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Alberta surgeons? Maybe even Sask or BC?

Started by Tad, March 24, 2011, 07:22:47 PM

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Tad

DI is my option.. anyone got any reviews. Finding it hard to find anything. i've been assigned Guiffre and got my consult coming up in a month and a bit, heard some bad things about dog earing and leaving no nipple sensation (though I hate my nipple sensation.. so would be oay with that).. anyhow.. anybody got reviews on other alberta surgeons.. or maybe BC or sask?
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emmette00

i`m not sure if you already had your surgery but i had mine just a couple days ago with dr.giuffre so if you want to see the results id sure show you .
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Toy

Hi emmette00,

I am happy to hear you had the surgery with Dr. Guiffre.  I have the same concern as you were.  Do you mind if you can share your experience and the timeline of your journey. 
I had the consultation with him in end of Jan, and I am on the waiting list.  Do you know how long its gonna be wait?  Your sharing is very important to me.  Thanks!
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Jack_M

Just an FYI, DI surgery means you lose nipple sensation as it's nipple grafting. You need to get a different type off surgery, like peri or T anchor in order to attempt to retain sensation. Only rare cases of DI surgery results end up with any sensation and even within those who do get sensation, it's rare for it to be comparable to pre surgery.  So it's not really a surgeon specific complaint; it's a result of that particular surgery.

I had surgery with Dr Bowman in Vancouver, BC. I'm extremely happy with my results even after a severe complication that wasn't his fault at all (incident on a bus being pulled by my arm post surgery).  I had surgery towards the end of December and the scars are looking great already.
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Toy

Jack, are you from Edmonton as well?  I heard about Dr. Bowman.  Because of my family issue, I also consider to have the surgery with him,  instead of waiting for Dr. Guiffer.   Can you share your info to me, such as the cost and the waiting time? Thanks.
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aleon515

I agree re: Jack for nipple sensation. You can go to the best surgeon in the world and still really not have it. It has to do with the nature of the procedure (I am talking DI). They take the nipple off from a place with LOTS of nerve endings, cut it down, and move it to a place of less nerve endings that isn't, how would you say, maybe erogenously connected-- it's also at this point a graft where they are stapling or sewing it on. If stuff goes well, with a DI you will have protective sensation, pretty much period. I know people claim to sometimes have  sensual feelings. I believe, not that they are wrong, but they have used the strongest sex organ (the brain) to say to their nipples "this feels good". With peri and keyhole you may get it back, but even that is not entirely guaranteed. You also have to have quite a small chest.

--Jay
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Jack_M

Quote from: Toy on May 04, 2014, 08:40:52 AM
Jack, are you from Edmonton as well?  I heard about Dr. Bowman.  Because of my family issue, I also consider to have the surgery with him,  instead of waiting for Dr. Guiffer.   Can you share your info to me, such as the cost and the waiting time? Thanks.

I actually live in Vancouver. I decided to pay though because it can end up taking 3 years and that just wasn't soon enough. I also work in an industry that moves around and I'm not even sure if I'll definitely be here in 3 years and it would be just my luck to be almost there and have to leave for work and lose my chance.

It ended up costing near $10,000 CAN. It's pricey but for me, going local proved the right choice. You can go further afield but always worth remembering that if there's complications, unless life threatening, other surgeons are highly unlikely to touch another surgeons work. However, because Canada has national health care, if a complication like haematoma occurs, the surgeon can refer you to your local hospital to have a drain installed via free healthcare. In that situation, you will have treatment for free just on referral so you won't have to worry about them not treating concerns, but if you need revisions, it's hard to get a different surgeon to get involved.

As for waiting time, I had one appointment and already had a doctor referral, a letter from therapist and was at a good weight, so I made appointment there and then. There isn't a large waiting list. I had my consult close to xmas which is a busy time and managed to get slotted in for just before the week off for xmas at my work. The only thing I can't tell you about is whether he does phone/Skype consults or not.

