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Feminizing surgery encompasses procedures that alter your appearance to promote the matching of your body with your gender identity gender congruence. Feminizing surgery includes many options, such as "top" surgery to increase the size of your breasts breast augmentation and "bottom" surgery to remove your testicles orchiectomy and create a vagina vaginoplasty. You might also consider facial procedures or body-contouring procedures to create a more feminine appearance. Feminizing surgery, also called gender-affirming surgery, is often chosen as a step in the process of treating distress due to a difference between experienced or expressed gender and sex assigned at birth gender dysphoria.

Feminizing surgery isn't for all transgender women. These surgeries can be expensive, carry risks and complications, and involve follow-up medical care and procedures. Prior to some types of surgery, you might be required to obtain recommendations from mental health providers, live as a female and be on feminizing hormone therapy for a specific period of time. Certain surgeries will alter your fertility and your sexual sensations, in addition to how you feel about your body.

Your doctor, as well as people who have had these surgeries, can help you weigh the risks and benefits. Mayo Clinic's approach. People who seek feminizing surgery experience distress due to a difference between experienced or expressed gender and sex assigned at birth gender dysphoria.

For some trans women male to femalefeminizing surgery is a natural step — and important to their sense of self. However, many don't choose to have surgery. Transgender people relate to their bodies differently and need to make individual choices that best suit their needs. Feminizing surgery isn't for all trans women. Your doctor might recommend against these surgeries if you have:. Like any other type of major surgery, many types of feminizing surgery pose a risk of bleeding, infection and an adverse reaction to anesthesia.

Other complications might include:. Certain types of feminizing surgery can harm or end your fertility. If you want to have biological children and you're having surgery that involves your reproductive organs, talk to your doctor about freezing your sperm sperm cryopreservation before moving forward. Before feminizing surgery, you'll meet with your surgeon. Consult a surgeon who is board certified and experienced in the procedures you desire.

Your surgeon will describe your options and potential results. The surgeon will provide information on the anesthesia, the location of the operation and the kind of follow-up procedures that might be necessary.

Follow your doctor's specific instructions on preparing for your procedures, including guidelines on eating and drinking, adjusting current medications, and quitting smoking. In addition, before you can have certain feminizing surgeries, you'll be required to meet certain criteria.

To start, your surgeon will evaluate your health to rule out or Transgender hormones to feminize any medical conditions that might affect or contraindicate treatment. The evaluation might include:. Although giving your informed consent after a discussion about the risks and benefits of the procedure is an acceptable standard of care, most surgeons will require a mental health evaluation by a provider with expertise in transgender health.

The evaluation might assess:. Before having Transgender hormones to feminize Hentai manga meadia fire surgery, it's recommended that you talk to a mental health provider, who can help you make a fully informed decision about the timing and implications of the procedures in the context of your transition.

Before having breast augmentation, also called breast feminization, you'll Transgender hormones to feminize required Transgender hormones to feminize obtain one letter of support from a mental health provider competent in transgender health. The criteria state that you must:. Transgender hormones to feminize purpose of hormone therapy prior to breast augmentation is to maximize breast growth in order to help you obtain better results.

Before having orchiectomy, you'll be required to obtain two letters of support, each from a mental health provider competent in transgender health. The aim of hormone therapy prior to orchiectomy is primarily to introduce a period of reversible testosterone suppression before you undergo irreversible surgical intervention. These criteria don't apply to people who are having these procedures for medical indications other than gender dysphoria.

Before having vaginoplasty, you'll be required to obtain two letters of support, each from a mental health provider competent in transgender health. Since feminizing surgery might cause irreversible physical Transgender hormones to feminize, you must give informed consent after thoroughly discussing:. Health insurance might not cover surgical procedures considered cosmetic for the general population, even though these procedures might be essential to alleviating your gender dysphoria.

You might consider talking to others who've had feminizing surgery before taking this step. They can help you shape your expectations of what can be achieved and help prepare you for the recovery process, scarring and possible changes in sexual sensations. They might also have insight on what personal and social problems you might experience during treatment.

These plastic surgery techniques alter your jaw, chin, cheeks, forehead, nose or areas surrounding the eyes, ears or lips to create a more feminine appearance.

You might have your hairline moved to create a smaller forehead, have your lips and cheekbones augmented with implants, or have your jaw and chin reshaped and resized. If you have bone reduced, you might need skin-tightening surgery. These surgeries are typically outpatient, requiring no hospital stay. Recovery time for most of these procedures is about two weeks, though recovering from jaw procedures will take longer.

