Hi ladies.
My name is Raven I'm a 22yo Transgender female, I have recently been somewhat in contact with Preecha's assistants about SRS. I was wondering if anyone has been to him or had issues with communication coordinating the procedure. I have been given a date for the consultation, however they don't seem to be in a hurry to set up a payment plan.. is this common?
Hi Raven,
I went to PAI for my breast aug about 3 years ago and everything went well. communication was great, i think i paid like $300 aud and the rest when i got there.
I am booked again for my SRS in 2 weeks, same thing, paid about $300 and pay the rest when i get there.
email response is 24-72 hrs usually.
Hospital i stayed at was piyavate and i was so surprised at the care and just look of the place, i don't think I've been in a hospital that nice in australia!
Hello I go on next week in the PAI Clinic! ;D
do they take credit card payments in Thailand i wonder ... Think i am so much closer to getting my srs ... and i can't freaking wait hehe
Thanks ladies, I'm so excited to finally be done with my transition at age 22. I hope it all goes well. March 16, 16 is my surgery date.
I have has my srs, ffs and ba with Preecha on Jan 20th I can only say they were absolutely wonderful and my surgeries turned put great. They are not so persistent about payments, alot more trusting than Suporn and Chett. I fully recommend them .
best of luck for your surgery in 2 days!
I am not 3.5 wks post op from PAI and had my first orgasm! wohoo! lol
have lots of show/movies downloaded or available, drink lots of water and relax.
See you on the other side hon :) xo
Quote from: monamtb on February 11, 2016, 05:43:45 AM
Hy Raven,
I have just had my first customer that I accompanied to Thailand for SRS with PAI (doula services for surgeries abroad)
It is common procedure for them to charge you when you get there, after you have your consultation - so credit card is an excellent option instead of bringing cash.
The reply about my question why they go about it that way is, that they have quite a number of patients who rely on short term surgery dates - since it seems like sometimes patients get money for the surgery (inheritance, sponsor etc.) on very short notice. This keeps PAI flexible for the demands and needs of their patients.
SO in short - YES - charging you when you get there is normal procedure for PAI.
And my customers result is first class for advanced PI technique - so I can also recommend PAI highly from personal experience - you can ask for post srs pictures via PM if you want to.
All the best
Mona
Could you tell who the surgeon was with PAI ?
And are the results similar to what they show on their website ?
*hugs*
I have personally seen the results of Suporn, PAI and Chett girls. I have interviewed Suporn and Chett 2 times. I have been very intrusion on discussing their techniques. Neither wanted to discuss in detail their procedures, other than in very vague terms . I have also had long discussions with Sutin at PAI. Sutin was most open and explained his procedure in detail . My assistant has been the ward head of Piyavate Hospital in the srs section, her nurse friend used to work for Suporn.
Just a quick layperson recap. Penile skin inversion uses penile skin for the vagina. Today, all top surgeons basically use the penile skin to create the labia minora and inner surface of the clitoris area.
All the surgeons use any excess penile skin for the vagina and use scrotal skin to supplement the depth and width. Skin grafts may be used if there is insufficient skin.
Thus all of the 3 surgeons, that I know, use the same technique. Suporn also says he uses erectile tissue in the vagina. All surgeons that I have interviewed uses some sort of meshing technique for the scrotal skin for depth and width.
So basically they all use the same techniques and have copied each others where they deem there is an advantage.
You can call their technique what you wish but the procedure is similar. Yes, they all use an advanced penile skin inversion...or you can say that none use inversion technique anymore. But it's incorrect to state that one uses a penile skin inversion and not the other.
Quote from: warlockmaker on April 08, 2016, 01:43:57 AM
I have personally seen the results of Suporn, PAI and Chett girls. I have interviewed Suporn and Chett 2 times. I have been very intrusion on discussing their techniques. Neither wanted to discuss in detail their procedures, other than in very vague terms . I have also had long discussions with Sutin at PAI. Sutin was most open and explained his procedure in detail . My assistant has been the ward head of Piyavate Hospital in the srs section, her nurse friend used to work for Suporn.
Just a quick layperson recap. Penile skin inversion uses penile skin for the vagina. Today, all top surgeons basically use the penile skin to create the labia minora and inner surface of the clitoris area.
All the surgeons use any excess penile skin for the vagina and use scrotal skin to supplement the depth and width. Skin grafts may be used if there is insufficient skin.
Thus all of the 3 surgeons, that I know, use the same technique. Suporn also says he uses erectile tissue in the vagina. All surgeons that I have interviewed uses some sort of meshing technique for the scrotal skin for depth and width.
So basically they all use the same techniques and have copied each others where they deem there is an advantage.
You can call their technique what you wish but the procedure is similar. Yes, they all use an advanced penile skin inversion...or you can say that none use inversion technique anymore. But it's incorrect to state that one uses a penile skin inversion and not the other.
I think the problem that I've noticed with most of the US surgeons as well doing the penile inversion, is that the labia minora never entirely frames the vulva, and sort of stops short and recedes inwards right around the top of the vulva. This gives the appearance of almost "two" different vaginal openings. Is this also a drawback with the PAI method?
PAI does not have any really great photos on their website or in the presentation slideshow, showing their aesthetic so its really hard to make an educated and informed decision. I know this is a bit intrusive but would you mind sharing photos privately of your surgery results?
I'm going to post my results at a site. I am very good friends with 2 Chettawut girls.and we have examined each other only recently. One of the girls also had a look at Dr. Ives results of another friend. We have all been pretty open about looking carefully at each others...no inhibitions. I am really trying to get some physical comparisons for the forum . We all have 6 inches depth or more ....especially one of the Chett test girls who has 7 inches. I believe I could have achieved greater depth except for my stupidity in the fist few days of dilation which caused tearing at the entrance. This made dilating very painful so I guess I did not try to great a depth.
Thete is an artistic difference in aesthetics ....but I'm not so sure as the other ladies has more weight than me, which may have affected the aesthics.
Maybe I can persuade my Suporn and Chett girls show pics on an anonymous basis..
Quote from: monamtb on April 08, 2016, 09:40:24 AM
Warlockmaker,
Please note there is a big difference between a penile inversion and a full graft!
You make it sound like it isn't but it is.
A full graft is - as the name implies - a neovagina that is made completely out of scrotal skin that is free and in no way attached to the body.
That is why the incision lines for SRS with full graft are completely different, and the surgeon is free to create and build.
Penile inversion is a flap graft - which means that the graft is still attached to the body at one point with nerve and blood vessels intact - and then this graft gets an add-on of scrotal skin to achieve adequate neovagina depth. Due to the concept of one end being still attached, the surgeon is bound and limited in the use of the available skin and the way it can be adapted and used to build structures.
That is why a penile inversion can't have labia minor all the way to the vaginal entrance - also the amount of available penile skin to create the labia, the clitoral frenulum and the clitoral hooding is limited compared to the full graft surgeon who can use all valuable penile skin to build those structures.
I respectfully agree and disagree with you, although you sound very nice and well informed :) Perhaps it's a matter of semantics (or not). When you say that the full graft means the surgeon is free to "create and build," I don't think that's true, all plastic surgery is bound by the previous anatomy. Both techniques are still bound in very much the same way. The difference is that penile skin "tube" is never severed and split to create a more realistic, generous labia minora. The reason the labia extend further down around the vaginal introitus is because Suporn can use the full length of the penis for labia minora, whereas "penile inversion" uses part of the penile skin tube for the first few inches of the introitus. In both techniques the penile skin tube is never cut off. It's still bound pretty much exactly the same.
I agree with you though that the Suporn techique makes absolutely beautiful vaginas, it's true. However cisgendered vaginas have so much variation that it's hard to say that Suporn's look more like some kind of platonistic ideal version of a cisgender vagina. Some vaginas have more labia minor, some less. Suporn vaginas have more labia minor.
This whole debate is oversimplified. The so-called "penile inversion" techniques, which has advanced greatly even in the last few years, shouldn't even really be called that. Pretty much always nowadays surgeons who do the "penile inversion" technique use scrotal skin grafts for a significant portion of the vaginal wall. One nice thing though is that the vaginal introitus is made from skin never severed, whereas the introitus of Suporn's technique is made competely out of meshed scrotal skin. Maybe Suporn vaginas have less sensitivity in the first few inches? One thing though for sure is that his vaginas seem to be pretty deep, deeper in fact than the average natal vagina. Who cares? I don't.
Is anyone else tired of non-penile inversion vs penile inversion? They all look great. And for those of us who have insurance that doesn't pay for thailand, we have to stay here. We don't choose. I'm too poor. I'm a teacher for Godsakes :)
So I respectfully disagree and agree. Neither of us are experts or surgeons so take all this for face value.
- Ruby
If you look at most cis female vaginas compared to vaginas created by all of the US surgeons, PAI, and elsewhere who aren't doing the Suporn method, the results for the most part are anatomically incorrect when you consider the labia minor and how it frames the vulva. It ends up giving an appearance of two vagina holes, which looks extremely odd in my opinion. The only surgeon that seems to have tried addressing this issue is Dr. Bowers, and even in her latest photos, its not quite there yet. I do agree that the person's anatomy is going to dictate the end result to some extent. But you can look at all of the photos on Bowers, Mcginn's, websites, etc and they all have a similiar outcome which as Mona pointed out is not quite as realistic as what Suporn does, considering he uses more tissue and has "more" to work with.
Quote from: RubyAliza on April 08, 2016, 07:46:14 PM
I respectfully agree and disagree with you, although you sound very nice and well informed :) Perhaps it's a matter of semantics (or not). When you say that the full graft means the surgeon is free to "create and build," I don't think that's true, all plastic surgery is bound by the previous anatomy. Both techniques are still bound in very much the same way. The difference is that penile skin "tube" is never severed and split to create a more realistic, generous labia minora. The reason the labia extend further down around the vaginal introitus is because Suporn can use the full length of the penis for labia minora, whereas "penile inversion" uses part of the penile skin tube for the first few inches of the introitus. In both techniques the penile skin tube is never cut off. It's still bound pretty much exactly the same.
