Kamol Cosmetic Hospital is a global leader in MTF gender affirming surgery, offering expert care and advanced techniques to help you live confidently. Our services include: Facial Feminization Surgery (FFS), Gender Reassignment Surgery (GRS), Voice Feminization Surgery (VFS), Breast Augmentation, and Body Feminization. With skilled surgeons and compassionate support, we ensure natural, safe, and life-changing results, helping you embrace your true self with confidence.
Gender Reassignment Surgery
Also known as gender affirmation surgery, or sex reassignment surgery (SRS), is a significant procedure sought by individuals who experience a mismatch between their assigned sex at birth and their inner gender identity.
This incongruence, medically termed Gender Dysphoria, can cause significant distress and impact an individual’s quality of life.
Gender reassignment surgery aims to alleviate this distress by aligning one’s physical appearance with their true gender identity.
While hormone therapy and other procedures like breast augmentation or voice surgery play a role in the transition journey, gender reassignment surgery is often considered the most impactful step, as it directly addresses the core of gender identity.
It’s important to understand that gender reassignment surgery is a deeply personal decision. It’s crucial to gather comprehensive information and carefully consider the implications before embarking on this path. This page aims to provide you with a detailed understanding of the procedure, its benefits, and potential considerations.
Goals of Gender Affirmation Surgery at Kamol Cosmetic Hospital
At Kamol Hospital, we believe in a patient-centered approach to gender reassignment surgery. We understand that each individual has unique needs and desires, and we strive to tailor our procedures to achieve the best possible outcome for each patient. Our surgical approach is guided by the following key goals:
- Create Genitalia that Resembles a Woman as Closely as Possible: We aim to create a natural-looking and aesthetically pleasing result that harmonizes with the individual’s body and enhances their sense of femininity.
- Maximize Vaginal Depth: We strive to create a vagina that is as deep as possible, taking into account the patient’s individual anatomy and tissue availability. This ensures comfortable and satisfying sexual intercourse.
- Preserve Sexual Sensation: We prioritize the preservation of nerves to ensure the ability to experience sexual pleasure and achieve orgasm after surgery.
- Minimize Scarring: Our surgical techniques are meticulously designed to minimize the visibility of scars, promoting a natural and aesthetically pleasing outcome.
Qualifications for Gender Transition Surgery
Gender reassignment surgery is a major life decision, and it’s important to ensure that individuals are fully prepared for the procedure and its implications. At Kamol Cosmetic Hospital, we adhere to strict guidelines to ensure the safety and well-being of our patients. Individuals considering male-to-female gender reassignment surgery should meet the following criteria:
- Age: Be at least 20 years old. If under 20, parental or guardian consent is required.
- Hormone Therapy: Have undergone continuous hormone therapy for at least one year. This helps prepare the body for surgery and promotes the development of feminine characteristics.
- Gender Identity: Have a long-standing and consistent gender identity as female. This means that you have consistently identified as female for a significant period.
- Living as Female: Have lived as a woman for at least one year. This demonstrates a commitment to living in your true gender role.
- Gender Dysphoria: Experience significant distress due to gender dysphoria. This indicates that the mismatch between your assigned sex and gender identity is causing significant emotional and psychological discomfort.
- Mental Health Assessment: Have undergone a mental health assessment and received a certificate from a psychiatrist confirming their suitability for surgery. This ensures that you are mentally and emotionally prepared for the procedure and its implications.
- Physical Health: Be in good overall health. This minimizes the risks associated with surgery and promotes a smooth recovery.
The Importance of Psychological Assessment Before Sex Change Surgery
A comprehensive psychological assessment is an essential component of the pre-operative process for gender reassignment surgery. This assessment serves several important purposes:
- Assessing Readiness: It helps determine whether the individual is fully prepared for the procedure and its potential impact on their life.
- Identifying Mental Health Concerns: It helps identify any underlying mental health conditions that may affect their decision-making or post-operative adjustment.
- Evaluating Understanding and Expectations: It assesses their understanding of the surgery, their expectations for the outcome, and their plans for the future.
- Providing Support: It provides an opportunity for individuals to discuss their concerns and receive support from a mental health professional.
5 Techniques for Male-to-Female Sex Reassignment Surgery at Kamol Hospital
Kamol Hospital offers a range of surgical techniques for male-to-female gender reassignment. Each technique has its own advantages and considerations, and the most suitable option will depend on individual anatomy, preferences, and surgical goals.
Technique 1: Vaginoplasty without Depth
This technique focuses primarily on constructing the external female genitalia, including the labia majora, labia minora, clitoris, and urethral opening.
It does not create a deep vaginal canal. This option may be suitable for individuals who do not prioritize penetrative intercourse.
Pros: Ideal for those with no interest in vaginal penetration.
Cons: Does not create a deep vaginal canal.
Technique 2: Creating a Vagina Using Skin from the Penis (Skin Inversion Technique)
This is one of the most common techniques used in male-to-female gender reassignment surgery. It involves using the skin of the penis to create the lining of the vagina. The skin is carefully inverted and sutured to form the vaginal canal.
This technique is relatively straightforward and has a shorter operating time compared to some other methods.
However, the depth of the vagina achieved with this technique may be limited, especially for individuals with shorter penises.
Pros: Straightforward procedure (approx. 4 hours) and shorter recovery time.
Cons: Unsuitable for those with a penis under 4 inches in length.
Technique 3: Vaginal Creation Technique Using Skin from the Penis and Skin from the Testicles (Scrotal Skin Grafting Technique)
This technique combines skin from both the penis and the scrotum to create a deeper vaginal canal. The skin from the scrotum is thinned and grafted onto the penile skin, increasing the overall surface area available for vaginal construction.
This method offers the potential for greater vaginal depth compared to the skin inversion technique. However, it is a more complex procedure with a longer operating time.
Pros: Can help individuals with smaller penises achieve a vaginal depth of 6+ inches.
Cons: The surgery is more complicated (approx. 6 hours) and thus a greater margin for error. Longer recovery time.
Technique 4: Creating a Vagina Using the Colon to Make the Vaginal Wall (Colon Vaginoplasty Technique)
This technique involves using a section of the colon to create the lining of the vagina. The colon is naturally lubricated, which can be an advantage for some individuals.
Colon vaginoplasty can provide excellent vaginal depth and a more natural feel. However, it is a more extensive surgery with a longer operating time and recovery period.
Kamol Cosmetic Hospital offers two approaches to colon vaginoplasty:
- Open Colon Vaginoplasty: This traditional approach involves an incision along the bikini line to access the colon.
- Laparoscopic Colon Vaginoplasty: This minimally invasive approach uses small incisions and specialized instruments, resulting in less scarring and potentially faster recovery.
Pros:
- This method helps patients who have previously undergone gender reassignment surgery and who require a deeper vaginal canal.
- This method can be used in patients with very short penis.
- The vagina contains natural lubrication.
- The depth of the newly created vagina can be determined in advance. This method provided the deepest vaginal canal of all methods.
- This method provides a very strong and elastic vaginal canal and does not require lifelong dilation.
- This is a well-studied method that has been used for many years.
- Contrary to rumors, the sigmoid colon vagina is odorless. Less than 4% may experience an unpleasant odor, and this can be eliminated with improved hygiene.
Cons:
- Scarring (7-10 cm) above the left pubic bone.
- The surgery is more complicated and the colon must be cleansed with an enema in advance.
- Patients may experience bloating for 2 to 3 days after surgery.
- Unsuitable for individuals who are overweight. The BMI should not exceed 27.
- Cannot be performed on individuals with a history of chronic colitis or Crohn’s disease.
Technique 5: Creating a Vagina Using the Abdominal Wall and Skin from the Penis (Penile-Peritoneal Vaginoplasty: PPV)
This innovative technique combines skin from the penis with the peritoneal lining of the abdomen to create the vagina. The peritoneum is a thin, moist membrane that lines the abdominal cavity.
This technique offers good vaginal depth and natural lubrication. However, it may not be suitable for all individuals, particularly those with a history of abdominal surgery or certain medical conditions.
Pros:
- The vagina contains natural lubricant without an unpleasant odor.
- The vagina is elastic and stretchable, like a biological vagina.
- The chance of vaginal prolapse and shrinkage is less compared to all other types of SRS.
- The vagina is elastic and the dilation may decrease within a year.
- Natural lubrication is similar to vaginal lubrication.
- Recovery is fast and there are fewer risks compared to sigmoid colon.
- Peritoneal stretching (Davydov’s method) has been performed on cisgender girls for over 40 years and has been well-studied.
Cons:
- Unsuitable for those with short penises.
- Patients may experience bloating for 2 to 3 days after surgery.
- Unsuitable for individuals who are overweight.
- 1 year after surgery, if there is a problem with the junction between the skin and the abdominal wall, a new vaginal revision surgery may be required.
- A chance for visible scarring.
- The surgery is more complex (4 to 6 hours).
Why is Body Mass Index (BMI) and Weight important for SRS?
The risks of surgery are increased by obesity. Obesity can create additional challenges in surgery, it can increase the risk of complications such as infection, blood clotting, surgical failure, delayed wound healing and breathing problems. Optimal weight and BMI can reduce risks and complications. Excess weight combined with other factors including aging and medical conditions increases the likelihood of postoperative complications. The patient should provide the doctor with all medical information before scheduling surgery.
Accepted for surgery in case of:
- SRS- PPV penile-peritoneal vaginoplasty BMI less than 30 and Weight less than 90 kg.
- SRS- Laparoscopic Sigmoid Vaginoplasty Technique BMI less than 30 and Weight less than 90 kg.
- SRS- Vaginoplasty with scrotal skin grafting BMI less than 30 and Weight less than 90 kg.
- SRS – Open Sigmoid Vaginoplasty BMI less than 26 and Weight less than 80 kg.
Preparation Before Male-to-Female SRS
Proper preparation is crucial for a successful surgery and smooth recovery. Here are some key steps to take before your gender reassignment surgery:
- See a Psychiatrist: Obtain a mental health assessment and certificate from a qualified psychiatrist. This confirms that you are mentally and emotionally prepared for the procedure and its implications.
- Consult a Surgeon: Schedule a consultation with your surgeon to discuss the procedure in detail, undergo a physical examination, and review your medical history. You may also need to undergo tests such as a chest X-ray, blood tests, EKG, and stress test, especially if you are over 40 years old.
- Stop Hormones: Discontinue hormone therapy for 1-2 weeks before surgery, as advised by your doctor. This helps stabilize your hormone levels and minimize potential complications.
- Stop Medications: Avoid medications that can affect blood clotting, such as aspirin, anti-inflammatory drugs, or certain herbal supplements, for at least 2 weeks before surgery. Your doctor will provide specific guidance on which medications to avoid.
- Stop Smoking: Refrain from smoking for at least 2 weeks before and after surgery. Smoking can impair wound healing and increase the risk of complications.
- Prepare for Recovery: Make arrangements for post-operative care, including assistance with daily tasks, wound care, and transportation to follow-up appointments.
Post-operative wound Care for Non-Intestinal SRS
After your gender reassignment surgery, you will need to follow specific post-operative care instructions to ensure proper healing and minimize complications. Here are some general guidelines for non-intestinal gender reassignment surgery:
- Hospital Stay: You will typically stay in the hospital for 4-6 nights for close monitoring and wound care. The medical staff will provide pain medication, assist with hygiene, and monitor your vital signs.
- Dietary Restrictions: You may need to follow dietary restrictions, especially in the first few days after surgery.
- Positioning: You will be advised on proper positioning to minimize swelling and promote healing. This may involve lying on your back with your hips elevated.
- Wound Care: Keep the surgical area clean and dry. Attend follow-up appointments for wound checks and dressing changes. Your surgeon will provide specific instructions on how to care for your wound.
- Catheter Care: If you have a urinary catheter, follow the instructions provided for proper care and hygiene.
- Vaginal Dilation: You may need to use a dilator to maintain the depth and width of the vagina, as instructed by your surgeon. This helps prevent narrowing or stenosis of the vagina.
- Activity Restrictions: Avoid strenuous activity and sexual intercourse for at least 2 months to allow for proper healing.
- Follow-up Appointments: Attend regular follow-up appointments with your surgeon to monitor your progress and address any concerns.
- Day 1 & 2: For the first two days after surgery, you should avoid foods and drinks containing fiber, such as fruit juices, milk and yogurt, as they will cause waste to be released. This may lead to contamination of the wound.
- Day 1 & 2: For the first one or two days after surgery, you will be required to lie on your back with your hips raised with your legs slightly apart, as this will help reduce swelling.
- Day 3: On the third day after the operation, you can lie on your side.
- Day 3: On the third day after surgery, your surgeon will remove the drainage tube, open and dress the wound. Anyone who has undergone sex reassignment surgery with skin grafts or sex reassignment surgery with colon transplants must remain in bed for up to six days until the urinary catheter is removed.
- Day 6: On the sixth day after surgery, patients who have undergone gender reassignment surgery with skin grafting will have their urinary catheter removed. The wound will be bandaged and you can be transferred to a special apartment for further recovery.
