Gender Reassignment Surgery Beverly Hills
Gender dysphoria, or unhappiness with one’s gender, is a condition in which a person manifests the desire to live as a member of the opposite sex. People with gender dysphoria take steps to live full-time in the opposite sex role. There are many prerequisites that must be met before a person can be considered for gender reassignment surgery, including: a true diagnosis of gender dysphoria, surgery recommended by two mental health professionals specializing in gender identity issues, hormone therapy for a minimum of one year, living in a gender role congruent with their gender identity for at least one year, be emotionally stable, and be medically healthy. Once a person has been diagnosed with gender dysphoria and has successfully met the prerequisite criteria for surgery, he or she may choose to undergo gender reassignment surgery. Dr. Hadeed specializes in gender reassignment surgery. During your consultation, Dr. Hadeed will address what your individual concerns are and customize a surgical plan that will help you achieve your desired goals. Usually, a combination of procedures spaced apart in several operations are required to achieve the final result.
For male to female reassignment surgery, surgical procedures may include breast augmentation with implants, and genital reconstruction that converts penile and scrotal tissues into a vagina, clitoris, and labia. Additionally, facial feminization surgery can be performed to create more feminine characteristics. These procedures include a facelift, rhinoplasty, eyelid surgery, lip augmentation, upper lip shortening, chin augmentation or reduction, and reducing the supra-orbital rim (bony ridge above the eyes). Thyroid cartilage reduction surgery can be performed to reduce the prominence of the Adam’s apple, thus providing a more feminine appearance to the neck. Finally, buttock enhancement with fat transfer and liposuction to the waistline can create more feminine contours to the gluteal area.
For female to male reassignment surgery, surgical procedures may include a mastectomy to remove the breast tissue and chest wall contouring to shape the chest, and genital reconstruction that creates a penis. Men’s facial skeletons are typically larger than females. Depending on your facial features, procedures to masculinize the face may be desired. Procedures that can give the face a more masculine look include forehead augmentation, cheek augmentation, rhinoplasty, chin recontouring, and jaw reshaping. Enhancement of the thyroid cartilage, or Adam’s apple, can also be considered. Buttock reduction can also create a more masculine look to the gluteal area.
Plastic surgery procedures in transgender people may be performed on individuals who have realistic expectations. It is appropriate for people who have achieved the necessary prerequisites for surgery. The length of the surgery will vary depending on the number of procedures that Dr. Hadeed will perform, and in some instances he might recommend staging the procedures. The procedures are most commonly performed under general anesthesia. Some of the procedures can be performed as outpatient procedures, while others, such as genital reconstruction, will require you to stay in the hospital for several days. In addition to gender reassignment surgery, hormone therapy and mental health care may need to be continued after surgery.
Will insurance cover top surgery?
Your insurance may cover top surgery; however, every insurance policy is different and there may be exclusions for gender affirmation procedures.
Are there financing options to help pay for top surgery?
There are many medical finance companies we use that can help you pay for top surgery.
How do I know which top surgery technique is best for me?
During your consultation Dr. Hadeed will discuss some of the different techniques used for top surgery. After examining you and assessing your chest size and skin elasticity, he will then recommend the best option for you.
What are “dog ears”?
The term “dog ear” refers to excess skin and fat that sticks out at the end of the incision. It is one of the more common reasons for revision after top surgery, and more likely to happen in larger chested individuals.
Do I need to be on testosterone for one year prior to surgery?
There is no requirement from the WPATH Standards of Care for you to be on testosterone prior to surgery. Some insurance carriers, though, will require this prior to giving authorization for top surgery.
Do I need to stop taking testosterone prior to top surgery?
There is no general consensus regarding whether someone should stop taking testosterone prior to top surgery. Dr. Hadeed generally recommends stopping your testosterone two weeks prior to top surgery.
Do I need a letter of recommendation from a therapist prior to having top surgery?
Although not explicitly stated in the WPATH Standards of Care, Dr. Hadeed does require all trans-men to have a letter of recommendation from a qualified mental health professional prior to having top surgery.
What are the WPATH Standards of Care?
The WPATH Standards of Care provides clinical guidance for health professionals to assist transsexual, transgender, and gender nonconforming people with safe and effective pathways to maximize their overall health, psychological well-being, and self-fulﬁllment.
What are the WPATH Criteria for Top Surgery?
- Persistent, well-documented gender dysphoria
- Capacity to make a fully informed decision and to consent for treatment
- Be of the age of majority in the country of surgery (and follow SOC rules for children and adolescents)
- Significant medical or mental health concerns, if present, must be reasonably well controlled at the time of surgery
If I am not 18 years old, can I still have top surgery?
Dr. Hadeed will evaluate this on an individual basis, and he frequently will require two letters of recommendation for minors.
Can I still have top surgery if I am a smoker?
Dr. Hadeed will not perform top surgery on anybody who is actively smoking, and requires you to be completely nicotine-free for at least four weeks prior to surgery in order to maximize the chances of wound healing and minimize the risk of infection.
How long does top surgery take?
On average, top surgery takes approximately 3 hours depending on the technique.
Do I need to spend the night in the hospital after top surgery?
No, there is no overnight stay required after top surgery. Most top surgery procedures are performed as an outpatient procedure.
When can I go back to work after top surgery?
At a minimum, most people can expect to take two weeks off work. If your job is more physically demanding, you may need to take four weeks off work.
When can I start exercising after top surgery?
Dr. Hadeed recommends walking as much as possible immediately after top surgery. You are restricted from lifting anything heavier than 10 lbs for the first two weeks after surgery. You can usually resume exercising six weeks after surgery, although if you lift heavy weights you may have to wait about three months.
Will I need to wear a binder after top surgery?
Yes, you will need to wear a compression garment for at least six weeks after surgery to minimize swelling and hold the chest in place to support the contour.
Will I have drains after top surgery?
You can expect to have drains for approximately five days after top surgery.
Will I have any stitches after top surgery?
All of the stitches that you have to close the skin are absorbable stitches that do not need to be removed.