I agree with you though that the Suporn techique makes absolutely beautiful vaginas, it's true. However cisgendered vaginas have so much variation that it's hard to say that Suporn's look more like some kind of platonistic ideal version of a cisgender vagina. Some vaginas have more labia minor, some less. Suporn vaginas have more labia minor.
This whole debate is oversimplified. The so-called "penile inversion" techniques, which has advanced greatly even in the last few years, shouldn't even really be called that. Pretty much always nowadays surgeons who do the "penile inversion" technique use scrotal skin grafts for a significant portion of the vaginal wall. One nice thing though is that the vaginal introitus is made from skin never severed, whereas the introitus of Suporn's technique is made competely out of meshed scrotal skin. Maybe Suporn vaginas have less sensitivity in the first few inches? One thing though for sure is that his vaginas seem to be pretty deep, deeper in fact than the average natal vagina. Who cares? I don't.
Is anyone else tired of non-penile inversion vs penile inversion? They all look great. And for those of us who have insurance that doesn't pay for thailand, we have to stay here. We don't choose. I'm too poor. I'm a teacher for Godsakes :)
So I respectfully disagree and agree. Neither of us are experts or surgeons so take all this for face value.
- Ruby
Quote from: michelle82 on April 12, 2016, 07:33:34 AM
If you look at most cis female vaginas compared to vaginas created by all of the US surgeons, PAI, and elsewhere who aren't doing the Suporn method, the results for the most part are anatomically incorrect when you consider the labia minor and how it frames the vulva. It ends up giving an appearance of two vagina holes, which looks extremely odd in my opinion. The only surgeon that seems to have tried addressing this issue is Dr. Bowers, and even in her latest photos, its not quite there yet. I do agree that the person's anatomy is going to dictate the end result to some extent. But you can look at all of the photos on Bowers, Mcginn's, websites, etc and they all have a similiar outcome which as Mona pointed out is not quite as realistic as what Suporn does, considering he uses more tissue and has "more" to work with.
I think you're right about the surgeons here not being there yet here in North America. I think the problem is consistency or something because sometimes the results end of with the appearance of two vaginas like you said (which could probably be fixed with a revision). Oftentime though Bowers, Brassard, Satterwhite's results look great, as good as Suporn's - see results H2,I, M http://brownsteincrane.com/vaginoplasty-photos/ (http://brownsteincrane.com/vaginoplasty-photos/). However the consistency is just not there. They're behind Suporn in that sense though. I'd go to Suporn too if my insurance would let me and if I had "more" tissue to with as well lol since I'm circumsized. The fact that he takes twice the time in the OR is a testament to his dedication and level of detail. He's great although I think the secondary organ thing where he uses the glans corona could use some work - maybe they should be inside, kinda like the wishbone shape of a natal clitoris? Sometimes he makes them very visible between the labia minor, and in my opinion it looks weird - different than any cis vagina I've ever seen. Let's hope that the other surgeons can learn something from him :) I think the surgeons here though would probably be comparable if they considered revisions, which I hear Suporn does often (smartly and fairly).
- Ruby
Here is therad about results from Brassard, where people say they had similar results years later, though no guarantees:
https://www.susans.org/forums/index.php/topic,82218.msg578043.html#msg578043
Quote from: michelle82 on April 12, 2016, 07:33:34 AM
If you look at most cis female vaginas compared to vaginas created by all of the US surgeons, PAI, and elsewhere who aren't doing the Suporn method, the results for the most part are anatomically incorrect when you consider the labia minor and how it frames the vulva. It ends up giving an appearance of two vagina holes, which looks extremely odd in my opinion. The only surgeon that seems to have tried addressing this issue is Dr. Bowers, and even in her latest photos, its not quite there yet. I do agree that the person's anatomy is going to dictate the end result to some extent. But you can look at all of the photos on Bowers, Mcginn's, websites, etc and they all have a similiar outcome which as Mona pointed out is not quite as realistic as what Suporn does, considering he uses more tissue and has "more" to work with.
You could look up wall of vaginas.
There are cis vaginas who have this kind of appearance, especially in the asian population.
Inner labia not being pronounced around the vagina are common in cis people, there is a huge variance in vaginas.
*hugs*
I've also been doing quite a bit of research into this and live in Thailand. The alleged differences between Dr Chettawut's technique and that of PAI seem to be largely semantics. PAI uses a mostly non inversion technique very similar to Dr Chet's. I don't think the semantics should be a deciding factor in who people decide to choose.
Quote from: Richenda on June 07, 2016, 08:56:23 AM
I've also been doing quite a bit of research into this and live in Thailand. The alleged differences between Dr Chettawut's technique and that of PAI seem to be largely semantics. PAI uses a mostly non inversion technique very similar to Dr Chet's. I don't think the semantics should be a deciding factor in who people decide to choose.
Surgeons at PAI do updated penile-inversion, very much the same technique as most surgeons in Europe and North America do nowadays. Its penile-inversion with added scrotal graft for better depth.
I don't understand the squabble over who is the better. Anyone who has surgery with their surgeon and it goes well will advocate that their surgeon is the best ....more so with Dr Suporn....well you pay the most by quite a margin and I guess you thus stand up more strongly. I've seen their work personally and it's all about the same.
Quote from: warlockmaker on June 07, 2016, 09:21:10 AM
I don't understand the squabble over who is the better. Anyone who has surgery with their surgeon and it goes well will advocate that their surgeon is the best ....more so with Dr Suporn....well you pay the most by quite a margin and I guess you thus stand up more strongly. I've seen their work personally and it's all about the same.
This is exactly what my electrologist said and she's done hair removal on post op patients from practically every major surgeon from Thailand and North America. The only surgeon who uses the old penile inversion technique is probably Dr. Meltzer. It's not about non-inversion vs inversion anymore - they all look pretty darn good. (speaking of looking good - cute new avatar pic Warlockmaker ;) my dad lives in Thailand, been thinking of visiting for fun).
- Ruby
My understanding too. They're virtually identical now: certainly the ones in Thailand.
It's down to other factors for people to choose, not the technique.
Quote from: warlockmaker on March 09, 2016, 12:23:18 AM
I have has my srs, ffs and ba with Preecha on Jan 20th I can only say they were absolutely wonderful and my surgeries turned put great. They are not so persistent about payments, alot more trusting than Suporn and Chett. I fully recommend them .
It's one of the factors that made me choose them. They were super laid back: I had to ask them about a deposit and they came back with a minimal figure. They are also excellent at email response.
Quote from: Richenda on June 07, 2016, 06:48:21 PM
My understanding too. They're virtually identical now: certainly the ones in Thailand.
It's down to other factors for people to choose, not the technique.
I'd find the lack of photo's for surgeons other than Suporn and Chettawut a significant reason not to choose them. Too risky for me.
Edit: Not just the photos, the the lack of posts everywhere by people who've been to other surgeons.
Hi mona I think we're all going round and round in circles on this. You have an opinion which some of us don't share. I think they're all basically now doing the same non penile technique with very minor variations.
We'll just have to agree to disagree.
X
Hi Mona...sorry to say you don't know what you are talking about. I have two friends that had Dr Chett do their srs while mine was done by PAI ...Dr Sutin. We have even examined each other critically. I have all the finances to afford the very best surgeon anywhere in the world. Look at my pic...I'm 68 years old and the ffs was done by PAI.
Maybe your Dr Chett reviews and maybe your reviews of Dr Sutin had the difference that you pointed out but it is incorrect for you to make such an all encompassing statement. In my experience it's NOT so. I had my srs at PAI and by Dr Sutin. I live in Bangkok. My gf is a Ms Tiffiny World contestant and I have met other miss world competitors. I know what I'm talking about when it comes to aesthetics.
What little scarring I have are tucked inside my labia majora folds. This was similar to my 2 friends who had it done by Dr Chett at the same time.
Well said.
Mona, some people love Dr Chet, others (as you will know from the internet) are deeply unhappy and have huge complaints. My point isn't to say this or that place is better or worse. You run a commercial for-profit business and I'm afraid I don't trust your motives on this topic. I'm sorry. I'm just being straight.
I also live in Thailand and have heard nothing but praise for PAI. I cannot say the same for other places with which you have an arrangement.
Mine looks nothing like any penile-inversion vagina I ever saw. And I saw hundreds of post-op vaginas in the last 10-15 years. In fact, out of all penile-inversion vaginas, I have yet to see ONE example with anatomically correct labia minora. If you know for a picture that would prove me wrong, please share, I would love to see that!
Quote from: mmmmm on June 15, 2016, 11:07:11 PM
Mine looks nothing like any penile-inversion vagina I ever saw. And I saw hundreds of post-op vaginas in the last 10-15 years. In fact, out of all penile-inversion vaginas, I have yet to see ONE example with anatomically correct labia minora. If you know for a picture that would prove me wrong, please share, I would love to see that!
http://m.imgur.com/a/RD94Z (http://m.imgur.com/a/RD94Z)
Dr. Satterwhite, so-called penile inversion with significant usage of the penile skin shaft for labia minora that wraps all the way around the entire vagina. See the dilation pic for further proof. Scrotal skin graft. I had my surgery a month ago, it looks very similar to this. My incisions are hidden in the groin creases, clitoris nicely hooded, labia minora fully around the entire vulva. Ya'll are a few years behind. The old penile inversion technique is being left in the dust. Dr. Bowers has updated her technique too. The surgeons outside Thailand are not tone deaf. They pay attention to the great work Dr. Suporn has been doing. They're catching up. I'll admit though, I don't have the same depth as a Suporn girl because he uses meshed grafts. The example above, the girl says she has 6-7 inches depth. I had 5 inches before surgery and 5 inches depth after. 100% paid for by insurance, surgery without flying around the world.
I'd love to hear why this example isn't anatomically correct. Is it better than Suporn? Probably not, he's a perfectionist. Also, since he can use pretty much all of the penile shaft, he creates very full labia minora. But I'll be damned if my result doesn't look like a cis-vagina (And I've seen my fair share ;p). And no I will not post my result. Maybe if I hadn't used my partial real name and real photo avatar haha.
