Phalloplasty (F t M )

Phalloplasty (Big Penis) for Female to Male

FTM surgery is generally divided into three main groups:
1. Chest reconstruction surgeries (also referred to as “top” surgery or Mastectomy);
2. Hysterectomy and Ovary Removal (removal of the uterus and ovaries, respectively; and
3. Genital reconstruction surgeries (also referred to as “lower” or “bottom” surgery or GRS).
Within these three main groupings are different types of procedures and surgical methods that will be further described?

Mastectomy, Hysterectomy, Ovary and Genital reconstruction can be done at the same time.

Phalloplasty FtM (Big Penis)

There are 4 stages for FtM with Phalloplasty.  Each stage must require at least 4 month after surgery to continue the next stage.

If FtM with Phalloplasty surgery in Thailand,

Stage 1 = Prepare urethra for abdominal tube (can be perform with Hysterectomy and Ovary Removal).

Stage 2 = Penile Reconstruction from abdominal skin (not recommend reconstruction from back hand because from hand, it will create a lot of scars.

Stage 3 = Connect Urethra and retouch penis.

Stage 4 = Insert Ball Implants (Testicles).

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FtM genital surgery techniques - creation of a penis

Metaidoioplasty : Small penis

Metaidoioplasty –  Testosterone makes your clitoris grow (usually 1-3 cm).  Metaidoioplasty involves cutting the ligament that hold your clitoris in place under the pubic bone, as well as some of the surrounding tissue.  Your clitoris is then freed up so more of it is showing.

Vagina removed ? – Optional.

Result size – small penis.

Sexual function – Sexual sensation is generally good, as the clitoris is not impacted much.  The new penis will get erect on its own when you’re sexually aroused, but won’t be large enough to penetrate a partner with.

Urinate standing up ? – Yes.

Visible scarring – Minimal.

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FtM Phalloplasty – The most common involves removing a flap of skin/blood vessels/ nerves from waist area to hide the scar.  Rolling this to make a tube within a tube and then using microsurgery to attach the new penis to your groin. (over the top of your clitoris).  The end is surgically sculpted to look like the head of penis.   A skin graft is taken to cover the graft area.

Vagina removed or closed vagina ? – Yes.

Result size: An adult male size penis.

Sexual function – Pulling on the penis will stimulate the clitoris that is buried at its base.  At least 1 year after phalloplasty, a stiffening device can be inserted to create an erection firm enough for penetrative sex.

Urinate standing up – Yes.  As part of phalloplasty urethroplasty is done.

Visible scaring – Large scar on the waist (where the tissue was removed).  Scar on the graft sites.

 

Best candidate’s for Phalloplasty

- You are physically healthy and emotionally stable with realistic expectations as to what the surgery can and cannot do

- Psychologist’s letter or Hormone therapist may required

- Must undertake hormone at least 6 month

- Real-Life experience

- Physically healthy and emotionally stable with realistic expectations

- Must be over 18 year old with good health condition

 

Phalloplasty cost – Package cost Phalloplasty Thailand inclusive :

Phalloplasty 

- Accommodation for 1-3 days in hospital private room after surgery (read more on hospital and recovery period)

- Operating Room Charges: OR Room Use, Recovery Room, Scrub & Circulate Nurse

- Regular menu food charges

- Laboratory Testing: necessary for the procedure as CBC, EKG, UA, Anti HIV, Chest X-Ray

(If age over 50 need to check Cardiology.  An extra charge 100 USD)

- Medical Equipments and Medical Supplies

- General Anesthesia – Pre Anesthetic Drugs, Anesthesia and Medical Gas (Oxygen, Nitrous Oxide)

- Medical Treatments

- Doctor fees

- Anesthesia fees

- Nursing services

- Take home medication and supplies

- Post op cares

- Transportation pick up

 

Hospital and recovery period (Phalloplasty):

Each stage is required at least 6 month to continue for next stage.