Post-operative wound Care for Intestinal SRS
If you have undergone colon vaginoplasty, which involves using a section of the colon to create the vaginal lining, you will have additional post-operative care instructions:
- Bowel Rest: You may need to refrain from eating or drinking anything until your bowel function returns to normal. This allows the colon to rest and heal.
- Gradual Diet Progression: Once your bowel function resumes, you will start with clear liquids and gradually progress to solid foods as tolerated. This helps prevent nausea, vomiting, and bloating.
- Close Monitoring: Your bowel function and overall recovery will be closely monitored by the medical staff.
In addition to the above, the following post-operative care instructions apply to both non-intestinal and intestinal gender reassignment surgery:
- Catheter Care: If you have a urinary catheter, follow the instructions provided for proper care and hygiene.
- Vaginal Dilation: You will likely need to use a dilator to maintain the depth and width of the vagina, as instructed by your surgeon. This helps prevent narrowing or stenosis of the vagina.
- Activity Restrictions: Avoid strenuous activity and sexual intercourse for at least 2 months to allow for proper healing. The patient can engage in light activity after three weeks and can resume regular daily activities after 3 months.
- Follow-up Appointments: Attend regular follow-up appointments with your surgeon to monitor your progress and address any concerns.
- Day 1 – 3: For the first three days, you must not eat or drink until bowel function is restored. During this period, you will receive intravenous fluids.
- Month 1: The patient should avoid heavy meals during the first month.
Possible Risks and Complications of SRS
While gender reassignment surgery is generally safe, it’s essential to be aware of the potential risks and complications. These can include:
- Swelling, Bruising, and Hematoma: These are common after any surgery and usually subside with time.
- Bleeding, Infection: These complications can occur but are minimized with proper surgical technique and post-operative care.
- Recto-Vaginal Fistula: This is an abnormal connection between the rectum and vagina, which may require further surgery to correct.
- Poor Wound Healing and flap Necrosis: These complications can occur but are less common with proper wound care and adherence to post-operative instructions.
- Vaginal and Urethral Stenosis: Narrowing of the vagina or urethra may occur and can be addressed with dilation or further procedures if necessary.
- Unsatisfied Size or Shape: While surgeons strive for optimal results, the final size and shape of the genitalia may vary. It’s important to have realistic expectations and discuss your goals with your surgeon.
- Wound Pain: Pain is expected after surgery and can be managed with medication.
- Asymmetric Labia: The labia may not be perfectly symmetrical, which is often a normal variation.
- Scarring: Scarring is inevitable with any surgery, but surgical techniques aim to minimize its visibility.
- Decreased Sensation: Some decrease in sensation may occur, but nerve-sparing techniques are used to preserve as much sensation as possible.
- Deep Vein Thrombosis: Patients with a history of blood clotting disorders are at increased risk and should inform their doctor. Preventive measures, such as compression stockings or medication, may be recommended.
- Anesthesia Side Effects: All surgeries carry risks associated with anesthesia, such as nausea, vomiting, or allergic reactions.
Why Choose Kamol Cosmetic Hospital for Sex Affirmation Surgery?
Kamol Hospital is a leading provider of sex reassignment surgery, and we are dedicated to providing our patients with the highest quality care and support. Here’s why you should consider choosing us for your gender affirmation journey:
- Experienced Surgeons: Our surgical team comprises highly skilled and experienced surgeons who specialize in gender reassignment procedures. They have a deep understanding of transgender healthcare and are committed to achieving the best possible outcomes for their patients.
- Innovative Techniques: We utilize the latest surgical techniques and technologies to ensure optimal results, minimize complications, and promote a smooth recovery.
- Comprehensive Care: We provide comprehensive care that addresses both the physical and emotional aspects of gender transition. Our team includes not only surgeons but also nurses, counselors, and support staff who are dedicated to your well-being throughout your journey.
- State-of-the-Art Facilities: Our hospital is equipped with modern facilities and state-of-the-art equipment to ensure patient safety and comfort.
- Affordable Prices: We offer competitive prices for our high-quality services, making gender reassignment surgery more accessible to individuals seeking care.
- International Patient Support: We cater to international patients with dedicated support staff who can assist with travel arrangements, accommodation, and language interpretation.
We understand that gender reassignment surgery is a significant step, and we are committed to providing you with the support and care you need to achieve your gender goals and live authentically. If you have any questions or would like to schedule a consultation, please don’t hesitate to contact us.
Tracheal Shave / Adam’s Apple in Bangkok, Thailand
The Adams Apple tracheal protrusion is a uniquely masculine feature. The varying-in-size cartilage protrusion on the front of the neck is removed or shaved down to create a smooth, feminine neckline. Tracheal shaving is a relatively inexpensive and straightforward procedure. It is usually performed outpatient under local anesthetic and commonly performed in conjunction with other surgeries under general anesthesia.
Kamol Cosmetic Hospital offers 2 techniques for Tracheal shaving as follows:
- The open technique: The incision is a horizontal line between the neck and chin to hide the scar. The surgeon makes an incision to Adam’s apple cartilage (Laryngeal Prominent) and reduces the height of the cartilage to be as flat as possible. Stitches are then made inside with absorbable stitches and on the outside using a sterile strip. The operation takes around 1 hour.
- Endoscopic technique. This technique has the advantage of being scarless. The surgeon accesses Adam’s Apple through the mouth with an endoscope and reduces Adam’s apple cartilage (Laryngeal prominence) as much as possible to have a female profile. The operation lasts around one hour.
A Good Candidate for Tracheal Shave
- Trans women who have visible Adam’s apple (Laryngeal Prominence)
- Physically Healthy.
- Realistic expectations.
Preparation for Tracheal Shave
- Consult with the surgeon who specializes in this operation.
- Stop smoking at least two weeks before surgery.
- Stop medication that interferes with coagulation, such as Aspirin, Ibuprofen, some vitamins, or herbs.
Procedure for Trachea Shave
- It can be undergone by local or sedate or anesthesia
- Operation by open technique: the surgeon makes a horizontal incision parallel to the upper neckline at the highest possible point, opens the wound, passes through Adam’s apple cartilage, and reduces it as much as likely to be flat. Then sutures.
- With the endoscope technique, the surgeon passes the endoscope through the mouth, reduces the cartilage, and then stitches.
Post-operative Care for Tracheal Shave
- Stop smoking & alcohol for one week after surgery.
- Avoid salty food to decrease swelling.
- Keep the wound clean.
- Avoid talking after surgery for a few days.
- Control pain with medication & cold compression
- Keep the head elevated for at least 1-2 weeks after surgery to minimize post-op swelling and protect the healing incision.
