The appearance of bottom surgery for MTF (male-to-female) transgender people can vary depending on the specific procedure performed and the individual’s anatomy. However, in general, the goal of MTF bottom surgery is to create a vulva and vagina that is as similar to a cisgender woman’s genitals as possible.
Some of the most common procedures performed for MTF bottom surgery include:
- Vaginoplasty: Vaginoplasty is the most common type of MTF bottom surgery. During vaginoplasty, a surgeon creates a new vagina using tissue from the penis, scrotum, or labia. The new vagina is typically lined with skin from the inner labia or the urethral lining.
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- Orchiectomy: Orchiectomy is the removal of the testicles. This procedure is often performed as part of MTF bottom surgery, but it can also be performed as a standalone procedure.
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Orchiectomy
- Labioplasty: Labioplasty is a procedure to reshape the labia. This procedure is often performed in conjunction with vaginoplasty, but it can also be performed as a standalone procedure.
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The recovery time for MTF bottom surgery varies depending on the specific procedure performed. However, most people need to stay in the hospital for a few days after surgery. The recovery process can be challenging, but most people are able to return to their normal activities within a few weeks.
It is important to note that the appearance of MTF bottom surgery can vary depending on the individual’s anatomy and the surgeon’s technique. If you are considering MTF bottom surgery, it is important to talk to a surgeon who is experienced in performing this type of surgery. The surgeon can help you to understand the different options available and to choose the procedure that is right for you.
Male-to-female (MTF) gender confirmation surgery, also known as genital reconstruction surgery or vaginoplasty, involves the creation of female genitalia. It is important to note that the specific techniques and results of bottom surgery can vary depending on the surgeon, the individual’s anatomy, and their desired outcomes. Here is a general overview of the procedure:
- Preparatory Steps: Before undergoing MTF bottom surgery, individuals typically undergo hormone replacement therapy (HRT) for a certain period to induce feminizing changes in the body, including breast development and fat redistribution.
- Surgical Techniques: There are various surgical techniques for MTF bottom surgery, including penile inversion, sigmoid colon, or peritoneal pull-through methods. The most common technique is penile inversion, where the penile skin and tissue are used to create the vaginal canal. The testes are typically removed through an orchidectomy.
- Vaginal Canal Creation: During the surgery, the penile skin is inverted to form the lining of the vaginal canal. The erectile tissue of the penis, known as the corpora cavernosa, is reshaped and used to create the labia majora. The glans of the penis is often repurposed to form the clitoral hood.
- Clitoroplasty: The surgeon may also create a clitoris by using the glans of the penis or other available tissue. The size and sensitivity of the clitoris can vary depending on the individual’s anatomy and surgical technique.
- Labiaplasty: The labia minora, or inner labia, are formed using tissue from the penile skin or other sources. The surgeon sculpts and shapes the labia to resemble natural female genitalia.
- Urethral Lengthening: The surgeon may also perform urethral lengthening, which involves extending the urethra to a position near the neovaginal opening, allowing for urination while seated.
- Recovery and Postoperative Care: After the surgery, individuals typically require a recovery period during which they follow specific postoperative care instructions provided by their surgical team. This may include proper wound care, pain management, dilation (to prevent the neovagina from narrowing), and regular follow-up visits.
It is important to note that the outcomes of MTF bottom surgery can vary, and it is crucial to consult with qualified surgeons who specialize in gender-affirming surgeries. They can provide personalized information, discuss specific techniques, potential risks, and expected outcomes based on individual circumstances.