Hi Ruby, I hope you're doing better with pain. I just wanted to say thanks again for sharing your experience. It was very helpful. Sorry it took me so long to update. I had lost track of my login information and was very busy. I finally made a thread with my experience if you are interested.

Hi, I saw your thread and will post on it.

For me, I've been busy using every bit of my ever increasing energy. However, it's been rough for a few reasons. I mentioned before I had a tear underneath my introitus, more precisely where the labia minora meet underneath it. I think it has to do with Dr. Satterwhite's specific technique, which is different from other surgeons who do penile inversion. There are a lot of sutures in that area, and according to the doc, it's an area where the tissue is weakest. The little tear became quite big and scary. In fact I could see my purple dilator through it! I talked to Dr. Satterwhite about it and apparently it happens to 50% of his patients and not a serious issue. I was conflicted in my head as to whether it's an acceptable complication. Dr. Satterwhite is a very calm person and seem nonchalant and confident that it would heal once my body can make enough collagen to heal the area. I trusted him and as it turns out, he was right. It's been a few weeks and it's closing up fast. If anyone here has the same issue, don't worry and listen to the good doc's advice. I've heard this happen to at least two of Dr. Bower's patients too. Don't worry folks, these things will heal (but talk to your doc of course).

    As for my clitoral hood, bad news on that sorry to say. A significant part of the hood died and fell off. There is still enough hooding to cover it from the sides, but it doesn't look amazing like it did in the beginning. Half of it survived, but mostly on one side. I don't know what's going on with it to be honest. I'll ask him when I see him next month. I think the problem was that I was circumcised. Had the skin been foreskin, it would have survived, but it looked like it was from the shaft under the head, not the prepuce. Alas much of it is gone 🙁 I'll probably need a revision to fix the hood. Seems like my body really doesn't like surgery (had some complications with my ffs too).

   That was a few weeks ago. The rest has healed up significantly and it's beginning to look normal. Six weeks is a long time to go without stimulation down there so slowly I've starting experimenting. I'm struggling to relearn how to use the new equipment. It's too early. My clit is still healing, it's really hard. The doc says it'll take a bit before it softens. Anyone else have that experience? So far, I've been able to get maybe 60% of the way to an orgasm. It's so frustrating that I'm just going to lay off for a few months. Never again are the days of easily being able to rub one out haha I'm skeptical too when I read about post op orgasms being better than before. I'll believe it when I feel it. There was one spot under my genitalia of yore, the frenulum I believe, that may have gone on a permanent vacation. Without it (it might be somewhere hidden), I don't know if my post op O's will compare well to pre op ones. I hear Thai surgeons like Suporn and Chettawut use that. If my orgasms aren't the same without it, I might come to regret not taking a flight out there.

We shall see. Hopefully my next post will be my "OMG, I just had my first O" 😉 Oh and some good news is that I get pretty wet when I'm aroused. Didn't expect that at all. Guess it's because my urethra is close to my clit and I always had a lot of precum before the op. Now I have enough natural lube just from that to get busy, sans penetration of course 

- Ruby

Hi Ruby, thanks for the detailed update! I was wondering what Satterwhite does about the fourchette (where lips come together under the inroitus). I think Suporn creates the fourchette in a secondary revision, maybe to prevent the complication you had? I'm glad to hear Satterwhite does do it tho. I wonder if dilation stresses the area, potentially leading to that complication? In any case, so relieved to hear it cleared up for you. I suppose some necrosis is gonna happen..I was in Raleigh NC a few weeks ago and saw Shakina Nayfack's 'Manifest Pussy" show/musical/monologue...she talks about her clit hood having necrosis, she went to Suporn. You have quite a command with  anatomical parts! I had to look up frenulum! Do you think it wasn't used by Satterwhite? seems like good tissue...apparently that's what the fourchette is considered on female genitalia. As I've written before, I have Kaiser insurance so I'm hoping to use it for SRS but Suporn has always been my ultimate first choice. I was excited to learn from your posts that the differences in techniques between inversion and grafting are sort of becoming more hybrid-ized (?), but I'm still on the fence about what to do. The other factor is i'm pretty old, 51, and maybe I don't really need a rolls royce vag, maybe a cadillac might be ok for this old lady? who knows, it sure would be nice to be able to use my insurance for something tho.

