRS revisions possible in Thailand?
Post by: Lara1969 on October 09, 2015, 12:45:27 PM
Did you asked Dr. Schaff? I see him on Monday.
Title: Re: Late SRS revisions possible in Thailand?
Post by: anjaq on October 09, 2015, 12:53:47 PM
Yes. I asked Dr Schaff and Dr Taskov here in my area and both refused to do any surgery. Dr Schaff told me to "deal with it" and referred me to a psychologist to come to terms with how things are.

I mean - its not bad as it is. Considering it was done 15 years ago it probably is actually pretty good. But it still has some features that are not quite right. Dr Schaff listed all of them, even the ones I did not notice before, to me and then told me that it is how it is and that he would have done it better but I should rather find a way to live with how it is than to look for more surgery. I am not sure - maybe he is right - it means however to either have to tell someone who gets intimate before anything happens - or to live with some considerable fear of that guy noticing something odd.
Title: Re: Late SRS revisions possible in Thailand?
Post by: Laura_7 on October 09, 2015, 01:48:54 PM
There might be better means in the future.

On the other hand if you feel it might make you happy you might make a few photos and contact a few surgeons, ask for their opinions and a quote. And then think about it.


*hugs*
Title: Re: Late SRS revisions possible in Thailand?
Post by: anjaq on October 09, 2015, 03:28:03 PM
That was my intention - but I wanted to see if someone has experience with these people so i dont waste time to ask them, get a quote and then find out they are not working good.

The future is always now - I dont want to get things changed when I am 60 ;) - I am in my early 40ies now and have no desire to wait forever.
Title: Re: Late SRS revisions possible in Thailand?
Post by: Lara1969 on October 09, 2015, 04:00:35 PM
If Dr. Schaff thinks that it would be better to luve with it I would really consider this option. He does a lot of revisions and his genuine work is fantadtic.

If you contacz enough surgeons it is sure that many want to earn money and will do this revision surgery just to earn money.
Title: Re: Late SRS revisions possible in Thailand?
Post by: Laura_7 on October 09, 2015, 04:19:55 PM
Quote from: Lara1969 on October 09, 2015, 04:00:35 PM
If Dr. Schaff thinks that it would be better to live with it I would really consider this option. He does a lot of revisions and his genuine work is fantastic.

If you contacz enough surgeons it is sure that many want to earn money and will do this revision surgery just to earn money.

There are two sides to it.

One is it might not be absolutely necessary from a technical point of view.

Have you ever bought an article knowing in secret you would have preferred another ?
Like buying a blue car... but you would have really liked a green one ?
This is an emotional point of view. If it does not make happy or there is a feeling something is off then listening to the emotion might be a god idea.

*hugs*
Title: Re: Late SRS revisions possible in Thailand?
Post by: anjaq on October 09, 2015, 04:32:55 PM
I respect Dr Schaffs work, but his bedside manners were bottomless on that day - if he cannot change it, he could have spared me to list all the things he believes are "wrong" about my vulva. It was like rubbing it in that he would have done a better job, but there was no point to it because the surgery was 15 years ago.

He said he could do a revision actually, but it would still not be looking good and it would be risky for the nerves. Basically he would have wanted to place the clitoris differently. I am not sure this would be the best result - the clitoris would still look odd , just in a different place.

But yes - I fear a bit that some surgeons may say they can do something but not inform well enough about the risks - possibly because they are looking at the money...
Title: Re: Late SRS revisions possible in Thailand?
Post by: Laura_7 on October 09, 2015, 04:39:28 PM
Well in my opinion all you have is your feeling.

You might talk to the surgeons via skype. Or chat, sometimes emotions are also conveyed that way.

And you might ask questions... like how the clit would look afterwards, what about nerves etc...
and how much experience they have.
Title: Re: Late SRS revisions possible in Thailand?
Post by: SorchaC on October 11, 2015, 05:33:17 PM
I had a revision with Chett 5 days ago, Part of my issue with my Vagina is that during the original surgery he ran out of skin to make a full clitoral hood. I asked if he could fix this now and was told no cannot cut. He reasons that I would lose sensation.

