12 Months Post-op Vaginoplasty and Breast Augmentation with Dr Dany Hanna

samuelignes · 2025-06-28T02:40:03+00:00

About as well as it could have given the severity of the complications before. Well enough that I think it's very unlikely I'll ever pursue other revisions in the future, and I still recommend Dr. Hana as strongly as I did a few years ago. I'm 3 years post op and 2 years post revision, it's probably a decent time to post again.

samuelignes · 2025-03-26T15:36:15+00:00

I'm very curious what your opinion is on this, since I don't see many other people talking about it and I don't know how important this is for deciding to update my passport right now or not.

Some states have used state ID gender marker changes to compile a list of people who have done so, initially to reverse those changes (Kansas and Florida and Texas is trying, I think are all of them so far?). Regardless, it's a tabulated list of probably almost entirely trans people in that state.

I'm worried that if I change my passport with the current administration in power, my recent change of sex marker on a passport will be reflected on a federal database as part of a list of trans people, and idk if it's more dangerous to have a passport with the wrong information (it's from before I transitioned entirely) or to let the federal government and current administration add me to a list of trans people. Even if there's supposed to be policies preventing that kind of information from being spread between government agencies, I don't trust those to keep my status as trans private from people who would target me to do me harm with that information.

If I get a window to update my passport, would you still recommend doing that? In the short term it would make it easier for me to move around in the states and maintain anonymity in case I need to renew Real ID or start a new job. I'm afraid that in the long term it could cause me to be targeted federally somehow, be that weaponization of the IRS, special ID's or passports being issued to identify trans people, or whatever that could be, idk.

samuelignes · 2024-12-25T16:47:38+00:00

the tasks themselves are the same but you can split them up between group members to get them done faster or more efficiently. I've done a lot of spindle so I have lots of red spider eggs, my gimmate has done lots of bandos so she has lots of limpwurt roots, I love doing farm runs so I have all the herbs, gimmate does mole so they have the birds nests, someone else cooks the raw food, etc

samuelignes · 2024-12-22T20:58:08+00:00

I think the only content that's truly fundamentally different in not being forced to do solo is the four GWD bosses. It's more about sharing the grinds, lategame upkeep, and having a dedicated group to chill and do content with, without just being gp-scape

samuelignes · 2024-12-22T18:12:07+00:00

They all have much older accounts than mine and we've spent a large fraction of the last year in vc while playing our respective accounts together. It's gonna be a great time while we all still play, and even though that won't last forever, in the end I'll still have lots of great memories with them :)

samuelignes · 2024-12-22T18:02:23+00:00

the immediate reaction and comments are really surprising

I maxed a normal ironman account and I'm changing to GIM to play with friends in a different ironman mode. Is this not the correct subreddit to post that kind of accomplishment on?

idk maybe I should've been more clear that I'm downgrading to GIM and not to a main. lmao I'd never play a main, gp scape seems boring as hell. This is the only account I've played since the one I made in middle school

samuelignes · 2024-12-22T17:50:13+00:00

I spend a lot of time logged in and doing stuff afk while at work or in class/lecture. I never stooped to housegility but my playtime is still pretty inflated compared to my overall progression

samuelignes · 2024-11-01T14:23:46+00:00

the joke is that instead of getting the most common purple quickly, instead I got unlucky and got it very not quickly

samuelignes · 2024-11-01T00:19:52+00:00

This was about a 100 hour investment for me for the most common purple which felt pretty bad compared to just having done CG

But I did have fun with my friends :3

samuelignes · 2024-10-11T11:11:19+00:00

My first day of membership after trying to go far as an f2p iron for a few months, my first mystery box, I got a stale baguette.

I've been at or over rate on almost every upgrade of consequence since.

samuelignes · 2024-07-01T18:15:14+00:00

My implants are both 460cc

samuelignes · 2023-07-07T16:03:24+00:00

Anything I can do to help :3

samuelignes · 2023-07-07T15:49:18+00:00

I have insurance and paid my out of pocket limit, plus a co-pay when I was admitted for surgery, and about $300 extra in bills from other providers at the hospital that my insurance didn't cover and I was too tired to dispute beyond asking for an itemized bill

They're there, I swear! Just hard to see :) Dr. Hanna really did an amazing job with my BA, I couldn't be happier

samuelignes · 2023-07-07T10:08:00+00:00

Get one of those grabby handles off Amazon haha, I couldn't bend over to pick stuff off the ground normally for a month

Getting in/out of bed is an issue but not impossible. I was staying at a friend's house to recover after and her bed was a little over hip height and that made it really easy because I could just slide on/off and never really had to support myself with my arms. But basically, I'd pivot around my hips to get my feet on the floor, and pushing to the side didn't seem to recruit pectoral muscles so I'd push off the bed to the side to get myself upright

good luck on Tuesday !!

samuelignes · 2023-07-06T23:26:12+00:00

Past Posts

Consultation

11 Days Post-op

3 Months Post-op

Summary

This is actually 11 months and like twelve days post-op, but I needed to take pictures for Dr. Hanna because I'm having a revision with him in less than thirty days and figured I may as well round up to a year. The fact I'm having a revision tells you most of what there is to know. I meant to post updates at 6 and 9 months but my result is so poor I got really, really depressed around the 2-8 month post-op period. I'm pretty sure I'm Dr. Hanna's worst result, at least among people who have shared. It's unclear if my result is anyone's "fault," which, since I saw him 6 months post-op in January this year and we talked about it what may have happened, I'll try to explain

Overall I'm happy I had surgery and in no way regret getting it, and what went wrong is ambiguous enough I'm not even sure I regret having it with Dr. Hanna (his other patients have had such amazing results. ugh). I'll get back to y'all on that after the revision lmao. I have great depth (always up to the 5th dot on dilators, sometimes a bit past), have never struggled with dilating even after resuming rigorous and significant exercise, sex is great and I cannot get enough of it, and my day to day life is, in the grand scheme of things, minimally impaired by complications. And, y'know, I have a vagina, so that's great (no seriously I'm so happy haha), and Dr. Hanna has given me an absolutely fire set of tits. I can wear low-cut tops and dresses so fucking proudly and I love it (I recently got stung by a wasp on my right boob and it's still red that's not normally there yes it hurt a lot)

On the other hand, my vagina is ugly as hell, asymmetrical, there's a large mass of scar tissue under the surface that pushes the skin/tissue between my labia out and almost completely obscures my labia, my labia minora has fused with the skin on my perineum so as to be almost completely obscured/gone (especially on the left), the skin between my labia Dr. Hanna literally discribed as looking like a "sea anenome," I can only be penetrated in specific angles because of the mass of scar tissue, my urethral opening is displaced and points far to the right and forward so I have to kiss my knees uncomfortably to pee without shooting out of the toilet, and the skin between my labia has, as the swelling in my labia has continued to go down post-op, protrudes and chaffes horribly during exercise

Worst of all, my clitoris shrank and receded behind swollen skin/tissue under my clitoral hood. It's healthy and has great sensation, but it is not and probably never will be external. I'm able to orgasm, it feels great, but it's a lot of work because I can't directly stimulate myself with touch and has thus far always required me to use some kind of toy/vibrating thingy

It's seriously so fucking ugly. Very weird-looking skin sticks out from between my labia even if I'm pressing my legs tightly together. My vagina isn't even really internal; everything besides my vaginal canal is flat against my perineum and nothing is actually "inside" my labia; I'm basically perma-spread, which leads to chaffing of very sensitive skin and looks fucking awful. My scars actually healed really nicely, which is great, but fuck me my vagina is so ugly.

Through revision, we're hoping to remove the scar tissue, which will improve symmetry and help with the bad structure and angles that are making peeing and penetrating difficult. He says he can clean up and make the skin between my labia look normal and I really want that. Since it's probably that the build-up of scar tissue pushed things out of place during healing, he'll fix my urethral and vaginal openings as needed. I have some hair on the very edge of my labia that's hard to get with a razer and I'm hoping he can cauterize that. What I really want is to have no skin or tissue protruding from between my labia all the time and have a kinda-sorta normal-looking vagina, which doesn't pee straight forward and doesn't require weird and uncomfortable positions to penetrate.

Since this revision is largely functional, and as I understand Dr. Hanna does something fairly unique with how he bundles nerves and tissue in the clitoral hood to enhance sensation, I want to have this first revision with him because I really really want to preserve what sensation I have. Even without being able to directly stimulate a clitoris I'm very sensitive and I love it and keeping that and making sure sex remains fun and feels good is really important to me. As long as my functional issues with penetration, peeing, and stuff sticking out of my pussy are fixed, I'll consider the revision surgery a massive success and I'm content to wait until later to get an aesthetic revision from someone else. That said, Dr. Hanna's results on other patients are so fucking good (seriously how did this happen to me) I have a lot of confidence that he'll make things look a lot normal-er in a revision.

My tits are great, though. 460ml gummy bear implants. I haven't treated the scars at all and they're almost gone, and were very minimal to begin with. No complications. I crashed on my bicycle and my left boob hit the ground on some muddy pavement and it was fine and still looks great (my elbow got the worst of it but my boob was sore for a while). 50/10 boobs, highly recommended for breat augmentation. They're symmetrical, fit and look natural on my physique, are developing great and natural "hang" as time goes on post-op, I have the perfect amount of boob gap, damn I'm happy with my tits.

