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Frank Agullo, MD En Español

Gender Reassignment Surgery Female to Male in El Paso

The realization that your biological gender does not match the gender you identify with can create considerable anxiety. Sexual reassignment surgery can help patients struggling with these stresses achieve the outer body they belong in and deserve. The decision to undergo female to male transgender cosmetic procedures is a significant one that should not be taken lightly. Dr. Frank Agullo, at Southwest Plastic Surgery in El Paso, Texas, understands how emotionally taxing this process can be on patients. He is here to make the cosmetic portion of your transition as smooth and comfortable as possible. Dr. Agullo can transform the breasts, face, buttocks, and hips to resemble a sculpted male physique, giving trans patients the ability to feel comfortable and confident in their outward appearance.

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What Are the Benefits of a Gender Reassignment Surgery Female to Male?

  • Relief from gender dysphoria
  • A more masculine facial appearance and masculine hair placement
  • A masculine appearance in the upper body that matches your gender identity
  • Emotional comfort and more fulfilling quality of life

Am I a Good Candidate for a Gender Reassignment Surgery Female to Male?

Generally, candidates for a female to male gender reassignment surgery have gone through the correct resources for gender affirmation services. Ideal candidates for a female to male gender reassignment surgery have completed therapy with certified mental health professionals who specialize in gender dysphoria.

Suitable candidates are required to be of consenting age and in overall good health. Patients over the age of 40 must also present a normal mammogram before undergoing female to male top surgery.

Before patients are cleared for female to male procedures, they must prove that they are physically and emotionally ready for the transition. Potential candidates must present a written letter from a primary care doctor, psychologist, gender therapist, or psychiatrist, stating that the patient is ready for the next phase of their gender transition. Medical clearance is not negotiable.

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What Is Discussed During My Consultation for Gender Reassignment Surgery Female to Male?

During your consultation for transgender female to male surgery, you will have the opportunity to engage in a comprehensive and transparent conversation about your goals for transitioning from feminine to masculine physical characteristics.

Unfortunately, your transgender procedures cannot be completed together. Your body needs time to heal between surgeries. Dr. Agullo will provide you with an expected timeframe for your treatment depending on your cosmetic needs and desires.

Regardless of the procedures you expect to undergo, female to male transgender surgery always begins with top surgery. All of your procedures will be performed under general anesthesia to ensure your comfort and safety.

Additionally, Dr. Agullo will discuss the necessary preparations for surgery and expected results, sharing gender reassignment before and after photos of previous patients. Dr. Agullo will resolve any concerns or questions you have and examine your medical background, including your current health, about surgery safety and preparedness.

At Agullo Plastic Surgery, tailored care begins with a full consultation to discuss the goals and options available.

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What Are My Options for Gender Reassignment Surgery Female to Male?

Thanks to advancements in cosmetic medicine, trans men born with a feminine figure have many options to actualize the physique that will make them feel more comfortable in their skin. Dr. Agullo’s extensive experience, combined with today’s technological advancements, yield successful results that affirm your truest self.

Female to Male Top Surgery

Top surgery is the primary FTM transgender procedure. During surgery, the breast tissue and fat will be removed using one of the following techniques:

  • Periareolar incision: Incisions are made along the outer edge of the areola through which the tissue is removed. The remaining skin is pulled together and reattached to the areola. The nipples can also be adjusted with this technique.
  • Double incision/Free nipple graft: A U-shaped or horizontal incision is made across the breast beneath the nipple. The fat, tissue, and excess skin are removed and tightened. This technique is ideal for patients with larger or sagging breasts.

Pectoral Implants or Fat Injections

Pectoral implants or fat injections allow Dr. Agullo to mold the chest for a more masculine contour.

  • Pectoral implants insert semi-solid silicone implants into the area where the breast once was to provide natural-looking, masculine definition. Patients must wait three months after their top surgery to get pectoral implants.
  • Fat grafting is available for patients who wish to add definition to the chest but do not want implants. Fat is taken from another region of the body and transplanted into the chest.

Body Masculinization

Liposuction of the body can reduce the look of feminine contours and highlight a straighter and more masculine physique. Liposuction can be used on the hips, buttocks, thighs, and other regions of the body to remove fat cells that are contributing to feminine curves. This procedure helps eliminate the natural voluptuousness of the female form and gives you a more masculine silhouette.

Facial Masculinization

Facial masculinization allows men to attain a more angular or rugged facial appearance. Due to hormones, women and men tend to have different facial shapes and characteristics. Masculinization procedures allow men to minimize feminine facial contours and create more masculine ones. Procedures can include forehead lengthening, cheek augmentation, rhinoplasty, jaw contouring, chin recontouring, and surgery to enhance the Adam’s Apple.

Hair Transplantation

Hair transplantation allows a female to male transgender patient to grow facial or body hair in the areas he desires. Facial hair transplant surgery gives trans men the ability to attain natural-looking beards, mustaches, or sideburns while improving confidence in their physical appearance.

How Should I Prepare for Gender Reassignment Surgery Female to Male?

