Category Archives: Vaginoplasty dilation

Had male to female vaginoplasty and only 2″ of depth. Help, please. Myra

Dr. Reed,  Had a male to female vaginoplasty 2 years ago and now my depth is only 2 inches.  Myra

Dear Myra,

We do male to female vaginoplasty revisions for vaginal depth several times a year.  If you had reasonably good depth after your surgery, but did not dilate a few times a day, or was banking on an inconsistent sexual relationship, nature will close the space over weeks to months.

Often the vaginal space can be re-opened with vaginal dilations starting with narrow stents (diameter of handle or shank – 3/4″).  Estrogen cream often improves vascularity of the vagina and may make stretching of inner skin easier. Please go to our web-sites and to see before and after male to female sex change (vaginoplasty) pictures.  We want you to have a good cosmetic and functional result.

If this does not work, we can reopen the space with a non-grafted technique.  The medical term for closure of the vagina is called vaginal atresia. An article we published 2 years ago can be referenced …

Non-grafted Vaginal Depth Augmentation for Transgender Atresia, Our Experience and Survey of Related Procedures by Harold M. Reed, Rafael E. Yanes, Joan C. Delto, Yumna Omarzai & Kailee Imperatore  (87 references)  Aesthetic Plastic Surgery ISSN 0364-216X Aesth Plast Surg DOI 10.1007/s00266-015-0523-7  2015


Harold M. Reed, M.D.
The Reed Centre of Transgender Surgery | Dr. Harold Reed | Miami
1111 Kane Concourse, Suite # 311, Bay Harbor Islands, Fl 33154-2041


Male to female sex change (vaginoplasty) picture (patient of Dr. Reed)


Male to female sex change (vaginoplasty) picture showing moist vulva (patient of Dr. Reed)

15/3 Her depth now is 5 1/2" and gaining. Able to have penetrable sex. She is one of 30 or more patients we have done so far. Routine dilation is emphasized

Male to female sex change (vaginoplasty) dilation picture (patient of Dr. Reed)

FAQ Will I be orgasmic after male to female transgender surgery? | The Reed Centre for Transgender Surgery

Dr. Reed, I enjoy orgasm and want to preserve that after male to female transgender vaginoplasty.  Is my expectation reasonable?  Ramilu Dear Ramilu, I have done about 3000 cases are all are orgasmic except 2 patients, one a diabetic in poor control the the other an inveterate smoker.  So we say “if you can play…Continue Reading

Need restoration of transgender vaginal depth (FAQ) | The Reed Centre for Transgender Surgery | Dr. Harold Reed | Miami

Dear Dr. Reed,  Need more vaginal depth. Had a vaginoplasty elsewhere 2 years ago and was able to dilate to about 5 1/2 inches (second from the last dot).  I didn’t realize how important vaginal dilation was, became somewhat asexual, and now my depth is about 3 to 4 inches at best.  Any suggestions. Linda Dear Linda, For vaginal depth, dilation 3 times a day after vaginoplasty or…Continue Reading

FAQ Vaginal Depth lost after Vaginoplasty | Dr. Reed | The Reed Centre

Dr. Reed, Had a transgender vagionoplasty about 8 years ago elsewhere and now have less that 2 inches of vaginal depth.  The opening is not very wide. Certainly not suitable for sex.  Charlene Dear Charlene, We see patients with loss of transgender vaginal depth frequently.  Another term is called vaginal atresia.  Our approach has been called “non-grafted vaginoplasty”…Continue Reading

Transgender woman wants to restore vaginal depth

Dear Dr. Reed,  Had a vaginoplasty about 3 years ago and could dilate to about 5 1/2 inches (second from the last dot).  I didn’t realize how important vaginal dilation was, became somewhat asexual, an now my depth is about 3 to 4 inches at best.  Any suggestions. Brittni Dear Brittni, Dilation 3 times a day after…Continue Reading

Male to Female Transgender Vaginoplasty Revision needed

Dr. Reed,  Had a transgender vaginoplasty done here (in the USA) with many problems and underwent revision but still do not have a vagina capable of entry by my boyfriend. who is normal sized.  Can E-mail you some photos which show how I looked aftrer the first, and lateropn after reivision .  Marcia Dear Marcia,…Continue Reading

Had vaginoplasty and lost depth, what now

Dear Dr. Reed,  Had a male to female sex change vaginoplasty 3 years ago in New York and for some reason my vagina seems to high and is not easy for my boyfriend to enter.  Rita Dear Rita,  Restoring vaginal depth after vaginoplasty is a frequent request. The medical term is vaginal atresia.  One issue you…Continue Reading

Need a vaginoplasty revision for depth, FAQ | Dr. Harold Reed | Miami

Dr. Reed, Need a penetrable vagina.  My boyfriend is very patient and is holding out for a vaginoplasty revision by an experienced transgender surgeon.  I can send you photos but think you have to see me to realize by dilation alone, this isn’t going to work. Linda Dear Linda, We have done many vaginoplasty revisions over the…Continue Reading

Had vaginoplasty elsewhere, tissue swelling blocks entrance to vagina

Dr. Reed, May need a vaginoplasty revision.  Although I can dilate with the smaller stents fairly easily, when aroused I get swelling especially on the left side of the vagina and my boyfriend has trouble entering.  What can you do to fix this?  Is this fairly easy to correct?  Gabriella Dear Gabriella, More likely than not,…Continue Reading

Need revision of male to female vaginoplasty done elsewhere

Dr. Reed, Had a male to female sex change vaginoplasty last year and the doctor has practically disowned me. Seems as though my clitoris is a lot higher than on natal females. My boyfriend cannot enter the vagina although my depth is about 5 1/2 inches. The labia are spread apart and there is no clitoral…Continue Reading