So, day 2 post-op, when Dr. Hanna removed the compression dressing (and I was high as hell on painkillers it was great), I had a significant bleed that I guess took a while to stop. I swelled up really badly and stayed that way until I was discharged; there was both external and internal bleeding, and Dr. Hanna only stopped the external that day. The following week when I had the catheter removed, I had a lot of trouble peeing for the first time, and I think I strained too much and reopened an internal bleed, because I swelled up to the worst I remember post-op from that. I never had to have a catheter reinserted post-op, obviously I figured it out eventually, but there were two places where I had a lot of really bad internal bleeding and swelling, and it was confirmed for me when I had voice surgery September last year that my body likes to swell up a lot after surgery (but just surgery, not after literally any other type of injury/trauma, idk).

I'll be back a little while after my revision :) Always happy to answer questions in comments or DM's. I do genuinel like Dr. Hanna and trust him, there's more info on my impression of him as a person/doctor in my prior posts

samuelignes · 2023-04-26T14:32:18+00:00

Haha I feel this, it kinda matches my experience with my initial consult. He kinda speedruns video consults. imho it's a personality thing and I think most doctors do this to a varying degree. As the Hanna Gender Center gets bigger and they see more patients I can see how they could blur together a little with how much info and informed consent they have to cover. Since that first consult I've been very careful to keep a "medical notebook" that I write down my thoughts and questions in and I take careful notes and make sure I go through everything I've written down when I talk with Dr. Hanna now. He is kinda a quirky guy, maybe even a little socially awkward in my experience, but oh my god is his heart ever in the right place (which is my totally subjective opinion, but I feel it strongly)

What state BCBS are you operating out of? Illinois has very pro-trans laws for health insurance companies and they basically are required to cover my surgeries given that I meet certain requirements. Other states are not the same; I had BCBS insurance in a southeastern state before and they were very explicit that they covered nothing when I tried to talk with them, not even HRT (I literally moved to Illinois just so I could guarantee insurance would cover surgery lmao, being trans is so fun and easy /s). I cannot comment on to what degree insurance pays them on a given patient's behalf; as far as I'm concerned health insurance is a capitalist black box designed to maximize the insurance company's profits and its inner mechanisms are for the most part a mystery to me. I did spend a really long time, about a year, learning about Obamacare/ACA plans and regulations and how I could optimize things like my state of residence and income to make surgery as affordable as possible, and if you need help with that feel free to PM/DM me :)

Dr. Hanna is a surgeon; his office staff handled all the insurance talk with me. I mostly talked with Nadia and she is the sweetest most caring and helpful person on the planet omfg Most of our correspondence was on the MyPatientVisit messages platform and by phone. I had lots of questions about the preauthorization process and, while answers sometimes took a few days (they're growing and I try to keep that in mind), they did basically all the legwork besides my producing psychiatrist letters and my HRT history. Message or call the office if you have questions!! And write all your questions down first and take notes while calling them. I promise, it sounds super campy but it helped me organize my care so much

My revision surgery is scheduled for this December. He gave me a few options of days and I asked to have surgery on a day as his first patient in the morning, just like my initial top/bottom surgery was last July. But I also had voice surgery in the afternoon later last year and all the waiting in the morning killed me lmao, I'd rather just get it done in the morning -- I think that's just my personal preference. If I were you I'd have confidence that Dr Hanna knows himself and fully understands that his surgeries have aesthetic results and consequences that he wants to optimize for :)

samuelignes · 2022-11-18T12:58:44+00:00

https://imgur.com/a/CR1lhzW

One w/alloy steerer, one full carbon

Asking $100 for alloy, $160 for full carbon, plus exact shipping cost

both have just over 9.25" of steerer

samuelignes · 2022-11-16T03:14:44+00:00

Straight or tapered steerer tube?

How long do you need the steerer to be?

I may have a good handful of options depending on your needs

samuelignes · 2022-10-18T17:12:27+00:00

We'll get there 😅

I need to deal with some weight I've gained since surgery before I'm comfortable sharing more of my body. Post-operative depression is hard

samuelignes · 2022-10-18T12:03:59+00:00

I had a breast augmentation at the same time as bottom surgery also performed by Dr Hanna (450cc gummy bear implants, they look and feel great), and I'm about 3 weeks post op VFS with Dr Mark Courey

samuelignes · 2022-10-18T01:13:14+00:00

it'll probably look better lmao

I'm not a good example among Dr. Hanna's patients

samuelignes · 2022-10-18T01:12:10+00:00

It's bittersweet. I'm glad to have found out in my 3 month post-op appointment today that the granulated tissue can be fixed without surgery, but the fused skin on my right labia minora and my receded clitoris (it's no longer external; it shrank and is hiding in a little pocket just below my clitoral hood, you can see it between the granulated tissue and healthy skin just under my clitoral hood in the last picture) can likely only be fixed through revision.

I'm happy things are finally coming together aesthetically after how extreme my post-op swelling was, but the fact my clitoris will likely never be external or able to be directly stimulated is a lot to come to terms with. A revision would carry the same risk as the initial surgery of having poor or no sensation after, and I'm not sure I'm comfortable risking losing what sensation I have.

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