I love Chett and his work, I still believe he does miracles so if you'd like more info please pm me. I don't want to fill your thread with what would sound like a commercial for Chett :)

I hope you get some satisfaction from somewhere :)

Hugs

Sorcha  ;D
Title: Re: Late SRS revisions possible in Thailand?
Post by: anjaq on October 14, 2015, 09:45:08 AM
Quote from: SorchaC on October 11, 2015, 05:33:17 PM
I had a revision with Chett 5 days ago, Part of my issue with my Vagina is that during the original surgery he ran out of skin to make a full clitoral hood. I asked if he could fix this now and was told no cannot cut. He reasons that I would lose sensation.
That does not sound promising because the clitoral hood plus the labia minora (and their connection to the clitoris) are the main issues I have... :(
Title: Re: Late SRS revisions possible in Thailand?
Post by: SorchaC on October 14, 2015, 12:42:40 PM
I have found Dr Chett to be rather cautious when it comes to complications, There are a few cases reported on here where he has only achieved small depth due to adhesions, I am not saying anything negative against him as I believe caution is a sensible route to take just that if you want someone to push the boundaries of what is possible maybe Chett isn't the right surgeon for you. However having said this you could just straight up ask him to do it a certain way and see what he replies with.

Hugs

Sorcha  ;D
Title: Re: Late SRS revisions possible in Thailand?
Post by: Laura_7 on October 14, 2015, 12:45:19 PM
Quote from: anjaq on October 14, 2015, 09:45:08 AM
That does not sound promising because the clitoral hood plus the labia minora (and their connection to the clitoris) are the main issues I have... :(

Well a labiaplasty is not uncommon...
and do they have to cut for enlarging of the hood ?
Title: Re: Late SRS revisions possible in Thailand?
Post by: anjaq on October 15, 2015, 08:09:04 AM
Yes i guess i should just send Photos to these surgeons and see what they say. Of course, I don't really want to take big risks for this, so I guess I may have to consider dealing with it in another way. Most likely this means either preparing a good cover story or becoming openly trans, at least when it comes to dating, which probably means the information will spread in other areas of my life as well. But losing feeling or the ability to orgasm would defy the purpose of such a surgery
Title: Re: Late SRS revisions possible in Thailand?
Post by: Laura_7 on October 15, 2015, 08:23:27 AM
Quote from: anjaq on October 15, 2015, 08:09:04 AM
Yes i guess i should just send Photos to these surgeons and see what they say. Of course, I don't really want to take big risks for this, so I guess I may have to consider dealing with it in another way. Most likely this means either preparing a good cover story or becoming openly trans, at least when it comes to dating, which probably means the information will spread in other areas of my life as well. But losing feeling or the ability to orgasm would defy the purpose of such a surgery

You might simply ask around.
There might be different techniques.
You simply might ask about the risk of each one.
Title: Re: Late SRS revisions possible in Thailand?
Post by: anjaq on October 15, 2015, 02:38:47 PM
I will try that. I was hoping to get an opinion here of people who had revision surgeries done by them
Title: Re: Late SRS revisions possible in Thailand?
Post by: Rejennyrated on October 15, 2015, 02:51:59 PM
Quote from: anjaq on October 15, 2015, 02:38:47 PM
I will try that. I was hoping to get an opinion here of people who had revision surgeries done by them
Well in 2010 I had a very successful update to early 1980's vintage surgery, which involved effectively creating a clitoris and hood out of thin air! God alone knows how he managed that trick! It's not perfect but its pretty good.

However I regret to say that this minor miracle was performed by a UK surgeon namely Mr James Bellringer FRCS.

So as a general point only, it is possible - and yes I am orgasmic - and yes it is sensate.
Title: Re: Late SRS revisions possible in Thailand?
Post by: Laura_7 on October 15, 2015, 02:57:39 PM
Well here are two from the links above:

I had SRS and labiaplasty with Dr. Sanguan, 1 year and 1 month ago respectively. I find him a very good, most professional, experienced and friendly surgeon, as well as his friendly and supportive staff.

As counter-intuitive as it sounds, I am more sensitive after having labiaplasty with Dr. Chettawut.  He was so afraid to reposition my mispositioned clitoris... so worried about sensitivity issues...  I had to keep throwing money at him ^_^ .  But the truth is that before labiaplasty I didn't like having my clitoris touched and now it actually feels good.  Also Dr. Chettawut apparently removed the excess erectile tissue...

Maybe a few more people can add something...
Title: Re: Late SRS revisions possible in Thailand?
Post by: anjaq on October 16, 2015, 04:47:31 AM
Quote from: Rejennyrated on October 15, 2015, 02:51:59 PM
Well in 2010 I had a very successful update to early 1980's vintage surgery, which involved effectively creating a clitoris and hood out of thin air! God alone knows how he managed that trick! It's not perfect but its pretty good.