Stage 1: Hospital 2 nights and 7 days in hotel = 9 days in Thailand

Stage 2: Hospital 2 nights and 10 days in hotel = 12 days in Thailand

Stage 3: Hospital 2 nights and 10 days in hotel = 12 days in Thailand

Stage 4: Hospital 1 night and 5 days in hotel = 6 days in Thailand

 

Service Accommodation

- Transportation pick up from airport –hotel-clinic-airport  as well as follow up period

- Mobile service during recovery with local number.  People can get in touch with you.

- Hotel reservation at least 1 km from Preecha Aesthetic Institute

- Touring services

- Interpreter services  with any language

 

Phalloplasty preparation :

- Inform us about any allergies, any serious medical condition(s), and all medications you are

taking (both prescription and non-prescription)

- Removal of hair on graft site by electrolysis

- Qualify letter from Psychiatrist doctor or Hormone Therapist

- No Aspirin 2 days before surgery

- Stop vitamin E Oil 1 day before surgery

- Stop smoking 2 days and a month after surgery

- Stop Hormone, if taken 2 weeks before surgery date

- Tell doctor if you have any serious medical condition(s)

Stop meal and water starting from midnight before surgery

 

Phalloplasty recovery Thailand

After phalloplasty surgery you need to stay in bed most of the time in hospital.  You will also given antibiotics and medication to prevent blood clots for the first five days (stage).  The skin grafted will be wrapped under special bandages for 5 days.

Generally, most people start to feel more physically comfortable during the second week after surgery, but it can take a long period to fully heal and there can be pain and soreness for a long time.  To become more active as usual routine, this is typically 6-8 weeks but can take longer in some cases.

 

Phalloplasty Surgery

Time required: 2-3 hours

 

Anesthesia : General Anesthesia

 

Recovery Genital Reconstruction Surgery: Phalloplasty

Back to work: after 20 days +

Strenuous activity: 6-8 weeks

Fading of scars: several months to a year

 

Phalloplasty  surgery Thailand

Schedule (require 8-12 days after surgery in Thailand)

Day 1 – Consultation and Prepare for Laboratory Testing

Day 2-4 – Surgery and 3 days in hospital private room after surgery

Day 4 – Discharge from Hospital
Day 4 to 13 – Stay in hotel for recovery period and follow up on doctor appointment

Day 7-10 – Stitches removal

Day 13 – Final check up and prepare for letter fit to fly and  issue for a new letter with gender name change
Day  14 – Safe to fly

All transportation during recovery period in Bangkok will be sponsor by PAI.

 

Set up an appointment or questions for Preecha Aesthetic Instittue

1. Write your question, interest at consult us in program form

2. Via email Consult@pai.co.th

2.1   list your expectations or procedure that you are interest and give us your detail as possible

2.2   email to us

2.3   We will get back to you shortly after receive your question with recommendation from specialize surgeon

 

Once you know your planning date for surgery.

Here is the next step.

3.1   Consultation with us via email for details and procedure

3.2   Plan your available date to be surgery and departure from Bangkok

3.3    We will confirm you for surgery date

3.4    You may start to book your airline ticket

3.5    We will confirm you all detail and hotel booking, if require

3.6    For transportation to be pick up from the airport, waiting for your airline flight information

Address:

PAI (Preecha Aesthetic Institute)

898/1 Sukumvit 55

Wattana, Bangkok 10110 Thailand

Tel: (662) 715-0111

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Meeting Point (Airport)

The driver will stand by for you at the door number 4 (Meeting point) after exit from customs.  The driver will stand by with your name and PAI’s logo.

 

Hotel

Hotels partner are special offer for PAI.

 

Language

- Thai and English

- Other Language upon request

 

Payment

1. The payment can be prepared in Cash by US dollars, Euro Dollar, Japanese Yen, HKD, SGD, AUD or pay by Traveler‘s Cheques.