Quote from: allie0365 on July 01, 2016, 12:56:18 AM
Hi Ruby, thanks for the detailed update! I was wondering what Satterwhite does about the fourchette (where lips come together under the inroitus). I think Suporn creates the fourchette in a secondary revision, maybe to prevent the complication you had? I'm glad to hear Satterwhite does do it tho. I wonder if dilation stresses the area, potentially leading to that complication? In any case, so relieved to hear it cleared up for you. I suppose some necrosis is gonna happen..I was in Raleigh NC a few weeks ago and saw Shakina Nayfack's 'Manifest Pussy" show/musical/monologue...she talks about her clit hood having necrosis, she went to Suporn. You have quite a command with  anatomical parts! I had to look up frenulum! Do you think it wasn't used by Satterwhite? seems like good tissue...apparently that's what the fourchette is considered on female genitalia. As I've written before, I have Kaiser insurance so I'm hoping to use it for SRS but Suporn has always been my ultimate first choice. I was excited to learn from your posts that the differences in techniques between inversion and grafting are sort of becoming more hybrid-ized (?), but I'm still on the fence about what to do. The other factor is i'm pretty old, 51, and maybe I don't really need a rolls royce vag, maybe a cadillac might be ok for this old lady? who knows, it sure would be nice to be able to use my insurance for something tho.

    Of course, I tried to be as detailed as I can, even when it doesn't always flatter the surgeon or when it makes me sad to report complications. It's about being honest and critical, especially not overly praising a newer surgeon like Dr. Satterwhite who I really like a lot. For being newer, he's amazing and is only getting better with more experience I imagine. I guess he saw the penile inversion technique with new eyes and brought a different set of techniques, especially with using more of the penile skin for the labia minora, including the fourchette.

   The tear is closing up very fast now and is definitely caused by dilating. Not only is it a logical explanation, but the surgeon said it would have closed up already if I didn't have to dilate. The perineum skin is really thin and it's no wonder that Dr. Suporn chooses to wait for the revision to create it. Is it worth doing it during the initial surgery? I'll find out if it closes up without causing a major scar. Some of the results on my docs website have a red area underneath, I'm guessing it won't be perfect afterwards. If that's the case, that's another reason why Suporn's technique in the end produces the best results aesthetically with minimal scarring. But I have the fourchette now, and it's actually one of the more sensitive parts of my vulva

    Even though I'm a perfectionist, and I'll probably want a revision, the results are already good. What's left of the clit hood can be used in a revision, and besides that, it is still hooded. My clit is still really hard and apparently it will soften and get smaller and be better covered (says the doc). For me, I'm just a very sensitive person (before the surgery) and I might need the extra coverage to climax. It makes me feel better though to hear even some of Dr. Suporn's patients have some necrosis of the hood. Alas, death is a part of life

   Good luck with your decision.  I hope your consult with Dr. Satterwhite goes well.

Oh and you're 51? No way...I thought you were in your mid 30s maybe. Girl you better get a Rolls Royce vagina commensurate to your beautiful Rolls Royce visage (haha don't mean to be awkwardly off with my sense of humor).

- Ruby

   

Hey Ruby, I'm really sorry to hear that you're having a rough time. Your complication sound really really scary. I wonder what he will say, and if there's a way to recover from that. I'm sure once you're more healed that orgasm and masturbating will be much easier . I look forward to your omg first O post! haha. Thank you for sharing all of this information with us though. I think it's very important. I am really looking forward to hearing more from you.

