These procedures include but are not limited to: rhinoplasty, forehead contouring, jaw angle reduction, chin width reduction, lowering the hairline, hair transplantation, cheek augmentation, lip augmentation and upper lip shortening. Topics you discuss may include: Both specialists must submit a letter of support before you can get approved for a vulvoplasty. The main difference between a vulvoplasty and a vaginoplasty is the lack of vaginal canal. Learn about gender-affirming vaginoplasty and vulvoplasty at OHSU, including vaginoplasty with a robotic approach. Quit smoking: If youre a smoker, its very important for you to quit. If you have more questions or would like to schedule a free consultation with Dr. Tran, please contact us via our website, Tran Plastic mobile app or call us today at 714-839-8000. "While the term 'zero-depth vaginoplasty' is technically an accurate term for a neovagina without a true canal, the author has moved away from this term and instead now uses 'shallow depth vaginoplasty.' Let your provider know if you notice any of the following: Sometimes, people whove had vulvoplasties feel less sexual sensation in their genitals and have a harder time achieving orgasm. The windows on a high-rise building before and after Hurricane Laura: Before and after Hurricane Laura in Lake Charles, Louisiana from pics. A vulvoplasty is a type of surgery that uses skin and tissue from a penis to create all of the outside parts of a vagina (except for the vaginal canal). Get useful, helpful and relevant health + wellness information. This procedure will utilize a number of surgical techniques that will be determined by Dr. Hanna based on your current genital layout, medical . The removal of both testicles specifically can be referred to as a bilateral orchiectomy. Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation, mask requirements and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. Such terms suggest that a patient is not undergoing creation of a "real vagina," which itself can create dysphoria for patients. Youll likely stay in the hospital or an area close to the hospital for the next several nights so that your provider can monitor your progress. During surgery, tissue from the penis, testes, scrotum and urethra is used to create a vulva. Your goals for your vulvoplasty, including the support network and resources you have to help you through your surgery, from preparation to recovery. In cases where a patient later desires Vaginoplasty, a Vulvoplasty can be converted to full depth Vaginoplasty, using skin grafts or a section of sigmoid colon. Viewing the content will constitute your agreement to the following terms and conditions: I accept all responsibility for my own actions; and. Pursue hair reduction: The first thing youll need to do is have hair removal on your scrotum and lower penile skin. Insert a urinary catheter to help you pee after your surgery. The surgeon lines the inside of the tunnel with skin from the scrotum, the penis or both. There are three main methods of vaginoplasty performed today: penile inversion. Cleveland Clinic is a non-profit academic medical center. Its important to take the time to find the right medical professional to do your vulvoplasty so that youre less likely to have complications and more likely to be pleased with the final results. Lightner BA et al. (608) 263-6420. (920) 568-6567. In addition to speaking with friends, family and medical professionals who support you, connect with others whove experienced gender-affirming surgery firsthand. This is a 56 year old who underwent Bilateral augmentation mammoplasty for gender dysphoria purposes. Doctors & Staff at Align Surgical Associates. Working together, we can help them regain the comfort, sensitivity, and control that they enjoyed before. A vulvoplasty can make you feel more comfortable and happier with the way you look. Your provider will: Your provider will also talk with you about how having a vulvoplasty will affect your future health and family planning goals. Some procedures are performed as outpatient procedures while others require an inpatient stay. ALIGN SURGICAL ASSOCIATES INC. ALL RIGHT RESERVED. "To be fair, this number may be limited by consumers who were previously unaware of [zero depth vaginoplasty]we did not talk about this as an option unless specifically asked." As such, hair removal and vaginal dilations are not required. None of these terms mean exactly the same thing . Your history with behavioral health conditions or mood disorders. Your surgical team will give you a compressive dressing that reduces inflammation (swelling) after your surgery. Most patients rest in bed while theyre healing since the dressing is uncomfortable to walk with. Factors Affecting Choice of Vulvoplasty Over Vaginoplasty as Gender-Affirming Genital Surgery for Transgender Women. The Zero Depth Vaginoplasty is a one-stage procedure and takes up to 3 hours. introitus dimple