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The Cosmetic Vaginoplasty


Guest KerryUK

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1 hour ago, Andrea Jean said:

Question with Zero depth do you still have to have hair removal before the surgery?

 

The only way to know is to consult with the surgeon you want to perform it.  Each surgeon has their own requirements.

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It definitely depends on the surgeon.  My surgeon routinely does a "follicle scrape", permanently removing any hair.  He doesn't require hair removal even for full-depth.  However, many of the ladies doing full-depth will do hair removal anyway, just as insurance in case he misses one or two.  Having hair inside the vagina is a problem that is best avoided. 

 

If your surgeon does a follicle scrape, then a few stray hairs is not a problem for the zero-depth option.  If they don't do the hair removal as part of the surgery, then you may need to do it beforehand.  So the only way to know is to ask your surgeon.

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  • 2 weeks later...

Last June I had an MDV procedure with Dr. Stiller in Spokane, WA. My experience for pain was similar to that of @KathyLauren. I would call it near zero pain. And although I did take ibuprophen and Tylenol, I took no opiod-based pain killers at all after leaving the hospital. The 3rd day after surgery, with my leg bag attached to the catheter, I walked 5 miles. After the catheter came out on day 7, I could walk much farther. (And Spokane has the BEST river walk!) Although I took 4 weeks off of work, I could easily have been back to my (desk) job in two weeks.

 

In thinking of MDV versus the full meal deal, personally I figured that I had no interest in male penetration, and if I really wanted to, I could choose to do the Colon or PPV vaginoplasty as a second stage. I should say though that after just a little time with my vibrating rubber friend, I had the definite feeling that men might actually have something I might very much enjoy... ?

 

Katie

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  • 2 years later...

This is exactly the procedure I need. 

I have questions 

Does the clitoris get erect and I assume the size of your labia will depend on scrotal tissue available? 

Love Jess X

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43 minutes ago, Jessika Burns said:

Does the clitoris get erect and I assume the size of your labia will depend on scrotal tissue available?

 

Yes, the clitoris does get "erections".  However, the term is a bit misleading, since there is no noticeable change in size.  However, the sensation of fullness is a lot like an erection with male bits.  They leave some of the original erectile tissue (the base of the corpora cavernosa and the corpus spongiosum), which remain functional. 

 

The labia are made from scrotal skin, with some fat for padding.  Mine seem plausible in size.  I have no idea what is considered normal.  I would be happier if mine were smaller, but it is not worth going back for a revision for that.

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  • 2 weeks later...

This is such a helpful thread: thank you so much for it.

 

I too am considering a MDV. I have my appointment with the surgeon in around 6 months (such a long wait, sigh!). Like the original author of this thread, I can't see myself dilating daily for the rest of my life and I can't imagine having penetrative sex with a man.

 

Or so I thought ... I have to say that just recently I have started fantasising about precisely that which is kind of confusing. I don't generally like men and orientate very much to women.

 

I'm not sure what the surgeon will say to me because I had a bilateral orchidectomy six years ago but at the time I also had prosthetic testicles inserted (from above) to keep the scrotum stretched pending subsequent vaginoplasty as I figured this might help. I don't know if it has in fact as the scrotum seems very tight around them now. Oh and one other fact, I'm in my late 50's. I'm very active but even so the idea of a more straightforward procedure is very appealing.

 

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On 10/7/2015 at 7:40 PM, Guest KerryUK said:

 

I was surprised by your remark about needing a vaginal canal to orgasm Jani but all the same - it was a good point to make. Many ciswomen can't orgasm on penetration alone - they need clitoral stimulation. Also, many ciswomen stimulate themselves by clitoral stimulation alone if they are in need of a 'quickie'. So yes, it is possible to orgasm without penetration and I have done that - but I've found now that I have to be in the right mood, relaxed AND not let my mind wander. It takes a very long time compared to before too. I am, to all intents and purposes a complete and utter beginner and so I'm having to learn all over again what works best. Of course, let's not forget - an awful lot of nerves etc are still numb at the moment and so I hope as time passes, things may become more fun down there and I can appreciate it much more.

 

 

I really wanted to pick up on this point as I've been wrestling with it.

 

I'm pretty sure I want a MDV as I'm not into men and I can't really see myself have PIV. However, when I mentioned this to my gender consultant he replied, with a smile, that lesbians have been known to use insertion during sex. It was a good point.

 

But that for the faff of daily dilation? I don't think I can see myself doing it although the subsequent point about dysphoria on this thread was a really good one.

 

But here's the thing I wanted to comment on / ask about.

 

I know lots of natal born women need to use clitoral stimulation to orgasm, even during penetrative sex. Are their vaginal canals sensate as such? I suppose they must be in part and is this different from procedures that trans women have?

 

But here's the other thing. We have a prostate gland. And that's a real G-spot. I'm guessing that for us going through vaginoplasty means that the prostate is accessible by touch/rubbing from the vaginal canal? Which would be why it's much quicker to orgasm with a full vaginoplasty than a MDV?