This is such a weird debate. I'm going to stay out of it from this point on :( it seems that stubbornness has won out. People talking past each other :(
We all think our surgeons are the best. I accept that but don't like it when someone tells me that theory is better. I understand that few surgeons use a pure penile inversion technique and most surgeons in Thailand mesh the scrotal skin today.
Quote from: RubyAliza on June 16, 2016, 01:58:11 AM
http://m.imgur.com/a/RD94Z (http://m.imgur.com/a/RD94Z)
I'd love to hear why this example isn't anatomically correct. Is it better than Suporn? Probably not, he's a perfectionist. Also, since he can use pretty much all of the penile shaft, he creates very full labia minora.
Are these photos from Dr. Satterwhite? Is there a post that goes with it? I'd quite like to read it if there is.
Personally I can't comment on the anatomical aspect from those photo's but its quite noticeable that Dr Suporn does use far finer stitches.
Suporn puts his best work for example and so does every surgeon. I looked at your site and it difficult to tell until all the swelling is gone .
Quote from: warlockmaker on June 16, 2016, 06:01:21 AM
Suporn puts his best work for example and so does every surgeon.
The one I saw wasn't on suporns site. I don't think they are very good photos.
Quote from: AnonyMs on June 16, 2016, 05:13:41 AM
Are these photos from Dr. Satterwhite? Is there a post that goes with it? I'd quite like to read it if there is.
Personally I can't comment on the anatomical aspect from those photo's but its quite noticeable that Dr Suporn does use far finer stitches.
See my Dr. Satterwhite's post, first page. There's a link to it. I agree with you. Dr. Suporn's stitches are sublime haha I'm in awe of his work. As far as I can tell though, my sutures are looking pretty darn good and are mostly hidden anyways (I don't think I represent all patients, I had a lot of scrotal skin to work with). I'm not arguing that my surgeon is the best, he's not. My surgeon has only been doing GRS for a few years. He's still got more time to get better. It was fully paid for by my insurance and I didn't have to wait too long. If I had the money and time, I'd have gone to Suporn for sure :)
I'm just saying that other surgeons can do anatomically correct work. I can't force you to comment on that haha but a no comment means sonething too. I'm sure somebody will find something horribly wrong with this example. I've come to expect it nowadays. It's only 6 days out as well so it's not fully healed. It's a recent better one too that uses an updated technique of Satterwhite's of which there aren't many examples, since he's being doing it less than a year. It doesn't matter. I didn't come to these boards to criticize other surgeons or to be snooty about my own being the best. I just want to be informative. If I must be critical, I frame in it a positive tone and don't insinuate vielded insults or put-downs ;D
Quote from: RubyAliza on June 16, 2016, 10:43:35 AM
I'm just saying that other surgeons can do anatomically correct work. I can't force you to comment on that haha but a no comment means sonething too.
In my case it only means that the photos are too early in recovery and showing the wrong things. I've found most photos don't really show what's important unless it's a really bad job.
Quote from: RubyAliza on June 16, 2016, 01:58:11 AM
Dr. Satterwhite, so-called penile inversion with significant usage of the penile skin shaft for labia minora that wraps all the way around the entire vagina. See the dilation pic for further proof. Scrotal skin graft. I had my surgery a month ago, it looks very similar to this. My incisions are hidden in the groin creases, clitoris nicely hooded, labia minora fully around the entire vulva. Ya'll are a few years behind. The old penile inversion technique is being left in the dust. Dr. Bowers has updated her technique too. The surgeons outside Thailand are not tone deaf. They pay attention to the great work Dr. Suporn has been doing. They're catching up. I'll admit though, I don't have the same depth as a Suporn girl because he uses meshed grafts. The example above, the girl says she has 6-7 inches depth. I had 5 inches before surgery and 5 inches depth after. 100% paid for by insurance, surgery without flying around the world.
I'd love to hear why this example isn't anatomically correct. Is it better than Suporn? Probably not, he's a perfectionist. Also, since he can use pretty much all of the penile shaft, he creates very full labia minora. But I'll be damned if my result doesn't look like a cis-vagina (And I've seen my fair share ;p). And no I will not post my result. Maybe if I hadn't used my partial real name and real photo avatar haha.
This is such a weird debate. I'm going to stay out of it from this point on :( it seems that stubbornness has won out. People talking past each other :(
Dont stay out of it! You actually understand anatomy, and see the basic differences. Weird debate or not, it might be helpful to some. If someone says, that there isnt any difference and that all surgeries are the same, that helps noone. Its just misinformed opinion of someone who lacks basic understanding of surgical techniques...
I remember you posted link to that persons result before. Dont get me wrong, I appreciate it. But I know enough about surgery and recovery, to not judge results in early stages. We can only fairly evaluate results when fully healed. But I can honestly say, that I think its a step in the right direction. At least dr. Bowers and dr. Satterwhite understand that there is a room for improvement, and are trying to advance technique to give patients better results. I actually hope to see final result of that patient, and many others. There are also few surgeons in Europe that started to adopt few ideas after Chonburi flap for vulva in recent years. Dr. Schaff is the most known, but there are few others. Basic idea is the same as with Bowers and Satterwhite: they need to use more penile skin on the outside, and use more graft for vaginal lining. Its logical. Its a logical step in the right way. Not every patient needs or wants a full-graft vagina, and not everybody is prepared to go through with harder recovery and dilation.
I would be happy to exchange photos (in private) next year when you are fully recovered. I very curious to see this improvements on penile-inversion.. So far I wasnt able to see any final results, not from Bowers or Satterwhite not from Schaff or any other European surgeons.
Quote from: warlockmaker on June 16, 2016, 04:42:26 AM
... most surgeons in Thailand mesh the scrotal skin today.
Thats incorrect. Only dr. Suporn uses microfenestration (mesh) in scrotal skin graft preparation. Other surgeons use normal skin grafts. This is the reason why is Dr. Suporn able to create 7-8-9 inch depth without using additional skin graft from groin or other areas, and why other surgeons who do non-penile inversion often have to use additional skin grafts. Its also a reason why scar tissue breaking dynamic dilation is required in order to maintain depth.
Quote from: AnonyMs on June 16, 2016, 11:18:25 AM
In my case it only means that the photos are too early in recovery and showing the wrong things. I've found most photos don't really show what's important unless it's a really bad job.
Could be too early. Not sure what you're looking for in terms of photos. Spread maybe? The labia minora go around the introitus. Unless 6 months down the line they magically disappear, I'm not sure there's anything particularly wrong with it. I can look down and see a more healed version of that. I know female anatomy well enough - it's anatomically correct. Lol my cisgender female partner's opinion as well. The only thing I don't have is the wishbone shaped part of the clitoris. The Chonburi organ Suporn does is actually quite a good approximation of that. However, when he does it you can see the whole wishbone shape which is, technically, not anatomically correct. If Suporn wanted to make it more realistic, he'd hide the Chonburi organ somewhere within or behind the upper labia minora. I could be wrong on all this, I haven't seen enough photos. I'm sure Suporn is still perfecting his technique. I think he's an amazing surgeon who really helped push everyone in the right direction!
Quote from: mmmmm on June 16, 2016, 11:30:11 AM
Dont stay out of it! You actually understand anatomy, and see the basic differences. Weird debate or not, it might be helpful to some. If someone says, that there isnt any difference and that all surgeries are the same, that helps noone. Its just misinformed opinion of someone who lacks basic understanding of surgical techniques...
I remember you posted link to that persons result before. Dont get me wrong, I appreciate it. But I know enough about surgery and recovery, to not judge results in early stages. We can only fairly evaluate results when fully healed. But I can honestly say, that I think its a step in the right direction. At least dr. Bowers and dr. Satterwhite understand that there is a room for improvement, and are trying to advance technique to give patients better results. I actually hope to see final result of that patient, and many others. There are also few surgeons in Europe that started to adopt few ideas after Chonburi flap for vulva in recent years. Dr. Schaff is the most known, but there are few others. Basic idea is the same as with Bowers and Satterwhite: they need to use more penile skin on the outside, and use more graft for vaginal lining. Its logical. Its a logical step in the right way. Not every patient needs or wants a full-graft vagina, and not everybody is prepared to go through with harder recovery and dilation.
I would be happy to exchange photos (in private) next year when you are fully recovered. I very curious to see this improvements on penile-inversion.. So far I wasnt able to see any final results, not from Bowers or Satterwhite not from Schaff or any other European surgeons.
Yes, I agree with you 100% on everything you said :)
Quote from: RubyAliza on June 16, 2016, 11:36:05 AM
Could be too early. Not sure what you're looking for in terms of photos. Spread maybe? The labia minora go around the introitus. Unless 6 months down the line they magically disappear, I'm not sure there's anything particularly wrong with it. I can look down and see a more healed version of that. I know female anatomy well enough - it's anatomically correct. Lol my cisgender female partner's opinion as well. The only thing I don't have is the wishbone shaped part of the clitoris. The Chonburi organ Suporn does is actually quite a good approximation of that. However, when he does it you can see the whole wishbone shape which is, technically, not anatomically correct. If Suporn wanted to make it more realistic, he'd hide the Chonburi organ somewhere within or behind the upper labia minora. I could be wrong on all this, I haven't seen enough photos. I'm sure Suporn is still perfecting his technique. I think he's an amazing surgeon who really helped push everyone in the right direction!
Chonburi organ is anatomically incorrect in itself. Still, its a pretty good idea. I wondered what could be done to correct the appearance. In some patients its very obvious, as labia minora can be a bit far apart. In other patients, due to their frenulum, its practically hidden, even if labias are fully spread, and lower part closer to urethral orfice just looks like some cis-female. I believe he cant put it behind the skin, and fully hide it, because of healing process. I plan on asking him about this, if this might be possible to change with revision. I havent read about this from any other patients. I guess this isnt really a thing that would bother many of them. Its barely visable in mine, as the crease is really thin. Im just guessing here, but it most likely wouldnt be a problem to make small incision on both sides and sew it together.
