Bottom surgery female to male results

Bottom surgery for individuals transitioning from female to male, also known as phalloplasty or metoidioplasty, aims to create male genitalia. The specific results of bottom surgery can vary depending on several factors, including the surgical technique chosen, individual anatomy, healing process, and personal goals. It’s important to note that the decision to undergo bottom surgery is deeply personal, and the results can vary from person to person. Here are some general considerations regarding the results of female to male bottom surgery:

  1. Phalloplasty: Phalloplasty is a surgical procedure that involves constructing a neophallus (new penis) using different techniques. The surgical process typically involves taking tissue grafts from donor sites such as the forearm, thigh, or abdomen to create the phallus. The neophallus can vary in size, appearance, and sensation based on the individual’s preferences and surgical technique chosen. It’s important to discuss specific goals and expectations with a qualified surgeon.
  2. Metoidioplasty: Metoidioplasty is another surgical option for individuals transitioning from female to male. It involves releasing the ligament that restricts the clitoris’ growth due to testosterone hormone therapy. This procedure allows the enlarged clitoris, known as the neopenis, to resemble a small penis. The results of metoidioplasty can vary depending on the individual’s starting anatomy, hormonal changes, and desired outcome.
  3. Sensation and Function: The level of sensation and sexual function after bottom surgery can vary. Some individuals report increased sensitivity in the neophallus or neopenis, while others may experience less sensation. Achieving erections and urinary function can also depend on the surgical technique chosen. It’s important to discuss potential outcomes and limitations with your surgeon before the procedure.
  4. Scarring and Healing: Like any surgical procedure, bottom surgery for female to male transition involves incisions and healing. Scarring will occur, and the appearance of scars can vary depending on individual healing processes, surgical techniques, and post-operative care. It’s important to follow post-operative instructions provided by the surgeon to optimize healing and minimize complications.
  5. Revision Surgeries: It’s important to note that additional surgeries, called revision surgeries, may be necessary to refine or adjust the results of bottom surgery. These revision surgeries can address concerns such as aesthetic improvements, scar revisions, or adjustments to the size or positioning of the neophallus. Discussing potential revision surgeries with the surgeon during the initial consultations is recommended.

It’s essential to consult with experienced and qualified surgeons who specialize in transgender healthcare to discuss your specific goals, options, and potential outcomes of bottom surgery. Surgeons can provide personalized information, discuss risks and benefits, and address any concerns you may have. They will guide you through the process and help you make informed decisions based on your individual circumstances and desired outcomes.

Bottom surgery for female-to-male (FTM) transgender people is a complex and individualized process. There are two main types of bottom surgery for FTM people: metoidioplasty and phalloplasty.

  • Metoidioplasty is a surgery that uses the existing tissue of the clitoris to create a larger, more visible phallus. It does not involve the creation of a urethra, so urination will still occur through the vagina. Metoidioplasty is typically a one-stage surgery with a shorter recovery time than phalloplasty.
  • Phalloplasty is a more complex surgery that involves the creation of a penis from tissue from another part of the body, such as the arm or thigh. It can also involve the creation of a urethra and scrotum. Phalloplasty is typically a two-stage surgery with a longer recovery time than metoidioplasty.

The risks of bottom surgery for FTM people include bleeding, infection, and nerve damage. There is also a risk of complications specific to each type of surgery, such as the need for revisions or the inability to achieve an erection after phalloplasty.

The success rate of bottom surgery for FTM people is very high. A study published in the journal “Plastic & Reconstructive Surgery” found that 99.7% of trans people who had undergone bottom surgery experienced a degree of satisfaction with the outcome.

If you are considering bottom surgery, it is important to talk to a qualified surgeon about your options and the risks and benefits of each procedure. You should also make sure that you are emotionally prepared for the surgery and the recovery process.

Here are some additional resources that you may find helpful:

  • The World Professional Association for Transgender Health (WPATH):
  • The American Society of Plastic Surgeons (ASPS):
  • The Human Rights Campaign: