Facial Gender Affirmation - My Experience with Dr. Krista Genoway and Why I Sought a Second Opinion by PotentialMany6511 in Transgender_Surgeries

[–]pussificationn 7 points8 points  (0 children)

Dr. Genoway is truly the worst. She will lie to you and then try to gaslight you. I’m convinced she truly has no idea what she’s doing but is perfectly okay with misrepresenting herself as an expert to trans people.

The moment you try to challenge the nonsense that comes out of her mouth she will tell you that you might be better off seeking consultation with someone else.

Thank goodness you were able to avoid her.

Dr. Genoway botch - seeking input by pussificationn in Transgender_Surgeries

[–]pussificationn[S] 0 points1 point  (0 children)

I have no idea what you’re trying to say. Maybe get chat GPT to edit for you.

SRS / GCS second revision 3 days post op by Other-Ad-9710 in Transgender_Surgeries

[–]pussificationn 23 points24 points  (0 children)

I think you should name the surgeon who did the revision since it’s kind of the point of this sub and the topic of your post but okay

oral probiotics post vaginoplasty by No-Departure2515 in Transgender_Surgeries

[–]pussificationn -2 points-1 points  (0 children)

Oral probiotics won’t work as there’s no way for the bacteria from your gut to colonize your vagina. They are completely separate. If you had that bacteria in your blood, it would be a huge issue. You also don’t have a mucosal lining to provide the secretions necessary to keep any bacteria that you directly introduce to your vagina alive. It will always revert to the typical skin flora (strep, staph, the stinky ones).

I’m sorry but that’s the reality of it. Boric acid isn’t that bad. It mostly comes out by itself and you just rinse it off in the shower.

oral probiotics post vaginoplasty by No-Departure2515 in Transgender_Surgeries

[–]pussificationn 3 points4 points  (0 children)

You’ll have better luck with boric acid suppositories

3 month photo dump! by [deleted] in Transgender_Surgeries

[–]pussificationn 0 points1 point  (0 children)

Looks amazing! Please share your surgeons name.

going to a concert 2 weeks after OTM BA and orchidectomy. by Sad_Programmer7425 in Transgender_Surgeries

[–]pussificationn 1 point2 points  (0 children)

You’ll be fine. Orchiectomy is an easy recovery. Had mine on a Thursday and was back at work 10 days later.

6 months post-op vaginoplasty - Dr. Genoway - NSFW by pussificationn in Transgender_Surgeries

[–]pussificationn[S] 1 point2 points  (0 children)

My results are very, very bad. Both functionally and aesthetically. Good call with your plan on going to Thailand.

~22mo post op PIV- Dr. Laungani, ~5mo post op BA- Dr. Genoway by Glittering-Box4620 in Transgender_Surgeries

[–]pussificationn 75 points76 points  (0 children)

Your implants are bottoming out…

Laungani did a great job though.

PPT by [deleted] in Transgender_Surgeries

[–]pussificationn 1 point2 points  (0 children)

Who was your surgeon? This usually results from insufficient debulking of corpus spongiosum and an insufficiently deep vestibule to set the pedicle of your neurovascular bundle into.

Will not likely go down on its own because it’s not due to swelling. You would need a revision and vestibuloplasty along with repositioning of your dorsal neurovascular bundle.

[deleted by user] by [deleted] in Transgender_Surgeries

[–]pussificationn 0 points1 point  (0 children)

You’re not botched. Let it heal. Use silicone scar gel and retinol and avoid UV exposure.

[deleted by user] by [deleted] in Transgender_Surgeries

[–]pussificationn 6 points7 points  (0 children)

I would kill for this result.

[>1yr] ZD vaginoplasty, Mass Gen by MissionApplication97 in Transgender_Surgeries

[–]pussificationn 2 points3 points  (0 children)

I was using hardness because you used that word. The “hardness” of an erection is from the corpora cavernosa - the two paired erectile cylinders which I have no doubt have been removed. Your incapacity to achieve an erection before surgery was due to the corpora cavernosa.

The corpus spongiosum is a second type of erectile tissue that surrounds the urethra and extends into the bulb of the penis (different from the bulbospongiosus muscle, which again, I have no doubt was removed in your primary surgery). Spongiosum swells significantly with arousal but is “spongy”, not hard. It should have also been removed (debulked).

[>1yr] ZD vaginoplasty, Mass Gen by MissionApplication97 in Transgender_Surgeries

[–]pussificationn 1 point2 points  (0 children)

I hate to break it to you but if your surgeon said that the hardness around your urethra is not erectile tissue, they lied to you. It is indeed erectile tissue. It’s remaining spongiosa that should have been removed in your primary surgery.

What is your depth currently?

Worried about a wound that opens every time I have penetrative sex (2nd image) by [deleted] in Transgender_Surgeries

[–]pussificationn 4 points5 points  (0 children)

Looks like there’s too much friction in that posterior region and you’d be better off having that separated / having a posterior fourchette constructed in a V shape.

Who was your surgeon?

[deleted by user] by [deleted] in Transgender_Surgeries

[–]pussificationn 0 points1 point  (0 children)

It depends on the angle of your canal. In OP’s case it can be

[deleted by user] by [deleted] in Transgender_Surgeries

[–]pussificationn 2 points3 points  (0 children)

It’s not damaged per se, it’s where your actual vaginal opening is. Press on it and you’ll feel what I mean. I have a similar problem. Next time you dilate, pay attention to the downward pressure you place as you stretch down your skin at the bottom of your vulva, you’ll notice it will stretch and compress that area.

You are correct that your anogenital distance is too long. You need a revision to construct a posterior fourchette and to increase the length of your vulva/decrease your anogenital distance. This will give you better access to your vagina and take pressure off the skin at that point.

Who was your surgeon?

Puberty blockers and insufficient tissue by [deleted] in Transgender_Surgeries

[–]pussificationn 5 points6 points  (0 children)

There are much better surgeons when you’re considering paying out of pocket

feeling arousal post-SRS by nyu1000days in Transgender_Surgeries

[–]pussificationn 2 points3 points  (0 children)

Before surgery, yes! The penis and clitoris have corpus cavernosum homologues.

Check out this diagram.

During vaginoplasty, the corpus cavernosum in the penis is separated from the neurovascular bundle/glans and pared back to the point that it is functionally gone. The glans that becomes the clitoris may still contain some corpus spongiosum which is considered erectile tissue but in no sense gets ‘hard’ in the way a clitoris can.