Quote from: mmmmm on June 16, 2016, 12:00:30 PM
Chonburi organ is anatomically incorrect in itself. Still, its a pretty good idea. I wondered what could be done to correct the appearance. In some patients its very obvious, as labia minora can be a bit far apart. In other patients, due to their frenulum, its practically hidden, even if labias are fully spread, and lower part closer to urethral orfice just looks like some cis-female. I believe he cant put it behind the skin, and fully hide it, because of healing process. I plan on asking him about this, if this might be possible to change with revision. I havent read about this from any other patients. I guess this isnt really a thing that would bother many of them. Its barely visable in mine, as the crease is really thin. Im just guessing here, but it most likely wouldnt be a problem to make small incision on both sides and sew it together.
Yeah, I think it's a great idea too, better than just throwing out the rest of the glans. Some surgeons say that it doesn't matter, that what matters most is the preservation of the dorsal neurovascular pedicle. However, I don't fully believe that. The corona of the glans, at least for me, was very sensitive - densely innervated. I'd rather be anatomy incorrect but use that tissue for the chonburi organ. As you mentioned, it's not visible anyways for many of his patients, and he could probably do what you mentioned as part of a revision to hide it, if a patient wanted that.
For me, I haven't even healed enough to poke around the area haha I am nervous and excited to play with the new equipment ;)
Quote from: RubyAliza on June 16, 2016, 11:36:05 AM
Could be too early. Not sure what you're looking for in terms of photos. Spread maybe?
I've seen a fair number of spread photo's that look very strange, and you can't see them problem otherwise. I don't know the technical terms to describe it. Its like the there's two separate parts inside instead of one, with something in between, rather than a cavity with a vagina at the bottom. Not a good description I know. If you ever see those really bad Thai results its quite clear. There's also more minor problems inside you can see, but I'd assume these could be revised.
Common Suporn revisions are posterior and anterior commissure. Related, you can see the vagina gaping open a bit, and the the pubic mound not being shape quite right (you can see how it might occur in that last POV photo looking down from). Suporn's labia are quite deep where they attach. It's quite impressive. You'd see none of these from those photo's.
For what its worth, here's some early post-op pictures from Suporn,
NSFW and some surgical<Link Removed>
One thing I noticed with Suporn results is that they tend to look quite good early. I've no idea what that means long term.
And here's some post-revision Suporn results,
again NSFW<Link Removed>
Anyway, that's what I all by not being able to tell anything from the pictures. I have no judgement about the results, apart from the stitching. The more I've learned the less useful most photo's are. If you can see something wrong with them, then its
really wrong.
Mod Edit:TOS 5
Quote from: AnonyMs on June 17, 2016, 12:37:10 AM
I've seen a fair number of spread photo's that look very strange, and you can't see them problem otherwise. I don't know the technical terms to describe it. Its like the there's two separate parts inside instead of one, with something in between, rather than a cavity with a vagina at the bottom. Not a good description I know. If you ever see those really bad Thai results its quite clear. There's also more minor problems inside you can see, but I'd assume these could be revised.
Common Suporn revisions are posterior and anterior commissure. Related, you can see the vagina gaping open a bit, and the the pubic mound not being shape quite right (you can see how it might occur in that last POV photo looking down from). Suporn's labia are quite deep where they attach. It's quite impressive. You'd see none of these from those photo's.
For what its worth, here's some early post-op pictures from Suporn, NSFW and some surgical
<Link Removed>
One thing I noticed with Suporn results is that they tend to look quite good early. I've no idea what that means long term.
And here's some post-revision Suporn results, again NSFW
<Link Removed>
Anyway, that's what I all by not being able to tell anything from the pictures. I have no judgement about the results, apart from the stitching. The more I've learned the less useful most photo's are. If you can see something wrong with them, then its really wrong.
Yes, those are very good pics. I've seen the real self one, I wonder what it looked like before the revision. I think Suporn's method is very sound; It's better to leave extra tissue that can be later taken away. It's awesome that he's such a perfectionist, willing to do revisions with no issue. Not saying everyone needs a revision. Nothing but respect for him, honestly. He deserves his great reputation.
Actually, your description of deeper set vagina is very clear. I see what you mean. There's more labia minora than is visible, they go deeper like a valley before meeting the clit, urethra, and introitus. They're not flat like many other surgeons I've seen, especially those who do older penile inversion techniques. Michelle82 on the first page described kind of what this looks like. The introitus is exposed, rather than hidden inside the vulva like it should be.
Not saying that my result is common but my vagina is very deep set like you mentioned. It's not that different from Suporn's results, at least in that sense. I was very thick before surgery ;) lot's of tissue to do what you mentioned. In fact, I'm worried it's too deep haha I don't know how much swelling there still is. It's gone down significantly though I need to wait a while before seeing my final results. You're right, long term results can be very different. I'm not going to post much for at least 6 months about my results.
I think this thread is actually pretty informative overall, especially because of your and mmmmm's posts. It helps to have critical, fair opinions, based on objective facts and also those with a good eye for aesthetics.
Mod Edit:TOS 5
Those interested in the latest peno-scrotal technique used at PAI can see them here:
<Link Removed>
WARNING: There are thumbnail links to some pretty graphic op and post-op pictures. Underneath each thumbnail is a lengthy explanation of the current PAI technique
Notice: 'Since the first sex reassignment surgery for biological males performed in Thailand in 1975, Dr Preecha and his team developed the surgical technique for vaginoplasty; many refinements have been introduced during the past 40 years, with nearly 3000 patients operated on. The scope of this paper is to present the surgical technique currently in use for vaginoplasty and clitoro-labioplasty and the refinements introduced at the Chulalongkorn University and at the Preecha Aesthetic Institute, Bangkok, Thailand.'
You can click on a link for the full paper in .pdf. WARNING the full paper contains graphic images of the operative techniques.
There are less academic links to PAI's work here:
http://travel.cnn.com/bangkok/play/everything-youve-ever-wanted-know-about-sex-changes-379486/
http://mycosmeticsurgerythailand.com/home3/2014/11/03/how-annie-david-can-help-to-make-your-beautiful-transformation-a-reality/
But the .pdf is good for going into detail, with pictures, on latest PAI techniques and it is a properly academic peer-reviewed article published in a reputable journal.
Mode Edit:TOS 5
Kind of hard reading the middle pages of that paper. I think I'll have to print it out in black and white.
Because it's so graphic you mean?
It is a bit! :)
I had a look at that paper and had some observations. Medicine's not my thing, so perhaps someone else could go further.
On page 6, Table I, there's some statistics on the 395 SRS's they did from 2009 to 2013. You don't often see that, so its quite interesting if you want to know what might go wrong. I don't if its good or bad - presumably good or he wouldn't publish it. There's no fistula's but then it not a large number either.
The average surgical time is 3 hours. Suporn's is I believe 5.5 hours. I'd assume less time under general anesthetic is safer and has less side effects, so you have to wonder what benefit you might get with that extra time. Hopefully something.
Also on page 6 is a section on Skin Grafts
"Many Thai patients are presenting with a short penis; many patients from Arabic countries are circumcised; many patients from western countries demand a deep vagina (deeper than 14 cm): as a consequence, the use of skin graft has become very common at our centre. Still, when there is abundant penile skin, the vagina is solely lined with penile skin. The preferred skin graft used is a full thickness from the scrotum."
Whats up with these Westerners?
I notice there's appears to be no actual statistics for depth in the paper, which is a curious omission seeing as westerners are asking for it. In Suporn's 2004 presentation the average depth was 6.4", and
During the period 2010 - 2013 the average vaginal depth has been in the region of 7 inches (17.8 cm)
http://www.supornclinic.com/restricted/SRS/SRSTechnique.aspx
There's discussion of what they use the scrotal graft for but I didn't really understand it. I have the impression, especially from the above, that they try to use penile skin for the vagina, whereas Suporn uses scrotal skin for that. So they both use it, just differing amounts in different places.
Suporn discusses this on the image 110.jpg in the presentation you can download here. It's a bit unclear to me as they both appear to use penile and scrotal skin for both purposes, presumably its a matter of what their first priorities are.
<Link Removed>
I've no real idea if that's correct.
On page 5 there's a 1+ year post-op result. Given the limitations of photo its a bit hard to be sure, but I think I much prefer Suporn for aesthetics.
Mod Edit:TOS 5
Quote from: AnonyMs on June 21, 2016, 10:55:38 AM
Suporn discusses this on the image 110.jpg in the presentation you can download here. It's a bit unclear to me as they both appear to use penile and scrotal skin for both purposes, presumably its a matter of what their first priorities are.
There is no penile-inversion is Suporns technique, logically -> this is why it is called non-penile inversion (scrotal skin graft inversion). All penile skin is used on the outside: inner labia minora (prepuce), outer labia minora and inner side of labia majora (penile shaft), and introitus (penile shaft).
If a patient had a lot of penile skin available, a result is similar to Danielle Foxxx, resulting in generous labia minora. Some may or may not like that. Its a personal preference, and if someone dont like that appearance, they probably should consider surgeons who perform penile inversion. If a patient had smaller penis, they wont have that kind of problem, as they will have result with smaller, tidier labia minora.
:police: Topic unlocked. Ladies, please remember this is a family friendly site and nudity isn't permitted even if it's a surgical picture :police:
I'm not allowed to link to the PAI academic peer-reviewed article because the article itself describes, with pictures, the MtF GRS surgical technique used by PAI ...
If anyone wants a copy of the .pdf which is called 'Male-to-female vaginoplasty: Preecha's surgical
technique' in the Journal of Plastic Surgery and Hand Surgery · October 2014
then pm with your email address and I'll send you it.
Does anyone know about the fat transfer they offer there? In particular with respect to BA. I'm kind of interested.
So am I. Try Warlockmaker maybe?
I've got a solution to the fact the link I posted showed 'nudity' (it's actually the MtF GRS operation). The abstract shows no nudity at all:
http://www.ncbi.nlm.nih.gov/pubmed/25356769
Those who wish to go ahead to the full article can presumably do so or google 'Male to female vaginoplasty: Preecha's Surgical technique' and it should be the first thing which shows up on your search.
Chen x
Hi Chen. Yesterday I went to Yanhee hospital as they are the only ones that do electrolysis. It's an older hospital but used to be the best in Bangkok for cosmetic surgery. So on the elevator,in a big poster, in Thai, I see they offer srs for thai baht of 140,000...which is usd 3,800 and includes 13 days in the hospital. My thai tgs told me about this. I'm going to check on the method and reputation.
