There are actually some transgender people around us, especially in Thailand where ladyboys are the most numerous. Many people go for plastic surgery because they are not satisfied with their gender. Although this behavior is not favored by the world, they still have to live their own way. For some transgender people, the part that most needs plastic surgery is the genitals, because the lower part is the easiest to distinguish between men and women. So what does the genitals of transgender people look like? The steps of male to female surgery are as follows 1. Penile and testicular removal, urethral displacement, artificial vagina and vulvaplasty: The patient takes the lithotomy position and the operation is performed under general anesthesia or epidural anesthesia. ⑴ Suprapubic bladder puncture and fistula creation, connected to a sterile urine bag, and a urethral catheter inserted. ⑵Formation of scrotal and penile skin flaps. ⑶ Orchiectomy and epididymis. The bilateral testicles and epididymis were separated and removed. ⑷Separate the corpus spongiosum and retain a sufficient length of urethra for repositioning. ⑸ Reconstruct the clitoris using the island-shaped glans tissue flap that retains the nerve and blood vessel pedicle. ⑹ Corpus cavernosum removal. ⑺Vaginal reconstruction. ⑻Reconstruction and shaping of female vulva. ⑼ Fill the vagina with iodoform gauze and shape the surgical area with dressing. 2. Breast augmentation and silicone implant surgery: Male-female transsexuals have less breast tissue and a wider chest, so larger breast implants are generally used. The incision is designed in the anterior axillary fold to conceal the postoperative scar. The prosthesis is implanted under the pectoralis major muscle. The surgical steps are basically the same as those for female breast augmentation. 3. Facial contour feminization surgery: After the overall design of the whole face, the following operations are performed step by step: forehead plastic surgery, rhinoplasty, chin plastic surgery, zygomatic and cheek plastic surgery, and other feminization surgeries of facial bones and soft tissues. 4. Thyroid cartilage reduction and plasty: Design an incision at the transverse line of the skin on the neck at the base of the jaw, separate the skin subcutaneously, fully expose the thyroid cartilage, and then reveal the most prominent part of the thyroid cartilage wing plates on both sides in the middle of the front neck (i.e., Adam's apple), which is then removed and the incision is sutured in layers. Female to male sex reassignment surgery mainly includes: 1. Hysterectomy and bilateral ovarian removal 2. Excessive breast tissue removal 3. Testicular prosthesis implantation 4. Phalloplasty: This is the most complicated and critical step in the female-to-male surgery. The penis after shaping needs to meet the following requirements: 1) provide a beautiful male feature in appearance; 2) allow the urethra to pass normally in the penis; 3) provide a penis hardness required to adapt to postoperative sexual life; 4) provide a sense of existence Sex reassignment is a psychological phenomenon in which an individual's biological sex and psychological sex are reversed. Sex reassignment surgery can reconcile a heterosexual's biological sex with his or her psychological sex. When people who hate their body are troubled by problems in love and work, their psychology is in a state of stress for a long time, causing them to show some negative emotional reactions such as: emotional instability, anxiety and fear; pessimism and loneliness, etc. |
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