Dilation is an important part of the aftercare process for bottom surgery. It helps to keep the vaginal canal open and prevent it from shrinking or closing up.

Here are the steps on how to dilate after bottom surgery:
⦁ Wash your hands thoroughly with soap and water.
⦁ Gather your dilators and lubrication. You will need a set of dilators that are gradually increasing in size. You can get these from your surgeon or a medical supply store.
⦁ Find a comfortable position. You can lie on your back, side, or sit up.
⦁ Apply lubrication to the dilator. You can use a water-based lubricant or a silicone-based lubricant.
⦁ Gently insert the dilator into the vaginal canal. Start with the smallest dilator and work your way up to the larger dilators.
⦁ Hold the dilator in place for 10-15 minutes.
⦁ Remove the dilator and clean it with soap and water.
You will need to dilate regularly after bottom surgery. The frequency of dilation will depend on your individual needs. Your surgeon will give you specific instructions on how often you need to dilate.

Here are some tips for dilating after bottom surgery:
⦁ Start dilating as soon as your surgeon tells you to. This will help to prevent the vaginal canal from shrinking or closing up.
⦁ Be gentle when dilating. Don’t force the dilator in if it is not comfortable.
⦁ Take breaks if you need to. If you start to feel pain, stop dilating and take a break.
⦁ Use a lubricant. This will help to make the dilator slide in more easily.
⦁ Find a comfortable position. This will help you to relax and make dilating easier.
⦁ Be patient. It may take some time to get used to dilating.
If you have any questions or concerns about dilating, talk to your surgeon. They can help you to develop a dilation schedule that is right for you.

Here are some additional resources that you may find helpful:
⦁ The Trevor Project: https://www.thetrevorproject.org/
⦁ GLAAD: https://www.glaad.org/
⦁ Trans Lifeline: https://www.translifeline.org/

Dilation is an important aspect of aftercare following bottom surgery, specifically vaginoplasty (MTF gender confirmation surgery). Dilating helps maintain the depth, width, and flexibility of the neovagina.

Here are general guidelines on how to dilate after bottom surgery:
⦁ Consultation and Instructions: Before leaving the hospital or surgical facility, your healthcare team will provide detailed instructions on dilation. They will explain the frequency, duration, and technique of dilation specific to your case. It’s crucial to carefully follow their guidance.
⦁ Timing: Dilations usually begin within a few days to a week after surgery. The initial dilation session is often performed by the healthcare team to ensure proper technique and understanding. After that, you will be instructed on the recommended frequency, which is typically multiple times a day initially, gradually decreasing over time.
⦁ Cleanliness and Lubrication: Before dilation, make sure to clean your hands thoroughly to maintain a sterile environment. Additionally, apply a water-based lubricant to the dilator to ensure comfortable insertion and movement.
⦁ Relaxation: Find a quiet and comfortable space where you can relax during the dilation process. It is important to be in a calm state to facilitate insertion and minimize discomfort.
⦁ Gradual Insertion: Start by gently inserting the dilator into the neovagina. Begin with the smallest dilator size prescribed by your healthcare team, and gradually progress to larger sizes as instructed. Move the dilator in and out with a gentle rocking motion, maintaining a slow and steady pace.
⦁ Duration: The duration of each dilation session will vary depending on your specific instructions. It typically ranges from 10 to 30 minutes per dilator size. Again, follow the guidance provided by your healthcare team.
⦁ Maintenance and Cleaning: After each dilation session, carefully clean the dilator with mild soap and warm water. Pat it dry before storing it in a clean and secure place.
⦁ Consistency: Dilating consistently is crucial for maintaining the depth and flexibility of the neovagina. It is essential to adhere to the prescribed schedule and frequency to achieve the best results.

Throughout the recovery process, regular follow-up visits with your healthcare team are important. They will assess your progress, address any concerns or complications, and provide guidance on dilation techniques, potential modifications, or changes in your routine.

Remember, the instructions and techniques may vary depending on the specific surgical technique and individual circumstances. Always consult with your healthcare team for personalized instructions and recommendations on dilation after bottom surgery.