Hi beautiful, sorry to be off the board for a bit. A few discussions were getting a bit too much for me! That's brilliant about Yanhee. I'd love to hear more when you can.
I heard a fabulous story about Dr Preecha yesterday. I'll tread carefully here as it's a real story and I'm not going to reveal any actual details. A MtF girl who had just had her GRS subsequently suffered a major post-op problem. The GRS surgery was performed outside Bangkok. It wasn't the fault of the initial surgeon. Basically the person had an accident which caused a dangerous rupture to the GRS she had received a few days before. She tried to get emergency surgery from the original place but they refused to help.
Someone I know made phone calls and she was flown to Bangkok where Dr Preecha stepped in. His team at PAI performed the emergency surgery in hospital, she was hospitalised and then put up in hotel accommodation close by and monitored until she was better. And do you know what?
Dr Preecha didn't charge her one single dime.
This was told to me by the professional western doctor who made those phone calls.
That's would be Dr Preecha... he gives generously to charity both in his time and monetary. I understand he is also setting up a charity service to help tgs in Asia. Today we have no united organization here.
Is you have not met him yet ...you will see he has the warmth and kindness in his soul.
I love this thread. It contains so much useful info for those of us trying to pick a surgeon. Dr Preecha was very high on my list just because he uses an actual hospital. Hearing all of this info raises him in my choices. Now if I could only find some examples of his GRS work to settle my mind.
Hi Lauren...just pm me and I will give you Jessie, his assistants e mail and he will provide you with the required information.
A really important reason is that he is a one stop service and has excellent surgeons for ffs and ba. Having them in the same clinic allows them to do the surgeries together at one GA..thus your time under GA is significantly reduced .
Sorry I can't PM yet. Still too much of a newbie here.
I had my consultation at PAI today and so I thought a few reflections might be helpful. As I've chosen PAI I may fall into that trap of only talking-up my chosen clinic. I will try to be objective and not be too evangelical about it.
The clinic is on Sukhumvit 55 and the area is a relatively wealthy and stylish one with hair salons and expensive houses. The clinic is quite glitzy and smart and bigger than I expected.
Clinic staff are extremely attentive and friendly: it's one of my most striking impressions. The reception foyer is bustling and I suppose I rather foolishly forgot that it's also a cosmetic and aesthetic institute so there are lots of people there for all sorts of procedures. There were a number of young cis-female westerners having face or breast surgery. Personally I really liked that. There's nothing 'back street' about this place haha. This is a thriving institute.
I did have some issues with needing to chivvy them along for my appointment as I had a flight to catch. Basically the appointment slot was a block hour with a handful of others. However, when I very politely explained my predicament they reacted excellently and I was seen at once by Dr Sutin.
I am scheduled for my surgery at the end of July. This will take place at their affiliated hospital. One thing I was very happy about was that he said I have lots of lovely loose skin on both penis and scrotum ready for my SRS. There will be no need for other grafts, even having had the orchiectomy.
Overall? What can I say really: I think it comes back to that central question about what you are looking for. Personally I do place safety high on my list of priorities. Anyone can have an unforeseen problem but PAI is a super professional outfit well equipped to deal with such things.
Richenda, did you get a chance to look at any after surgery results photographs? I'm looking for a result that looks as close to cis as possible, with a posterior fourchette etc.
Hi Lauren,
Because I was focused on the orchiectomy I didn't. However, I'm committed to having my SRS there so I will ask them. I'm popping in next week to pay my deposit and then will be there much of 28th / 29th in preparation for my surgery so I will make a point of doing so. They're good questions.
I do actually have the impression they tailor ops to individual requirements rather than using a one-size-fits-all approach. That's why, for instance, they offer different skin graft options and how they can operate both a penile inversion and a peno-scrotal non-inversion in the same place. The fourchette question is a very good one that I will pursue.
I've already decided that I'm going to tell my SRS surgeon there: 'make it beautiful' :)
Chen x
Thankyou, its so hard to do this through websites. Makes it very difficult to choose a decent surgeon. And of course you only get one crack at this sort of surgery.
Quote from: Lauren O on June 27, 2016, 03:45:10 AM
... as close to cis as possible, with a posterior fourchette etc.
Most surgeons can only try to imitate posterior fourchette, as with penile-inversion based techniques this simply isnt possible, as there isnt extra skin available for that. With most penile inversion techniques, labia minora ends above vaginal entrance. For posterior fourchette, there needs to be labia minora all the way down, and both labias closed together around vaginal entrance. With penile inversion, lower part of vaginal entrance is simply scrotal flap, except if a patient had XXL penis, there might be enough extra skin tissue that would allow a surgeon to fold penile skin flap all the way around introitus and make uniform labia minora with fourchette. Usually, this is not a case, as most of penile flap is needed for adequate depth.
Most realistic fourchette can be therefore done with techniques which use all penile skin for vulva. One option is sigmoid colon vaginoplasty, and non-penile-inversion like Chettawut and Suporn do it. Simply because there is extra penile skin that allows long labia minora with extra skin. Im not sure about Sigmoid colon technique, various surgeons do such details very differently, but Chettawut and Suporn dont do fourchette during initial surgery, as fourchette wouldnt survive the dilation stage. This can be done later with revision surgery, when a patient is able to skip dilation for few weeks or a month without concern for losing depth. After fourchette revision, special dilation technique is introduced which is focused on softly stretching fourchette and vaginal entrance...
Thanks to all authors involved in this thread. Very informative stuff.
Quote from: mmmmm on June 27, 2016, 01:46:45 PM
various surgeons do such details very differently,
They don't: that's an old hat comment. Variations are minor these days, right around the world, and most good centres are flexible. For instance, PAI will offer different skin graft techniques and are constantly adapting to advances. This is true for most reputable places.
I've written up my report on PAI and Piyavate hospital here: https://www.susans.org/forums/index.php?topic=212657.new;topicseen#new
I have nothing but praise for their professionalism and care.
Can anyone comment how the colon graft option affects the use of penile and scrotal skin use with PAI and how the outcome compares with suporn? (As the differences for standard scrotal graft Pai offer is well established in this thread)
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You can send them an e mail and they will respond..I know that with the colon that infection and problems are more frequent and unless you have minimal scrotal skin then don't do it .
Quote from: warlockmaker on August 08, 2016, 08:24:54 AM
You can send them an e mail and they will respond..I know that with the colon that infection and problems are more frequent and unless you have minimal scrotal skin then don't do it .
Ok, thanks. What confused me was the advertising on their site for increased depth. Wasn't sure if the rest of the skin would be used differently. Appreciated
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One thing that I really noticed at PAI is that they're flexible. They state this explicitly now in terms of their surgery, no longer describing a singular technique. This relates in part to the fact that they have a team of top surgeons and also to what Warlockmaker described elsewhere: that as the paying client you can push for what you want. I have little doubt, for instance, that if you wanted an emphasis on as realistic a fourchette as possible they would deliver. Concretely I know they will consider various graft techniques if required.
One of the few peer-reviewed academic studies on Thailand GRS notes the way in which techniques at PAI have evolved: 'The surgical technique for vaginoplasty and clitoro-labioplasty used at the Chulalongkorn University and at the PAI in Bangkok is the evolution of several refinements implemented to the original inversion peno-scrotal technique'
1975 Primitive inverted peno-scrotal flap
1983 Posterior urethral flap (To prevent urethra stenosis and to give some mucosa tissue to vaginal introitus)
1990 Total resection of the corpus spongiosum (To allow penetration without swelling during sexual arousal)
1999 Surgicel onto urethra clitoris (To prevent bleeding)
2000 Bottoming out suture on the top of clitoris (Appearance of the clitoral body)
2003 Prepucial skin (Reconstruction of the clitoral hood)
2003 M-shaped glans flap (Shaping of the clitoris)
2005 Perineal stitch to fix the scrotal flap to the rectal wall (Prevention of (minor) scrotal flap prolapse)
'Preecha's team refinements consist of: (1) cavity dissection with blunt technique; (2) the use of skin graft in addition to the penile flap; (3) shaping of the clitoris with abundant prepucial foreskin; and (4) urethra mucosa to line the anterior fourchette.'
'In the period 1975–2013, Preecha's group (Bangkok, Thailand) performed nearly 3000 vaginoplasties in male-to-female transsexuals.
In the present manuscript we describe in details the surgical technique currently in use by the same group (Chulalongkorn University and "Preecha Aesthetic Institute" (PAI), Bangkok). Preecha's technique is comprised of several surgical refinements added during the past 39 years of practice by Dr Preecha and his team colleagues.'
'With the refinements introduced, it has been possible to achieve a result that is very close to the biological female genitalia.'
I cannot link to the full article as it contains graphic pictures of the operation. However, the safe abstract can be seen here: http://www.ncbi.nlm.nih.gov/pubmed/25356769
Hi Richenda, did you happen to find out how many SRS the individual surgeons have each done?Dr Preecha's team has presumably evolved significantly evolved over the years since he's taught most of the SRS surgeons in Thailand.
That's a very good question. No is the straight answer, but it's one I should probably ask (and will do). Warlockmaker may know more. I know that Drs Burin and Sutin now do most of the GRS but the team is quite large: at least six surgeons with different specialisms. For instance, Dr Sirichai does some of the FFS work.
I'll try and find out the answer as it's a pretty important question.
Quote from: AnonyMs on August 11, 2016, 01:03:00 AM
Hi Richenda, did you happen to find out how many SRS the individual surgeons have each done?Dr Preecha's team has presumably evolved significantly evolved over the years since he's taught most of the SRS surgeons in Thailand.
Email I got back from pai the other night when asked bout the colovaginaplasty
"Your letters are perfect for surgery.
Dr.Sutin has been perform Sigmoid Colon around 128 cases a year since 2002.
Dr.Sutin has been perform Penile Skin Inversion around 153 cases a year
since 2001."
Another question that always got me is why so many on here prefer chett (at least on here ). It's so rare to come across a pai review
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Heya.. Well its been interesting reading about the PAI... Discovered a heap of new information.. I am so glad the PAI is coming across as a credible clinic.. I really like their approach to money. They have not pressured me for any money and they have not made any reference to paying them. I like the idea of only $300 deposits as mentioned at this post, since something might happen. I think I am making all the right choices in choosing the PTI.. Its needs to be since I have my consolation on the 4th January and if all goes well.. snip snip after that.. One full year ahead of schedule.. ;D I am in Thailand in January anyway when I suddenly realised, hey why not get it done.... So, I am!!
Quote from: TinaVane on August 11, 2016, 02:16:38 AM
Another question that always got me is why so many on here prefer chett (at least on here ). It's so rare to come across a pai review
Here's a theory about that. We all tend to want to praise the person who changes our life. It's totally understandable. Chet and Suporn are essentially one-man shows and so it's easier for them to have a one-man cult status. PAI, especially since Dr Preecha delegated the work to his trained surgeons because of his advancing years, operates much more as a team. There are half a dozen top surgeons performing.
My own views are by now well known but I gain nothing personally from praising PAI. I've just been massively impressed by them, and their handling of my surgery was exemplary. Tess, I think you're making a well informed and excellent choice. They have been brilliant. I have nothing but praise for them based on my experience and won't go anywhere else for the remainder of my work.
Quote from: TinaVane on August 11, 2016, 02:16:38 AM
Dr.Sutin has been perform Sigmoid Colon around 128 cases a year since 2002.
Dr.Sutin has been perform Penile Skin Inversion around 153 cases a year
since 2001."
Another question that always got me is why so many on here prefer chett (at least on here ). It's so rare to come across a pai review
Those are impressive numbers, and interesting for several reasons. Why so many colon SRS, when you hardy hear about it and its usually to be the choice when normal SRS needs fixing? It is rare to hear anything about PAI; I'd guess they have lots of patients from non-English speaking countries so they are less visible to use English speakers, but Dr Chett appears significantly more talked about than Suporn and I've no idea why that is. I'd have thought they attact the same demographic.
Quote from: Richenda on August 11, 2016, 07:29:48 PM
Here's a theory about that. We all tend to want to praise the person who changes our life. It's totally understandable. Chet and Suporn are essentially one-man shows and so it's easier for them to have a one-man cult status. PAI, especially since Dr Preecha delegated the work to his trained surgeons because of his advancing years, operates much more as a team. There are half a dozen top surgeons performing.
My theory (not having been there) is that even though Dr Preecha no longer does surgery he has set the general culture PAI, so the standard of care you have would likely be of consistent (high) quality no matter who did the surgery. It sounds like he's picky who he works with as well, so you get good surgeons there as well.
I don't know much about Dr Chett so I can't comment, but I believe Suporn to be an unusually talented surgeon and that's what you get when you see him. There's only one of him, and he does his thing(s) and nothing else, so its kind of a take it or leave it deal. For what its worth he trained under Preecha, though what that means I don't know.
Personally I'd go to Suporn for SRS, but PAI do some other procedures I'm interested in. I'm really impressed by all I've read and I'll consider them very seriously in due time. I'm pretty sure I'd choose PAI for an orchi if I were to do that.
Hey.. I am on Count Down with the PAI.. Booked in for my SRS on 6th Jan.. Started HRT on the 7th October.. ;D No bad or good side effects so far.. Very early days.. Feel really good to be honest.. After following Carrie Liz journey I feel I know some of what to expect.. I am certain I have made all the right choices. The PAI is mid priced and very experienced surgeons.
With HRT I am on Patches.. My Gender doctor told me that injections can cause blood cloths and pills can put the liver under stress and more.. I could have had the cream gel but I opted for the patches.. Easy to apply every other day.. and very cheap. I am luck in Australia.. To see my Gender doctor cost me nothing and he is just wonderful, very very supportive.. The patches for 11 cost $5.30.. He has given me a letter to have F placed on my passport and medicare card.. As soon as I have a few docs to show I am F, I can apply for a new birth certificate with my chosen female name and then update all documents accordingly.. Nothing is hard to do.. Heaps easier than I was expecting to be honest.. But it was not always the case..
I was bashed in the UK many years ago almost to death, but I did not expect that to be apparent in Australia.. After viewing a TV show a few days ago, it seem not only Gays and Lesbians were bashed, some were killed and their bodies never found.. Just terrible.. Thankfully we have all moved on from those horrible times.. I feel that those responsible for those terrible acts live in fear in cause the bodies are ever found and that DNA would lead to them..
When we moved to England from Africa after my old dad left the British army, my dad took me to see a psychiatrist. I was diagnosed with Gender Dysphoria but he told no one since it was illegal to be gay or lesbian in the UK at that time.. So many stupid laws have effected the lives of so many really nice people. Thankfully attitudes have come a long way since those dark days...
I will let you all know how I go with my SRS.. I might start a new post...
Apart from the awful suffering and violence in the past that you describe that's a wonderful post to read Tess. Many congratulations on starting the HRT and the incredibly exciting news about your surgery. We might just get to overlap as I'm out there in December for FFS but it depends if I extend my stay. Do you know which of the PAI team will be operating (not that it matters as they are all brilliant).
Please be sure to keep us posted?!
yours,
Rach x
Hi Rach.
If it wasn't for the fact that I saw a psychologist I would have hoped to have forgotten past happenings.. For that reason I stopped going since it was far to upsetting... My Gender Doctor said I will need see one in time when my emotions cause issues but I am hopeful I can keep them under control.. He has recommend a better psychologies just in case. I really like to look forward and not back.. If the psychologies asks me about my past I think I might just skirt around it.. I really do not see any reason to bring it all up.. I had to mention in part to my Gender Doctor but he has never pushed me for any details. I am so lucky to be seeing him..
I was hoping that Dr. Burin was going to do my SRS but he is on leave.. So Dr.Sutin will be doing it..
I look forward to hearing about your FFS journey since I too will be thinking of having FFS surgery probably with the PAI late next year.... I still need to work so I will do it slowly.. I was going to have the Tracheal Shave surgery at the same time as my SRS but its way expensive.. Double the price as getting it done at MDM, by Dr. DiMaggio..
I will ask when I am there how much and what they can do for me in regards to FFS... I feel in a year the HRT might show signs of effecting my appearance so it might be a good time to get some FFS done then.. Wait for it to heal and perhaps get more as I go and can afford to.. I sure wish I did all this years ago but its just bad timing.. To be born in todays society, its just so much easier, partially in Australia... Good for them.. If I had the money I would get it all done ASAP and give up work, live a happy life in my own skin.. but... I need to pay my way for a few more years yet..
Hi Tess, I had my ffs, ba and srs with 3 surgeons from Pai at one go. Dr Sutin did my srs I was thrilled with the result, great aesthetics and have since had wonferful orgasms both at the clitoris and in the vagina. My Ffs was done by Dr Sirichai and he wad also fantastic, my scars are not even visible now 8 months later. My ba was done by my friend Dr Pteecha and that was also magnificent. I now live in Bangkok and love it here. Contact me if you come here.
Tess, I've met ^^^ ^^^ Warlockmaker ^^^ ^^^ in the flesh and she's fabulous: the most beautiful lady who transitioned that I've seen. You are going to be in the hands of a very fine and skilled surgeon. Dr Sutin performed my bilateral orchiectomy in July and he's doing my FFS at the beginning of December. Dr Sutin is also a sweetie. Dr Preecha has built a superb team at PAI, so please take encouragement from Warlockmaker's post :)
I guess you're probably right about the HRT having an effect on your face. My GiC consultant said the same thing to me but I have been self-medicating for 2 years, admittedly with a couple of interruptions, so the changes from HRT are most likely in place now. I'm going to be having brow lift with hair advance, orbital rim shave, nose alarplasty and tipplasty and a full facial lift. Well, as long as I can rub together all the money in time :) Flight is booked for 28/11 and surgery on 2/12. It's possible I will extend a stay in SE Asia. I love Bangkok: it's a wonderful city but I also quite fancy Christmas in Bali. So if I do it'll be great to meet up. I don't know if I'd advise you to wait for FFS. Personally I'd go for it but that's not in any sense a medically informed comment!
x
Thats sounds wonderful.. I am so happy to read you comments.. I was so worried but I think I have chosen wisely with the PTI.. I have had very good communication and my questions have been answered quite quickly.. I have never been pestered for money although I am expecting that I will be asked for a deposit next month... They will pick me up from the airport.. and take me back at the right time.. I am so excited about it I am busting.. Its all been a long time in coming. Nothing is cheap but thankfully Thailand is heaps cheaper than Australia and they have heaps better skills too.. I will have the doctors check my face out and hopefully they can provide some options for me... I really do not know how I can afford to have it done.. :'( Even in Thailand its expensive.. I bought a new wig which looks awesome, very similar to my pic here. ;D I really do not want to get upset that my face has little femininity since I was a lot younger when people thought I as a girl.. I have suffered from Testosterone poisoning for far too long so consequently it has done its even dead on me.. :'( I have to be positive and I do. ;) I am on HRT at long last and I feel wonderful about it.. :D I am due to have my SRS done and I am busying with happiness about it.. ;D I do not worry about boobs, I think they will grow a bit more without surgery.. ::) But they will be the last thing to achieve..
Thank you for posting...
Quote from: warlockmaker on October 21, 2016, 05:44:27 AM
Hi Tess, I had my ffs, ba and srs with 3 surgeons from Pai at one go. Dr Sutin did my srs I was thrilled with the result, great aesthetics and have since had wonferful orgasms both at the clitoris and in the vagina. My Ffs was done by Dr Sirichai and he wad also fantastic, my scars are not even visible now 8 months later. My ba was done by my friend Dr Pteecha and that was also magnificent. I now live in Bangkok and love it here. Contact me if you come here.
