— In MTF-SRS-FTM@yahoogroups.com, “kennyhilnager” wrote:
Dr. Reed,
What are the typical reasons for touch ups and how much can be done
at one time?
Kenny
Hi Kenny,
Touch ups are either planned as the doctors may knows they have not been able to attended to every little detail in the interests of patient safety. The patient should be apprised during her recovery if not known at the outset. Often there will be a critique (work list) made by the patient and which is often supplemented by the doctor after he/she sees the patient. Ideally everything should be done at once, and the best time is a good 3 months after complete wound healing. This does not mean 3 months after surgery.
Areas often include: asymmetry of labia, need to lower the posterior commissure (for a more direct approach into the vagina), a urethral spongiosum rest (left over urethral erectile tissue which swells during arousal), re-siting of the clitoris or need the hood the clitoris, lowering the opening of the urethra, closure or approximation of the upper labia majora (mirror image parentheses), providing greater opening (introits) to the vagina, revising an unsightly scar.
As you know there is no charge in our office for this revision which is typically performed under local with IV sedation. For those patients who require or request general anesthesia, this amounts to 600 or less. We want you to look your very best. Please bring your work list.
Harold M. Reed, M.D.