can be constructed (ie, Shallow Depth Vaginoplasty.) During penile inversion, the surgeon makes a cut in the area between the rectum and the urethra and prostate. (Vulvoplasty costs less than Vaginoplasty. But your chances of developing a rectal injury are much lower if you have a vulvoplasty instead of a vaginoplasty. As you plan for your vulvoplasty, think ahead to how you can make your recovery process as easy as possible for your future self. Vulvoplasty is a feminizing surgery that creates a vulva and removes the penis, scrotum and testes. While it does not include the creation of a vaginal canal, Vulvoplasty results in aesthetically pleasing female genitalia which is entirely gender affirming for some patients. And this is also good for your recovery. 45 Denham St, Annerley,QLD, 4103, Australia, Leaders in Cosmetic Surgery, Laser and Skin Treatments. Your surgeon will use skin from the penis and scrotum to build the, Your surgeon will use tissue from your foreskin to build the. Labia size and shape are as unique . . Everyones gender journey is different. Some people in sex and gender minority communities ask for bottom surgery that does not include creating a full vagina. Breast augmentation is often performed as an outpatient procedure but some patients may require one night stay in the hospital. IMPORTANT MESSAGE REGARDING COVID-19 SYMPTOMS. Does depth matter? After that, maintenance dilation will be necessary for life. The patient is 1 month post surgery. Services include surgery. Your healthcare provider is your best resource for explaining how to prepare for your vulvoplasty. . Great care is taken to limit the external scars from a vaginoplasty by locating the incisions appropriately and with meticulous closure. The vulva is created using scrotal and urethral tissue . Labiaplasty is a cosmetic surgery procedure designed to re-size, re-shape and re-contour the Labia, the Mons Pubis, and the vagina. The surgery is shorter and risks to adjacent structures such as the rectum are decreased. How do you know what is typical? There are many techniques used to perform bottom surgery, and the most common is the penile inversion vaginoplasty. Maurice M.Garcia, Clinics in Plastic Surgery, Volume 45, Issue 3, July 2018, Pages 437-446. Your provider will: Youll likely go home wearing a catheter that will be removed later. It was hard to take pictures of Devon eating the candy as they all looked kinda rude with his mouth full. If your surgeonsuggests [zero depth vaginoplasty], 'buyer, beware!' Salim A, Poh M. Clinics in Plastic Surgery, Volume 45, Issue 3, July 2018, Pages 343-350. IMPORTANT MESSAGE REGARDING COVID-19 SYMPTOMS. Like vaginoplasty, vulvoplasty involves surgically removing the male genitals, creating the external vulva, and shortening/repositioning the urethra to allow urination in a seated position. For some people, vaginoplasty or vulvoplasty may not be possible because of their body shape and weight. Some surgeons offer Vulvoplasty specifically to patients who have greater risk factors: "At our institution, we offer vulvoplasty to patients who are at high risk for complications due to social or medical co-morbidities. A select few were taken immediately after surgery. The vast majority of dogs that undergo this surgery are . There are several things that patients need to do before having a vaginoplasty. After a vulvoplasty, patients usually remain in the hospital for three days. The patient is 2 months post surgery. For these patients, a vulvoplasty may be a better choice. This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. The page you have requested contains graphic content. During vulvoplasty, the surgeon uses tissue from the penis to create the external vaginal . Sexual Function After Shallow and Full-Depth Vaginoplasty: Challenges, Clinical Findings, and Treatment Strategies Urologic Perspectives. TRANSGENDER SURGERY Vulvoplasty is a suitable surgical solution for patients who: For these patients, Vulvoplasty is appropriate and should be offered by the surgeon as an option. Theblood and nerve supplies are preserved to provide sensation, and the urethra isused to create the mucosal part of the vagina that provides additional sensitivity and wetting. The CDC guidance is to stay home unless you need urgent medical care. Having a care team that includes surgeons and behavioral health specialists with expertise in transgender care can make it easier to decide whether a vulvoplasty is right for you. The procedure requires an inpatient stay in the hospital and if a full-depth vaginoplasty is performed, there is a required stay at a nearby hotel. Smoking, vaping, or using any nicotine products decreases blood flow to the area around your genitals and will make it harder for you to heal after your surgery. The dog will be required to fast for several hours before the operation takes place. During surgery, tissue from the penis, testes, scrotum and urethra is used to create