Gender Reassignment Surgery for Male-to-Female(feminising surgery)

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Gender Reassignment Surgery for Male-to-Female(feminising surgery)

Before undertaking sex reassignment surgery, important medical and psychological evaluations, medical therapies and behavioural trials should be undertaken to confirm that surgery is the most appropriate treatment choice for the individual.

Medically necessary core surgical procedures for male-to-female persons include: penectomy, orchidectomy, vaginoplasty, clitoroplasty, and labiaplasty.

Note: Rhinoplasty, face-lifting, lip enhancement, facial bone reduction, blepharoplasty, breast augmentation, liposuction of the waist (body contouring), reduction thyroid chondroplasty, hair removal, voice modification surgery (laryngoplasty or shortening of the vocal cords) and skin resurfacing, which have been used in feminisation are considered cosmetic.

Gender specific services for transgender persons

Gender-specific services may be medically necessary for transgender persons appropriate to their anatomy. Examples include:

  • Prostate cancer screening may be medically necessary for male-to-female transgender individuals who have retained their prostate.

MTF augmentation mammoplasty Risks associated with augmentation mammoplasty

  • Post operative bleeding / haematoma
  • Infection
  • Seroma
  • Wound healing problems
  • Asymmetry

  • Capsular contracture
  • Implant extrusion
  • Implant failure

Complications following MTF genital reconstruction

  • Post operative bleeding / haematoma
  • Infection
  • Wound healing problems
  • Recto-vaginal fistula
  • Partial or complete flap necrosis (loss of clitoris)
  • Vaginal stricture or stenosis
  • Urethral stricture or stenosis
  • Swelling / irregularities of urethral meatus
  • Prolapse of the neo-vagina
  • Intravaginal hair growth
  • Hypertrophic scarring

Complications following MTF facial feminising surgery

  • Infection of the wound or implants, sometimes necessitating removal
  • Numbness due to oedema (transient)
  • Nerve damage (potentially permanent)
  • Dissatisfaction with the aesthetic results
  • Following rhinoplasty, there may be a mild scleral haemorrhage and oedema around the nose which typically resolves spontaneously after several weeks.

Revision surgery

Typical revisions in breast augmentation include, but are not limited to:

  • Exchanging implants for those of a different size
  • Exchanging implants for those of a different type
  • Placing the implants in a slightly different location
  • Scar revisions

Revisions in vaginoplasty may include:

  • Clitoroplasty: adjusting the size, shape, location or hooding of the neo-clitoris
  • Labiaplasty: adjusting the size or shape of the labia minora or majora
  • Commisuroplasty: narrowing the superior aspect of the labia majora (the anterior commissure)
  • Deepening the neo-vagina: occasionally, the neo-vagina will not be long enough or will contract in size. This is usually the result of inadequate dilating.