Being emotionally and physically prepared for your surgery/surgeries will help to ensure that your recovery goes smoothly. Dr. Agullo will provide you with detailed instructions on preparing for your procedure and how to take care of yourself afterward. Typically, patients are expected to:

  • Refrain from drinking alcohol or smoking at least two weeks before the surgery
  • Pause from taking hormones before surgery to avoid blood clotting
  • Avoid eating or drinking anything after midnight on the morning of your procedure.
  • Refrain from using lotions, sunscreen, bath products, or scented soap on your chest, breasts, stomach, arms, and other regions close to the breasts
  • Arrange for a friend to drive you to and from the surgery
  • Bring the appropriate identification and completed paperwork
  • Fill out all the required prescriptions prior to the scheduled procedure

What Are Your Concerns for Gender Reassignment Surgery Female to Male?

What Can I Expect from the Recovery for Gender Reassignment Surgery Female to Male?

Patients’ recoveries will depend on the surgical procedure/s that they undergo. Patients can, however, expect to be sore, swollen, and bruised. Pain can be remedied with a prescription or over-the-counter pain medication. Top surgery patients will be wrapped in a compression garment that will reduce swelling, promote circulation, and aid in the overall healing process. Bandages and dressings will be applied to all incision sites, and you will be given instructions on how to care for these incisions during your consultation. Patients should refrain from taking aspirin or using any kind of tobacco product. Your results will gradually become apparent as the swelling decreases.

As with any surgical procedure, there are possible side effects during the recovery process. Contact your doctor immediately if you experience any unusual side effects.

Is Gender Reassignment Surgery Female to Male Painful?

Patients should not experience pain during their gender reassignment procedures, as all techniques are performed under general anesthesia. Any significant pain encountered after surgery can be managed with prescribed pain medication. However, as with any surgery, some potential side effects may arise. Contact your doctor if you experience prolonged side effects such as:

  • Soreness and inflammation near incision areas
  • Chest pain
  • Dizziness
  • Shortness of breath
  • Increased heart rate
  • Changes in chest sensation or numbness

Will My Gender Reassignment Surgery Female to Male Leave Scars?

The extent of scar development after gender reassignment surgeries depends on the number of incisions required and the nature of their shape and length. In female to male procedures, variations in scar development will hinge on the technique needed to remove the breast tissue in the chest area. With proper skin care, patients find that their scars fade with time.

When Will I See My Gender Reassignment Surgery Female to Male Results?

Some of the results for your female to male surgery will be visible immediately, although your final results will not become visible until your body has completely healed and adjusted to the physiological changes. It is estimated that it will take a full year for swelling to subside completely and scars to heal. Your unique set of gender reassignment procedures may also change the length of your healing time, as procedures are typically done one at a time.

What Does Gender Reassignment Female to Male Surgery Cost?

Due to the fact that every patient has different needs and cosmetic goals, every gender reassignment procedure is unique. Basic surgical fees are listed on our fee schedule. However, depending on the simplicity or complexity of each surgery plan, the price can change. The consultation fee is $100, which is applied to the cost of your procedure. Dr. Agullo will provide a transparent dialogue and calculate the cost of your procedure(s) during your consultation. All fees must be paid in full before your appointment.

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What Are Some Frequently Asked Questions About Gender Reassignment Female to Male Procedures?

How long will my female to male gender reassignment procedure take?

The length of a gender reassignment surgery varies depending on the number of characteristics you wish to transform and the techniques required to accomplish your cosmetic goals. Your female to male gender reassignment procedures will likely need to be performed in a series of appointments to achieve optimal results.

Why can’t I have everything done at once for female to male gender reassignment surgery?

Masculinization of the chest may require multiple steps. This is because the removal of breast tissue requires a significant amount of healing time before any additional masculine contours or pectoral implants can be added. Once the breasts have healed from the initial mastectomy, masculinization of the chest area can resume.

Are there resources to help my emotional transition for the new state of my body?

Professional mental health care for transitioning patients can be extremely beneficial to patients who grew up with gender dysphoria and are now able to finally experience the body they’ve always wanted. Essential resources are available for streamlining the emotional and mental transition that patients encounter. This may include talking to a close friend, finding a transgender therapist, or joining a peer-to-peer support group.

Is hormone replacement therapy mandatory to qualify for female to male gender reassignment surgery?

Patients are not required to be on hormone therapy for masculinization surgery. However, many patients are, as this is often a requirement for insurance companies. If you are participating in hormone therapy, you may need to stop before and after your procedure to avoid complications with blood clotting or thinning. Once your surgery is complete, you can continue taking hormone replacement therapy medications. However, you may be required to stop again if you are still in need of more masculinization procedures.

Is there a chance of getting breast cancer after top surgery?

After your female to male top surgery, the risk of developing breast cancer is significantly reduced; however, it is not completely eliminated. Although a mastectomy removes the breast tissue, there is no way to be sure that all potentially cancerous tissue is removed. Mammograms will no longer be required, but you should be mindful of your chest and any irregularities that you may find.

Does Dr. Agullo perform genital surgery or “bottom” surgery?

Unfortunately, Dr. Agullo does not perform the removal of the vagina, uterus, or construction of a penis. Nevertheless, Dr. Agullo will use his expertise and experience to provide the highest service to patients who desire top-surgery and masculinization of the face. Dr. Agullo’s patient-oriented care is dedicated to facilitating the maximum amount of joy, satisfaction, and fulfillment for each patient.

Interested in Gender Reassignment Surgery Female to Male?

If you want to learn more about female to male gender reassignment surgery and other advanced gender reassignment techniques offered by Dr. Agullo, contact his office by calling (915) 590-7900. Dr. Agullo offers gender reassignment surgery in El Paso, Texas, and the greater El Paso area.

 

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