- Follow all post-operative instructions and appointments.
Risk and Complications for Tracheal Shave
Although infrequent risks associated with this procedure include:
- Swelling.
- Bruising or hematoma.
- Scarring.
- Neck pain.
- Wound Redness (disappears after a few weeks)
- Voice will change temporarily after surgery.
Facial Feminization Surgery
Facial Feminization Surgery (FFS) encompasses a range of procedures designed to soften and refine facial features, creating a more feminine appearance. This may involve a single operation or a combination of procedures to reshape bone structure and tissue, resulting in a smaller, smoother, and more youthful look.
FFS is an essential part of gender transition for many male-to-female individuals. Achieving facial harmony that aligns with one’s gender identity can significantly boost confidence and reduce social stress. It allows individuals to live more authentically and minimizes the risk of misgendering and potential discrimination.
Each FFS journey is unique and tailored to the individual’s needs and facial structure. The goal is to achieve a naturally feminine appearance, and the surgical plan will vary based on the surgeon’s expertise and the patient’s specific goals. While computer imaging can help visualize potential outcomes, the surgeon’s skill and experience are crucial in achieving a successful result.
Kamol Plastic Surgery Hospital’s Approach to FFS
At Kamol Hospital, we prioritize a holistic approach to FFS, considering the following factors:
- Facial Proportions: We analyze the face in three equal parts (upper, middle, lower) and five equal parts (left to right) to ensure balanced proportions.
- Facial Elements: We assess the harmony between eyes, eyebrows, nose, mouth, and cheekbones.
- Facial Frame: We consider the hairline, cheekbones, jawline, and chin to create a feminine contour.
- Bone Structure and Tissue: We evaluate the balance between bone and soft tissue for a natural appearance.
- Skin Quality: We take into account skin freshness, firmness, and elasticity.
Facial Reshaping Surgery: Key Areas
FFS procedures can be categorized based on the three main areas of the face:
- Upper Face: Forehead and eyebrows.
- Midface: Eyes, nose, and cheekbones.
- Lower Face: Lips, jaw, chin, and Adam’s apple.
The 8 Points of Facial Feminization
We address the following key areas to achieve comprehensive facial feminization:
1 – Forehead Feminization Surgery
Male foreheads tend to be wider, higher, and more sloping than female foreheads, with prominent brow bones. Our forehead feminization techniques include:
- Forehead bone grafting (see more)
- Forehead augmentation (see more)
- Hairline reduction (see more)
- Female hair transplant (see more)
Kamol Hospital offers specialized techniques for forehead surgery, including:
- Forehead shaving (see more)
- Forehead grinding and augmentation (see more)
- Forehead reduction (see more)
Aim of Facial Feminization Surgery
Dr. Kamol’s principle of Facial Feminization Surgery (FFS) is based on aesthetic fundamentals as follows:
- To balance the facial proportions to the upper, middle, and lower face ratio, divide into five parts from left to right to create an unmistakably feminine face.
- The balance of facial components is related to the eyes, eyebrows, nose, cheeks, and lips, making the face female.
- Facial frame, including hairline, side cheeks, jaws, and chin, to remove male features and, where needed, create feminine ones.
- The balance of facial bone and soft tissues to be more feminine.
- Facial rejuvenation.
There are Eight Distinctive Features of a Feminine Face
Every face is unique, and our surgeons will consider many techniques and factors to achieve the best results for each patient. The main points are as follows;
- The upper part of the face: Forehead and Eyebrows.
- The middle part of the face: Nose, Eyes, and Cheekbones.
- The lower part of the face: Lips, Chin, Jaws, and Adam’s Apple.
1. Forehead Feminization
The forehead takes up most of the upper face. Although we don’t consciously do it, people use the forehead more than other facial parts to subconsciously identify one’s gender. The forehead is massively crucial for gendering correctly. There are three main differences between male and female foreheads.
- Masculine foreheads are broader and higher than female foreheads.
- Male foreheads have a bony ridge above the eyes, whereas the female forehead is more smooth.
- The male forehead is more sloped backward, whereas the female is more flat and round.
Surgical procedures will be recommended for a Feminine Forehead feature as follows;
1. Forehead Shaving & Brow Bossing Surgery. (see more)
2. Forehead Augmentation. (see more)
3. Forehead Reduction, Scalp Advancement, Hairline Lowering. (see more)
4. Hair Transplant to create a feminine hairline. (see more)
Kamol Hospital surgeon teams offer three techniques for Forehead Contouring, as follows;
1. Forehead bone shaving (see more)
2. Forehead bone shaving with augmentation (see more)
3. Anterior walls of frontal sinus osteotomy and set back (see more)
We also offer four materials for forehead augmentation, as follows;
- e-PTFE sheets
- Fat transfer
- Silicone implants
- Customized material PMMA
2. Eyebrow Feminization
There are two significant differences between male and female eyebrows:
- Male eyebrows are thicker and straighter, whereas female eyebrows are thinner and often arched.
- Male eyebrows are lower and closer to the orbital eye rim, while female eyebrows are higher.
The surgical procedures recommended for more feminine eyebrows are a Brow lift, Eyebrow lift, or Forehead lift. (see more)
3. Nose Feminization
The nose can be a very obvious gender marker, and as it takes center stage in the middle of our faces, it is one of the most important things to correct to a gender-confirming shape and size. Significant differences between male and female’s noses are:
- The male nose is broader and more extended, whereas the female nose is narrower and shorter.
- Male noses have arched or straight nose bridges, whereas female noses are more curved.
Kamol Cosmetic Hospital offers the following surgical procedures for feminine rhinoplasty:
1.) Reduction of Rhinoplasty: The procedure is usually recommended for Caucasian patients to reduce hump, side bones, nasal tip, and alarplasty. (see more)
2.) Augmentation Rhinoplasty: The procedure involving nasal ridge and tip augmentation is usually recommended for Asians. The materials for nasal augmentation include silicone implants, e-PTFE, ear cartilage, and rib cartilage. (see more)
3.) Combined technique of Rhinoplasty: Non-Caucasian patients might need nasal ridge reduction and nasal tip augmentation to achieve more desirable results. (see more)
4. Cheekbones Feminization
Kamol Cosmetic Hospital offers three surgical procedures for cheekbones feminization
1.) Cheek augmentation (see more)
2.) Cheekbone shaving (see more)
3.) Cheekbone reduction, Zygoma reduction (see more)
5. Eyes Feminization
While the eyes are known as the “window to the soul,” they can also help determine a person’s gender. Male eyes are more profound and narrower, while female eyes are more comprehensive.
