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Second type woman transsexual surgery

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Sex reassignment surgery for female-to-male transgender people includes a variety of surgical procedures that alter female anatomical traits to provide physical traits more appropriate to the trans man's male identity and functioning.

Many trans men considering the option do not opt for genital reassignment surgery; [ citation needed ] more frequent surgical options include bilateral mastectomy removal of the breasts and chest contouring providing a more typically male chest shapeand hysterectomy the removal of internal sex organs.

Sex reassignment surgery is usually preceded by beginning hormone treatment with testosterone. Many trans men seek bilateral mastectomyalso called "top surgery", the removal of the breasts and the shaping of a male contoured chest.

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Second type woman transsexual surgery men with moderate to large breasts usually require a formal bilateral mastectomy with grafting and reconstruction of the nipple-areola. This will result in two horizontal scars on the lower edge of the pectoralis muscle, but allows for easier resizing of the nipple and placement in a typically male position. Certain medical doctors perform the surgery in two steps.

First, the contents of the breast are removed through either a cut inside the Second type woman transsexual surgery or around it, and then let the skin retract for about a year. In a second surgery the excess skin is removed. This technique results in far less scarring, and the nipple-areola does not need to be removed and grafted.

Completely removing and grafting often results in a loss of sensation of that area that may take months to over a year to return, or may never return at all; and in rare cases in the complete loss of this tissue. In these rare cases, a nipple can be reconstructed as it is for surgical candidates whose nipples are removed as part of treatment for breast cancer.

For trans men with smaller breasts, a peri-areolar or "keyhole" procedure may be done where the mastectomy is performed through an incision made around the areola.

This avoids the larger scars Second type woman transsexual surgery a traditional mastectomy, but the nipples may be larger and may not be in a perfectly male orientation on the chest wall. In addition, there is less denervation damage to the nerves supplying the skin of the chest wall with a peri-areolar mastectomy, and less time is required for sensation to return.

See Male Chest Reconstruction. Hysterectomy is the removal of the uterus. Bilateral salpingo-oophorectomy BSO is the removal of both ovaries and fallopian tubes. Hysterectomy without BSO in women is sometimes erroneously referred to as a 'partial hysterectomy' and is done to treat uterine disease while maintaining the female hormonal milieu until natural menopause occurs. A 'partial hysterectomy' is actually when the uterus is removed, but the cervix is left intact.

If the cervix is removed, it is called a 'total hysterectomy. Some undergo this as their only gender-identity confirming 'bottom surgery'.

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