2. Bank’s Transfer.

3. If using credit cards, the hospital will charged 3% for international transaction fee.  This is only for surgery fees.  Hotels are not charged for international transaction fee.

An extra charged for HIV is 30% from total cost.

 

Cost of meal: Cost of living meal per day is 15-20 USD.

Passport and VISA: Preecha Aesthetic Institute can issue the letter to clarify with your local Embassy or Passport.

 

Tourist Visa Exemption (30 days without VISA):

Australia, Austria, Belgium ,Brazil ,Bahrain , Brunei Darussalam   ,Canada, Denmark ,Finland ,France, Germany  ,Greece ,Hong Kong ,Iceland  ,Indonesia  ,Ireland  ,Israel  ,Italy  ,Japan  ,South Korea ,Kuwait ,Luxembourg , Malaysia  ,Monaco  ,Netherlands  ,New Zealand  ,Norway  ,Oman ,Peru  ,Philippines  ,Portugal , Qatar , Singapore  ,Spain  ,South Africa  ,Sweden  ,Switzerland  ,Turkey  ,United Arab Emirates, United Kingdom  ,United States of America ,Vietnam.

 

Airport Immigration and Customs

Please present the supporting documents confirming the scheduled operation upon request. Please do not carry any unnecessary drugs or dangerous objects in your luggage.

 

Air Travel Tips for Transgender People

Nothing on this webpage is meant, or should be interpreted to mean, that transgender people or anyone else should attempt to circumvent security or deceive security personnel in any way. It is meant only to provide tips to transgender people who may otherwise be subjected to unfair or embarrassing selective scrutiny or treatment.

 

Who You Are: Identification Issues

All passengers 18 years of age or older are required to provide proof of identity at check-in and at the security checkpoint.

- The name you use for your airline reservation must match the name on your identification.

- If your current name does not match your passport, we recommend that you consider getting an updated ID if possible.

- For an international flight, you will need to present a valid passport, visa, or any other required documentation. Passengers without proper ID may be denied boarding.

- “For e-tickets, you will need to show your photo identification and e-ticket receipt to receive your boarding pass.”

- If you do not currently look like the picture on your picture ID, we recommend that you consider getting an updated ID with a new picture if possible. If you cannot or if you are still concerned about ID issues, consider carrying an explanatory note from a physician or therapist explaining why you may not look like the picture on your ID.

 

Preecha Aesthetic Institute surgeon’s team

At PAI, we are only one center and biggest group of qualify plastic surgeon in Thailand for multidisciplinary in aesthetic and reconstructive surgery.  Because we believe no one can work best in all kinds.

Therefore, at PAI, Dr.Preecha Tiewtranon, MD has had  highly selective qualify doctors who match for each type of procedure, FFS, SRS, FtM, body contouring as well as anaesthesiologist and team of operating theatre nurses.

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Question and Answer

Phalloplasty  Question and Answer

1. Hello, I am female to male from USA and want to do phallo in Thailand. Please can you tell me how much for phallopasty with hysterectomy and also phalloplasty ?

Answer:  For Phalloplasty, there are at least 3-4 stages to be completed.  Each stage should be wait at least 4 month or until you are ready to continue after 4 month.  Hysterectomy and Ovary removal can be done at the first stage with Phalloplasty.

2. what method you use for phallo? is it forearm or something else ?

Answer: We don’t recommend you to do forearm because there will be big scars mark after surgery.  Our technique is recommend for FtM Phalloplasty is by front or side upper waist, which hidden scar and more skin to create penis.

 

 

Dr.Sirachai Jindarak MD, Dr.Prayuth Chokrungvaranont MD, Dr.Sattha Siritantikorn, MD, Dr.Apichai Angspatt, MD, Dr. Preecha Tiewtranon MD, Dr.Sutin Khobunsongserm, , Dr.Burin Wangjiraniran MD. FRCS    

Risk

All surgery carries risks – But can minimize by closely following your surgeon’s advice on follow up care during the healing process.