One of the first surgeries that FTM clients typically undergo is removal of breast tissue to create a male chest, commonly referred to as “top surgery”. Various procedures are available, most common being bilateral simple mastectomy with free nipple grafts, designed for clients who have both excess skin and breast tissue. Urogenital reconstruction of the bottom region is aimed at addressing: elimination of the vaginal canal, construction of a new penis (neophallus) and scrotum with testicular implants (scrotoplasty with implants), and urinary hookup. Clients may elect to address some or all of these issues. Procedures for bottom surgery tend to fall into two categories: phalloplasty procedures and metoidioplasty procedures. The “Centurion procedure” was developed at the American Institute For Plastic Surgery in an effort to enhance the existing metoidioplasty. A standard metoidioplasty creates a neophallus by performing a “clitoral release.” The resulting neophallus is limited to the existing length and girth of the hormone-enlarged clitoral gland. The Centurion procedure enhances the girth of the neophallus by re-routing the round ligaments into the neophallus to add bulk to the neophallus. These surgical techniques will be discussed with photographs of the results.
Dr. Peter Raphael, board certified by the American Board of Plastic Surgery, is a graduate of the University of Dallas. He received his medical degree from the University of Texas Southwestern Medical School in Dallas. After Dr. Raphael completed his general surgery training at Methodist Medical Center in Dallas, he chose to enhance skills at the University of Texas Southwestern Medical Center, Department of Cardiovascular Surgery, in microsurgery research. Upon completion of this training, Dr. Raphael accepted a Fellowship in Plastic Surgery at the University of Illinois/Cook County Hospital, in Chicago Illinois and afterward entered into private practice specializing in Plastic and Reconstructive Surgery in Plano, Texas
Register today for First Event 2011 by clicking to our First Event Registration Page and we’ll see you Saturday, January 22, 10:30 am, in the Salon A for “FTM Mastectomy & Centurion Reconstruction”. For the whole list of night time activities for FE11, click to the First Event Entertainment.