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Male to Female Vaginoplasty space closed and wishes revision

Dear Dr. Reed,

Had a sex change vaginoplasty about 3 years ago and didn’t take dilating seriously.  Maybe it’s my imagination but the space seems to have closed “overnight.” Is that possible and what can be done.  Finally met a decent man who wants to go all the way.   Need vaginal depth

Nelda

Dear Nelda,

We have a lot of experience with re-opening this transgender vaginoplasty space.  Last year we published an article on our experience.  See Non-grafted Vaginal Depth Augmentation for Transgender Atresia, Our Experience and Survey of Related Procedures Harold M. Reed,  Rafael E. Yanes,  Joan C. Delto, Yumna Omarzai, Kailee Imperatore  Aesth Plast Surg DOI 10.1007/s00266-015-0523-7  We are now doing a few cases every month, so be assured you are not alone.

In preparing for the article we reviewed about 80 articles written on the subject and learned that unless transgender vaginoplasty patients dilate a few times a day, the space will gradually close.

The natal female vagina is maintained patent by several suspensory ligaments, and the lining is in part composed of smooth muscle.  Inverted penile skin as does scrotal skin lacks smooth muscle.

If there is further interest, I’ll be happy to Email you a copy of our article on re-creating the vaginal space to provide vaginal depth.  This would also be a good time to cosmetically critique your result and do any additional touch-ups that might be desired.  That we can do gratis.

Harold M. Reed, M.D.
The Reed Centre for Transgender Surgery – Miami
305-865-2000

Example #2: Male to Female Transsexual Surgery

Note clitoral hood, glans, and sulci. Ample introitus is confirmed by passage of our largest stent.

Dilation of the vagina frequently by the transgender patient ensures
the space will be there for Mr. Right

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