Treatments
Transgender Care
Individuals with gender dysphoria often describe having been born not in the right body. Plastic surgery is essential to align their bodies with whom they know themselves to be. The overarching treatment goal is “lasting personal comfort with the gendered self, to maximise overall health, psychological well-being, and self-fulfilment.”
Male-To-Female
Several surgical procedures are available for transgender women (individuals transitioning from male to female).
Surgical reconstruction can involve the creation of natural appearing breasts, genital reconstruction (vaginoplasty), facial feminization and/or an Adam’s apple reduction.
Breast-augmentation includes:
- lipofilling
- implantation of prostheses
Genital reconstruction includes a vagina and vulva that are both sensate and functional. This includes:
- removal of the penis and scrotum
- feminine-appearing labia majora and minora
- a sensate neo-clitoris and clitoral hooding
- adequate vaginal entrance width for intercourse
- adequate vaginal depth
Dr. Kanhai is specialised in, and has developed, various techniques for the refinement of vaginoplasty which include:
- creation of a working g-spot
- creation of lubrication inside the vagina
- hair removal before surgery is not necessary anymore, because during the operation Dr Kanhai will remove the hair follicles of the perineum flap.
Facial feminization surgery offers a wide range of reconstructive and aesthetic surgical procedures that reshape facial features to make them appear more feminine. Options include but are not limited to:
- Forehead contouring
- Lowering the hairline
- Eyelid modification
- Cheek augmentation
- Nose reshaping (rhinoplasty)
An Adam’s apple reduction (tracheal shave) feminises the appearance of the neck by reducing the prominence of the Adam’s apple. It is performed by making a small incision made in the submantel region.
Female-To-Male
Several surgical procedures are available for transgender men (individuals transitioning from female to male).
The surgical reconstruction can involve top surgery, removal of the uterus/ovaries and/or genital reconstruction.
Top surgery includes a subcutaneous mastectomy, there are different procedures / several combinations that are possible depending on the size of the breasts:
- donut procedures
- inverted-T
- vertical technique
- free nipple transfer
- wise pattern
- liposuction
The removal of the uterus (hysterectomy) and/or the ovaries and fallopian tubes (oophorectomy) are performed by our gynaecologist. Vaginal sheath removal can be performed either separately or in combination with the hysterectomy. The gynaecologist will discuss the following surgical approaches:
- laparoscopic
- open procedure
Genital reconstruction includes two types of penile reconstruction:
Metaidoioplasty
- with or without urine tract
- scrotoplasty with or without testicular implants
Phalloplasty
- with or without urine tract
- scrotoplasty with or without testicular implants
- with or without erectile prosthesis
Non-Binair
Several surgical procedures are available for non-binair.
The surgical reconstruction can involve top surgery, removal of the uterus/ovaries.
Top surgery includes a subcutaneous mastectomy, there are different procedures that are possible depending on the size of the breasts:
If necessary we will combine these procedures.
- donut procedures
- inverted-T
- vertical technique
- free nipple transfer
- wise pattern
- liposuction
The removal of the uterus (hysterectomy) and/or the ovaries and fallopian tubes (oophorectomy) are performed by our gynaecologist. Vaginal sheath removal can be performed either separately or in combination with the hysterectomy. The gynaecologist will discuss the following surgical approaches:
- laparoscopic
- open procedure
