MTF (Male-to-Female) surgeries are crucial surgical interventions for transgender individuals seeking to align their physical appearance with their gender identity. These procedures allow them to achieve a more congruent and authentic expression of themselves. If you are considering MTF surgery abroad, Esthetic Planet provides a platform for exploring available options, surgical methods employed, renowned countries for these procedures, and proper post-operative care. We aim to equip you with essential information to make informed decisions and support you throughout your transition journey.
SRS Male To Female details
SRS Male To Female
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Surgical Methods
MTF (Male-to-Female) surgeries are surgical procedures that help transgender individuals achieve their gender transition. Common surgical methods include:
Penile inversion
The penis is reversed into a Neo-vagina. The scrotum is associated to reconstruct the lips of the neo-vagina
Penile inversion with sigmoid colon
The penile inversion technique is associated with a sigmoid colon transplant in order to obtain optimal vaginal depth
Penile-peritoneal vaginoplasty
the inversion of the penis with sigmoid colon is combined with traction of the peritoneum through the neo-vaginal canal by the laparoscopic method
Selection criteria for SRS MTF
Current criteria for female-to-male sex reassignment surgery (SRS) (Particularly in Thailand)
1. The patient must be at least 20 years old. For those under 20, it is necessary that the legal parents or guardian authorize their permission for the surgery.
2. The patient must have taken male hormones continuously for at least one year.
3. The patient must have had masculine feelings for a long time or since earliest memories.
4. The patient must have led a man's life for at least 1 year.
5. The patient should feel disgusted with his sexual organ as if it were an excessive part of the body.
6. The patient underwent a mental test and was certified by a psychiatrist to be in a normal mental state and suitable for sex reassignment surgery.
7. The patient must be in good physical condition (BMI less than 26).
Systematic general Anesthesia and hospitalisation of 4 to 8 days
Hospitalization and post-operative care
After MTF surgery, hospitalization is generally required to ensure adequate medical follow-up and safe recovery. Post-operative care may include:
- Regular medical supervision
- Administration of medication for pain and infection prevention
- Wound care and dressings
- Psychological follow-up and emotional support
In general, hospitalization is about 6 to 8 days, and the recovery time required in the country is 25 to 30 days.
Duration of the InterventionThe duration of MTF surgery can vary depending on the type of surgery and the complexity of each case. It can be from 4 to 7 hours
The result of the intervention is finalized after several months
Success and Risk Statistics
The success statistics of MTF surgeries vary depending on many factors, including the expertise of the surgeon and individual patient response. Risks associated with this type of surgery may include:
- Post-operative infection
- Complications related to anesthesia
- Excessive bleeding
- Breakage of sutures
- Retraction of the neovagina
- Breakage of sutures
...
It is crucial to fully understand these risks and to follow medical recommendations to minimize the potential complications.Nevertheless, if the surgeon is specialised and with experience, as well as with a candidate without special complications, the success statistics are very high. Some of the surgeons we offer are performing solely this type of surgeries.
MTF Surgeries Q&A
What is MTF Surgery?
MTF (Male to Female) surgery refers to a series of gender confirmation procedures designed to help transgender women achieve a feminine appearance. This can include vaginoplasty, breast augmentation, facial feminization surgery, and other procedures.
What is Vaginoplasty?
Vaginoplasty is a surgical procedure that creates a neovagina using penile and scrotal tissue. It is one of the most common MTF surgeries and aims to provide both aesthetic and functional results.
What is Facial Feminization Surgery (FFS)?
Facial Feminization Surgery (FFS) involves a series of procedures that alter facial features to make them appear more traditionally feminine. This can include brow lifts, rhinoplasty, jaw contouring, and more.
What is Breast Augmentation?
Breast augmentation for MTF patients involves placing implants to create a fuller, more feminine chest. This procedure is often combined with hormone therapy to achieve the desired breast size and shape.
What is the Recovery Time for MTF Surgeries?
