Do MTF Bottom Surgery Results Look Natural?

Male-to-female (MTF) bottom surgery, or vaginoplasty, is a big deal for many trans women who often wonder what to expect from such a complex and transformative procedure. This blog will guide you through all you need to know about transfeminine bottom surgery before and after the procedure, including the process and expected results. We hope to answer any common questions and concerns you may have about transfeminine bottom surgery results.

7 Min Read:

Physical Results After MTF Bottom Surgery

Male-to-female bottom surgery involves reconstructing male genitalia into female genitalia, creating a natural-looking and feeling neovagina, clitoris, and labia. This is a big step for many trans women to match their physical bodies with their gender identity. Procedures performed during functional MTF bottom surgery include:

• Orchiectomy: Removal of the testicles, often done during vaginoplasty.
• Penile Inversion: A common technique in which the penile skin is used to produce a functional vaginal canal.
• Vaginoplasty: The main procedure for MTF bottom surgery, vaginoplasty, creates a functional and appealing vagina.

Vaginoplasty Before and After

• Preoperative Phase: Patients meet with their surgeon to discuss expectations and how to prepare for surgery.
• Postoperative Phase: Postop, patients will see a big change in their genitalia. Swelling can obscure the final results, and complete healing can take several weeks to months. However, the end results are typically satisfying both functionally and aesthetically for patients.

Dr. John L. Whitehead and Dr. Alain Ramirez are board-certified experts in their field who provide compassionate care to each and every patient. They will be with you every step of the way during your MTF bottom surgery experience. Take a look at Restore Medical Center’s MTF bottom surgery results photo gallery to get an idea of how natural vaginoplasty results can look.

Male-to-Female Bottom Surgery and Functional Outcomes

Sometimes, trans women opt only for a vulvoplasty, which provides an aesthetically pleasing vulva but doesn’t allow for penetration. However, some patients opt for a vaginoplasty, which creates a neovagina designed to function like a natural vagina, including sexual sensation and penetrative sex.

Dilation and Care

Frequent and regular dilation is crucial to prepare and maintain the function of the neovagina. The need for regular dilation typically becomes less frequent as healing progresses. This practice includes inserting the dilation device into the new vagina as directed by Dr. Whitehead to prevent the narrowing of the vaginal canal and allow for full penetration after healing from bottom surgery.

Are Urinary Function Issues Common After Bottom Surgery?

Some minor complications are not uncommon after MTF bottom surgery.  Though this is not Dr. Whitehead’s experience, these complications usually involve urinary stream issues or minor urinary incontinence, often described as dribbling. It is common to have some difficulty urinating after bottom surgery, but this generally improves over time. However, urethral stenosis and infections have been reported. Contact Dr. Whitehead if you experience any complications or discomfort.

How Can I Prevent Urinary Complications Before My MTF Bottom Surgery?

Pre-surgery preparation can lower the risk of urinary complications after bottom surgery. The following tips can help:

• See a pelvic physical therapist to address potential pelvic floor issues before your surgery.
• Stay hydrated and keep the area clean before surgery to prevent infections and promote healing.
• Don’t smoke and drink alcohol both before and after surgery to better promote healing and reduce the risk of complications.
• Choose an experienced surgeon to increase the likelihood of a successful outcome with a smaller chance of experiencing complications.
• Committing to proper hygiene, regular dilation, and follow-up appointments helps ensure optimal healing and long-term success.

How Can I Prevent Urinary Complications After My MTF Bottom Surgery?

After your surgery, you can still reduce your risk of complications by following these tips:

• Follow a strict dilating routine with progressively larger dilators and douching as instructed to maintain vaginal depth and prevent complications.
• Drink plenty of fluids to prevent UTIs.
• Take your pain meds and antibiotics as directed to manage discomfort and prevent infections.
• Get lots of rest during the initial recovery period.

Long-Term Habits for Preventing Bottom Surgery Complications

• Learn how to control your pelvic floor muscles so that you can relax enough to have intercourse. This can be done by working with a physical therapist who understands post-surgical anatomy. Dr. Whitehead can refer you to a physical therapist.
• Continue to maintain good hydration to prevent UTIs and preserve overall health.
• Note any changes in urinary habits or symptoms, and see a healthcare provider if you have any concerns.
• Use incontinence products like bladder control pads or adult protective underwear to manage leaks.

