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Male to Female Sex Change Information, Pictures, Photos Before/After |
| What is the
Sex Change Surgery?
Sex change surgery refers
to the administration of surgery to change the
sex appearance according to one’s sex identity.
There are two kinds of surgery. |
Genital surgical sex reassignment: surgery of the
genitalia and/or breasts performed for the purpose
of altering the morphology in order to approximate
the physical appearance of the genetically other
sex. Non genital surgical sex reassignment: any
and all other surgical procedures of non-genitalia
or non-breast, conducted for the purpose of effecting
a more masculine appearance in a genetic female
or for the purpose of effecting more feminine appearance
in a genetic male.
Before and after surgery about nose refinement(
10 days later surgery.)As a former step of SRS,
there is a hormonal sex reassignment, which is the
administration of androgen to genotype females,
and administration of estrogen and/or progesterone
to genotype males, for the purpose of effecting
somatic changes in order for the patient to more
closely approximate the physical appearance of the
other sex.
When is SRS performed?
The time that people start feeling of belonging
to the opposite sex is 2-3 years of age. According
to the outcome of many researches, early treatment
would prevent unnecessary sufferings. Physical
outcome of an early treatment can be expected
to be more satisfactory by comparison with starting
later, especially MFs (male to female). This is
an enormous and lifelong advantage instead of
having to live with a deep voice and other scar.
Thus, the earlier the SRS is performed, the easier
transsexuals can adjust themselves according to
their sex identity, and they can avoid the confusion
about themselves. But SRS is usually performed
at the age of 18-21. There are two reasons for
this long delay. First, most children with gender
identity disorder will not grow up to become transsexuals.
Second, adolescents in many countries are still
legally dependent on the consent of their parents
when deciding on medical treatment.
How does transsexuals feel after SRS?
On the whole, most of the transsexuals who have
performed SRS were satisfied with sex change itself.
Nevertheless, many of them were dissatisfied with
the way their new physical Appearance. The reason
for dissatisfaction is first, MFs have to do with
retention of bodily features and aspects of the
overall appearance that could not be changed completely
by either surgery or hormonal manipulation. For
example, remains of the beard, large feet and
hands, quality of the voice, and persistence of
Adam’s apple. Social pressure on woman to pay
more attention to their appearance is also one
of the reason. FM transsexuals are usually dissatisfied
with their new genitals. But, the most important
thing is that they could live in the new gender
role feeling that their identity is fitting to
themselves. They have more comfortable relationship
with other people around their environment.
The procedure, technique and result
1.“Penile inversion technique”vaginoplasty
(not good candidate for a case more than 200 lbs.
and need more depth)
Surgeon uses the "Penile Inversion Vaginoplasty"
technique which turns the penile skin "inside
out" and uses it to line a vaginal cavity.
The penis and testes are removed. A pure penile
inversion limits the size of the vagina that can
be created depends on the amount of penile skin
available,also the vaginal depth is to depend
on penile skin on the resting state not from your
erectile state.This technique is called SRS with
penile inversion vaginoplasty. You should know
the depth hase been gained from your penile skin
but not from your whole shaft of penis in resting
stage not from your erectile stage.This technique
will gain fast recovery and better healing.
2."Scrotal Graft Technique"
Vaginoplasty
Some patient's penile tissue limit
because the length of penis or the Peno - scrotal
junction stays in high position, which will limit
the vaginal lining or meaning that vaginal depth
is limited.The surgeon will use "Scrotal
Graft Technique" combination with penile
skin to form the vaginal lining to create the
new vaginal depth or new vagina, which is a better
technique compared to the penile inversion technique.You
will get the depth of your new vagina between
5-7 inches owning to your body structure.
This is better choice for the case who have limit
penile skin but they have more scrotal sac tissue
to use.
Most surgeons currently prefer Scrotal skin graft
much more than penile inversion and colon graft.
3."Sigmoid Colon-Vaginoplasty Technique"
Vaginoplasty( it is not good case for weight over
200 lbs and larger abdomen.)
You will have two choices to do this surgery about
delayed or immediate “ Sigmoid Colon-Vaginoplasty
Technique” .Or in case of your penile skin is
very short and small amount of your scrotal tissue
and refuse to get other skin for grafting to line
in your vaginal canal or limited in occasionally
rare for some cases with healthy and body weight
not over 200 lbs with stopping smoking at least
2 weeks before surgery or non smoking person with
flat tummy may need to perform "Sigmoid Colon-Vaginoplasty"
do in one stage( Immediate) . In some cases that
it will be not appropriate cases to do this procedure
,they have been done by this technique in second
step after 6 months(delayed technique) such as
the case is not bigger tummy , the weight is over
than 200 not more than 225 lbs or maybe need to
do this surgery later after 6 months.
