It could prob be the Kegle/pelvic muscle that may have caused the problem.  What they do is make cuts into the muscle to make the girth wider.  I would talk to Dr. Harold Reed.  He did a very good job on my revision and I also had alot of irritation and very hard to dilate after the 2nd month post op..IMO Dr Reed is the best in revisionary work.  His website is SRSMiami.com  He has an ambulatory OR on site, which is much better than any hospital's OR i have ever seen, and Ive been in alot of OR's.   This guy know what hes doin.

Dàwkbua, If you are still there I want you to know I also had Suporn as my surgeon and face the same problems as you are. I am happy with my aesthetic and sensation but like you my depth wouldn't keep despite my efforts to dilate as recommended.  I had granulation and very powerful contractions probably due to my young age, and had to take 2 Vicodin just to stomach a dilation session. I dilated longer, and more vigorously than recommended and yet I still continued losing width and depth. After about the 7th panic attack since I got home (about the third month in) I had to stop for my own mental sanity (and my poor boyfriend's), and within a weeks it had sealed up completely. I don't believe any amount of stretching will help at this point and have accepted that I either will not have penetration or will need a colon transplant revision.

I was also blamed for not doing my sessions right, and wonder if I made the right surgeon choice looking back. I still think my priority is sensation and appearance, which Suporn was best at, but I believe he misrepresents his depth and doesn't stress how crucial and problematic dilation is with his skin graft technique until AFTER its over. I think we owe it to the community to get the word out that his surgery can lead to this kind of outcome for some of his patients.

Please describe granulation?

http://en.wikipedia.org/wiki/Granulation_tissue

Phew. Some of that reading is difficult, but I understand.
Thanks!

Quote from: 999 on November 10, 2010, 08:16:56 AM

I don't believe any amount of stretching will help at this point and have accepted that I either will not have penetration or will need a colon transplant revision.

Dear 999,

I must say I really feel for you and understand how frustrated you are. However, please consider less radical solutions before trying the colon graft. That also has its own issues in the long run. To me it sounds like scarification but it could have something to do with muscles as Michelle mentioned.

You should try contacting Dr. Suporn, if he is not willing to offer you a satisfactory solution, then you can consider visiting a local surgeon or another Thai surgeon to give you a revision.

I heard of another girl going through similar issues from a friend of mine who is a Suporn patient. It is easy for those who got good results to parade about their surgeons (not doubting their positive experience), yet there is always another side to the coin. I think more girls need to come forward and enlighten those who are having complications so they can be helped.

I wish you lots of healing.

Love.

This made me realize that i haven't dilated in a week now...stupid holidays.

And...yeah it was tough. For me it was about the second month that i remember laying down and doing my dilation when it REALLY started to tighten up and hurt like hell. I refused to use pain killers so i just dealt with screaming into my pillow, i remember one time i almost cried while pushing it in. I was thinking...geez why did i do this to myself, is it all worth it now?

Dilating is not something to be cavalier about.  It requires dedication and perseverance.  I had my srs june 09 with brassard. I took three months off of work and it literally seemed that all i did was dilate  For awhile like 3-4 months post op i thought I lost close to an inch, but being dilligent I reached my original depth.  I think also the swelling subsiding helped make it easier.  A friend of mine turned me onto the idea of the plastic applicators filled with lube, that helped immensely, as well as having the dilator in a hot glass of water.  The warmth helps relax the muscle and with the lube applicator dilating is alot easier. 

Now I dilate about once a week, with orignal depth and the number 4 dilator.   Sounds like Suporns aftercare is pretty tough.  My dilation sessions were at max a 5 out of 10 painwise during the first month or so, but thereafter hardly any pain, more discomfort than anything.  I wish the op best of luck.

So i didnt dilate for a week..when i started last night it was really really tough and i thought i had lost an inch. But then after grinding my teeth i finally made it in to my original depth. This is after over a year after  my SRS. are we doomed to do this forever?

Quote from: KillBelle on December 27, 2010, 04:29:18 PM
are we doomed to do this forever?

Seems so.  Dilating is gonna be a blast when we are 80!   

Firstly: If you are a Suporn patient and you require a revision, for whatever reason, it is FREE OF CHARGE. This is an important thing to note. No other surgeon does this.
If you require a revision, you should always go to the surgeon who performed the original op (be it Brassard, Bowers, Kunaporn, Suporn, McGinn), as they are the most familiar with the technique used.

One of the most important things to remember about dilation is to relax. If you go into your dilation sessions with an attitude of 'Oh god this will hurt' or 'This effing sucks balls and I hate it' then you're going to be tense and it will be difficult to dilate. If you rely on drugs to get you through dilation, you will be exacerbating this and reinforcing you mindset that dilation is horrible.

