General OI information so quite without operational intervention none will probably become so quite content with itself. But this quite special affair should be good planned and carefully considered, because with the results one must be able to live afterwards also - and in the theory that sounds always everything quite simple, but practice sees then nevertheless unfortunately Mach times quite differently out... It considers please if you get OP photo in hospitals gezeigst (so-called results) that it often concerns thereby photos, which developed under no longer comprehensible circumstances. This page is first times only a relative overview of the possibilities. It would be beautifully, soon still with information from those, those already operated it is to be extended and so perhaps successors with the selection which, where and how to help...
Since we yet cannot serve with pictures of OI results, a few link tip followed to other WEB pages with pictorial material at the end of the page!
The three possible interventions:... The Mastektomie the Hysterektomie of the Penoidaufbau
In principle gives it three surgical interventions, which Mastektomie, which is in principle the chest operation, with which unnecessary body fat is removed and usually - depending upon size of - also the gland fabric, the Hysterektomie, that is the distance of the Ovarien and the Penoid structure, that is the Vaginalverschluss and the structure of an artificial Penoids - here there are several possibilities...
The Mastektomie some binders also is so good, for the remainder of the life wants one it not to usually carry. Also swim to go is without OP probably hardly conceivablly, from certain relief in the quite private one times quite foreseen. Thus only the operation remains. This is also, those those the health insurance company relatively problem-free paid it. One should mine that there are sufficient physicians, who control this intervention - finally half of mankind has these things and the few is really content to be silent from diseased modifications completely. Caution!
There are many surgeons, who have a good reputation with interventions within the chest area, but some general abilities, some good surgeon constitute e.g. the scar formation are not sufficient there alone not. With us must be cut if necessary differently than with bio women.
It is best to look itself up a physician who is been versed with it. If not, it should be at least ready to discuss to you exactly to listen over with you together as their it presents you, what everything is as feasible and for risks with it is connected which. The advice of others is good, this hurdle here always already created and as with all other medically serious things: do not only ask a physician! By the way Gynaekologen or beauty surgeons make that basic however partly also general surgeons.
On what has to be noted?
You should realize yourself that it, like much raw material you have (as it sees out and if necessary as is the proportion of fat and gland fabrics). A mammography - above all, if is to be sucked off - is unpleasantly however very important and informative. A chest, which is too small for a a-Koerbchen, must logical-proves to be differently cut than one, which scarcely in a d-Koerbchen fits. A hanging chest requires quite different procedure than a taut chest of same size and if is to be sucked off, it is important, to note that only the fat can be sucked off, not however the gland fabric. If you the physician scans your chest during the preliminary investigation thus for you eternally, has usually good reasons! Even, if it is unpleasant, rather pull ' no face - some physicians stop then instinktiv! That is a nice gesture of the physician for this moment, can however counter productive the OP affect. To the point: ' as it afterwards to look is ' should above all the cutting force because of the scars be discussed in detail. The more largely the cut to be led must, the more largely is also afterwards the scar. Trivially, but truely - particularly with grossbruestigen patients often one suggests cutting once crosswise over the chest (!!!)! That is practical for the physician, but you would have to live the remainder of the life with the scar - (even Nachkorrektur OP's bring these scars never again completely to disappearing). If the physician is one, which can sew very well, nevertheless an option can be, particularly since thereafter mostly only a small correction is necessary.
The options for the cut
pure sucking off (only with very small chests possible, and success hangs of it off, like strongly the skin regresses). small cut, either in the Mamille or in the lower fold, or in the proximity of the shoulder. (also only with relatively small chests, although thereby possibly skin can be removed and tightened.) Mamillenschnitt, thus once approximately around the warzenhof; or in a smaller set therein if the Mamille is to be reduced. Goes up to medium sizes, can lead, if thereby too much skin is together pulled, to a Kraeusen of the skin and thus to thick scars. A cut in the Mamille, m-Foermig. Is made, if the OP in 2 steps is made (to only clear, later in form it brings) or if the nipple is to remain in such a way, and the chest is so small that clearing is enough. A cut by the half chest - goes mostly around the Mamille (with it this also to the correct place to be brought can) and from there outward; usually in the lower half. (punching) a cut by the whole chest, either around the Mamille or even in the middle through (if it is not freely transplantiert).
Feeling in the nipples
If the nipple is freely transplantiert, i.e. removed completely and replaced, that leads to optically good results, but the chance is 50/50 to have afterwards no more feeling therein. It is pure matter of taste - it gives Transmaenner, which did not have there ever correctly feeling in it, thus which have been lost there should? That is however not with all like that! The moreover the risk rises with the Transplantation that the nipple dies (rarely, but...). If occurs, one can structure afterwards relatively easily a new nipple, but that became again OP hot and the result is usually almost feelingless eh '. Refrained from it the colour of the nipple would have to be nachtaetowiert afterwards in such a case. It goes often also with a very large chest without Transplantation, can mean however the fact that the OP in several steps must be executed - which by the way with such size can be quite recommendable - the result becomes usually better, but it naturally lasts, and some health insurance companies do not want to pay that also. They believe dear physicians, who, to be able to complete even a DD Cup in a OP state. Forget it - even thereby is on at least a Nachkorrektur to count - to exceptions always acknowledge like the rule.
