Transgender Surgery

Transgender surgery (also called sex realignment or gender confirmation surgery) is offered by the renowned surgeons at HK for both male to female (MTF) and female to male (FTM) patients. We are supportive of the transgender community and proud to be able to provide this life-changing surgery in a non-judgmental atmosphere.

Patients who are ready for this surgery have already been living as their new gender for a period of time. Therefore, before you can embark on transgender surgery, you must have been working with physicians on a gradual transition journey of hormone treatments and psychological counseling.

Transgender surgery usually requires two procedures – one surgery takes care of facial features, and the other alters the body. Most patients have the surgeries separately with a few months in between to heal.

We do not perform gender reassignment genital surgery, however. Specialized surgeons must do this portion of the transition in order to ensure urologic and sexual function, as well as proper appearance.

What can I expect during male to female (MTF) transgender surgery?

Your surgery is very individual, so we devise a surgical plan that will make your features more feminine, including the face, neck, and body (exclusive of the genitals). Some of the changes that may be made include rhinoplasty to make the nose more feminine, which often includes making the nose smaller. A reduction of the chin is also common to make it less prominent and “strong.”

The eyebrow area is also more prominent in men, so it is not uncommon to feminize this area. At the same time, the eyebrows may be reshaped to have more of an arch. The Adam’s apple is reduced as well.

For the body, a breast augmentation is performed with the placement of implants. Skin grafts or fat grafts may be done at the same time to make sure there is enough tissue to cover the implants and prevent them from being seen under the skin.

Body contouring is frequently done on the abdomen, hips, and buttocks. A buttock augmentation using fat grafting and/or an implant may be performed. The fat for the grafts is taken through liposuction from the abdomen and transferred to the hips and buttocks for a more curved shape.

What can I expect during female to male (FTM) transgender surgery?

Your surgery is very individual, so we devise a surgical plan that will make your features more masculine, including the face, neck, and body (exclusive of the genitals). Some of the changes that may be made include rhinoplasty to make the nose more masculine, which often includes making the nose larger. This sometimes requires an implant or cartilage grafts. The cartilage can be taken from inside the nose, from the ears, or from the ribs.

The forehead is built up to make it more prominent using bone substitutes or a type of calcium. A chin implant is also frequently used to create a more prominent jawline.

A breast reduction is performed on the chest to remove the breast tissue and reduce the size of the areolas and nipples. You can opt to have pectoral implants inserted during this part of the procedure.

Liposuction is performed on the abdomen, hips, thighs, and buttocks to make these areas more angular and less round. The fat extracted during liposuction may then be grafted on the waist to make the torso less curved.

How long does it take to recover from transgender surgery?

Recovery time varies from patient to patient, and there is some scarring that is inevitable. We will provide strategies for helping the scars to heal and become less visible over time.

You can expect to spend several weeks in the first phase of recovery. We will provide a prescription for pain medication, as well as an antibiotic, and you will see us regularly for follow-up examinations. Swelling will be the last side effect to resolve.

We are dedicated to monitoring your healing process to make sure you are doing well. We will give you detailed post-operative instructions to make your recovery as easy as possible.

Are you arriving from outside of Charlotte? Learn about our Out of Town Concierge Service.

Are you interested in transgender surgery in North Carolina? Call us today about a confidential consultation.

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