- Male eyes look more deep set than female eyes.
- Male eyes look more closed or narrow, while female eyes look bigger and brighter.
Kamol Cosmetic Hospital offers a surgical procedure for eye feminization as follows:
Cat Eye (Almond Eye) Surgery
The cat eye operation widens the eyes by opening the eyelids and lifting their outer edge upward. The eyebrows may also be raised to create more distance between the eyes and the eyebrows.
The cat eye operation is performed under local anesthesia and takes about 2-3 hours. The levator palpebral muscle will be shortened, the outer canthus will be moved upward, and excess eyelid skin will be removed. The stitches will be removed five days after surgery. The patients can open their eyes normally after surgery and perform light activity within a week. (see more)
6. Lips Feminization
Lips are one of the highlights of feminine beauty. Male lips are naturally thinner and straighter, while female lips are more curved, plumper, and fuller.
Kamol Cosmetic Hospital offers three surgical operations for feminization of the lips:
1.) Feminine Lip Lift (see more)
2.) Lip enhancement (see more)
3.) Lip reduction and contouring (see more)
7. Adam’s Apple reduction (Tracheal Shaving)
The Adam’s apple is a uniquely male feature, a clear marker people use to gender one another. To achieve a feminine appearance, Adam’s apple needs to be removed.
Kamol Cosmetic Hospital offers two techniques for Adam’s apple shaving:
1. Open technique or Supra thyroid incision technique (see more)
2. Endoscopic technique or Intra Oral incision (Less visible scar) (see more)
8. Chin and Jaw Feminization
The chin and jaw are obvious gender markers people subconsciously use to gender one another. This area must be feminized to be correctly gendered. Males have broader and more protruding chins, while females have more curved and gently pointed ones. Males have wider jaws with more muscle and more prominent saliva glands, while females have narrower jaws and invisible saliva glands.
- Male chin has wide and more protruding chins, while female chin have gently pointed and curved chin with less protruding features
- Male jaws have broad and large jaws with more prominent muscles and saliva glands, while female jaws have narrow jaws with invisible saliva glands.
Kamol Cosmetic Hospital offers various options for chin and jaw feminization.
- Jaw Reduction (see more)
- Jaw Augmentation (see more)
- Chin Reduction (see more)
- Chin Augmentation (see more)
Duration Time of the Surgery
The duration of the surgery depends entirely on the procedures being done. The average time for FFS Facial feminization surgery is 4.5 hours. Following surgery, you will spend a few hours in the recovery room, as is standard practice following any general anesthetic. Then, you will be taken back to your private room, where you will slowly wake up. Pain is generally well tolerated, and you will have strong painkillers in the initial days to ensure you are as comfortable as possible. You will also have an alarm button attached to your bed to call the nurses if you are in pain between standard doses.
Preparation for Facial Feminization Surgery (FFS)
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Consultation with the plastic surgeon to discuss your surgical goals, medical conditions, and treatments.
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Physical examination, blood test, chest X-ray, electrolytes, HIV test.
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CT scan.
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Stop smoking and drinking alcohol for at least one week before surgery.
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Stop medicines, vitamins, or herbs, such as aspirin, that interfere with blood clotting.
Recovery from Facial Feminization Surgery
FFS is one of the most rewarding procedures because it positively and profoundly affects patients’ lives. The recovery process is very much dependent on what surgeries are done. During your consultation, the doctor will discuss his recommended surgeries and their recovery time. In most FFS cases, you will need around three weeks off work. As with most surgeries, you will look “normal” as though you haven’t had surgery very quickly, but results continue to get better and better over several months, with the results continuing to improve constantly.
Post-operative Care for Facial Feminization Surgery
Postoperative care varies for each procedure, but the basics are as follows:
- Eat a liquid/soft diet while mouth stitches are new.
- Always keep your mouth clean with mouthwash.
- Avoid aggressive activities for a month after surgery.
- Avoid smoking.
- Don’t over-exercise for one month.
- Take painkillers to reduce pain.
- Patients can resume normal activities two weeks after surgery. Wounds should be completely healed within 4-8 weeks.
- Keep any follow-up appointments with your surgeon to check the healing process and ask any questions you may have.
Risks and Complications for Facial Feminization Surgery
- Bleeding
- Infection
- Edema
- Hematoma
- Bruising
- Nerve damage
- Asymmetry
- Implant failure
- Pain after surgery
- Poor healing
- Necrosis
- Scarring
Facial Feminisation Surgery Results
The results from Facial Feminization Surgery (FFS) are quite literally life-changing. Not only being gendered correctly but being a beautiful, attractive woman gives you a quality of life you might not have even imagined possible. Not only will you be gendered correctly on sight by people, but through surgery, you can be as beautiful on the outside as you are on the inside. Becoming an attractive woman is just the most fantastic thing to witness patients achieve, and it gives us so much pride to change people’s lives in this way. Having done tens of thousands of FFS procedures, we have unparalleled success and are regarded as the best in the field. As we are based in Thailand, we are significantly cheaper than other FFS centers, yet our results are among the best. FFS results can start to be seen after just a few weeks but change considerably over the first year as tissues and swelling settle.
Revision Vaginoplasty / Secondary Vaginoplasty
A revision vaginoplasty may be required for various reasons: Correcting and improving ascetics and function, adding depth, and correcting a poorly performed vaginoplasty. Our team of specialist surgeons, led by Dr Kamol, are among the most qualified and highly trained experts on these procedures. Many vaginoplasty techniques commonly used were invented and perfected here at the Kamol Cosmetic Hospital. Our surgeon’s expertise can drastically improve and “upgrade” one’s prior vaginoplasty and vaginal canal with a modern and proven technique such as the Penile Peritoneum Vaginoplasty (PPV) or the Sigmoid Colon procedure. Dr. Kamol and his internationally recognized team of surgeons will make one’s dreams a reality.
Revision due to lack of function
Thousands of patients each year are treated at Kamol Cosmetic Hospital with revision vaginoplasty. The most common technique for SRS around the world is penile inversion which has the downside that without daily dilation, their vaginas narrow to the point that they are unable to have intercourse. At this point, there is no alternative other than to replace the vaginal canal with either a Sigmoid Colon or PPV. There are also cases where the function was never possible, even in the beginning, due to malpractice and unprofessional surgery.