The Hysterektomie the secondarymost frequent operation is the distance of the ovaries and gebaermutter. This operation is not must!!! Therefore first Pro's and Contra's to this intervention:
p r o... versus... Mandatory necessities for the person status modification, at least one of the two organs (... permanently reproduction-unable...) do not have Transidenten right to physical soundness? of a increased cancer risk is spoken, definite proofs is missing in addition however still if the Mensis is missing, disturbs it many not further to carry still female entrails in itself
final sterility final sterility... already again under meters...
Single or combination operation decided if you also to this intervention, is it already again time for a further decision: some surgeons make this equal for OP together with the Mastektomie and/or the Penoid structure, which is naturally practical (only once hospital, only once Narkose..) however on the other page naturally also a violent load for your immune system - if you thus eh ' problems with the immune system or the Wundheilung have, are a decision which can be considered well, which should be discussed with the physician. Partial is not also only at all possible (beauty surgeons e.g. know each other in the abdominal cavity rarely so well out), there must one eh ' still another second physician look itself up. Actually each Gynaekologe can - thus ask around (also with the women in the circle of acquaintances), because here can one really to the fact go where the scar becomes best or where to a physician and/or a hospital is most pleasant and still another decision: the cut
One can operate either by the sheath from the inside ago (is at the best sound, goes however only if both rauskommt) or by an antinode bulge cut to intervene from the outside. If only the ovaries are to be removed, it goes also endoscopic - that is an intervention, with which the physician quasi by several hoses operated and accordingly only must make some small cuts). It seems to give physicians, who state that the distance is only possible by the sheath, if one brought already times a child on the world - strange way there are however different physicians, who have thereby at all no problems. Seems to be thus with so quite all possible, independently of a previous birth. Note: If with you for any reason on the fact it is to be counted that in the abdominal cavity growing together are (violations, or times Zysten or the like had), indicate that the physician, if by the sheath is to be operated! That can be a problem!
Tip1: The liegedauer in the hospital is very different. It reaches of the ambulatory OP up to a week and a more. Ambulatory is always somewhat risky, but one week needs one to therefore also not absolutely abzuliegen. It leaves you to speech with the physician over it, if he is reasonable, beforehand raus, if it can to you well enough (not on own risk, but properly).
Tip2:Am most frequent is made by the surgeons the Bikinischnitt extremely liked. As the name already says, the woman can tighten afterwards a bikini, without which which is to be seen. After I have this cut however behind me, I have personally the suspicion that there are physicians, who want to cover thereby rather their bungle. Because while it became optical prima thereby (although, meanwhile one sees eh no more scar), has I still 6 months after the OP pain had, since longitudinal muscles are badly stretched. That was not because of the fact that the physician was not good (he was good), but to it that the cut is a daemliche idea, anatomically seen. If the scar does not disturb you, and an antinode bulge cut to be made is, asks whether it cannot cut lengthwise - leads allegedly to substantially fewer complaints. By the way, I have these information, because I had a Endriometriose (woman stuff). This is not rare degrees, and possibly a group of self-helps of such women can help you with the selection of the physician - with this OPs have the all more experience, than they wanted ever (Alex, TransMann registered association, Cologne).
The Penoid structure
Equivalent in front: none the OP's is uncritical and simple. With none - on closer inspection and/or strong inspection - the result is to be mistaken with a " genuine ". There it should be worth at least times a consideration whether you actually needs one. In no case you should one add, only thereby your (E) Partner(in) are content.
Notice: leave ' to you time with the decision, and above all: in any case talks with several physicians with others, and asks around you.
The OI techniques
Always there are several possibilities:
The Klitorispenoid: Usually the Klitoris increased strongly by the hormones is only free-cut and sewn forward. The sheath will be able to do closed and it artificial testicles to be used. The urethra is put up to the point. Advantage: The feeling is preserved to a large extent, and it is so large OP. Pinkeln in being is mostly possible however to the sexual intercourse is it not largely enough. This Penoid, also model ' cold shower ' mentioned, is in the Netherlands the standard, in Germany unfortunately makes it our knowledge nobody - which TransMann registered association has however a physician found, who wants to worry times about it.
Unterarmgewebe Penoid: Formed out of the fabric of a lower arm, which functions, in that the necessary skin and the fabric, one of the veins and a large nerve will be taken, together-rolled and sewn on accordingly. In the stroke of luck that results in a feelingable, somewhat thin, but otherwise looking quite normal Penis with an urethra into the point. But note: Success depends very on the executing surgeon - there are which, with which still none of dissatisfied - and such, with which still nobody of content patients heard, where from heavy complication rates of 40 % and more rumors it circulate to mouth propaganda or the call of a physician is here an important and seriously taking factor become (on physicians to positively report one may, but pull usually complaints write negatively after itself).