 

Which leads to one other point. There is another route to the prostate. Not everyone's cup of tea, of course, but it might be a solution for those who want a MDV and who still want a brisker orgasm.

 

Ramblings and ruminations ... sorry ;)

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  • 2 months later...

kerry

 

THANK YOU.

 

the first hand informations you gave us is invaluable.

 

all that aside, your posts provide much food for thought..is thus the zéro depth vaginoplasty?

 

thank you very much

 

missy jo 

 

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  • 2 months later...

I've just posted this on a different sub but it fits here too, adapted:

 

 

 

Yesterday I was approved onto the waiting list for MtF vaginoplasty but, and it's a big but, I'm left to make the decision about which type to go for.

 

Full depth?

or

Vulvoplasty aka Minimal Depth?

 

Up until recently I thought that, in my fifties now, it is hardly worth going for full depth. But I'm beginning to think that might be a mistake and that maybe I would quite like to be able to play down there. I'm not into men, but as my gender psychiatrist once told me, 'natal women have been known to insert things too you know'. ;) 

 

I had an orchie about 6 years ago but although that really helped solve the testosterone issue, it hasn't removed the dysphoria. In fact, it's more than just dysphoria. It's a positive wanting to have my female sexual organs.

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One question I have is, if later in life you decide you cannot go through with the daily dilations the vaginal cavity closes up in time, right? Is that a complication, a risk? Or does it just seal without danger?

 

xx

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I faced the same dilemma as I approached my vaginoplasty.  I booked a couple of sessions with my therapist to discuss the decision.  She helped me get clarity on what I wanted and why.  Here are some of the thought processes that I had and that we discussed:

 

There is zero chance that I will ever allow a male to insert anything into a vagina of mine.  I am just not interested in men at all.  So I don't need one for that reason.

 

There is a very low chance that my wife will ever want to do so either.  She is not a lesbian (She calls herself "lesbian by marriage" :) ) and has no such interest.

 

If my wife ever left me and if I then found another partner, it is conceivable that I might wish I had a vagina.  But those are improbable situations.  If that happened, I'd have some 'splainin' to do anyway, so what's one more explanation?  There are other things I could do with a partner besides inserting toys.

 

I am not motivated by any vague concept of "completeness.  I will never have a uterus or ovaries, so "completeness" is not even on the table.  My motivation when it comes to female anatomy is appearance. A vagina would simply be one more unnecessary organ I didn't have. 

 

I really didn't want the hassle of frequent dilations to support an organ I didn't need.  Vulvoplasty (a.k.a. zero-depth vaginoplasty, a.k.a. cosmetic vaginoplasty) is still major surgery, but a lot less major than the full-depth version.

 

My understanding is that, if you do not keep up with dilations, a neo-vagina will simply reduce in depth and width until it is a little dimple.  The only "complication" I am aware of is that getting full depth back, if you choose to do so, is difficult, painful, and perhaps impossible without further surgery. 

 

The minimal-depth surgery gives you a little dimple there right from the start.

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I'm coming to that point in time where I too will have to make that decision.  At my age (73) I find it very doubtful that I will ever have a partner again of any sexuality.  My therapist keeps telling me to "never say never".  I'm leaning to a vaginoplasty just in case and that I will enjoy it myself.  The way I look at it the only drawbacks are recovery and "maintenance:.  So I have to weigh those drawbacks against that I might meet someone again after the loss of both my wives.

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Tilly 

congratulations dear.

 

I think it's even more complicated..as in if full depth then which style, penile inversion, Colo pull thru, perineum pull thru, or some hybrid..heck I even have read some places are willing to add a coochy n leave your male thingy working n in place, so you um, have both. 

personally, I want a working full depth one. I already know I want strapons n men to penetrate n enjoy it..but that's me...maybe you'll change your mind maybe not. I know the full depth is a lot trickier recovery..n I have problems as far as any support..but part of me thinks ah hell, lost family n friends, new wardrobe, new identity, n now I can't really play as a woman <yes I know I could play with a zero depth, but I'd like to experience penetration n orgasm that way, with my bum being involve>..seems like a lot of effort to stop that close to a finish line because it's high maintenance..shrugs..I want one to work..I want it filled..blush

and I've told my therapist n she said you're human n sexuality is human too. 

 

good luck

hugs

 

ps be interested in hearing thoughts on orchi in my mail..thought I wanted one but wondering now..thanks

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Congratulations Tilly,

 

I have always wanted full depth. I have always pretended to be the female during activities. I don't think I'll ever find someone because I'm just plain exhausted from the search and all the disappointment during the journey. Plus I have been married three times. I tried for a last time recently and they stopped talking so I guess it wasn't meant to be. I guess I will have some toys to play with and be happy with that. I feel very independent right now and maybe later on find someone but I don't want anymore headaches or having to have to deal with another.

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7 hours ago, LaurenA said:

I'm coming to that point in time where I too will have to make that decision.  At my age (73) I find it very doubtful that I will ever have a partner again of any sexuality.  My therapist keeps telling me to "never say never".  I'm leaning to a vaginoplasty just in case and that I will enjoy it myself.  The way I look at it the only drawbacks are recovery and "maintenance:.  So I have to weigh those drawbacks against that I might meet someone again after the loss of both my wives.