Revision due to unsatisfactory aesthetics
Kamol Cosmetic Hospital has a proud reputation for creating and designing beautiful natural vaginas. The aesthetic appearance of the vagina is one of the most critical aspects for most trans women in building sexual confidence. We aim to design and create the vaginal appearance to include inner and outer labia, correctly positioned urethra and vaginal entrance, and the clitoris to be cisgender without noticeable scars. In revision cases, It is tough to do this with the limited quality skin and tissue, but we will try to do it as much as possible, and we are some of the best in the world. Since the introduction of SRS-PPV and sigmoid colon, many trans women have chosen to ‘upgrade’ their neo-vagina to these techniques. Many have perfectly typical results from older methods, such as penile inversion, and also have good functions. Still, they want something more indistinguishable from a biological vagina, such as self-lubrication, elasticity and a massive factor in that newer methods are that they don’t always require dilation for the rest of their lives. We can take the previous penile inversion vaginoplasty and replace it with SRS-PPV / sigmoid colon, and at the same time, we can also make any aesthetic changes you would like.
Revision due to unprofessional function Revision Vaginoplasty with Peritoneal – SRS-PPV
This is the newest technique, and Kamol Cosmetic Hospital is one of the only hospitals in the world performing it. Peritoneal tissue is the tissue that lines the abdomen. It is the most vagina-like of all body tissues. It is elastic, wet, and self-lubricated. The procedure uses a small amount of penile inversion combined with a peritoneum pull-through to make the vaginal canal. Using a peritoneal pull-through to create a vaginal canal is not, in fact, a new idea; it’s just new for transgender people. This technique has been used in cisgender girls for over 45 years. Known as the Davydov technique, it is the only treatment for girls born without a vaginal canal, known as “MRKH Syndrome” This congenital disability affects a huge one in 4500 girls. Peritoneal tissue is the only tissue used to make a vaginal canal to connect the vulva to the womb of girls with MRKH. Dr Kamol and his team work simultaneously to perform this advanced method. One surgeon prepares the peritoneal lining while Dr. Kamol creates the outer vagina/vulva. In the last stage, the peritoneal is pulled through and connected to the newly formed vaginal canal to the vulva.
Revision Vaginoplasty using Sigmoid Colon
The advantages of using the Sigmoid Colon are that the vagina will have a natural lubricant, and dilation for life is not usually needed. This method offers the most profound vaginal depth at 7-9 inches. Contrary to widespread rumors, the vagina doesn’t have a bad odor. The sigmoid colon is vital and rarely shrinks. At Kamol Cosmetic Hospital, there are 2 options for Sigmoid Colon SRS:
Open Technique
The sigmoid colon with open technique leaves a 5 cm scar on the bikini line. The average length of the sigmoid colon segment is approximately 7 inches. The operation time is approximately 6 hours.
Laparoscopic Technique (Keyhole surgery-No Scars)
The sigmoid colon is harvested through 4 small incisions using the laparoscopic technique. There are 3 tiny freckle-like scars on the abdomen. The sigmoid colon segment is closed at the upper end and pulled through the neo-vaginal canal and anastomosis (re-connected) to the neovaginal opening.
Revision Vaginoplasty Results
The result of revision vaginoplasty depends on the previous surgery and the severity of damage that has been done. Our team includes plastic surgeons, urologists, colorectal surgeons, gynecologists, anesthesiologists, etc. They will create and design a new vagina with the limited quantity of skin and tissue available. Revision vaginoplasty is an art form of plastic surgery, as you can see from our before and after gallery.
Gender Affirming Breast / Transfeminine Breast Augmentation
Breast Augmentation “Top Surgery”
Often referred to as “Top surgery,” breast augmentation is considered an important step in gender confirmation. The surgery may also offer some relief from dysphoria by creating a much more feminine appearance.
Gender-affirming breast augmentation is much different and significantly more complicated than breast augmentation provided by most doctors; anatomy, body size, and shape are pretty different, so an expert is needed. Our talented surgeons will make your dreams a reality with special training, the surgeon’s artistic touch, and our experience performing thousands of specialized surgeries.
Important considerations before gender-affirming breast augmentation surgery are: The patient should be on Hormone Replacement Therapy (HRT) for at least one year. It is exceptionally rare for Hormone Replacement Therapy alone to produce the breast size and shape generally desired for gender confirmation.
A unique technique and extensive surgeon experience will balance the breast on both sides. The nipple and areolar will be adjusted to completely balance the shape, size, and shoulder.
There are 3 available locations for the incision:
- Periareolar incision – around the nipple.
- Transaxillary incision – in the armpit.
- Inframammary incision – the crease under the breast.
The choice of incisions depends on several factors, including the amount of enlargement the patient wants, the patient’s anatomy, the type of implant they want, and the surgeon’s requirements. We will always endeavor to perform the least invasive surgery with little or no scar.
The positioning of breast implants
- The implant is under breast mass.
- The implant is under the chest wall muscle.
- The implant is a Dual Plane, a combination of breast mass and muscle.
A Good Candidate for MTF Breast Augmentation
- Has taken hormones for at least one year before surgery.
- Healthy.
- Has realistic expectations.
- Aged over 18.
Preparation for MTF Breast Augmentation
- Consult with the surgeon to choose the most suitable option for your goals and anatomy to get the best possible result.
- Undergo physical examination to ensure no health conditions may affect the surgery.
- Stop some medicines that interfere with blood clotting, such as aspirin, Ibuprofen, and some vitamins and herbs, at least two weeks before surgery.
Procedure for MTF Breast Augmentation
- The surgery is performed under a general anesthetic.
- The incision is made, and the surgeon makes the pocket to insert the implant. The breasts are adjusted to create the best shape, and the incision is closed with layered stitches.
The operation time is around 1-2 hours.
Post-operative Care for MTF Breast Augmentation
- Keep the wound area clean and avoid getting the wound wet for a few days after surgery.
- Stitches are removed seven days after surgery.
- Ensure you keep all follow-up appointments with the surgeon.
- Perform a breast massage every day for at least three months to prevent capsular contracture.
- Use the provided compression garment for at least 1-2 months after surgery.
- Don’t carry or lift anything over 2-3 kg for at least two months to prevent the implant move up.
Risk and complications for MTF Breast Augmentation
Risks and complications for breast augmentations are rare, but those associated are as follows:
- Swelling
- Bruising
- Hematoma
- Bleeding
- Infection
- Poor healing
- Asymmetry
- Painful
- Scarring may be thick, red, and sore, sometimes requiring future surgery.
- Decreased or Lost Sensation in the breast, the nipple, or both- usually temporary.
- Capsular contracture is hardened scar tissue around the implant that can cause pain and distort its shape.
- Implant Failure
- Risk from anesthesia
Recovery
After your breast implant surgery, you will feel pain around the chest for a few days. This can be treated with strong painkillers, which we will provide. You may feel uncomfortable with pain when you move for a few days as the muscles recover and adapt. It will become significantly better after a week. You can resume regular exercise after two months. It would be best if you massaged your breasts every day to prevent capsular contracture.