a vulva. The most common clinical signs of a juvenile or recessed vulva at initial examination were perivulvar . After four months, you should have healed enough so that you know what your vulva will look like once the swelling is completely gone. We are grateful for our many patients who are willing to share their experiences and results. Does Depth Matter? create the introitus (opening of the vagina). Wangthonglang Bangkok 10310, Thailand +662 559 0155 | customercare@kamolhospital.com For those patients, vulvoplasty is a lower-risk alternative. Its a good idea to have people lined up to help with chores and errands, especially during the first two weeks after surgery when youll need the most rest. Surgery Techniques. Some patients choose hysterectomy to: Call 503-418-4500 to request an appointment. Your feelings about the disconnect between the way your body looks and your gender identity. In these videos, expert surgeons demonstrate robot-assisted penile inversion vaginoplasty, single-stage metoidioplasty, and simple orchiectomy for transgender patients. In all three . ), "Various terms exist for vaginoplasty without creation of a vaginal canal, including partial vaginoplasty and vulvaplasty. For zero-depth procedures patients should expect to be in Cleveland for 3-4 days after the surgery and for a full-depth procedure, 7-10 days after surgery. This is a 24 year old who underwent Bilateral subcutaneous mastectomies with free nipple graft nipple reconstructions for gender dysphoria purposes. The loose edge may be stitched with fine, dissolvable stitches. Dr. David Matlock is proud to have one of the largest Before & After Patient Galleries in all of Los Angeles, featuring hundreds of his satisfied patients from around the world. A vulvoplasty has a much easier recovery. Your surgeon will give you vaginal dilators to use at home. careful not to remove too much tissue. If there's not enough penile or scrotal skin, the . After many months of attempting medical management, he felt the ultimate cure for her hypoplastic vulva was to perform the surgical procedure called episioplasty or vulvoplasty. Both before and after having a vaginoplasty, your surgeon will recommend that you start seeing a physical therapist. Morrison SD, Vyas KS . Vulvoplasty is a male-to-female gender affirming procedure that removes the penis, scrotum and testicles, creates the labia and clitoris, and re-positions the urethral opening. Transfeminine bottom surgery is typically performed as a single stage procedure. Vaginoplasty Vulvoplasty Labiaplasty Orchiectomy Hospital Length of 7 nights 5-7 nights 1 night outpatient Stay Initial Recovery 6-8 weeks 4 weeks 2 weeks 2-3 weeks . The remaining penile and scrotal tissue are used to form the clitoral hood and labia. Vulvoplasty, or Zero Depth Vaginoplasty, is an option for those who are higher-risk surgical candidates, do not desire penetrative vaginal intercourse, or physically cannot or choose not to maintain the long-term dilation associated with Vaginoplasty. However, we understand that BMI is not a perfect measure of your overall health. It can be a stand-alone procedure or occur during a vaginoplasty. You'll also meet the surgeons and other me. Feminizing genital gender-confirmation surgery. If our team decides that weight loss is the best pre-surgical option for you, we will refer you to our, how to dilate your vagina after having a vaginoplasty, DNV GL Public Information Policy Statement. Dr. Matlock is a world-renowned cosmetic surgeon known for his innovative techniques of Laser Vaginal Rejuvenation , Designer Laser Vaginoplasty , and Advanced Surgical Bodybuilding .As a cosmetic surgeon to Hollywood's elite, A-List celebrities, international royalty, and the most discerning of patients, Dr. Matlock's expertise and attention to detail speaks . Home; . A critical systematic narrative review.Transgend Health. Many transfeminine people wonder if theyll still be able to have orgasms after having a vaginoplasty. Theyll work with you to be sure that having a vulvoplasty is a healthy option for your psychological well-being, too. Keelee MacPhee, M.D. A typical post-op protocol will involve dilating three times a day for 50 minutes each time for the first year. Brisbane Cosmetic Clinic would like to thank all of our patients who have consented to having their Labiaplasty Before and After photos shown in our Labiaplasty gallery below. Doing so helps ensure that patients are provided with a review of all surgical options. 