Can Trans Men Get Bottom Surgery
When you’re born with the right body parts, it’s often hard to imagine that anything could be wrong. For trans men who have undergone gender dysphoria treatment and are transitioning from female to male (FTM), there’s an added layer of difficulty in imagining what life might look like as a man without certain feminine features. As such, many FTM individuals will undergo gender confirmation by using testosterone to make their bodies more masculine so they feel more comfortable in their own skin. This is usually done under the supervision of a doctor experienced in treating trans patients.
For some FTM individuals, this process alone isn’t enough to help them feel truly comfortable in their male selves. These folks will opt for additional surgical procedures to give them a more “complete” transformation into masculinity. The most common procedure is known as phalloplasty, which involves creating a penis through either one of two methods:
1. Creating a neophallus through penile tissue expansion – Through this method, a small piece of skin is removed from the abdomen and then gradually stretched over time to create larger folds. Once the desired size has been reached, the new flesh is sewn together to form a tube that is later split down the middle to create two erections. After healing, the flaps are separated, and the remaining structure is used as a neophallus.
2. Using a patient’s foreskin as a base – In this method, excess foreskin is removed from around the clitoris and urethra, along with any extra fat, muscle, skin, or other tissue surrounding these areas. The resulting space is filled with fat taken from elsewhere on the body or injected directly into the area. A portion of the glans is also cut off and reshaped to create a prominent head. After all the necessary material is inserted, the body is sewn up and allowed to heal properly. Finally, the labia are folded back onto the newly created opening and stitched shut.
Some FTM individuals choose to have both types of surgeries; others don’t desire any at all. There are even those who decide to forego surgery altogether and instead focus on getting rid of their breasts and hips using hormones and/or laser treatments. But whatever path a person chooses, it’s important to understand that no matter how much surgery someone wants, no one should ever experience pain during or after the procedure. If you’re considering undergoing bottom surgery, ask yourself if this is something you actually want to do — and if yes, whether you can handle the emotional turmoil that comes with going against the grain of society’s expectations.
If you’ve decided to go ahead with bottom surgery, here’s what to expect before, during, and after. First things first, let’s talk about why people choose to get bottom surgery.
Why Do People Choose To Have Gender Confirmation Surgeries?
Gender affirmation surgeries are meant to change a person from one gender to another permanently. They’re typically performed when a person feels completely uncomfortable living in his or her true gender due to physical characteristics associated with being female. For example, women who were born with very narrow hips find themselves unable to wear pants because their legs just aren’t wide enough to fit into standard jeans. Some trans males who were born with large breasts find themselves having trouble fitting into sports bras, while others struggle with finding clothes that fit well.
So, why would anyone willingly choose to undergo these procedures? Because it gives trans men an opportunity to live authentically. Many FTM individuals say that despite their outward appearance, they never felt comfortable expressing themselves fully as men. And since the purpose of gender confirmation surgeries is to allow men to express their true identities, many trans men see bottom surgery as a way to finally realize their full potentials as men.
Bottom surgery is also considered a type of genital reconstruction surgery. It allows men to achieve a more normal distribution of internal organs, thereby allowing them to function normally in everyday activities like sitting, standing, walking, running, etc. Without proper support structures in place, the organs inside our bodies can become dislodged or otherwise dysfunctional. When this happens, we end up experiencing health problems and discomfort.
During bottom surgery, doctors remove excess fat and connective tissues around the rectum, vagina, and anus. They also take away fatty deposits above the bladder and below the scrotum. Then, they use the removed tissues to reconstruct the vaginal canal and create a neovagina. Lastly, they add muscles and connective tissues to create a rectal sphincter.
After the Procedure
There are several different kinds of bottom surgeries available. Most of them require general anesthesia, though a local anesthetic option does exist. After waking up, most trans men report feeling soreness and tenderness in their lower abdomens. However, most trans men say this subsides within 24 hours, while the rest of the recovery period lasts between 10 days and three weeks.
Trans men who undergo bottom surgery sometimes have issues with scarring. Although rare, it can happen that the scars left behind develop keloid tendencies, meaning they grow bigger than normal. Fortunately, there are ways to prevent scarring, including wearing compression garments and avoiding hot showers.
Lastly, although trans men who have completed bottom surgery tend to enjoy better sex overall, they still need to maintain appropriate hygiene. Since the vagina and rectum are now exposed, bacteria and viruses can easily enter the body. Therefore, washing daily and practicing safe sexual practices are essential for protecting oneself from infection.
You’ll probably notice changes in your body immediately following the procedure. For instance, your voice will drop, and your breast bones may begin to protrude less prominently. Also, your testicles won’t hang quite as low anymore, and your nipples will appear smaller. All of these changes occur naturally as part of the transition, but they can also cause anxiety for some FTM men.
It’s important to remember that bottom surgery is not for everyone. Before proceeding, discuss your options thoroughly with your physician to determine if this procedure is right for you. While medical professionals are able to perform bottom surgeries safely, you shouldn’t attempt to self-diagnose, treat, or avoid complications related to the procedure. Remember that every individual body is different, and therefore, results vary from person to person.
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