Voice affirmation surgery (VAS) is a procedure designed to achieve a more feminine speaking voice. Sometimes referred to as gender-affirming voice care, the procedure is complex and should only be performed by surgeons with specialized training and equipment. A speech pathologist will assist patients in adapting their voices to achieve communication patterns consistent with gender identity.
Styles of speech, voice tones, accents, and language style are highly personal and vary greatly. Voice training alone can take years of frustrating and expensive lessons, and success is often elusive. Through voice affirmation surgery, pitch, resonance, and volume can be altered to provide a more gender-appropriate speaking voice. Post-surgery, one week of silence is required before the introduction and lessons from trained coaches or speech pathologists.
1. Open Feminization Laryngoplasty, Cricothyroid Approximation (CTA), Thyroplasty type IV.
Surgical technique
The goal of this operation is to surgically move the thyroid cartilage closer to the cricoid with non-absorbable stitches. The vocal cords are not directly touched but passively stretched. This procedure increases vocal pitch by stimulating the contraction of the cricothyroid muscle with the suture. This increases the distance between the vocal fold attachments and raises the tension of the vocal fold. The cricoid and thyroid cartilage are moved as close as possible because postoperative reversion to a slightly lower pitch is inevitable to some extent as swelling resolves and tissues relax. The fundamental frequency of the voice rises to overlap the biological female range perceptively. The operation is performed under general anesthesia. The duration of the surgery is about 40-50 minutes, and the surgical reduction of Adam’s apple can be performed simultaneously. Generally, the patient doesn’t feel any postoperative pain; however, pain may occur if Adam’s apple surgery is done. This pain is mild and easily controllable with painkillers.
A transverse incision scar is made in an existing skin crease and, if possible, at the level of the vertical midpoint of the thyroid cartilage on the throat, a minor surgical opening, around 2 cm, leaving an almost invisible scar.
Advantages
- This procedure does not interfere with or create scars on the vocal cords, potentially leading to permanent hoarseness.
- Theoretically reversible if the patient is dissatisfied.
- The surgical reduction of Adam’s apple can be performed simultaneously.
Disadvantages
- Requires a neck incision.
- Long-term results have yet to be discovered as it’s a newer procedure.
2. Open Laryngoplasty with anterior vocal fold shaving technique
This surgical technique, open laryngoplasty, is performed under general anesthesia. The procedure involves making a small incision (approximately 2-4 cm) in the midline of the neck, just above the thyroid cartilage. The surgeon then opens the cartilage at the midline and removes the central segment.
The anterior part of the true and false vocal folds are then removed and pulled together. This procedure is typically done to reduce the size of the vocal folds and improve the patient’s voice.
In this procedure, you can reduce the size of your Adam’s apple through the same incision. Some patients might experience a vibrating quality to their voice after surgery for a few weeks, but it usually improves back to normal eventually.
Advantages
- Comfortable speaking pitch
- Alters the physical size of the larynx to a close approximation of the female larynx
- The high tone of the frequency
Disadvantages
- The roughness of the voice in some patients
- Risks of infection and airway compromise in the immediate postoperative
- The procedure is longer and more complicated.
- Long time for recovery
Pre-operation for Voice Feminization Surgery
Before undergoing voice feminization surgery, you may be asked to follow specific instructions to prepare for the procedure. These instructions may vary depending on the particular needs of the individual and the recommendations of their surgeon, but they may include:
- Quit smoking and avoid tobacco use for a certain period before and after the surgery, as smoking can interfere with healing and increase the risk of complications.
- Avoid medications that can interfere with bleeding or healing, such as aspirin or nonsteroidal anti-inflammatory drugs (NSAIDs), unless instructed otherwise by your surgeon.
- Avoid consuming alcohol for a certain period before and after the surgery. Fast for a certain period before the surgery, as directed by your surgeon.
- Inform your surgeon about any medications you take, including prescription, over-the-counter, and herbal supplements.
- Arrange for transportation to and from the surgery, as you may be unable to drive after the procedure.
- Follow any other specific instructions your surgeon provides, such as showering with an antimicrobial soap before the surgery.
Follow these instructions carefully to ensure the best possible outcome from the surgery. Discuss the instructions with your surgeon if you have any questions or concerns.
Post-operative Care for Voice Feminization Surgery
- Day 1 to 7: You must remain silent until the first follow-up. There are no food and drink restrictions.
- Day 3 to 7: Keep the vocal cords lubricated by drinking lots of water and nebulizing with a sterilized saline solution.
- Day 8 to 10: After the vocal rest period, a new videolarygostroboscopic and spectrum-acoustic study is performed. The outer stitches are removed, the dressing is changed, and speech therapy rehabilitation can start.
The speech therapist will teach the patient how to use her new voice as effectively as possible. The final result will be seen between the third and eighth month after surgery. For this reason, a follow-up is recommended in the third, sixth, and twelfth months after surgery.
Note:
- The surgical team reserves the right to assess the feasibility case by case if the upcoming patient has already undergone the voice change surgery using a different technique and is not satisfied with the result of their voice.
- To prevent acid reflux, it’s highly recommended to avoid caffeine, chocolate, peppermint, fatty foods, acidic foods, soda, and alcoholic drinks.
- One week off from work is sufficient as long as you can follow the voice restrictions. Two weeks off are required if you need to use your voice.
Risk and Complications for Voice Feminization Surgery
As with any surgical procedure, voice feminization surgery carries certain risks and potential complications. These may include:
- Bleeding
- Infection
- Scarring
- Changes in voice quality or pitch that are not satisfactory to the patient
- Damage to the vocal cords or surrounding tissues
- Difficulty speaking or swallowing
- Anesthesia risks
Voice Feminization Speech Therapy
Voice feminization speech therapy is a treatment to refine your voice, making it sound more feminine. The treatment has to be done before and after the voice feminization surgery to provide effortless control of speech. Before voice feminization surgery, your voice must be assessed and tuned to give you a proper speech. After voice feminization surgery is performed, you would have to learn to feminize your voice and how to speak effortlessly. A specialized, skilled speech therapist provides this program, and it includes multiple sessions of practice until you complete all aspects of voice feminization therapy under the guidance of our speech therapist. Practicing without the specialist’s advice may result in edema of your vocal cords and can cause a failure in our training program.
Voice feminization training program @ Kamol Cosmetic Hospital
Around one week before having voice feminization surgery, your voice and speech will be assessed by our speech therapist, who will help you tune your voice and let you speak with the least effort in preparation for talking in your new voice after the surgery.