611 Sherman Ave East / Fort Atkinson, WI. In some cases, a rectal injury can create a hole between your rectum and vagina. A vulvoplasty is a gender-affirming surgery for transgender and nonbinary individuals who are designated male at birth (DMAB). During a vulvoplasty, your surgeon will: The only thing thats different between a full vaginoplasty and a vulvoplasty is the internal part of the vaginal canal. Advertising on our site helps support our mission. The author believes that the use of such terms is purely academic and for patients, creates a false dichotomy. Your provider will give you medications to ease your pain and prevent infection. Your provider will share detailed instructions with you about how to plan, including what to pack for your hospital visit and what medications you should and shouldnt take in the weeks leading up to your surgery. But that doesnt describe it that doesnt even begin to describe it, beams Josie Jesse as she sits, finally comfortable, in her new body that reflects who she has always been. Cohen WA, Sangalang AM, Dalena MM, Ayyala HS, Keith JD. View MTF genital reconstruction results in our Photo Gallery. A vulvoplasty is a gender-affirming surgery for transgender and nonbinary individuals who are designated male at birth (DMAB). Dr. Carter has used his surgical laser for over 17 years. Referrals and appointments are made through the OHSU Center for Women's Health, though the space is not in the center. The patient is 1 month post surgery. They are: During a vaginoplasty surgery, a surgeon creates both an outer and inner vagina by using skin and tissue from a penis. 219, N. 11, p. 1577-1581. Healing completely may take a little longer, up to a year in some cases. After surgery for six months, it's necessary to dilate the vagina for 2 to 3 days. After surgery, your healthcare provider will keep a close watch on you to make sure that youre healing without any complications. Use the tissue from your scrotum, penis and urethra to form the rest of your vulva. The procedure itself incorporates an orchiectomy, penectomy, labiaplasty and cliteroplasty. It means lubricating the vagina for 2 to 3 minutes. Waiting two weeks will let your vagina heal. Your pet will be . Does Depth Matter? Signs of an infection, like a fever over 101, swelling and warmth near your incisions. Your vaginoplasty surgeon will use this skin to create your new vaginal canal. These are three surgeries that can help a patient feel more aligned with their gender identity. To view additional Vaginoplasty before and after pictures from Dr. Salgado, please request a consultation. If youre unhappy with your vulva, talk with your provider about surgical options for correcting its appearance. Marketing Website By Group3 Communications, Marketing Website By Group3 Communications. . View before and after photos of real Align Surgical patients. Anatomy before and after penile inversion. Orchiectomy. Patient #: 15030; Gender: Female; Age: 31 - 35; Procedure: Labiaplasty . However, not all surgeons agree on the terminology for Vulvoplasty: "Gender-affirming vulvoplasty" is the authors preferred term to describe gender-affirming surgery that creates the vulva (including the clitoris, labia majora and labia minora, and female urethral position) without creation of a vaginal canal. The first two types are usually done under local or epidural anaesthesia, and take . After surgery, you wont be able to conceive a child biologically. BOARD CERTIFIED. "Results of Vulvoplasty for Treatment of Recessed Vulva in Dogs." JAAHA 2002, Vol. (https://pubmed.ncbi.nlm.nih.gov/33968550/). It is important to have full informed consent prior to having any procedure or surgery and this can only be achieved at face to face consultation at our Brisbane cosmetic clinic. Identify as non-binary and feel that Vulvoplasty is more affirming of their gender; Have concerns about timing, for example impending loss of health insurance (Vulvoplasty can often be scheduled sooner than Vaginoplasty), hair removal requirements (no pre-operative hair removal required with Vulvoplasty. Procedure performed: Designer Laser Vaginoplasty. The steps of a vulvoplasty are the same as a vaginoplasty. Patient #15030 Labiaplasty before and after patient photos from Pittsburgh, PA Plastic Surgery Specialist Dr. Anna Wooten. With a vulvoplasty, you: You can also do everyday things that people with vulvas do, like peeing while sitting down. Click Read More >, A highly skilled Plastic & Reconstructive surgeon in practice for more than 17 years, Dr. Keelee Read More >, Dr. MacPhee has been performing transgender surgery since 2005 and is grateful for the ability to Read More >, Tune into our blog for recent news about GRS and the latest trends in cosmetic surgery procedures Read More >, Privacy Policy Copyright 2023 All Rights Reserved Keelee MacPhee, M.D. Gender-Affirming Penile Inversion Vaginoplasty. You are about to view a page that contains content of an adult nature. 