Hi Rach.. I really do look forward to hearing about your results.. I would also love to meet up with other ladies but.. BUT.. I am not happy for anyone to see me as I am.. I am a male looking transgender.. I really cannot be accepted as a female in public which really saddens me.. I need to have some extensive FFS before I see anyone .. I want to be an extroverted female full of confidence in my own skin.. Thankfully, my body is good for nearly 60, far better than many CIS women to be honest. We all come in different shapes but my face is a dead give away. I dream that one day I will have the $$ to change my life.. But for now I am very happy to be on HRT and getting my SRS done.. I think I feel at least 10 years younger even thinking about it.. Ashley on the forum posted some of her before and after pics. She is my mentor, my hero. She has impaired me that anything is possible. She is always happy and only just married. She is my bestest friend who guilds me and provides positive thoughts. One day, I will be as beautiful has her and on that day I will be the women I was always meant to be..
I am due to stick another patch on later tonight.. YAY!!!
Hi.. I must admit I do look at qualifications and the value of them.. You suggest that Dr. Sirichai is great but is he qualified enough... He only as a Diploma, Thai Board of Plastic Surgery (1989), and graduated as a Medical Doctor Chulalongkorn University (2nd Class Honors)... I have to say that during my working life, I have seen qualifications can often mean nothing.. I had worked with so called highly qualified people only to discover they cannot put into practice what they have been trained for.. So I guess recommendations from others is the most important.. With FFS, we really are putting our entire lives into their hands including most of our savings.. We simply cannot afford to have a surgeon make a mistake.. So, I will suss it all out very very clearly.. I never do anything without researching first.. I need to read more about Dr. Sirichai.. I need to talk to others first hand.. Plenty of time.. I really do not have the $$$ anyway...
My thai assistant used to be the hrad ward nurse at Piyavite Hospital where PAI and other surgeons do ffs, ba, lipo and srs. She has a very high regard for his work. I can totally recommend
Thank you for your advice.. I will ask for a consultation with Dr. Sirichai when I am there. See if he can produce a miracle with feminising my face.. haha... I would be much more confident in having my FFS done in Thailand than other countries to be honest.. .. If I need any follow-up surgery I will not have far to go.. I have read so much about other surgeons around the world, and some might say, wow he is greatest ever, however others have warned me away.. I am very grateful for all their inputs.
I can hardly believe I am so close to having my SRS.... Its a bit like a dream.. So far no bad effects from HRT.. No mood changes.. I feel really good to be honest.. I have used only 6 patches so far so its still early days.. I feel really grateful that I am able to have HRT. I have to have a blood test done late in November. I will have to see my Gender Doctor to make sure all is well and to get more scripts.
My main concern is my face hair.. I have a Infinity-G which is supposed to be ok for removing grey hair but its not even killing off my normal hair.. I told the mob on their Facebook page that I will continue to use it for one year.. If after that time no change, they can have their door stop back... It was not cheap but its come down in price heaps since I bought it.. Perhaps they have had many returns.. No industry hair removal mob in Brisbane will even consider starting a process of removing grey hair yet Silken suggest that their unit does.. emmmmm
I'm on electrolysis at the moment and it is definitely making a difference. Just be prepared for a lot of sessions. Some people say it hurts (to me it's little more than a pin prick) but you can use EMLA cream to numb it a bit and then think of all the benefits.
Re your masculine face, I've seen someone, who I won't name, with a very T-fuelled masculine appearance turn into the beautiful swan she was always meant to be. If you're lucky you may get to see before and after pics of what I mean. These Thai surgeons know their stuff. I guarantee they would do a fabulous job of feminising your features if you place your trust in them. Remember, they've been doing this for decades. The kathoeys have been an accepted part of the Thailand scene for aeons. That's all I'm going to say on Thailand FFS. I'll sound too evangelical about it ;)
x
I found this healthcare triage episode interesting regarding surgeons and speciality. The study shows that it was the interest, not the quantity/frequency that mattered.
https://youtu.be/tcPvIt5VSWw (https://youtu.be/tcPvIt5VSWw)
This is a very informative thread. I'm just wondering, do any of you do facial surgeries while recovering from SRS? I haven't looked into PAI for this but I need an experienced rhinoplasty revision surgeon to fix my nose again while in Thailand and I think it would be good to recover simultaneously to save time.. It's also super expensive here in LA and I'm not sure the surgeons really understand what I need done.
Also, is having only been on HRT for 14 months before SRS enough time to feel the effects of hormones? I'm just curious what other physiological changes will happen, don't want to do it too soon but also don't want to lose my spot. Thank you!
Warlockmaker has the inside track on this.
Personally I think HRT for 14 months is fine. I don't think noses change at all through HRT anyway, although that might not be what you are asking anyway? I'm having alarplasty and tipplasty done by Dr Sutin as I believe it to be more effective and less invasive for me than a full rhinoplasty but I know he does all of those procedures at PAI.
Hi...
To be honest, I have not really bothered about time frames with HRT.. I stick my 7th patch on tonight after a shower.. I started on HRT on the 7th this month and I feel wonderful.. I am not expecting any dramatic facial or skin changes for at least a year.. I am still out on weather to get FFS next year or the year after, it will mostly depend on if I have the money... I was thinking about have my SRS late next year but then I thought about it more and since I will be in Thailand anyway, oh why not.. Very excited to be honest. I have wanted the thing gone since I was a child.. My dream is very late in coming.. but at long last it is finally coming true.. I think after SRS the HRT should have a greater effect on my changes.. or so I have read....
Quote from: Rachel Richenda on October 24, 2016, 01:16:46 PM
Warlockmaker has the inside track on this.
Personally I think HRT for 14 months is fine. I don't think noses change at all through HRT anyway, although that might not be what you are asking anyway? I'm having alarplasty and tipplasty done by Dr Sutin as I believe it to be more effective and less invasive for me than a full rhinoplasty but I know he does all of those procedures at PAI.
I haven't checked yet, but is Dr. Sutin the best for the nose? Do you know if he has ENT or Plastics training? I'm just thinking it would be nice to have my nose revision done right after SRS and recover while in Thailand for the month. But the SRS isn't at PAI.
No I was asking about the hormone changes to sexual physiology. So far all I've gotten is decreased libido and weaker orgasms. I wondered if it would change over time and become different kinds of orgasms and/or be able to have multiples (before surgery)
I'm really happy for you :) And you look beautiful
Quote from: Tess2016 on October 25, 2016, 05:40:57 AM
Hi...
To be honest, I have not really bothered about time frames with HRT.. I stick my 7th patch on tonight after a shower.. I started on HRT on the 7th this month and I feel wonderful.. I am not expecting any dramatic facial or skin changes for at least a year.. I am still out on weather to get FFS next year or the year after, it will mostly depend on if I have the money... I was thinking about have my SRS late next year but then I thought about it more and since I will be in Thailand anyway, oh why not.. Very excited to be honest. I have wanted the thing gone since I was a child.. My dream is very late in coming.. but at long last it is finally coming true.. I think after SRS the HRT should have a greater effect on my changes.. or so I have read....
Tess...
Ha. You are so kind.. but not so beautiful anymore.. not since testosterone poisoning.. But things will change for good very soon.. Just two more months and I am busting with excitement. I am tingling all over when I think about its..
So far, I have been on HRT for one month with no effects good or bad.. Still very early days, but I am so excited about being on HRT.. I will stick on my hormone patch after a shower tonight. Easy and safe.
I have to have a HIV blood test for the PAI which I will get after my blood test for my gender doctor to make sure all is well.. I am due to get that towards the end of this month.. I need to get the HIV test one month before I get surgery..
I have already ordered some nice jeans.. one size smaller than normal.. hehe... Size 14.. One day I might be a 12..
Hotels all booked.. PAI booked too.. I would love to have my Tracheal Shave done at the same time but I really cannot afford to.. Its really expensive... This is what they said.. "We are able to charge Tracheal Shave for 2,700 USD." but its over 3,000 USD if done seperate. That is heaps of money.. If I get my FFS done by other surgeons, the Tracheal Shave is heaps cheaper, but I cannot afford FFS either.. I would love for the PAI do do it but not for that price.. it works out to be around $4000 ASD.. Thats really the only downer for me at the moment.. Oh well.. One day perhaps.. :-\
I would like to say I am not counting but.. I AM! ;D.. Just under six weeks to go.. Yay...!.. Been on HRT for about 7 and half weeks and already I feel my boobs developing... Hardness behind the nipples and very sore.. It feels wonderful.. haha.. Proves HRT is working.. My gender doctor said the speed is probably as a result of having unusually high levels of natural oestrogen in my blood.. No other effect as far as I can notice.. No emotional changes. Just feel really happy... I bought some nice jeans, one size smaller :).. Female jeans are so much better than male jeans.. They have nice stretch denim. And so many styles.. I have been buying from AliExpress. Cheap and mostly very happy with the quality.. Some are not so great but the pair I love best I have ordered 3 more pairs. Cost about 4X as much in Aus.. even more...
I was thinking that I might get some facial surgery as I can afford it but subtle as I can afford it.. I would really love to have it all done ASAP but I just don't have the money... I am not going to think about it otherwise it will upset me.. I am really happy with getting my SRS very soon.. This is big thing as we all know.. Its really that big move away from what I was born with and fixing a big mistake in nature.. As soon as its done, my HRT should take a greater hold on the change effects.. Good riddance to that nasty testosterone poison..
I will provide some feedback after the deed is done.. :)
That's so good to read, Tess. Fabulous all round. Very very best of luck with your preparations.
I am flying out to Bangkok today :)
xx
Hey Rachel.. How did you go with your procedures in Thailand.?
I really cannot believe its only 18 more days left.. I have just received an email from the PAI.. I really do appreciate their great communication.. I have not had any issues at all. They are making my journey very easy.. Nothing is an issue. They are not even nagging me for money. They will book me in to see two psychiatrist either on the day before surgery or the day before.. Not sure about that yet.. I have have all my before surgery instructions. No problems.
My HRT is beginning to have some effect on my breast and skin.. My only worry is how I can afford my FFS.. Time is against me and money. Oh money, I hate you sooo much! .. emmm :( Oh well.. One step at at time.. I might win the lotto.. I fly out on the 2nd Jan and then do a few days of doing the tourist thing.. Check out some clothes shops..
Hello my lovely,
Ooh how exciting. Very very best with it all. You will be in fabulous hands.
I'm absolutely thrilled with the results and have a thread here: https://www.susans.org/forums/index.php?topic=216392.new;topicseen#new
I'm so excited for you. Please keep us all posted. Ah yes, money :( It's expensive all this.
xx
Hi Tess, Let me know if I can help. I m a PAI girl and live in bkk. just pm me and I will gv you my contact info.
