India Cender Reassignment & Cosmetic Procedures

31/01/2024

NOW AVAILABLE we have our own online therapist, Miss Connor. Please notice she takes a fee of $20 per hour. Feel free to schedule an English language appointment with Ms Connor.

20/12/2023

This! 👌

20/12/2023

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20/12/2023

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20/12/2023

12/12/2023

A slice of England's iconic A303 road shows how it changed over thousands of years.

25/12/2022

Our associated surgical team offer two procedures providing male to female ge***al reconstruction.

1) skin graft (inversion technique)

Still the "gold standard" in male to female s*x reassignment surgery, is the pe**le skin inversion technique with or without additional, scrotal flaps. This is the least expensive of the two options provided, and globally it is the most commonly practiced form of s*x reassignment.

As a basic technique, the pe**le inversion enables good depth, good erotic sensitivity of the cl****is, and an aesthetically acceptable v***a. On the down side, the tissue used is not impossibly prone to stenosis, unless the patient follows a regimen of dilation as aftercare. The lining of the neova**na does not lubricate with a natural, va**nal secretion. Also, the patient with a p***s smaller than 11.4 centimeters in length, may require extra skin flaps, from the sc***um.

This creates a possible problem, with scrotal hair growth inside the va**na - which is a common but preventable problem. In the weeks prior to surgery, the patient must themself see to a course of ge***al hair removal. This is because hair growth is cyclical, and requires a course of hair removal, that we might not be able to arrange for the patient.

2) sigmoid colon graft

Outwardly the appearance created by this technique, is the same. However the va**na is constructed, using a more invasive technique, involving a segment of the sigmoid colon. Being more invasive, this technique is thus more expensive, and has its benefits for the recipient.

The tissue involved is not prone as is a skin graft, to postoperative stenosis, in the absence of dilation practice. The colon graft is also self-lubricating, although this has a drawback of its own, because the mucus discharged may be excessive. Discharged patients having receiving a sigmoid colon vaginoplasty procedure, are therefore advised to rinse it regularly, perhaps once a month.

Prior to surgery, the patient will, naturally, need a period of pre-operative bowel preparation. Also there is the increased risk of secondary infection and ileus. But this procedure is the best recommended for patients with a small p***s, under 11.4 centimeters length, and in rare, unfortunate situations, where the repair or replacement of the neova**na is advisable or necessary.

Regarding both procedures, patients must provide proof or evidence, of a 12 months or longer duration of hormone therapy and cross-s*x living.

25/12/2022

Much confusion exists regarding breast implants, and the volume required by the patient. The implants are measures in cubic centimeters, or cc in abbreviated form. This is a common practice, when stating the volumes of three dimensional containers - like the shells of silicone and saline implants - that measure far less than liters.

Its actually the cup size used in clothing, that is the source of confusion. Because cup size is subject to variables, including the size and shape of the rib cage, which relates to bone structure, as well as the dimensions of the breast - both its soft tissues and any prosthetic.

This means, that two patients of the same weight may have a different build, and a different bra size. Receiving implants of a certain cc, will therefore not have the same effect, least not on cup size.

As a rule each +2 bra band size, requires 25 cc extra to increase a cup size. So that, at band size 34, 175cc will do, but at band size 36, 200cc will be necessary to go up a cup.

Implants may be saline or silicone. Silicone augmentated breasts feels more natural because the silicone is more viscous, but this is irrelevant, depending how deep beneath the skin, the implant is placed.

The prosthetics are also classified as round or anatomical, versus teardrop or contoured. Round implants are the older type, and are still in production, proving themselves sufficient for adding lift and volume to the female chest. Should the implant move position during the healing process, the simple shape of the round implant, will likely not be noticeable.

However the round implants do risk an obvious "b**b job" look. As a, response, manufacturers innovated the teardrop shaped implants - which are thinner at the top, and thicker at the bottom, bring fuller below the ni**le, as per natural breast morphology. As a preventative measure, teardrop implants often have a textured surface, to prevent their shifting or rotation within the chest, as do some round implants.