I'm a Suporn patient and I'm in month 2. I've lost no depth (I managed to get back the 1/2 inch I thought I'd lost on the plane trip home). My current schedule is three times a day, 15 min per session. It's important to try and reach depth, then do dynamic dilation ('stiring the pot') for at least 5 min. The constitutes a quality session. Reaching depth and holding the dilator there isn't going to anything; you're trying to work against the contraction of scar tissue, which won't work if you don't do dynamic.
You should also be moving up to the Large dilator in the second month. I've managed to do this successfully and it doesn't cause any undue pain or bleeding.

To be quite frank, 90% of the patients who have problems don't listen to the surgeon and do not dilate correctly. The other 10% have biological issues that cannot be accounted for prior to surgery, and would have problems no matter which surgeon they went to.

I never did the large dilator...is this bad? Ive been on "M" for the entire year.

Quote from: KillBelle on December 28, 2010, 01:18:08 AM
I never did the large dilator...is this bad? Ive been on "M" for the entire year.

If you'd listened to Suporn and his staff, especially during the Post-op Aftercare class, you'd have been told when to move up to the large dilator. Which of the clinic girls took you for your Aftercare class?
Also, the 'Post-op Care' manual that you were given details everything you need to know about dilation - the part about the large dilator is right before the '3 Golden Rules of Dilation' section.

Quote from: Babz on December 28, 2010, 04:44:39 AM
HI Vexing, Thanks for those  sound words It ~Is generaly true that people and I dont mean this In a horrible way we dont always read or listen to people properly. You have put my mind at rest. There Is an old saying In my profession that I have now retired from Is RTFQ = 1/2 TBA     Read The Fu..ken Question =Half The BL--dy Answer I hope I have not offended anybody by this .

Babz

Yup, we have a similar saying; RTFM - Read The Fracking Manual.

There are inconsistancies between the manual and what is told by the clinic staff (the manual I had anyway). But generally it is a very informative guide.
We each need to find what works best to fit dilation into our lifestyles, but the priority is to get those "Quality" dilation sessions.
I know of some girls who couldnt cope with the dilation and didnt care if they lost depth. Very easy thing to think at the time but bound to be full of regrets later on.
As they say it is not a quality dilation unless you make it hurt.
My regime consisted of two sessions a day and like Melan I extended the time of quality dilation than what was recommended. At 5 months post I was down to once a day spending 15min on medium and 15 min on large. One thing Ive always done is keep constant pressure on while dilating.
Im still tight at the vaginal entrance but I guess this will go after time.

My heart goes out to the girls that have followed everything to the letter. That really sucks that your having problems and I hope everything works out. To the girls who brought this on themselves thru inaction you cant really expect any sympathy. Harsh but oh well.

Quote from: KillBelle on December 27, 2010, 04:38:33 AM
And...yeah it was tough. For me it was about the second month that i remember laying down and doing my dilation when it REALLY started to tighten up and hurt like hell. I refused to use pain killers so i just dealt with screaming into my pillow, i remember one time i almost cried while pushing it in. I was thinking...geez why did i do this to myself, is it all worth it now?

Because of contraction around my vaginal opening I lost the use of the large dilator at just over 4 months post-op. I persisted however with the next smaller size, maintained all my depth and even gained nearly an extra centimetre, and now in the last week or so I've discovered that I can actually go back to Mr. Big again with little or no problems after almost 2 months. Merry Christmas to me, huh? The skin has softened and stretched back again so now it's easy-peasy. But I originally had to stop using the larger dilator because the pain became unbearable and I literally couldn't force it in any longer (no pun intended lol). I had plenty of tears but persistence paid off, and now at 6 months+ I only need to dilate once a day, I can use my larger dilator again, and I still have good depth.

To me now, dilation has become almost like a security blanket, a time of meditation and quiet reflection. I often extend my daily session longer than Dr. McGinn's recommended half hour, and even after 6 months of it I actually look forward to that time every day. It is a constant reminder to me, not of my past, but of how absolutely wonderful it is to be where I am now, completed. I hope I never lose that thankfulness I feel.

He's strong and hard, and I am soft and wet; he pushes and I submit; he takes my very breath, and I can only sigh.

He's large and I am so small; he enters me and I feel him deeply;  he penetrates me and I relax and yield, opening myself fully to him.

And as we lie there moving together, This symbol of my eternal commitment and I,  he reminds me I am whole ~ so even when it hurts, I smile.

Speaking of my dilator, of course

That's so hot Chloe.  Thank you for the words.   Smiling..... umm... I need to go.. dilate ... now

*huggs*,
Melan

I love it !!!!! I'm so happy for you Chloe.....MERRY XMAS MAMA ;')))

That's really inspiring Chloe