Lauren, I sometimes worry about the advice therapists can give regarding this decision. It is a very personal decision which needs to suit your lifestyle now and into the future, and I feel the best advice you can get is from those around your age who had their procedures some time ago. We don't really know what lies ahead, but after I made my decision, my specialist nurse who had 20 years experience in this area, told me that over 60% of women over 50 who have full depth, allow it to close up within 3 years because they cannot justify the ongoing maintenance. If you are not sure, look at procedures which require minimal maintenance, like PPTV. I chose a procedure which best suits my lifestyle and almost 3 years later I have no regrets. I am nearly 70.

 

Hugs,

 

Allie 

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9 hours ago, missyjo said:

Allie

wow.  really? then what happens if it closes up?

missy

Generally not much, though there is always the possibility of complications, but mostly depth reduces until there is just a dimple.

 

The nurse waited until I made my decision before telling me (her main job is supporting patients post surgery) as she didn't want to influence me, but I actually thought it was great advice. (this surgeon only offered PIV, the other procedures may have higher long term success rate).

 

Hugs,

 

Allie 

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These are such brilliant responses: thank you ladies. They have helped me to hone my thinking further.

 

On balance, I'm probably with you KathyLauren about completeness. This is purely personal but I probably wouldn't feel that my full-depth vagina is the completed female natal anatomy because I will know it's a sealed cavity without cervix, uterus, ovaries, periods. Having said that, I also recognise that there are plenty of women who have had to have part of their female anatomy removed, and they often go through an identity crisis: the same can happen with mastectomies. So there are natal women who don't have wombs, incl ovaries and cervixes and sometimes the surgery goes even further, removing part of the vagina. So I guess if I had full-depth I would convince myself that I am now like a woman who has had a hysterectomy. 

 

Mainly I would be going for a full depth 1. to increase my belief that this is a full vagina and 2. potentially for my own sexual pleasure. No. 2 is not exactly a major factor. Sex drive is vastly diminished now and I'm not, and have never been, particularly into penetration whether that's active or passive.

 

A sigmoid vaginoplasty is out because I have some diverticulitis and I'm not messing with my colon. If I were 20 I'd definitely push for a peritoneal pull through but I'm not and nowadays I just wouldn't see the point.

 

I'm late fifties now and there's just no way I would dilate daily. I can be really disciplined but only if I have the motivation and a full-depth vaginoplasty isn't likely to do that.

 

Without hopefully getting too graphic, I really am not into men at all. I like women. About five years ago a then girlfriend of mine, who is now in a lesbian relationship, asked me if she could be the first person to go down on me if I have the surgery. All kinds of bemusement around that but it still amuses me. So if, and it's a huge if, I did get into a lesbian relationship would they be happy with MDV or would they want some insertion? I don't know but I guess they'd just have to put up with what I do have and I guess there's always another place, which has a route to the prostate too.

 

Surgically I'm wanting the least invasive vaginoplasty possible (but not a penectomy). I had a very gruelling 9+ hour facial surgery which worked wonders - people say I barely look 40 these days - but it took it out of me. That one was totally worth it but I wouldn't have the same motivation for a part that I wasn't going to use and no man is going to see, let alone use ;) 

 

So I reckon I'm talking myself into a MDV! :D 

 

 

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So another question. I know that any surgery can have risk, even a 20-minute procedure. However on average and all things being equal (not the exceptions) does anyone know the relative differences:

 

Surgery time: MDV vs Full Depth Vaginoplasty

 

Recovery length and ordeal: MDV vs Full Depth Vaginoplasty

 

Maintenance: MDV vs Full Depth Vaginoplasty (For example Allie do you have to 'do' anything down there apart from wash?!)

 

xx

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Oh another thing, my breasts are so sensitive (and large) these days. If I'm getting sexual stimulation it's always there that I start. I mention this because in terms of erogenous zones it's like being given a whole new organ. The transition taketh away and the transition giveth ;)

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5 minutes ago, Tilly said:

Oh another thing, my breasts are so sensitive (and large) these days. If I'm getting sexual stimulation it's always there that I start. I mention this because in terms of erogenous zones it's like being given a whole new organ. The transition taketh away and the transition giveth ;)

You're not kidding. I'm there too and already went from 42C to a 42D. I hoping for DDD at least. 

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8 minutes ago, Ashley0616 said:

You're not kidding. I'm there too and already went from 42C to a 42D. I hoping for DDD at least. 

OMG are they sensitive! 💞

First place to start when a girl is 'feeling sexy'. 

 

Mine are gaining a cup size about every 3-4 months. I don't know when it will stop. 😲

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Just now, Birdie said:

OMG are they sensitive! 💞

First place to start when a girl is 'feeling sexy'. 

 

Mine are gaining a cup size about every 3-4 months. I don't know when it will stop. 😲

As I said before I wished I had that issue. I would gladly spend the money!

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