Most commonly, when people discuss transfeminine bottom surgery, they are referring to vaginoplasties. However, there are other surgical options for patients that desire feminization of the masculine genitals. Whether you do not desire a vaginoplasty or want a more immediate result until your scheduled vaginoplasty, there are surgical options available such as a scrotoplasty or orchiectomy. Either can be great for transitioning patients to greatly adjust their body’s hormone levels, without radically altering the genital area. Here at Stiller Aesthetics, we understand every patient's transitional journey is unique and that you deserve to see the body that feels right to you when you look in the mirror.
An orchiectomy involves removing both testicles through a small incision in the scrotum resulting in sterility and loss of testosterone. Androgen-blockers, as long as discussed with a prescribing physician, may be discontinued after surgery. Patients may choose an orchiectomy for many reasons such as difficulty with side effects of their medications (most commonly spironolactone), difficulty in regulating hormones or they are not ready to deal with the dilation and douching that comes with having a vaginal canal. Whatever a patients reasons are, Dr. Stiller is there to guide you in making the best decision for you.
Important to mention, if the plan is to perform a vaginoplasty in the future, it is important to leave the scrotal sac as this is used in the construction of female genitals.
Recovery?
This procedure is quick, usually about 20 minutes, and patients go home the same day. Patients usually describe minimal discomfort and are back to work within a few days.
A scrotoplasty involves removing both testicles and the scrotal sac again, resulting in sterility and loss of testosterone. Androgen-blockers, as long as discussed with a prescribing physician, may be discontinued after surgery as well. This gender surgery is best for patients who aren't interested in undergoing a vaginoplasty due to the loss of scrotal tissue that is used as part of the vaginal graft and labia. However, it's important to note that if you do undergo a scrotoplasty the possibility of a full functioning vulva and vagina is an option down the road with the use of penile skin and colon.
Recovery?
This procedure is quick, usually about 20 minutes, and patients go home the same day. Patients usually describe minimal discomfort and are back to work within a few days.
At Stiller Aesthetics, we welcome patients that may have had genital surgery at another location whether that is a vaginoplasty, orchiectomy or scrotoplasty. Dr. Stiller is extremely skilled in assisting and improving any complication or aesthetic adjustments you may desire. He will do his best to assure that your goals are met and you feel confident in your body.
Common problems/aesthetic adjustments patients may seek help for:
If you are interested in learning more about what Dr. Stiller can do for you, set up your consultation today! We at Stiller Aesthetics welcome all patients who are transitioning or non-binary and are excited to be apart of your journey.