I'm curious what your pain level is at this point...especially with sitting.

Hey Ya'll,

     Haven't been on here in a while so I'd thought I put up a quick post since Sadieblake is possibly looking to have surgery with Dr. Satterwhite. Just had my 5 month post op appointment. Looks like I'll be having a cosmetic/functional revision. It's not that the doc didn't do a good job - he did - it's that every time I have a surgery, something always seems to go wrong. It's not terribly serious, it's that my clit hood needs to be revised because it fused or something. Now it's uncomfortably tight. Also, there is a lot of extra labia majora, so the doc is going to use it to make more prominent labia minora, which I'm very happy about. As I healed, the previous labia minora shrank a lot. There is some extra urethra tissue as well that might be excised. Finally, my forchette also fused, making penetration painful (but also kind of pleasurable haha. I'll explain below).

   On that last issue about the forchette, some interesting news. It's extremely sensitive and actually can give me an orgasm. I had my first one 2 weeks ago. I was worried sick that I'd never have one again. I was even regretting surgery and started to get depression. Then I discovered that my forchette had the same sensitivity as the underside of my old equipement (the same as the spot right below the glans on the underside - an area that was my O-spot before surgery). Combined with the clit, which is very sensitive and the new equipment works. It feels different. Instead of being intense immediately, the intensity builds until you begin climax and then it feels like a very prolonged orgasm. Once I figured out how to do it, I was able to have a super long orgasm (or maybe I was having multiple orgasms). I don't get the same sensitivity afterwards so I can keep going 🙂 Is it better than before? I don't want to compare. I've heard too much hyperbole on the boards. It's different and since there is no dysphoria associated with it, it's much more emotionally satisfying.

   I could probably go more in-depth. I find the differences between male and female orgasms fascinating 🙂 But one thing is for sure; at least for me, it's no where near as easy to achieve.

- Ruby

Hi Ruby!

You have posted so much great info about your surgery with Dr. Satterwhite. I am scheduled for surgery with him in May 2017. Are you still healing well and happy you chose him as a surgeon?

Hi Camrynosu,

     Yeah I'm happy I chose him. With every single surgery I've had, I've had some kind of complication so I'm unlucky. I did have some issues this time but it had to do with how my body healed. My forchette and clitoral hood fused, and I have some extra skin for my labia majora. Honestly though, it looks pretty cis looking, and it's very sensitive. In fact, I have an incredible amount of sensation in the forchette area, which basically feels like the underside of my old junk. I have a good amount of labia minora too. The scars are practically invisible and close to the groin area. 

     Dr. Satterwhite wanted me to have a perfect vagina (his words) so he scheduled me for a labiaplasty to use the extra labia majora to create more labia minora and revise everything. What can I say, I'm a perfectionist.

     Of all the surgeons I've gone to, he's the most humble and caring. Anytime I've ever had a question, I emailed him directly and he got back to me within a day. I have zero bad things to say about him. His office staff, however, are overwhelmed as you might know. Nevertheless, I highly recommend him. Message me when after you've got your 15 posts if you have more questions, if you want to chat, or just need support in any way

- Ruby

Hi Ruby,

Thanks for replying! I am so happy to hear all the nice things you have to say about Dr. Satterwhite, really makes me reassured that I made the right decision in choosing him! That's awesome that he said he wants you to have the perfect vagina. I, like you, am a perfectionist as well so I totally understand the need and want for the revision!

I'm sorry to hear you've been unlucky with complications for all your surgeries! Are you planning on having any others besides the labiaplasty?

And thank-you for the kind words and support, I will definitely be messaging you once I reach my 15 posts haha 🙂

Quote from: RubyAliza on December 16, 2016, 07:09:43 PM
Hi Camrynosu,

     Yeah I'm happy I chose him. With every single surgery I've had, I've had some kind of complication so I'm unlucky. I did have some issues this time but it had to do with how my body healed. My forchette and clitoral hood fused, and I have some extra skin for my labia majora. Honestly though, it looks pretty cis looking, and it's very sensitive. In fact, I have an incredible amount of sensation in the forchette area, which basically feels like the underside of my old junk. I have a good amount of labia minora too. The scars are practically invisible and close to the groin area. 