2018;3(1):159-169. doi:10.1089/trgh.2018.0014. Patients may opt to have a zero depth vaginoplasty procedure which involves creation of the outer genitals (labia, clitoral hood, urethral opening) only without a vagina. Read this instruction sheet on how to dilate your vagina after having a vaginoplasty. But this is rare. Orchiectomy is a surgical method of castration in which one or both testicles are removed. Non-Binary is just one term used to describe individuals who may experience a gender identity that is neither exclusively male or female but may fall between or beyond both genders. Have the possibility of experiencing clitoral pleasure and orgasm. Penile Inversion Vaginoplasty is widely regarded as the "gold standard" method of male-to-female gender reassignment surgery. (Salim, et al.). Whether patients are referred to us or already have a Cleveland Clinic ob/gyn, we work closely with them to offer treatment recommendations and follow-up care to help you receive the best outcome. 1675 Highland Ave. / Madison, WI. Vulvoplasty is a male-to-female gender affirming procedure that removes the penis, scrotum and testicles, creates the labia and clitoris, and re-positions the urethral opening. * Our cosmetic injectables Brisbane price list is a guide to the cost of our treatments and procedures only. Contact Dr. Salgado There are three main types of orchiectomy: simple, subcapsular, and inguinal. Vulvoplasty. To view additional Vaginoplasty before and after pictures from Dr. Salgado, please request a consultation. UW Health Specialty Clinic - Fort Atkinson Plastic Surgery Clinic. You should dilate your vagina two to three times each day for the first six months after your surgery. Case records were evaluated, and clients were interviewed by telephone. This kind of phallus-preserving . Overview; Before Surgery; After Surgery; This content is designed for adults only. Youve been undergoing hormone therapy for at least a year unless there are medical reasons that prevented it. This is a 28 year old who underwent Breast augmentation for gender dysphoria purposes. Phallus-preserving vaginoplasty. Nicotine takes about a month to wash out of your system before the test results will be negative. This is a 27 year old who underwent Subcutaneous mastectomies with periareolar mastopexy type incision for gender dysphoria purposes. A vulvoplasty is a major surgery with the potential to help you inhabit your gender more comfortably. All rights reserved |. Request an Appointment. COSMETIC PLASTIC SURGERY As you consider whether or not a vulvoplasty is right for you, find a support network that can help you talk through the pros and cons of surgery. Vulvoplasty; Vaginoplasty; Phallus-Preserving Vaginoplasty; Orchiectomy; Penectomy; Scrotectomy; Nullification; Gallery; Resources. Image One: Pre-operative view of patient undergoing MTF transgender FAVE vaginoplasty. Pick out loose, comfortable clothes and non-slip shoes to wear during recovery. Review St. Louis Gender Affirming surgery before and after photos. Communications through our website or via email are not encrypted and are not necessarily secure. Vulvoplasty means you may be able to stop or reduce testosterone blockers or reduce estrogen dose, be able to urinate sitting down and will no longer need to . Call (314) 485-4965 now for your private consultation at Parkcrest Plastic Surgery. o Surgeons generally recommend waiting at least 6 months after surgery before beginning penetrative sex (vaginal or anal). Regret after gender-affirmation surgery: a systematic review and meta-analysis of prevalence. Some immediate postsurgical . Facial feminization surgery (FFS) involves several surgeries that can be done to feminize the facial features. It may be a good idea to have an extra key made so that its easy for friends and family to come and go as they help you. To view additional Vaginoplasty before and after pictures from Dr. Salgado, please request a consultation. We offer women's health services, obstetrics and gynecology throughout Northeast Ohio and beyond. In practice for more than 20 years, Dr. Salgado performs the full spectrum of male-to-female surgery, giving patients the opportunity to experience a continuity of care throughout their surgical transition. All before-and-after photos and patient testimonials on our site are from actual patients, and have been published with permission. This is why its so important to be sure your surgery doesnt cause you any harm physically or psychologically. Please be advised: The Labiaplasty Procedure Before and After gallery below contains Graphic Medical Images of Labiaplasty Before and After outcomes and is intended to act as an educational tool for patients interested in Labiaplasty Surgery and some of the achievable outcomes. Vulvoplasty is also a good solution for patients with higher risk factors. Women's Wellness Institute of Dallas offers patients surgical and non-surgical options for tightening their vagina and improving their quality of life. In male-to-female sex reassignment, the trans woman may choose toundergo vaginoplasty the inversion of the penis to create a vagina as part of her physical transition. And Houston, Texas before and after Hurricane . Vaginoplasty creates a vaginal canal. If your job requires heavy lifting or lots of physical activity, see if you can negotiate for a lighter workload for when you return. Others