Feminizing surgery

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Surgical procedures to feminize the body


Feminizing surgery refers to a variety of surgical procedures that alter the body to align with a more traditionally feminine appearance. These surgeries are often sought by transgender women and non-binary individuals as part of their gender transition process. The procedures can include facial feminization surgery, breast augmentation, and genital reconstruction surgery.

Types of Feminizing Surgery[edit | edit source]

Facial Feminization Surgery[edit | edit source]

Facial feminization surgery (FFS) encompasses a range of procedures designed to modify facial features to appear more typically feminine. Common procedures include forehead contouring, rhinoplasty, jaw and chin reshaping, and tracheal shave to reduce the prominence of the Adam's apple.

Breast Augmentation[edit | edit source]

Breast augmentation involves the placement of breast implants to increase breast size and create a more feminine chest contour. This procedure is often performed using silicone or saline implants and can be customized to achieve the desired size and shape.

Genital Reconstruction Surgery[edit | edit source]

Genital reconstruction surgery, also known as vaginoplasty, is a procedure to create a neovagina. The most common technique is the penile inversion vaginoplasty, where the skin of the penis is inverted to form the vaginal canal.

Neovagina created using penile inversion vaginoplasty

Penile Inversion Vaginoplasty[edit | edit source]

This technique involves inverting the penile skin to form the vaginal lining. The glans penis is often used to create a clitoris, and the scrotal skin can be used to form the labia. This method is widely used due to its effectiveness and the ability to create a functional and aesthetically pleasing neovagina.

Another view of neovagina created using penile inversion

Alternative Techniques[edit | edit source]

Other techniques for creating a neovagina include the use of skin grafts, intestinal segments, or other tissue flaps. The choice of technique depends on the patient's anatomy, surgeon's expertise, and desired outcomes.

Comparison of biological vagina and neovagina using jejuno graft technique

Body Contouring[edit | edit source]

Body contouring procedures, such as liposuction and fat grafting, can help create a more traditionally feminine silhouette. These procedures can target areas such as the hips, waist, and buttocks to enhance curves.

Postoperative Care and Considerations[edit | edit source]

Postoperative care is crucial for successful outcomes in feminizing surgery. Patients may require dilation of the neovagina to maintain depth and prevent closure. Pain management, wound care, and monitoring for complications are essential components of recovery.

Vaginal expander used in neovagina

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Contributors: Prab R. Tumpati, MD