     Dr. Satterwhite wanted me to have a perfect vagina (his words) so he scheduled me for a labiaplasty to use the extra labia majora to create more labia minora and revise everything. What can I say, I'm a perfectionist.

     Of all the surgeons I've gone to, he's the most humble and caring. Anytime I've ever had a question, I emailed him directly and he got back to me within a day. I have zero bad things to say about him. His office staff, however, are overwhelmed as you might know. Nevertheless, I highly recommend him. Message me when after you've got your 15 posts if you have more questions, if you want to chat, or just need support in any way

- Ruby

My spouse is considering Dr Satterwhite, but we don't have insurance. If you don't mind me asking, what was the price range for vaginoplasty with Dr Satterwhite? He seems like a really good doctor, but I can't find any info on prices. I wish our insurance covered this procedure.

Hi Marctravis,

     I had my insurance pay for it so I can't say the exact price. I know the surgeon's fee but I don't know how much everything would cost with anesthesia, hospital stay, etc. I don't see how it would be any more expensive then Dr. Bowers, who is also in the Bay Area. At this point Dr. Satterwhite has the most experience in the Bay Area aside from Bowers though. His wait time has gone up though - it's already in 2018. The new surgeon, Dr. Wittenberg, should be a fantastic surgeon as well though, with a shorter wait time. You might want to inquire about her at the office. There is one new detail though that everyone should know - Kaiser no longer does new referrals to him at this point.

  Quick update from my revision/labiaplasty. I had it done last Friday. It took 3 hours! Combined with the first surgery and it totals 9 hours haha (first one was 5 1/2 hours). He really took his time and it shows. The suture job was incredible. A week out and they've healed up, are completely flat, and already fading. I remember first seeing my revised vagina and thinking, "wow, that looks different!"

   The labia majora is nice and tight now, and he used all of the extra labia majora to create completely realistic labia minor. I had a chance to see it before the swelling fully kicked in and they are the absolutely perfect size, not too small, not too large, symmetrical, and sensitive.  They go down and around the introitus. Also, the clitoral hood has been redone. Since the scar tissue has been removed, and since there is a hood that I can use to stimulate the clitoris indirectly right on top of it, it all feels more sensitive.

   I highly suggest getting a labiaplasty or a revision if you aren't fully happy after the first surgery. It still needs time to heal. I'll post final impressions in a few months. Overall, I'm very satisfied.

- Ruby

Thanks for the reply Ruby. I'm glad you're pleased with your surgery. My spouse and I live in Louisiana, so no doctors down here. We've been trying to research the best doctors around the country. Your story really struck a chord with us and was beautifully written. My spouse came out as trans last summer and she is in a real hurry to get her surgery done. We don't have insurance coverage for this procedure. So, I'm trying to make sure she gets the best surgery available, but with a mind towards keeping costs down. The end result though, matters more than the cost. Thanks again for your response and I hope everything continues to go well with you.

I see, I'm glad I can help 🙂 You're a wonderful significant other, so supportive and sweet! Best wishes for you and your spouse. Feel free to message me on here if you have any further questions.

- Ruby

Oh is there anymore information about Satterwhite? I'm having him in a couple days. Also, how is it now Ruby? Thanks!

I talked to Ruby a few months ago, she's very happy and doing well.

I am having surgery with Dr Satterwhite in mid March 2019   (less then 2 months ), I was wondering if there was anyone who has gone to him since he opened his new offices in San Francisco and used the recovery center ( forgot the name ) I was told  there will be 2 nurses on hand assigned to me there  24/7  ...Anyone ?