Some patients may benefit from biofeedback training or other therapies to reduce pelvic floor muscle tension. Open communication with Dr. Whitehead, Dr. Ramirez, and the Restore Medical Center team is key during the recovery period.

Pleasure and Sexual Function After Male-to-Female Bottom Surgery

There are many facets to a successful bottom surgery. It is important that you have realistic expectations for your body after surgery.

• Sexual satisfaction: Most trans women report high satisfaction during sex after bottom surgery.
• Comfort or discomfort during intercourse: Discomfort during intercourse is more common in the first several weeks after recovery and usually improves over the following months.

Maintaining the dilating regimen as directed and following Dr. Whitehead’s postoperative instructions help to ensure proper healing and optimal results.

MTF Bottom Surgery Recovery: Immediate Postoperative Care

For a week after MTF bottom surgery, patients are typically under the direct observation of Dr. Whitehead for monitoring and pain management. Patients will need to dilate the neovagina themselves to prevent it from closing up.

Long-Term Healing

Healing from MTF bottom surgery takes time, patience, and positive self-care. Full healing of bottom surgery can take several months, but most patients are happy with their decision to undergo the procedure, especially when they see their final results.

Regular follow-up visits with Dr. Whitehead are of the utmost importance and help to ensure proper healing and satisfying results. It may take several weeks to months for the swelling to go away and the scars to fade, but the neovagina will look better over time.

MTF Bottom Surgery Before and After

Before male-to-female bottom surgery, patients have male genitalia. Hormones may have already started to change their body with breast development and softer skin. After surgery, patients will have a neovagina, clitoris, and labia.

The alignment of the body with one’s gender identity can reduce gender dysphoria and improve overall well-being. After the initial healing period, the neovagina typically continues to improve. Following Dr. Whitehead’s instructions and attending regular check ups are the key to long-term success.

What Does MTF Bottom Surgery Look Like After Recovery?

Several factors can affect transfeminine bottom surgery results, including the surgeon’s skill, the patient’s overall health, and how well they follow postop instructions. Choosing a board-certified surgeon experienced in MTF bottom surgery, researching their credentials, checking their patient reviews, and looking at their transfeminine bottom surgery photos all help to ensure the best outcome. Doctors Whitehead and Ramirez are highly skilled experts in the field of gender affirming surgery, ensuring each patient achieves their aesthetic goals and feels confident in their results.

Seeing fully healed MTF bottom surgery results can be a life-changing experience for patients. The combination of functional and aesthetic improvements can enhance the quality of life for many trans women.

Mental and Emotional Results After Gender Affirming Surgery

After MTF bottom surgery, it’s common for patients to go through an emotional adjustment period. Support from loved ones, therapists, and support groups can be helpful during this transformative time. Ultimately, male-to-female bottom surgery patients tend to experience:

• Renewed confidence
• Better mental health
• Reduced dysphoria and anxiety
• Improved body satisfaction

MTF bottom surgery, or vaginoplasty, is a physically and emotionally transformative procedure for many trans women and boasts a high overall satisfaction rate. By understanding the process, what to expect before and after MTF surgery, as well as the factors that affect success, patients can feel confident and informed about their decision.

MTF or Transfeminine Bottom Surgery in Miami, FL

From the consultation to the final results, every step matters. With proper care, support, and a skilled surgeon, the results of transfeminine bottom surgery can be amazing and affirming. Doctors Whitehead and Ramirez have the expertise and experience you need when undergoing surgical gender transition.

Each is board-certified in their field and specializes in gender affirming surgery. Our Bay Harbor Islands surgical suite is fully accredited by AAAASF Restore Medical and is one of its kind; we focus 100% of our business on serving trans and non-binary individuals in the Miami, Florida, area.

“I genuinely want to say choosing to go to Restore Medical and having Dr. Whitehead do my gender reassignment surgery was the best decision I’ve made in my entire life!
I wouldn’t trade it for anything in the world.
Trust me… going here is the BEST option hands down.”
~ Mar’sjae, One of Our Real Patients

Learn more about us and see our male-to-female bottom surgery photos, then call 305.865.2000 to take the first step to achieving the MTF bottom surgery results you desire.