Recovery time varies depending on the surgery. Vaginoplasty typically requires 4-6 weeks of recovery, while facial surgeries and breast augmentation might require 2-4 weeks. Following post-op care instructions is crucial for optimal healing.
Are MTF Surgeries Covered by Insurance?
Coverage varies by insurance provider and country. Some providers cover gender confirmation surgeries, while others may only cover certain procedures. It's important to check with your insurance provider to understand your coverage options.
Can You Have Sexual Sensations Like a Woman?
Yes, many individuals who undergo vaginoplasty can experience sexual sensations. Surgeons aim to preserve or reconnect nerve endings to maintain sensitivity, and with time, patients often report satisfying sexual experiences. However, results can vary based on individual circumstances and the surgical technique used.
Hospitalization of 6 to 8 nights And a convalescence of at least 2 to 3 weeks depending on the intervention.
FAQ
Yes, many individuals who undergo vaginoplasty can experience sexual sensations. Surgeons aim to preserve or reconnect nerve endings to maintain sensitivity, and with time, patients often report satisfying sexual experiences. However, results can vary based on individual circumstances and the surgical technique used.
SRS Penile Inversion and Scrotal Skin Graft
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This technique involves using penile tissue to reconstruct the inner labia, parts of the glans to create the neo-clitoris, and skin grafts from the scrotum to reconstruct the vaginal walls. Hair follicles are removed during surgery, so laser hair removal is not required. This procedure is generally the preferred method.
This surgery uses the skin from your penis or scrotum to create and enhance the vagina, including the outer labia, inner labia, and neo-clitoris. Patients may need hair removal on the penis shaft before surgery to prevent intra-vaginal hair growth, while scrotal hair is removed during surgery. Vaginal depth depends on the quality and quantity of skin available.
A skin graft from your groin may be added for additional depth.
A normal or large-sized male genitalia is necessary for the procedure. An additional groin skin graft may be used in some cases to compensate for a lack of skin.
- Surgery duration: approximately 4 to 6 hours
7-day hospital stay
Approximately 28 days in the country are required.
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SRS penile inversion
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This surgery involves inverting the tissues of the penis to recreate a complete vagina. This procedure is suitable only for those who have enough penile tissue to achieve sufficient depth for recreating the vagina. Laser hair removal is recommended beforehand to prevent hair growth after shaving.
General anesthesia
Surgery duration: about 4 hours
Hospitalization for 7 days
Approximately 28 days on-site are required
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Breast augmentation TS
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²Due to the difference in the structure of the male chest, only the ribs and muscles can be seen anatomically. The size of the nipples and areolas is smaller. The positioning of the male nipple is not in the center of the chest; it is on the side, 1/3 of the width of the thorax.
For preparation for breast augmentation, the patient must take the female hormone (estrogen) for at least one year to stimulate breast mass, fat, and tissue to enlarge the breast. Hormone therapy cannot improve the breast as much as we need. MTF breast augmentation is essential to create a female body. The plastic surgery expert can perform breast implantation from the male chest to balance the shoulder, nipple position, and implant size. You will have a beautiful and natural breast.
The illustration shows the positioning and size of a nipple in men and women
A unique technique and extensive experience of the surgeon will balance the breast on both sides, the nipple and areola will be adjusted to balance with the shape, size, and shoulder completely
The illustration shows breast augmentation incisions.
3 options are possible for breast augmentation incisions;
Periareolar incision, around the nipple
Transaxillary incision, under the armpit
Inframammary incision, made in the fold under the breast
The choice of incisions depends on several factors, including enlargement, patient anatomy, implant type, and the requirements of the surgeon and patient.
The illustration shows the positioning of breast implants.
