Seeking more vaginal depth

Dear Dr. Reed,

Had vaginoplasty 3 years ago and I admit I did not dilate routinely, my
depth has gone from about 6 inches to 2. Have a devoted boyfriend and
we both know to mix metaphors, there is room for improvement.

What are your suggestions?


Dear Celeste,

The options include using proper dilators on a regular basis.  We can advise
once a consultation is initiated a doctor patient relationship is established.  Others
would recommend  re-opening the pelvic space with or without a graft, and lastly
a colonic vagina.  Hate to see that as this requires an abdominal incision and is
more complicated surgery with possible aesthetic compromise to the way your
vagina may look externally.  We have seen from other centers a fair amount of
bright red vaginas, as colonic mucosa is as red as the inside of your cheek.  More red
than pink.

Last year we published an article on our experience.

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
Aesthetic Plastic Surgery
ISSN 0364-216X
Aesth Plast Surg
DOI 10.1007/s00266-015-0523-7


Needless to say after surgery, regardkless of frequency of sexual intimacy
you need to dilate ideally 3 times a day.

Wishing you every good wish you wish for yourself,

Harold M. Reed, M.D.
Transgender Surgeon
The Reed Centre for Gender Affirmation Surgery – Miami


Leave a reply