However I regret to say that this minor miracle was performed by a UK surgeon namely Mr James Bellringer FRCS.

So as a general point only, it is possible - and yes I am orgasmic - and yes it is sensate.

Wow, that sounds like a miracle. How did he do that¿ Usually of the nerves are cut, it's next to impossible to mend them again to make a sensate clit. Could he mend my lost nerves in the breasts, too?😉
I don't insist on a Thai surgeon, but I had the impression that they had the most experience. UK would not be bad, there might even be a miniscule chance that I could eventually get this paid for by our NHS. Is he experienced with GRS and has some reputation?
Title: Re: Late SRS revisions possible in Thailand?
Post by: SorchaC on October 16, 2015, 08:25:00 AM
Mr Bellringer is reasonably experienced in SRS, He use to work for the NHS in Charring Cross which is where I met him. He left CX in 2014 after some disagreements over the way things were organised there and now does SRS and other treatments from a private hospital in Wimbledon South London. There are mixed reports about his abilities as a surgeon but I found him to be a straight to the point type of guy who had a sense of humour.

Hope that helps

Hugs

Sorcha
Title: Re: Late SRS revisions possible in Thailand?
Post by: Rejennyrated on October 16, 2015, 08:26:39 AM
Hi Anjac

the uk has THREE specialist GCS surgeons who do NOTHING else but GRS.

They are Mr Philip Thomas FRCS, Mr James Bellringer FRCS, and Ms Tina Rashid FRCS

They are all good surgeons - and Bellringer & Thomas in particular have a lot of experience of revision work.

In terms of nerves you are getting confused between the central nervous system (spinal column & brain) which cannot regenerate - and the peripheral nervous system (everything from the spinal root ganglion onwards) which CAN and under right circumstances almost always DOES regenerate.

The right circumstances by the way means a decent diet (preferably rich in folate and B12), good wound care and healing, and good general health. Under those circumstances peripheral nerves do recover although it takes time which is why often people are anorgasmic for some while after surgery.

So how did he do it? Well he found some nerve tissue in the surplus remaining errectile tissue and he carfully fashioned a bud out of it using available labial skin to form a hood. he did warn me that it might not work - but it did! and rather well too! Like I say its not perfect but its a whole lot better than the nothing I had had for the 25 years before.

I think our Uk surgeons get an undeserved bad rap. They may not enjoy the rockstar status of the Thai boys, but they know their stuff and personally I've always found they are good. Then again as I am perhaps biased, after all I'm a uk medical student and I've worked in some of the theatres that they operate in...
Title: Re: Late SRS revisions possible in Thailand?
Post by: Laura_7 on October 16, 2015, 08:57:55 AM
Quote from: Rejennyrated on October 16, 2015, 08:26:39 AM

In terms of nerves you are getting confused between the central nervous system (spinal column & brain) which cannot regenerate -
well... this could be argued  :)
Quote
The right circumstances by the way
There are very promising studies concerning electrical fields...
Quote
So how did he do it? Well he found some nerve tissue in the surplus remaining errectile tissue and he carfully fashioned a bud out of it using available labial skin to form a hood. he did warn me that it might not work - but it did! and rather well too! Like I say its not perfect but its a whole lot better than the nothing I had had for the 25 years before.
Great idea and result  :)

Well there also should be a g/pspot. :)
Title: Re: Late SRS revisions possible in Thailand?
Post by: mm on October 16, 2015, 10:57:19 AM
Rejennyrated, So glad Mr James Bellringer was able to greatly improve your sensation and appearance.  Surgeons keeps learning more all the time on how to improve things even on your 1980's procedure.  There must have been some underlying tissue to form into a sensitive clitoris for you along with a hood around it. 
Title: Re: Late SRS revisions possible in Thailand?
Post by: anjaq on October 16, 2015, 05:32:52 PM
That sounds really marvellous. You must be so happy to get this revision after 25 years. In the 1980ies they did not make a clitoris - I know that even in the late 1990ies , some surgeons did not make a sensate clitoris, I was lucky enough to get one and definitely don't want to loose it now in a revision, so that is why I would want to be very careful about this idea.

Nerves definitely dont always recover. I lost 90% of sensation in both breasts due to augmentation and it never came back. And apparently there are no obviously known ways to restore those nerves either... :( :(

Since that surgeon in the UK works privately now, I guess one could as a foreign patient also consult him, so I will put him on the list.
Title: Re: Late SRS revisions possible in Thailand?
Post by: laura.cornwell.779 on October 16, 2015, 11:24:59 PM
Be honest. If you can't tell a prospective partner, then move on.