The implant is under the breast mass
The implant is under the chest wall muscle
The implant is Dual Plane, a combination of breast mass and muscle
A good candidate for MTF breast augmentation:
- Transgender women
- Have been taking hormones for at least one year before surgery
- In good health
- Have realistic expectations
- Age is over 18 years
Preparation for MTF breast augmentation:
- Consult the surgeon to choose the most appropriate option and ensure that you are the right candidate and how to achieve the goal
- Undergo a physical examination to ensure that no health condition can affect the surgery
- Wash your hair before surgery with a germicidal shampoo to prevent infection. Do not use chemical spray
- Stop certain medications that interfere with blood clotting, such as aspirin, ibuprofen, certain types of vitamins, and herbs at least two weeks before surgery
During the surgery, the surgeon creates the pocket to insert the implant, 95% under the muscle or breast mass. Adjust the shape to balance then close the incision with layered sutures.
The method provided is under general anesthesia.
The operating time is approximately 1 to 2 hours.
You will need to stay in the country for approximately 8 to 10 days.
Postoperative care for MTF breast augmentation:
- Stay clean every day, avoid wetting the wound for a few days after surgery.
- Remove the stitches seven days after surgery.
- Follow up and meet with the doctor at each appointment.
- Must massage the breasts every day for at least three months to prevent capsular contracture and achieve a beautiful shape for at least 1 hour per day.
- Use compression clothing for at least 1 to 2 months to compress the implant.
- Avoid wearing or lifting objects weighing more than 2 to 3 kg for at least two months to prevent the implant from rising.
Risks and complications of MTF breast augmentation:
- Swelling
- Bruising
- Hematoma
- Bleeding
- Infection
- Poor healing
- Asymmetry
- Painful
- Scars may be thick, red, and painful, sometimes requiring future surgery.
- Decreased or lost sensation in the breast, nipple, or both may temporarily change.
- Capsular contracture refers to hardening around the implant, which can cause pain and deform the shape of the implant.
- Implant failure
- Anesthesia risk
Recovery:
After breast implantation, you will feel pain around the chest for a few days, take a powerful analgesic. You will feel uncomfortable with pain and movements for a few days. It will be better after a week. Exercise can begin after surgery for two months. Breast massage is essential to prevent capsular contracture and perform natural movements.
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Voice Change - Type IV Thyroplasty
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Type IV ThyroplastyPatients must also consult our otolaryngologist and speech therapist, preferably a few days before the surgery, to undergo a laryngeal stroboscopic examination and speech assessment. This session takes 1 to 2 hours. It's a consultation during which our otolaryngologist determines how much the patient's voice could change after the surgery. The patient can discuss the surgery during this session.The stitches will be removed 7 days after the surgery. The patient should stay in Thailand for further recovery for at least 2 to 3 weeks.The surgery is under general anesthesia - 1 night of hospitalization - Recovery time in Thailand for at least 3 weeks -Adam's apple shaving can be done at the same time - Incision near the Adam's appleAnesthésie génerale de 1 à 2 heures.
The operation normally takes 1 to 2 hours.
Pre-operative instructions
1. Stop smoking for at least 2 weeks before surgery
2. stop aspirin for at least 2 weeks before surgery
3. stop hormones for at least 3-4 weeks before surgery
4. visit to the doctor + laryngostroboscopic test (approximately 1 hour) Visit from the speech therapist and speech practice (1 week before surgery, if possible)
After surgery, patients should do the following:
1. Stop talking 7-10 days after surgery. Have only a light meal.
2. Drink a lot of water. Avoid coffee and caffeinated drinks, chocolate, peppermint, carbonated drinks, soda, alcohol and acidic foods.
< p>Follow up with the otolaryngologist would be 7-10 days after surgery. After the first follow-up, speaking is allowed 10 minutes per hour. Patients are required to speak normally and not to shout so as not to damage the wound. The speech therapist will visit you 2 weeks after surgery. The next follow-ups with the speech therapist will be planned later; generally at 1 week, then 1, 3, 6 and 12 months after surgery via Skype.- Visit of the speech therapist 2 weeks after surgery The follow-up visit schedule will be 1 week, 1, 3, 6 and 12 months after surgery.
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