Well, if you're here, I suppose you're a pre-op transsexual (M->F) with surgery on-the-mind. You may, on the other hand,
simply be vouyeristic... But we'll ignore that. I just have some suggestions. They're sort of in the category of "what I
would have done differently if I had known back then what I know now." I am a bit upset at times that I didn't have
better advice at the time of surgery, you see, it's almost impossible to get that - certainly not from the surgeon who has
almost nothing at stake compared to what you have at stake (the rest of your life). Straight-talking transsexuals are few
and far between, just as non-dysfunctional people are few and far between...
Here's what I would say:
1. Find an "expert" breast surgeon. Assume that any doctor who prefers the circumaeolar entry route doesn't
really care about your ability to function erotically as a natal female. You will cherish these feelings in the years to come if you keep them. The best way to avoid loosing them when you get a breast augmentation is to enter some other way - inframammary is OK, armpit is better, and thru the bellybutton is best. You can always re-do a surgery, but you can NEVER get your nerves back, and "partial" feeling is almost useless sexually.
2. Tell the bottom surgeon that 'feeling' (rather than cosmetic beauty) is most important to you. Consider and discuss
specifically and thoroughly your "nerve needs" for proper sexual function. Don't let the surgeon put you off by
saying, "everyone else does it this way..." or else we'll never get advancing bottom surgical techniques.
For instance:
really care about your ability to function erotically as a natal female. You will cherish these feelings in the years to come if you keep them. The best way to avoid loosing them when you get a breast augmentation is to enter some other way - inframammary is OK, armpit is better, and thru the bellybutton is best. You can always re-do a surgery, but you can NEVER get your nerves back, and "partial" feeling is almost useless sexually.
2. Tell the bottom surgeon that 'feeling' (rather than cosmetic beauty) is most important to you. Consider and discuss
specifically and thoroughly your "nerve needs" for proper sexual function. Don't let the surgeon put you off by
saying, "everyone else does it this way..." or else we'll never get advancing bottom surgical techniques.
For instance:
- Be aware that you only have a 10-20% chance of "normal" neuroligic erotic function (relative to an average natal female) in your neo-vagina. This deserves the full attention of your surgeon, and quality of sensation is as important as the existance of sensation in the result.
- Tell your surgeon that high-quality feeling is the most important outcome of your surgery. (All reputable bottom surgeons are doing excellent aesthetic surgery nowadays.) Make sure your surgeon preserves the nerves that are most important to you. A good erotic sensation is something you will cherish for the rest of your female life.
- Tell your surgeon that you want the largest clitoris (sensate pellicle) possible - that you want the entire outer (nervous) sheath of the glans used to create it.
- Tell your surgeon (if s/he has sufficient skill) that you want both dorsal nerves separated, preserved, and to place one in each labia majorum rather than placed over the mons deferens. (This is where surgeons traditionally place it, largely because it's easy for them.) Careful placement of the surgical drainage cathetars will help prevent damage to the nerves.
3. Don't be afraid of a graft
(tummy, thigh), as long as it's a "full thickness" skin graft.
Depth is relatively important. Have an idea of how large a
male (or dildo) you may become involved with.
As an aside, I'm fairly happy with the result of Dr. Mander's rib removal technique, except my back gets tired more easily these days. The scars are trivial and clothes no longer pinch my waist so much. Top to bottom is before surgery, during healing, and 6 months later. Note in the front view the straight right side of my abdomen just below the rib cage - it the bottom picture it now curves inward to make a high waist. My "love handles" add to the effect in the final pictures, back view.
As an aside, I'm fairly happy with the result of Dr. Mander's rib removal technique, except my back gets tired more easily these days. The scars are trivial and clothes no longer pinch my waist so much. Top to bottom is before surgery, during healing, and 6 months later. Note in the front view the straight right side of my abdomen just below the rib cage - it the bottom picture it now curves inward to make a high waist. My "love handles" add to the effect in the final pictures, back view.
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