Sent from my SM-G900P using Tapatalk

Title: Re: Late SRS revisions possible in Thailand?
Post by: Laura_7 on October 17, 2015, 05:37:00 AM
Quote from: anjaq on October 16, 2015, 05:32:52 PM

Nerves definitely dont always recover. I lost 90% of sensation in both breasts due to augmentation and it never came back. And apparently there are no obviously known ways to restore those nerves either... :( :(

There are ways experimented with, where both ends are cut and a kind of pipe is laid around the joint.
There is hope this will be better in the future.

hugs
Title: Re: Late SRS revisions possible in Thailand?
Post by: anjaq on October 18, 2015, 12:42:39 PM
Quote from: Laura_7 on October 17, 2015, 05:37:00 AM
There are ways experimented with, where both ends are cut and a kind of pipe is laid around the joint.
There is hope this will be better in the
Apparently they can fix nerves in the face and on hands, but maybe they never put enough interest in making this work for breasts and female genitalia. Maybe this even is a bit misogynistic? After all they know the physiology of the clitoris only for about 20 years...
Title: Re: Late SRS revisions possible in Thailand?
Post by: Laura_7 on October 18, 2015, 12:50:10 PM
Quote from: anjaq on October 18, 2015, 12:42:39 PM
Apparently they can fix nerves in the face and on hands, but maybe they never put enough interest in making this work for breasts and female genitalia. Maybe this even is a bit misogynistic? After all they know the physiology of the clitoris only for about 20 years...
Well the technique is there.
Imo its a question of time until its applied to other places.

And there are other studies... with electrical fields...
so there might be hope for the future.

You might also look up other remedies... there are some essential oils which might also help nerve healing...
some might be applied in moderation...
Title: Re: Late SRS revisions possible in Thailand?
Post by: anjaq on October 18, 2015, 01:15:19 PM
Essential oils? Really? I doubt such measures will help after such long time. I tried heparin gel and progesterone gel plus massages. But I think soft methods like this are only good in the initial healing phase.
Title: Re: Late SRS revisions possible in Thailand?
Post by: Laura_7 on October 18, 2015, 01:33:50 PM
Quote from: anjaq on October 18, 2015, 01:15:19 PM
Essential oils? Really? I doubt such measures will help after such long time. I tried heparin gel and progesterone gel plus massages. But I think soft methods like this are only good in the initial healing phase.
Well don't expect miracles but you might look up a few different oils.

How long ago was your surgery ?
Title: Re: Late SRS revisions possible in Thailand?
Post by: anjaq on October 18, 2015, 06:00:06 PM
Both surgeries - GRS and breast augmentation were finished in 2001. Looong time ago. Luckily the sensation returned almost fully after GRS, sadly the reverse is true for the BA.

I was told there may be a nerve that is somehow different in trans women compared to cis women and thus more prone to be cut when a surgeon is not knowing this - not sure if this is really true.
Title: Re: Late SRS revisions possible in Thailand?
Post by: Laura_7 on October 18, 2015, 06:07:00 PM
Quote from: anjaq on October 18, 2015, 06:00:06 PM
Both surgeries - GRS and breast augmentation were finished in 2001. Looong time ago. Luckily the sensation returned almost fully after GRS, sadly the reverse is true for the BA.

I was told there may be a nerve that is somehow different in trans women compared to cis women and thus more prone to be cut when a surgeon is not knowing this - not sure if this is really true.

Well the breasts itself should be the same... only possibility might be nerves a bit in a different place... but this should not matter...
there are reports of nerve loss in cis people as well...
well as said people are working on methods to repair nerves... hopefully there will be possibilities in the future.
Title: Re: Late SRS revisions possible in Thailand?
Post by: anjaq on October 19, 2015, 02:35:04 PM
I actually asked a nerve repair surgeon and they said that after such a long time, it cannot be done anymore :'( - probably the nerves atrophied already, I guess...
Title: Re: Late SRS revisions possible in Thailand?
Post by: Laura_7 on October 19, 2015, 02:52:34 PM
Quote from: anjaq on October 19, 2015, 02:35:04 PM
I actually asked a nerve repair surgeon and they said that after such a long time, it cannot be done anymore :'( - probably the nerves atrophied already, I guess...
Well I'd say keep at it.
There might be other surgeons with other techniques.
And as said all kinds of progress is made...


*hugs*