FTM (Female-to-Male) surgeries are critical procedures for transgender individuals seeking to align their physical appearance with their male gender identity. Esthetic Planet provides a platform to explore available options, surgical methods, and appropriate post-operative care for these procedures.
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SRS Female to Male
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Introduction to FTM Surgeries
FTM (Female-to-Male) surgeries are critical procedures for transgender individuals seeking to align their physical appearance with their male gender identity. Esthetic Planet provides a platform to explore available options, surgical methods, and appropriate post-operative care for these procedures.
Surgical Methods
Mastectomy
Mastectomy involves the removal of breast tissue to create a masculine chest contour. Various techniques such as double incision, peri-areolar incision, and inverted-T incision are used, depending on the chest size and aesthetic preferences.
Hysterectomy
Hysterectomy involves the removal of the uterus, ovaries, and/or fallopian tubes. This surgery is often chosen by transmasculine individuals who do not wish to retain their internal reproductive organs.
Phalloplasty
Phalloplasty is a complex surgery that creates a penis using tissue from other parts of the body, such as the forearm or thigh. This procedure may include the creation of a functional urethra and the insertion of penile and scrotal implants for enhanced aesthetics and functionality.
Metoidioplasty
Metoidioplasty uses the enlarged clitoral tissue, often increased by hormone therapy, to create a small penis. This technique allows for natural erection and usually does not require implants.
Criteria for SRS FTM
To be eligible for FTM sexual reassignment surgery (SRS), patients must meet certain criteria:
- Be at least 20 years old, with parental consent required if under 20.
- Have taken male hormones for at least one year.
- Be in good physical health (BMI under 26).
- Have lived as a man for at least one year.
- Have been mentally evaluated and deemed fit for surgery.
Hospitalization and Post-operative Care
After FTM surgery, hospitalization is often required for 5 to 14 days depending on the complexity of the procedure. Post-operative care includes medical monitoring, pain management, wound care, and psychological support. A recovery period of 3 to 6 weeks is generally recommended.
Procedure Duration
The duration of FTM surgeries varies depending on the type of surgery, ranging from 2 to 8 hours. Recovery time also varies, with hospitalization from 5 to 14 nights, and full recovery potentially taking several months.
Success Rates and Risks
FTM surgery success rates are generally high, especially with experienced surgeons. However, risks include infection, anesthesia complications, and issues with implants or urethral reconstruction. Proper preparation and rigorous medical follow-up are essential to minimize these risks.
Questions & Answers on FTM Surgeries
What is FTM Surgery?
FTM (Female-to-Male) surgery encompasses a range of gender-affirming procedures designed to help transgender men achieve a masculine physical appearance. These surgeries may include mastectomy, hysterectomy, phalloplasty, and metoidioplasty, among others.
What is a Mastectomy?
Mastectomy is the surgical removal of breast tissue to create a masculine chest. It is one of the most common FTM surgeries and can be performed using various techniques depending on the patient's chest size and desired outcome.
What is Phalloplasty?
Phalloplasty is a complex surgery that involves creating a penis using tissue from other parts of the body, such as the forearm or thigh. This surgery can include the construction of a functional urethra and the placement of penile and scrotal implants.
What is Metoidioplasty?
Metoidioplasty is a surgery that creates a small penis using the enlarged clitoral tissue, which has been increased through hormone therapy. This procedure allows for a natural erection and typically does not require implants.
What is the Recovery Time for FTM Surgeries?
Recovery time varies depending on the specific surgery. Mastectomy typically requires 2-4 weeks of recovery, while phalloplasty can require several months of healing. Following post-operative care instructions is crucial for a successful recovery.
Are FTM Surgeries Covered by Insurance?
Insurance coverage for FTM surgeries varies depending on the provider and the country. Some insurance plans cover gender-affirming surgeries, while others may only cover certain procedures. It's important to check with your insurance provider for specific coverage details.
Can You Have Sexual Sensations After FTM Surgery?
Yes, many individuals report sexual sensations after FTM surgeries like phalloplasty or metoidioplasty. Surgeons aim to preserve nerve endings to maintain sensitivity, though results can vary depending on the individual and the specific surgical technique used.
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SRS FTM - Phalloplasty ALT
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Phalloplasty ALT - Procedure Steps
Step 1: Vaginectomy, Urethral Lengthening, and Prefabrication
The first step in ALT phalloplasty involves vaginectomy, urethral lengthening, and prefabrication of the penis. This phase includes creating a new urethral opening to allow urination through the future penis. The hospital stay is about 5 nights, followed by approximately 3 weeks of on-site recovery to ensure proper healing before proceeding to the next step.
