Lost depth after MTF vaginoplasty

October 1, 2009

hello dr. i talked to u a few months ago about wantin depth. i had surgery in bangkok and never had a chance to to dialate. so i may have to have a skin graph done. an was wantin to know again how much would u charge me? an when can i come down for a consultation, i live in atlanta.      Virginia

Good morning Virginia,

Thank you for your continued interest in what we do.

You touched upon one of the most important aspects of  achieving a successful and enduring depth.  Dilation.

I would propose a skin graft obtained from the lower abdomen as this area should heal with a fine transverse scar, as opposed to an inner thigh graft which may always cause as second look.

Then it is dilation for 15 minutes 8 times a day with numbing cream if needed, but you must, must dilate aggressively for a few weeks.   With time, especially if you are sexually active, you can space out the sessions.

Our fee is 7600 which includes anesthesia, probable overnight with a registered private duty nurse and myself  in attendance, use of the facility and any aftercare we provide.  You will need daily visits for one week.

On the 7th post operative day, the packing will be removed, and you could return to Atlanta that day and rest for one more overnight.

We will also have to examine the lower abdomen for any hair which needs to be removed by electrolysis.  Usually that area has sparce hair growth, if at all.   If your doctors left an excessive amount of labial tissue,  we may employ that as well.  By all means we will strive to avoid a colonic vagina for many reasons probably well known to you.

Perhaps you may opt to be seen first in consultation and without committing to surgery the next day, to give you time to reflect upon my recommendations.

You will need to have a bowel prep starting the day before surgery.   There is a remote possibility that we may be able to dilate you under anesthesia avoid incisional surgery altogether.

Please reviewed the attached as many of the advisories are applicable for you.

All the best,

Harold M. Reed, M.D.
305-865-2000

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