Antinode bulge Laengsmuskel Penoid: One is solve above two longitudinal muscles of the antinode bulge (from the ribs to the schambein), rolled downward, turned half and enclosed with skin rags from the border skin. >> Alex from Cologne: " I saw times a splendour copy - however for it it had 17 (in words: seventeen) Operations used, the section was feelingless and the urethra came out to the Peniodbasis! That by the way is at the beginning of normal, because the urethra is shifted at the earliest after one year into the point - if at all. There is at least 2 large operations necessarily (with once 6 and once 4 weeks estimated hospitalization - which are often substantially exceeded however). Sometimes additionally it can abfaulen completely again. My quite personal opinion: As it would be with a good Dildo stattdessen?"<<
Rollappenpenoid: from a bacon role formed, which from the antinode bulge is loosened, and then in several operations one folds downward. Almost any longer one does not make, because the results are very bad: feelingless and giant scar at the antinode bulge. The urethra is also not executed thereby up to the point.
Other techniques: Since it concerns a still very experimental field, it gives always times again surgeons, who want to try something else out. Whether one gets involved in it, one must know.
Dr.Scharff's OI method, Dachau: To the procedure of create: It makes the structure in 3 steps, between those is in each case a 1/2 year. 1) it designs an urethra from gap skin from the leg. That sees then in such a way from that one 1/2 year with a tube in waiter ober-oder the Unterschenkel runs around that one must flush daily twice. 2) it constructs a Penoid from sections of the Unterschenkels, for reinforcement takes it a part of the wadenbeins. One does not know then some months latschen and the problem with the Unterschenkel is still that there are not many nerves there speaks one feels in the final result not too much in the thing. 3) it assembles the urethra designed from gap skin and the Penoid. After some months still the testicle implants come to it and out. 1. lasts it to for a long time and 2. one feels anyway not too much of the thing much. The missing bone in the leg should be allegedly no problem. It makes it now from the leg because its Penoide of the lower arm repeatedly shrank.
All transplants except the Klitorispenoid can be reinforced with an implant, from which there are several, which function according to different principles. Some should be very good. Here there are also most difficulties to get it from the health insurance company paid. Above all because some people so around the 100,000. - DM for the OP take - without implant. However - if one it needs, is it worth these results.
See also operation results - Liedl - to Grosshadern Munich - > here (attention longer loading times)
HOSPITALS - PHYSICIANS - OPERATIONS... OI physicians, and hospitals if physicians or hospitals of objections against a denomination on this page have; Message at us, we remove the entry immediately!.
OSKAR - ZIETHEN - HOSPITAL
Academic training hospital of the university clinic Charite ' gynaecological clinic - chefarzt: PD Dr. med. Elling
Oskar pulling EN hospital Fanningerstrasse 32 10365 Berlin postal address: Hospital Lichtenberg Fanningerstrasse 32 10365 Berlin p.o. box 70 04 25, 10324 Berlin
Text transferred in the original of the Oskar Ziehten hospital in the gynaecological clinic of the hospital Lichtenberg increasingly transformation operations are executed. The gynaekologische section becomes and in co-operation with Professor Dr. P. Althaus, Urologi hospital of the Evangelist Diakonie of hospital in this hospital primarily, which operates urogenitale part. In the gynaecological clinic modern single rooms are available for these patients as well as very understanding and discrete personnel. Here operations of the chest executed with MF situation to the system the same by means of Gewebexpandern and prothetischer supply, nipple plastics and taetowierung of the warzenhofes, at the same time effected also with FM situation the distance of the chest gland over discrete cutting forces or gland body exhausts depending upon situation and chest size. In same Narkose the internal female genital organ (Uterus and appendices) are removed. After operation the patient in mentioned above co-operation mechanism is presented for the reconstruction of the genital organ and the further procedure is coordinated as desired. The hormoneal subsequent treatment takes place via a physician according to the selection of the patient at the residence. The concrete operation is discussed together with the patient. It is not to be dealt here target with these, since those requires non-standard procedure.
PD Dr. med. D. Elling chefarzt of the gynaecological clinic
Hospital Sanssouci Helene long road 13 14469 potsdam telephone: 0331 -28 08 70
Representative office Berlin:
Cure prince dam 37 10719 Berlin telephone: 030 - 886 74 20.
This hospital and in special Dr. Daverious enjoys a very good reputation, which concerns the operations around the Penoid structure under the TSmaennern. Unfortunately it concerns here private hospital, which can lead to complications with the assumption of the costs of operations by the checkouts - this problems should be beforehand mindful and clarified! A OI report for this is to be made available us shortly...
AGAIN: There is to be in Berlin a physician, who according to the same method operates as Dr. Daverious, but one takes over by the checkouts, since he does not operate in a private-hospital. Above all its results are to also be just as well. As soon as we know more about it, is it here...
further documentation naturally follows!
If we could receive empiric reports, OI photo etc. from you, would be the pointed and others in the selection of the hospital would be surely helpful! To tell the physicians can do much, facts of Transmaennern can it prove....