Step 2: ALT Phalloplasty and Urethral Anastomosis
The second step is the most complex, involving the creation of the phallus using a flap of skin from the thigh (ALT). During this step, the urethra is connected to the new penile structure via urethral anastomosis. This procedure requires a hospital stay of 14 nights, followed by a 6-7 week recovery period to allow complete healing and reduce the risk of complications.
Step 3: Penile Implant and Scrotoplasty
The final step involves inserting a penile implant and performing scrotoplasty to form the scrotum. This step aims to improve the functionality and aesthetic appearance of the reconstructed penis. The hospital stay is approximately 4 nights, with a recovery period of at least 2 weeks to allow proper tissue healing.
These steps constitute the standard process for ALT phalloplasty. Each phase is crucial to ensure optimal results, both functionally and aesthetically. It is important to follow medical recommendations throughout recovery to minimize the risk of complications.
- Étape 1 : vaginectomie, allongement urétral et préfabrication avec 5 nuits d'hospitalisation et vous devez rester au moins 3 semaines
- Étape 2 : Phalloplastie ALT et anastomose urétrale (connecter les urètres) avec une hospitalisation de 14 nuits et vous devez rester au moins 6-7 semaines
- Étape 3 : Implant pénien et scrotoplastie = 336 000 THB avec une hospitalisation de 4 nuits et vous devez rester au moins 2 semaines
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SRS FTM Radial Phalloplasty
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Radial Forearm Phalloplasty - Procedure Steps
Step 1: Vaginectomy, Urethral Lengthening, and Prefabrication
The first step involves vaginectomy, urethral lengthening, and penis prefabrication. This step requires a hospital stay of 5 nights, followed by at least 3 weeks of recovery to ensure proper healing before proceeding.
Step 2: Radial Forearm Phalloplasty and Urethral Anastomosis
The second step involves creating the penis using a forearm flap and connecting the urethra via urethral anastomosis. This procedure requires a hospital stay of 14 nights, followed by 6 to 7 weeks of recovery for complete healing.
Step 3: Penile Implant and Scrotoplasty
The final step involves inserting a penile implant and forming the scrotum (scrotoplasty). This step requires a hospital stay of 4 nights, with at least 2 weeks of recovery to ensure proper tissue healing.
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Mastectomy - Top surgery
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For FTM (female-to-male) patients considering mastectomy, commonly referred to as "top surgery," several options exist:
- Double Incision (DI) Mastectomy: This procedure involves making horizontal incisions under the pectoral muscles to remove breast tissue and excess skin. It's suitable for patients with larger breasts or who desire a more masculine chest contour.
- Keyhole or Periareolar Mastectomy: Ideal for patients with smaller breasts and minimal excess skin, this technique involves making a small incision around the areola to remove breast tissue. It results in minimal scarring but is less suitable for larger breasts.
- Buttonhole or Inverted-T Mastectomy: Combines aspects of DI and periareolar techniques, using a horizontal incision under the pectoral muscle and around the areola. It's beneficial for patients with moderate breast size and provides good nipple placement control.
- T-Spine or T-anchor Mastectomy: Involves creating a T-shaped incision pattern, extending horizontally under the pectoral muscle and vertically down the chest midline. This technique allows for maximal skin and tissue removal, often chosen for patients with larger breasts.
- Non-Binary or Gender-Affirming Mastectomy: Some patients may opt for techniques that preserve some breast tissue to achieve a chest appearance that aligns with their gender identity without conforming strictly to traditional male or female chest characteristics.
These options vary in terms of scarring, nipple sensation preservation, and suitability based on individual breast size and desired aesthetic outcomes. Consulting with a qualified plastic surgeon experienced in gender-affirming procedures is crucial to determine the most appropriate mastectomy approach based on personal goals and medical considerations.
Summary of Mastectomy Options for FTM Patients
- Double Incision (DI) Mastectomy: Involves horizontal incisions under the pectoral muscles for larger breasts.
- Keyhole or Periareolar Mastectomy: Small incision around the areola for minimal breast tissue and scarring.
- Buttonhole or Inverted-T Mastectomy: Combines DI and periareolar techniques for moderate breast sizes.
- T-Spine or T-anchor Mastectomy: T-shaped incision pattern for maximal tissue removal in larger breasts.
- Non-Binary or Gender-Affirming Mastectomy: Customized approach for chest appearance without strict male/female characteristics.
Consulting with an experienced plastic surgeon is essential to choose the right mastectomy approach based on individual needs and goals.
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