After the voice feminization surgery, you will meet with the speech therapist to assess your vocal cord function and help you speak healthily. This session will be held in the second and fourth weeks after the surgery. You will be given daily voice exercises as homework to yield the best results. Monthly online follow-up meetings with our speech therapist can be arranged via Skype so no matter where you are you can continue to train and learn to speak in a female range and pattern with the correct intonation. Each meeting will be around one hour.
Exploring the Popularity of VFS at Kamol Cosmetic Hospital
Are the results from VFS Permanent?
Voice feminization surgery is a surgical procedure designed to alter the voice of individuals who identify as transgender or non-binary to better align with their gender identity. The goal of the surgery is to create a voice that is perceived as feminine, with a higher pitch, lighter tone, and improved articulation.
“The question of whether the results from voice feminization surgery are permanent is a common one among those considering the procedure.”
In general, the results from voice feminization surgery are considered to be permanent, meaning that the changes to the voice are long-lasting and do not revert back over time. However, the success and permanency of the results can vary depending on various factors, such as:
- The individual’s anatomy
- The surgeon’s skill and experience
- The patient’s vocal hygiene and post-operative care.
It’s important to note that: While the surgical procedure itself can bring about significant and lasting changes to the voice, the process of feminizing the voice is not limited to surgery alone. Voice therapy and speech coaching can also play an important role in achieving a desired feminine voice. In some cases, speech therapy is recommended after the surgery to help the individual learn to use their new voice effectively and to develop good vocal habits.
The process of voice feminization is not a one-time event and can take time, patience, and dedication. Some individuals may experience setbacks or may need multiple surgeries to achieve their desired voice. “With proper care and attention to vocal hygiene, the results from voice feminization surgery are often long-lasting and can bring significant improvements to an individual’s quality of life and confidence.”
In conclusion,
While the results from voice feminization surgery are generally considered to be permanent, the success and permanency of the results can vary depending on a number of factors. The process of feminizing the voice is a journey that requires patience, dedication, and a combination of surgical and non-surgical approaches.
MTF Sex Reassignment Surgery / Sex Change in Bangkok, Thailand
The Penile Peritoneum Vaginoplasty, commonly referred to as the PPV, is the newest and most advanced technique in vaginoplasty gender affirmation surgery. The peritoneum is a tissue that lines the abdomen and is the closest in function and texture to the actual lining of the vagina. The peritoneum tissue is elastic, self-lubricating, and has no associated smells or odors. The PPV technique uses a small amount of penile inversion for the entrance of the vaginal entrance, combined with the peritoneum to create the neo-vaginal canal. The procedure is performed laparoscopically (small incisions, practically no visible scarring).
Although relatively new as a gender-affirming surgery, the PPV technique has been successful for decades in the treatment of MRKH syndrome, a congenital condition where girls are born without a vaginal canal.
The surgical team, led by Dr. Kamol, is the world’s leading specialist in the PPV technique and has performed more than any other hospital. Kamol Cosmetic Hospital, making dreams a reality.
Advantages of Penile Peritoneal Vaginoplasty / PPV
- This technique can be used as a primary or secondary neovagina reconstruction. This technique is beneficial for patients who have previously undergone sex reassignment surgery, penile inversion whose vaginas have developed a loss of depth and are unable to perform sexual intercourse, or for those who want an “upgrade” to a more natal functional vagina with less maintenance.
- The vagina has a self-natural lubricant.
- The vagina is elastic.
- Hairless neo-vagina
- Fewer risks of intestinal dysfunction compared to the sigmoid colon vaginoplasty.
- Negligible scar due to the laparoscopic (keyhole) technique. There are only four tiny, virtually undetectable scars from the keyhole surgery. They look like tiny freckles and fade after 12 months to be more or less invisible.
- Peritoneal pulled-through has been performed on cis-gender girls for over 40 years and is well understood.
Disadvantages and limitations Penile Peritoneal Vaginoplasty / PPV
- The patient may experience dyspepsia/indigestion symptoms 1-2 weeks after the surgery.
- In a few weeks, the patient may experience a temporary bowel habit change, such as a change in the frequency of mucous defecation, constipation, or back pain (LAR-liked syndrome: low anterior resection-like syndrome).
- This technique is not suitable for those who are overweight or have fatty abdomen as Internal fat can cover the peritoneum, making surgery very difficult.
- In a circumcised or very short penile skin individual, the surgeon may use the hairless scrotal skin for the vaginal entrance reconstruction. Therefore, the patient may need scrotal laser hair removal for at least 6 months preoperatively or intraoperative electrolysis.
- Initial dilation can be painful for a few weeks due to over-sensitive of the peritoneum.
- If dilation isn’t maintained, the vagina can quickly lose depth.
- Postoperative intraabdominal adhesion can happen in approximately 1-2%.
- Due to the new technique for transgender women and no long-term study, a candidate for surgery needs to accept all possibilities of unlikely rare complications of this method.
- The patient needs hair removal around 5×6 cm at the base of the penis, as in picture 1.
- In a complicated case, the patient might be able to convert to a sigmoid colon.
Why is Kamol Cosmetic Hospital a world leader in Penile Peritoneum Vaginoplasty SRS-PPV?
Kamol Cosmetic Hospital is a leading provider of gender confirmation surgery, known for achieving consistently excellent results. Our modern hospital is equipped with state-of-the-art technology and techniques, including the advanced SRS-PPV method performed by a specialist abdominal surgeon in collaboration with a plastic surgeon. This technique is not widely available as it requires a specialized skill set and may not be as profitable for other surgeons who prefer to use older, less effective methods.
Our surgeons are highly skilled and experienced. In particular, Dr. Kamol’s technique for SRS involves hiding scars in the labia, resulting in a natural, cisgender appearance. With Dr. Kamol, you can choose the desired appearance of your vulva/vagina within reason. Kamol Cosmetic Hospital is committed to providing our patients the best care and results.
Penile inversion vaginoplasty is a technique that can be used to reconstruct a neovagina as a primary or secondary method. It is particularly beneficial for patients who have undergone sex reassignment surgery and have experienced a loss of depth in their vagina or for those who want a more functional and low-maintenance vagina. This technique has several advantages, including a natural self-lubricating mechanism, fewer risks of intestinal dysfunction compared to the sigmoid colon, and minimal scarring. We use a laparoscopic or keyhole surgery approach, which leaves only four small spots on the abdomen that are barely visible.
Accredited by the Joint Commission International (JCI), the gold standard in global healthcare, Kamol Cosmetic Hospital is a trusted destination for gender confirmation surgery.