Quote from: AnonyMs on June 20, 2016, 10:45:27 PM

I think Suporns results do look very good, and are generally well within natal variation, but there's various giveaways that its SRS. I think if you weren't aware of those you'd never realize.

The thing that worries me about that is that despite sometimes liking penises I'm basically a lesbian. (Men don't turn me on at all.) So the scary bit is that a cis-female tends to be a bit more savvy and observant about down there, as others on here have commented previously.

Anyway I must get back to my writing.

I seen suporns vaginas and cis vaginas and well every vagina is not made equal. I know I want mines to always look small and pretty like a virgin vagina. I don't want hanging sitely hanging beef curtains


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Sorry I should have mentioned Tina that although I haven't seen Suporn's specific pasta machine I have seen other skin meshing being performed a lot using exactly those kinds of machines just linked by mmmmm. It does thin out the skin quite amazingly like, well, like pasta! I spent 3 months in a unit using skin meshing. It's pretty amazing. Although the even more amazing thing (to me) is that we're not far from artificial skin. That will revolutionise care of burns and other patients and, who knows, might become a technique in MtF GRS.

Quote from: TinaVane on June 20, 2016, 10:50:05 PM
Faints [emoji33][emoji33][emoji33][emoji33][emoji33][emoji33]
Oh my lawdy jebus
I heard this is what some Doctor do in Cali with hairline advancement to bring the hairline further in one surgery ... But eeeeekkkk


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For hairline advancement?? Dear, you probably must have confused some words... I know this technique is used for scalp reconstruction, but that has nothing to do with hairline or advancement.

Quote from: mmmmm on June 20, 2016, 10:37:53 PM
Enlighten and educate us! We are dying to know, and please dont hold yourself back, we appreciate each and every detail about that minor differences.

Assuming that wasn't facetious I'll post a link here and on the other thread I referenced about the PAI technique. As you can see it's now called peno-scrotal which I think seems to give a fair description:

<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 has graphic images of the operation with descriptions of the 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.

Mod Edit:TOS 5

I am familiar with this article from last year. Thank you for sharing nontheless, its helpful for others!

I didnt ask for that though, I personally am very familiar with technique of Dr. Preecha, as I was considering PAI for my surgery, along with Suporn and a local european surgeon. I asked for your explanation and clarification on that "minor" differences that you were mentioning.

Errr, isn't it obvious from that? Both PAI and Suporn use scrotal graft (or in the case of PAI sometimes colon graft). In PAI's example that's a case-by-case approach depending on penis length and circumcisions. Suporn uses mesh grafting i.e. he thins out the scrotal tissue. The differences in practice are relatively minor. I think sometimes people analyse a place like PAI on 40 year old data. All Thai surgeons revise their techniques. I'm sure Suporn has had an impact on the others just as PAI has for so many years.

  Tread unlocked. Ladies, remember TOS 5 forbids nudity. 

Quote from: Richenda on June 21, 2016, 06:22:34 PM
Errr, isn't it obvious from that?

Apparently not! If you take time to actually look at it, and compare the both techniques, you will actually find out that these are very different techniques. There are some obvious common aspects that basically every SRS technique shares (like using penile skin and using scrotal skin and using glans for clitoris). But apart from most basic common aspects, these two techniques are about as different as they get. PAI technique is very similar to North American and European techniques, from flap arrangement for labia minora and majora, for scrotal flap for lower vaginal introitus, to prepuce M incision (check some european surgeons who do exactly the same incision for prepuce flap), to urethral flap use in clitoral and inner labial area, to scrotal flap excision for actual vaginal lining graft, etc... You could almost say that Dr. Bowers and Brassard and Mcginn, and about at least 20 european surgeons, are doing the same technique as PAI, but they are in fact each doing their own techniques, with not just minor differences, but quite many major differences, although it might seem as they all arrange flaps in similar way. Quite different to all that modern penile-inversion techniques, are non-penile inversion. You could say that Dr. Chettawut and ten other Thai surgeons are doing exactly the same technique as Dr. Suporn. Even though they adopted some main ideas after Dr. Suporns technique, they each developed their own technique, and differences even between Chettawut and Suporn who are probably doing most similar thing, are far from minor. The devil is in the detail. And thats where they are very different.
Not that it has to matter to you. You believe whatever you like to believe! Im just saying it for the people who actually care about how their pussy will look like, and which "minor" differences make most sense for what their anatomy in relation to their expectations and preferences.

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.

p.s.mmmm they aren't very different at all in practice, neither here in Thailand nor nowadays in the west, but you have your view to which you're welcome. The devil is NOT in the detail because no two patients are alike: no two penises are alike and nor are any two cis vaginas. I will discuss it no further. I can't see much point going round and round in circles with the same six people who ever post on here.