Thats great Rachel... I am glad it all worked out for you. I really cannot wait to have some FFS to kills some years off and to feminise my face a little. There was time when I was told I was beautiful.. But testosterone had done its even deed.. To be honest, I was a bit put off when I was told that Dr Sutin was to do my surgery because I wanted Dr Burin to do it because he has a FRCS to his name which makes him more qualified. But Dr Burin will be on holiday which might have be lucky for me.. Since I realised that skills were more important... Now I am very happy that Dr Sutin is doing my SRS after I read so many positives about him.. He seems to be very dedicated to the tasks. To be honest, I have not read any negatives.
Thank you for that support warlockmaker.. But I will be fine.. My partner is a native Thai girl ;) Her mother will take good care of me too.. All my friends and family are being very supportive. Even my old dad.. He gave me some money to make January possible.. We were going to Thailand anyway.. When I mentioned that to my old dad he said why don't I get my bits off then.. I told him I did not have all the money.. So he gave it to me. YAY!!..
Back in the bad old days when being gay or lesbian in the UK was a criminal offence, he did not seem to be that supportive after taking me to see two psychiatrist, where he was told I had a gender identity issue.. Rightly so, due to the legal implications he said nothing to know one.. I realise now he was just protecting me..
16 more sleeps.. haha.. Still do not know where we will be staying.. One thing is certain. I refused to stay in a dive.. It has to be close to the PAI and shops.. My birthday will be on the 9th Jan.. The big yucky 60.. but I feel 25 ;)
Hey warlockmaker... Love your hair.. very jealous.. I am hoping in the future they will invest wonderful new ways to grow back hair.. In time they will i am certain of that. They have already but no control over where it grows.. Basically, if I was on that medication, I would begin to look like an abominable showman.. I mean.. show-women. haha...
2 weeks and counting.. Gosh I am feeling so good.. very healthy and ready to go.. Just need to lose about 2kg.. to be inside my BMI.. ;)
Quote from: warlockmaker on December 19, 2016, 05:50:45 AM
Hi Tess, Let me know if I can help. I m a PAI girl and live in bkk. just pm me and I will gv you my contact info.
Hi Tess,
Wow, all the very best.
One of the things I love about PAI is that it's a team. Dr Preecha, who is really the doyen of aesthetic surgery in Thailand, retains the best surgeons in his setup there.
I think Dr Sutin is outstanding. His work on my face is incredible. I think you will be in superb hands.
Just keep an eye on the after care at Piyvate hospital. It's good you have a Thai partner. I'd ask about compression socks and perhaps post surgical heparin especially if your BMI is near the border. It's not something Thailand seems to watch, so far as I can see. But the surgical attention from Dr Sutin is phenomenal. He's a lovely, unassuming, man too. I really like him.
How exciting! Wow.
Hugs and love,
Rach
xxx
Hi Tess!
Just wanted to drop a few lines as well about my experiences with PAI! I'm currently working on my last week of recovery here in Bangkok, I had my SRS 10 days ago with Dr. Sutin. All I can say is wow. PAI has been absolutely amazing during my time here! The service, accommodations, attention, organization, you name it has been fantastic. Dr. Sutin is so lovely, I couldn't of asked for a better surgeon. He's incredibly kind and passionate about the work he does and has done an amazing job with my srs :) The hospital is top notch with a great nursing staff during the first 5 days after surgery. I was really taken care of and Dr. Sutin would pop in my room throughout the week and check in with me, making sure everything was ok. I'm excited for you! I'm sending you some positive vibes and can reassure you you're going to be in great hands! :)
Much Love,
Alessia
That's fantastic news Alessia. Many many congratulations. I couldn't agree more about Dr Sutin. Although I'm always a bit wary about surgeon bandwagons on here I do genuinely think he's both an outstanding surgeon and a lovely man. I'm totally blown away by my FFS.
If the NHS don't fund my GRS then there's only one place I will go.
Happy recovery Alessia!
Rach xx
Quote from: Rachel Richenda on December 24, 2016, 02:28:29 AM
If the NHS don't fund my GRS then there's only one place I will go.
If you have the money I think you'd be better of going there even if they do fund it.
I agree :)
Wow Alessia.. Thank you so much for that information. Now I feel I want to cry out of joy.. Thank you for the positive vibes. I really cannot believe I am almost there.. Would you believe I will have my birthday in hospital. Oh what a birthday present!
I will be asking Dr Sutin about my FFS... I need to know what he can do to feminise my face and what the cost would be to make me look as I once did before testosterone poisoning.. So many people thought I was a little girl.. But really I was.. I was just born with the wrong bits..
I wish you all a very Merry Christmas.. and may all your dreams come true.. ;)
Quote from: Rachel Richenda on December 24, 2016, 02:28:29 AM
That's fantastic news Alessia. Many many congratulations. I couldn't agree more about Dr Sutin. Although I'm always a bit wary about surgeon bandwagons on here I do genuinely think he's both an outstanding surgeon and a lovely man. I'm totally blown away by my FFS.
If the NHS don't fund my GRS then there's only one place I will go.
Happy recovery Alessia!
Rach xx
Thank you so much!!! :) :) :)
Quote from: Tess2016 on December 24, 2016, 03:15:13 PM
Wow Alessia.. Thank you so much for that information. Now I feel I want to cry out of joy.. Thank you for the positive vibes. I really cannot believe I am almost there.. Would you believe I will have my birthday in hospital. Oh what a birthday present!
I will be asking Dr Sutin about my FFS... I need to know what he can do to feminise my face and what the cost would be to make me look as I once did before testosterone poisoning.. So many people thought I was a little girl.. But really I was.. I was just born with the wrong bits..
I wish you all a very Merry Christmas.. and may all your dreams come true.. ;)
You're Welcome!! :) :) :) Hehe, that is an amazing birthday present! Merry Christmas to everyone as well!
Hey...
If I say... 11 days to go before Snip! Snip!.. Its better to say.... "Next Thursday" YAY!!.. LOL.. But I could tease myself and say... "My SRS is happening Next Year.." :( Just 7 days before we head off to Thailand. I have my Psychiatrist booked. Much cheaper and easier to do it in Thailand, the PAI has organised that. Bags almost packed..
The communication with the PAI has been excellent. We will be staying in a hotel opposite the PAI to make it easier.. After my opp we might move to another hotel near more shops.. :)
Sooo excited..
Such great and exciting news Tess. All the very very best with the preparations.
Staying close to PAI sounds like a good plan too. As you say, you could always move later if you feel like it.
Rach xx
Heya.. Well, time is getting closer :) .. We leave for Thailand today, about 4pm.. The air plane takes off at about 10pm and arrives in Thailand at about mid day on Tuesday, where the PAI will pick as up and take us to our hotel.
Its all happening. This is the big week..! I will not be providing a running commentary on my process.. This is it until I return from Thailand after the 22nd Jan.
I have been asking myself heaps of questions to see if I have any reservations or doubts. I have none. I really don't.. Its what I have been dreaming of all my life.. My male bits will be gone in less than 5 days.. Yay!
Quote from: Tess2016 on January 01, 2017, 03:08:20 PM
Heya.. Well, time is getting closer :) .. We leave for Thailand today, about 4pm.. The air plane takes off at about 10pm and arrives in Thailand at about mid day on Tuesday, where the PAI will pick as up and take us to our hotel.
Its all happening. This is the big week..! I will not be providing a running commentary on my process.. This is it until I return from Thailand after the 22nd Jan.
I have been asking myself heaps of questions to see if I have any reservations or doubts. I have none. I really don't.. Its what I have been dreaming of all my life.. My male bits will be gone in less than 5 days.. Yay!
I will leaving for Thailand on the 12th, with my surgery on the 20th/21st. Hope we get to meet :)
if anyone else is going/goes to PAI be sure tell them you are a Susan's guy or girl!
Hi.. Sorry to say, I don't not think we will meet up.. We leave Thailand on the 21st Jan.. I will be in the PAI from the 6th to the 11th Jan.. I will be going in for appointment to check if I am going OK..
So you must be as excited as me.. :D :D I was hoping to get my Trachea Shave done at the same time but I really cannot afford it. :( :( :( It will cost $2500 USD, but in Aus $ close to $3500.. Thats heaps. I would hate to think how much they would charge for FFS, but I am still going to ask.. At the moment I really cannot pass as a female which is sad. I look like an old guy :((((.. Not even close to looking like I women so I do not try.. However, I still feel very famine.. Testosterone has done its even deed for far too many years.. I really want the PAI to do all my surgery, but as I told them, its not going to be a matter of choosing the best surgeon, but rather the one I can afford, which might not be a good thing but its either that or it will never be done.. Really hard to save up money for FFS.. Makes me feel very sad.. But.. at least I get my vagina at long last, which is a big big thing for me.. Partially when I dream back to when I was a little person trying to chop my bits off. My old daddy is 90 and he is very excited for me.. If he had the money he would pay for it all but.. He is just an old pensioner. He feels he as failed me but I keep telling him its just how it is.. I believe in Karma and believe everything will turn out OK..
So, it looks like we can suffer together .. But I am determined to ride all the pain through and be brave and just think about the long journey it took for me to have my SRS done at long last.. I will turn 60 on the 9th of Jan so I can call this my birthday present and what a great one it is.. :)
I think the PAI should do special rates for Susan Place clients which will encourage many others to go to them.. In the UK they have made SRS free on their national health and I have read that they are thinking about this in Australia too.. Mind you, I still would not have it done in Aus since they lack the skills but many would if they could..
Its 1:15pm here now.. We are setting out at 4 to get to the Gold Coast, our flight goes at 10pm.. Just about all ready to go.. Yay!!..
I really do wish you the very best with your surgery.. I am sure you will do OK. I think you made good choice with the PAI..
I am getting there on the 14th...
Hi...
I started a new Post since my doctor was not Dr. Preecha.. I had Dr. Sutin at the PAI.. Here is my journal so far..
https://www.susans.org/forums/index.php/topic,219127.new.html#new