Also, FYI, he prefers patients to be of a good healthy weight, so if you happen to be overweight AND have a problem with people encouraging you to do something about it, then be prepared because he will suggest weight loss prior to surgery because he deals with a lot of MSP patients who get angry when results aren't perfect which is more to do with back fat issues than his actual surgery (honestly, my results are insane this early in the game so he knows what he's doing for sure), and then get angry when he suggests trying weight loss before revision surgery. So that's a heads up if that may be an issue for you. I'm going off what I've heard because this didn't happen with me but I know one guy who took his advice and lost weight first and one who didn't and the latter kicked up such a fuss after only 2 months after he put on 10lbs post surgery too, that it was just pathetic and he tried to put me off until the first guy talked to me and showed me his results and told me about his experience and that calmed me. This is worth baring in mind if you look up some reviews too.
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Toy

Hi Jack, thanks for your reply.  Your posting is very helpful.  I àm in the same boat with you.  I am not sure if I can stay for the surgery.   That's why, I may consider to pay instead of waiting.  I just send dr. Bowman an email.   Hopefully, he will reply me soon.
About the weight before the surgery, what is the perfect weight for the surgery?  I am 165cm and 164 lbs.  What is the ideal weight in my case?
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Bimmer Guy

Quote from: Toy on May 04, 2014, 10:02:54 PM
Hi Jack, thanks for your reply.  Your posting is very helpful.  I àm in the same boat with you.  I am not sure if I can stay for the surgery.   That's why, I may consider to pay instead of waiting.  I just send dr. Bowman an email.   Hopefully, he will reply me soon.
About the weight before the surgery, what is the perfect weight for the surgery?  I am 165cm and 164 lbs.  What is the ideal weight in my case?

His surgeon probably uses the BMI Index as definition for 'healthy weight":  https://www.nhlbi.nih.gov/guidelines/obesity/BMI/bmicalc.htm

I'm sure you can be over the "healthy weight" number by a certain amount before he would say he is very concerned with results.  Ask when you talk with him.


Top Surgery: 10/10/13 (Garramone)
Testosterone: 9/9/14
Hysto: 10/1/15
Stage 1 Meta: 3/2/16 (including UL, Vaginectomy, Scrotoplasty), (Crane, CA)
Stage 2 Meta: 11/11/16 Testicular implants, phallus and scrotum repositioning, v-nectomy revision.  Additional: Lipo on sides of chest. (Crane, TX)
Fistula Repair 12/21/17 (UPenn Hospital,unsuccessful)
Fistula Repair 6/7/18 (Nikolavsky, successful)
Revision: 1/11/19 Replacement of eroded testicle,  mons resection, cosmetic work on scrotum (Crane, TX)



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aleon515

My understanding, if you plan to lose weight and stay at a healthy weight (with effort) then you might be better off doing it. If you don't really plan to stay there and would just crash diet lose the weight for surgery, you are better off NOT doing this. The seesaw is worse for your health than overweight. Also your results may not look so good in when you gain the weight off.

Unless you are morbidly obese, I don't think you run into special surgery risks.
I am fortunate not to have had to deal with this. But I do know enough people to know what they do say about it.

--Jay
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Jack_M

Healthy weight isn't really BMI based, it's more to do with muscle and fat difference. If your weight is more muscular than fat then you're healthier. BMI is just a very rough model and for some people it's useless, most NFL players would be classed as overweight to obese!  In terms of top surgery it's more about how much fat you carry and expectations. If you carry fat and expect great results, it's unrealistic expectations. However, if your priority is just a flat chest so you can quit binding and wear tees care free (my personal wish) it's less of an issue. I've just heard he's more blunt if you're someone who is overweight yet looking forward to hitting the beach shirtless and not having people be able to tell you've had surgery!  Lol

But yeah, like Jay said, do NOT crash diet before surgery as that can be very dangerous and hinder recovery. It can also ruin results if you crash diet because you'd rapidly gain weight post surgery that would damage the skin. If you want to lose weight for better results (if recommended), do it if you intend to keep the weight off and do so in a safe, controlled way.  However at your height and weight, you'd probably be fine.
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aleon515

There have been guys who were obese who weren't happy with their results and wanted to sue their surgeons. I'm sure Brett recalls. :)  The chances of just coming off looking silly are going to be very high and the odds of winning even a little are totally nil. You just won't look as good, but if you are realistic in your goals, you'll be happy. (I don't know if that's considered obese, I didn't calculate it or look at the BMI.) I don't agree entirely with the BMI thing either. It's a rough guide. BTW, if there is a trans man on the NFL, I'm sure any surgeon will work on him. :)

--Jay
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