choose a vulvoplasty, also called a zero-depth vaginoplasty, instead of a traditional vaginoplasty. Still, you may notice unpleasant symptoms that are all part of the healing process. A vulvoplasty does not create a vaginal canal, so you cannot have vaginal intercourse after a vulvoplasty. create an inner and outer labia from skin on the penis and scrotum, create the opening of the urethra so you can urinate, and. Coming this far is the first step to achieving your cosmetic goals and aspirations. The patient is 4 months post surgery. When it comes to bottom surgery, decision making is critical. We also offer a Transgender Gynecology Clinic with a gender-neutral space. This procedure is performed under general anesthesia. Policy. Franches is a former patient of GrS Montral et of Dr. Pierre Brassard. This shapes the external genitalia into a vulva but does not include a vagina. If our team decides that weight loss is the best pre-surgical option for you, we will refer you to our weight management program. Chest surgery is sometimes performed as an outpatient procedure but some patients may require one night stay in the hospital. (Garcia, et al.). Shorten the tube that carries urine out of your body (urethra). Our Labiaplasty Before and After gallery below is a collection of before and after images that serve to show the different possible outcomes for the Labiaplasty Surgery Procedure. Absurd! Facial Feminization / Face & Neck Procedures, We are grateful for our many patients who are willing to share their experiences and results. jZ [I % A."nn]SvuO $!U &(j67:'tVo m* 'Z-y ~ b . Vulvoplasty . A vulvoplasty is a gender-affirming surgery that creates a vulva. Dr. MacPhee performs this reconstructive procedure by disassembling the penis and utilizingthe inverted penile and scrotal skin flap and urethral flap to construct a new vulva, clitoris and vagina. References. create the introitus (opening of the vagina). During most vaginoplasties, your surgeon will use a skin graft to create a new vaginal canal (the inside wall of the vagina). And you must consent to have the surgery. After your dressing is removed, you can leave the hospital, usually right at about 3 days. Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation, mask requirements and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. Vulvoplasty. Various techniques may be used to perform this procedure, and they are surgeon and patient dependent. This is a 27 year old who underwent Bilateral subcutaneous mastectomies with free nipple grafting for nipple reconstruction for gender dyphoria purposes. Facebook; Instagram; Twitter (724) 759-7777. Youll meet with two different behavioral health specialists, both with expertise in transgender health. Individual results may vary. Stock model images are used throughout this website and are for illustrative purposes only. The whole procedure takes about 1 to 2 hours. A vulvoplasty can help if you feel uncomfortable with the appearance of your genitals. The initial incision with the surgical laser. After your vulvoplasty you may notice any of the following symptoms in the days, weeks and months ahead: In addition to following any after-care instructions that your provider shares with you, plan to attend regular check-ups so that your healthcare provider can ensure that youre healing as you should be. And within 8 to 12 weeks, you should be able to go back to work. How can you tell if the labia is enlarged?. These simple, everyday changes may help you feel more comfortable in your body. Your journey begins right now. Vulvoplasty. View hours, services and more. There is some obvious swelling. Any surgery comes with risks. Note any infections or prior conditions you may have, treating or helping you manage them as needed. factors affecting choice of vulvoplasty over vaginoplasty as gender-affirming genital surgery for transgender women. Youve been living in a way that syncs with your gender identity for at least a year. If not done already, an orchiectomy will be performed and the spermatic cord will be tied off to the inguinal canal. Can stop or reduce your dose of estrogen. Because it tightens the levator muscles (aka the Kegel muscles), a vaginoplasty, may help reduce urinary incontinence. Vaginoplasty is a gender-affirming, feminizing, lower surgery to create a vagina* and vulva (including mons, labia, clitoris, and urethral opening) and remove the penis, scrotal sac and testes. Not everybody chooses to have feminizing surgery. Please note that Labiaplasty results can vary from patient to patient and that all surgical procedures come with varying degrees of risk that needs to be taken into account. During this time, its important to follow your providers instructions about your care and to attend all check-ups. After vulvoplasty, this means you wont be able to have intercourse or insert a penis into your vagina. The patient is 1 month post surgery. View Update (415) 530-5335 (310) 751 .