In the delayed type,it is better for some cases
that have ever done before SRS c Penile inversion
or Scrotal skin graft with vaginal shrinkage by
the time or for some reason that and need to gain
more depth with natural lubricant or they ever
had overweight and can not do immediately but
they will do later.
All of the cases ,I will construct
the labia majora , sensated Labia minora, clitoral
hood and sensated clitoris in the meantime.
The surgeon also constructs labia majora and labia
minora by using some part of your scrotal and
sensated prepuce to create this part of female
appearance.I don’t use the delayed type for this
procedure.You will gain natural labia major and
minora on this occasion.The surgeon constructs
a clitoris by retaining a small section of the
glans penis with its blood supply and nerves intact,
and position this into an appropriate site above
the urethral meatus. Since the nerves of glans
in phenotypic male are analogous to the nerves
of the clitoris in a female which patients can
have feeling of erotic sensation like naturally
– born female and maybe having this arousement
sensation to reach orgasm in some case but I can
not guarantee that in all of the cases,this is
the special sense.
|
| Hair Transplant |
| Less than 1,000 Grafts |
2,500
USD (opd) |
| Vagina |
| Posterior repair |
3,000
USD (1d) |
| Sigmoid colon cut vaginoplasty ( post sexchange surgery with stricture urethra for more depth) |
7,000
USD (4d) |
| Reduction labioplasty |
1,500
USD (opd) |
| Lip and Rhinoplasty |
| Hair (or cleft) lip surgery |
2,500
USD (opd) |
| Palate repair |
2,500
USD (1d) |
| Thining lip |
1,500
USD (opd) |
| Rhinoplasty c implant and nasal bone shaving |
2,500
USD (opd) |
| Wrinkle Correction |
| Botox : Crow's feet, fore
head and gabella line at the one bottle |
650
USD |
| Restylene injection |
650 USD/syryrnge |
| Perlane injection |
650 USD/syryrnge |
| Nose (opd) |
| Augmented Rhinoplasty S shaving |
1,200
USD (opd) |
| Augmented Rhinoplasty C shaving |
shaving 2,500 USD
(opd) |
| Alaplasty |
1,200
USD (opd) |
| Hump correction |
2,500
USD (opd) |
| Rhino shaving or reconstruction |
2,500
USD (opd) |
| Face |
| Face lift surgery (cheek bone area lift, cheek area lift, lateral side of jowl and neck lift) |
4,000
USD (1d) |
| Fore headlift or Brow lift by endoscopy |
3,500USD (opd) |
| Mid face lift (1 night stay) |
3,500
USD (opd) |
| Neck lift |
2,500 USD (Outpatient) |
| Chin |
| Augmented chin |
2,500
USD (opd) |
| Sliding chin (Bone Sliding
of jaw) |
3,000
USD (1d) |
| Eyelid Surgery |
| Double eyelid fold |
1,200
USD (opd) |
| Upper blepharoplasty |
1,200
USD (opd) |
| Lower blepharoplasty |
1,200
USD (opd) |
| Breast Surgery |
| Breast enlargement |
2,600
USD |
| Breast reduction |
4,500
USD (1d) |
| Breast uplift |
4,000
USD (1d) |
| Abdomen (tummy tuck) |
| Abdominal lipectomy ( Abdominoplasty
or Tummy tuck surgery ) |
4,000
USD (3d) |
| Ear |
| Protuding ear |
2,500
USD (opd) |
| Mandible (Jaw surgery) |
| Angle resection |
3,000
USD (1 night stay in hospital) |
| Botox injection for making
jaw muscle smile on both side |
650
USD |
| Liposuction |
| First point |
1,600
USD(opd) |
| Next point |
500
USD(opd) |
| Sex Reassignment Surgery |
| Scrotal Skin Graft Vaginoplasty
|
6,500
USD (4D) |
| Colon cut Vaginoplasty |
8,500 USD (4D) |
| Buttock or Hip Enlargement |
4,000 USD |
| Sigmoid colon cut Vaginoplasty |
7,000
USD
(4 days stay in hospital) |
| Cheek |
| Cheek dimple |
1,500
USD (opd) |
| Cheek bone implant |
3,000
USD (opd) |
| Cheek bone reduction |
3,500 USD (1 night stay in hospital) |
| Adam's Apple |
| Reshaving |
1,500
USD (opd) |
NOTICE
If you have sent Dr Pichet an e-mail but have not heard back from him in 48 hours, it could be that the file is too big or an error occured during the time you sent it. Please re-send it or use another e-mail account. You can also contact Dr Pichet at +668 1933 1010
Thank you,
Dr Pichet |
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| E-mail : pichet@bangkokplasticsurgery.com |
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