A tracheal shave is a procedure to minimize your thyroid cartilage or Adam's apple. During the procedure, a small incision will be made under your chin, in the shadow of your neck or in a skin fold to conceal the scar.

Your surgeon will then reduce and reshape the cartilage. This is typically an outpatient procedure, requiring no hospital stay. As part of breast augmentation, your surgeon will make incisions around the areola, near the armpit or just below the breast. During breast augmentation your surgeon will place the implants in front of or behind the pectoral muscles. If feminizing hormones haven't made your breasts large enough, you might need an initial surgery to have Transgender hormones to feminize called tissue expanders placed in front of your chest muscles.

While the use of estrogen will stimulate breast growth, many people aren't satisfied with this growth alone. Breast augmentation is a surgical procedure to increase your breast size. Feminizing breast surgery might involve implants, fat grafting or both. Your surgeon will make incisions around the areola, near the armpit or just below the breast. Next, your surgeon will place the silicone or saline implants either in front of or behind the pectoral muscles.

Alternatively, you could have fat, muscles or tissue from other parts of your body transplanted into your breasts. You'll need to visit your doctor every few weeks to have a small amount of saline injected into the tissue expanders.

This will slowly stretch your chest skin and other tissues to make room for the implants. When your skin has been sufficiently stretched, you'll have another surgery to remove the expanders and place your implants. During a penile inversion your surgeon will make an incision in Transgender hormones to feminize area between your rectum and your urethra and prostate.

This forms a tunnel that becomes your Transgender hormones to feminize vagina. The surgeon lines the inside of the tunnel with skin Transgender hormones to feminize the scrotum, penis or both. If you don't have enough penile or scrotal skin, your surgeon might take skin from Transgender hormones to feminize thighs, abdomen or another area of your body and use it for the new vagina as well. Your surgeon might do a bowel flap procedure if you don't have enough tissue or skin in your penis or scrotum.

Your surgeon will move a segment of your colon or small bowel to form your new vagina. The segment is called a bowel flap or conduit. Your surgeon will reconnect the remaining parts of your colon. Orchiectomy is Transgender hormones to feminize surgery to remove your testicles.

Because testicles produce sperm and the hormone testosterone, an orchiectomy might eliminate the need to use testosterone blockers, such as spironolactone Aldactoneand reduce the amount of estrogen needed to achieve and maintain your desired appearance. This type of surgery is typically done on an outpatient basis.

You will be given a local anesthetic, in which you're awake and only your testicular area Transgender hormones to feminize numbed, or you will be placed under general anesthesia, in which you're asleep for the surgery. To remove your testicles, your surgeon will make an incision in your scrotum and extract the testicles through the opening. Orchiectomy Lindsay lohan pictures nude typically done as part of the surgery for vaginoplasty, though some prefer to have orchiectomy alone without further genital surgery.

Vaginoplasty is the surgical creation of a vagina. During vaginoplasty, skin from the shaft of the penis and the scrotum is used to create a vaginal canal. In some techniques these are also used to create the labia labiaplasty. To surgically create a clitoris clitoroplastythe tip glans of the penis and the nerves that supply it are used.

Alternatively, skin can be taken from another area of the body or tissue from the colon to create the vagina. The testicles also are removed during the course of the surgery. Some surgeons use a technique requiring electrolysis or laser hair removal in your penile and scrotal areas to provide hair-free tissue for the procedure. The process can take several months.

Other techniques don't require hair removal prior to surgery because the hair Transgender hormones to feminize are destroyed during the procedure. After Transgender hormones to feminize, you'll have a tube catheter placed in Transgender hormones to feminize urethra to collect urine. You will need to be Transgender hormones to feminize monitored either in the hospital or an associated care center for about a week after surgery.

Recovery can take up to two months. Your doctor will provide instructions about when it's OK to begin sexual activity with your new vagina.

You'll be given a set of vaginal dilators of increasing sizes that you'll insert in your vagina at time intervals to maintain, lengthen and stretch the size of your vagina. You will need to dilate on a regular basis indefinitely. Keep in mind that because the prostate gland isn't removed during surgery, you will need to follow age-appropriate recommendations for prostate cancer screening.

You might also develop urinary obstructive symptoms from benign enlargement of the prostate. Research suggests that gender-confirming Katrina kef xxx photo can have a positive impact on your well-being and sexual function. Long-term postoperative care and follow-up after surgical treatment for gender dysphoria Transgender hormones to feminize have been linked with good outcomes. Before you have surgery, talk to your surgeon, hormone-prescribing doctor — if you're taking hormones — and your mental health provider about what ongoing treatment you'll need.

Feminizing surgery care at Mayo Clinic.


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