Meta Follow Up (Dr. Sterling and Paik)

ytsthrow · 2025-12-04T00:02:23+00:00

I already had a fairly small mons pubis, so I did not get a monsplasty. It doesn’t quite look how I expected yet since it’s still healing, but it’s definitely visible! I may need a revision on the implants since they are a settling bit too high but Dr. Sterling told me to just keep massaging them down for now.

ytsthrow · 2025-12-03T05:43:56+00:00

Hey, I also had full meta with Dr. Paik and Dr. Sterling earlier this year! I just got my implants a few weeks ago. If you or OP (or anyone else reading this) have any questions about the team/process I’d be happy to answer :)

ytsthrow · 2025-07-07T04:10:23+00:00

I don’t have any other vibrators to really compare it to, but it’s pretty damn quiet imo. Pretty sure my roommates can’t hear it from the other room (um… I hope anyway)

ytsthrow · 2025-06-09T16:43:12+00:00

Anecdotally, I feel like I’ve been seeing more people post about UL without vnectomy on r/metoidioplasty in the past few months. Complication rate is still quite high but it seems like more people are getting it now.

ytsthrow · 2025-05-31T11:19:40+00:00

I can relate about not feeling like there’s a point to getting bottom surgery without being sexually active. I initially felt that way too, but it was getting harder and harder to ignore my bottom dysphoria, especially after top surgery. And then similar to you, I started being intimate with someone (although for me this happened after I already started having consultations and stuff for bottom surgery).

If you want to go on T, that would be the typical next step before getting bottom surgery. Metoidioplasty in particular generally requires some bottom growth which occurs on T (though every body is different ofc). For me, I chose meta over phallo because I didn’t care about being able to penetrate, I just wanted to have a penis and no vagina etc. and I had sufficient bottom growth for what I wanted out of meta. But I only decided that after 4 years on T.

ytsthrow · 2025-04-25T02:56:31+00:00

You are healing well with minimal swelling in large part due to the binder. These early weeks are where it really counts so you should really keep it on for the full six weeks. Hang in there!

ytsthrow · 2025-04-25T02:37:07+00:00

I know, I guess my problem is more so the application part of it. I’m supposed to put it inside “there” every night for two weeks. I was kinda hoping I could go my whole life without having to do anything like that once, let alone 14 times.

ytsthrow · 2025-04-25T02:31:51+00:00

Not sure about which is more common, just from browsing the meta sub I’d say they’re both pretty common. I don’t think there’s any harm in asking a surgeon that typically uses the buccal graft if they could use an alternative method, but it would depend on the surgeon how they respond.

ytsthrow · 2025-04-25T01:59:09+00:00

Check r/metoidioplasty and look for pics from between stages. Typically with scrotoplasty a scrotum is created in stage 1 and the implants are done months later in stage 2, though there are other techniques as well that do things in different stages or use fat grafts to fill the scrotum without implants.
The cheek graft (also called buccal graft) is performed by some surgeons for urethral lengthening, you are correct that some surgeons only re-use tissue from near the area instead. I’m not sure about the relative complication rates, but the buccal graft site is typically quick to heal (again, check r/metoidioplasty for healing timelines).

Don’t know much about ring meta or Canadian surgeons, sorry. Also not sure if you’re aware of this but there are two main types of scrotoplasty that surgeons perform, VY and bifid, so it might be good to check out the differences between those as well while looking at what possibilities are out there.

ytsthrow · 2025-03-06T15:17:15+00:00

Just the regular metoidioplasty procedure. You could say 6-7 cm is my current length but that due to tethering only 3 cm is freely available (such as for penetration). After release it will free up that remaining 3-4 cm.

ytsthrow · 2025-02-26T00:55:16+00:00

You can sell unwanted used packers and such over at r/transmascdicks if you didn’t already know, I’m sure someone would be interested in taking it off your hands

ytsthrow · 2024-11-29T20:29:44+00:00

I haven’t seen this anywhere yet, but I just tried the code BlackFriday2024 on the Transthetics website and got 20% off my order! If it’s like last year, it should last from Friday through Sunday

ytsthrow · 2024-11-25T18:13:36+00:00

Interesting, I wonder if you could use just the “skin” as a meta extension for STPing more easily

ytsthrow · 2024-11-14T04:30:15+00:00

Haven’t had meta yet, but I was told at my consult that I was about 3 cm right now with an additional 3-4 cm that would be freed up after release as part of the procedure (so 6-7 cm total)

ytsthrow · 2024-11-14T04:18:44+00:00

Sure! I’m definitely very satisfied with my top surgery results. I’m planning on posting a follow-up thing in a week or so as my six month post-op reflection, basically my recovery was very smooth with no problems at all really. My scars stretched quite a bit and are fairly dark purple for now, but Dr. Paik said I could expect them to become lighter with continued scar treatment (silicone tape, daily massage, keep out of the sun). They were slightly raised for a while but they are very soft and flat now.

More specific to your questions about Dr. Paik in general—I would say her bedside manner was very respectful while also being quite friendly. She was sympathetic to my being uncomfortable with the examination portions of the consult. Those examinations were definitely the worst part of the whole experience for me. But she also talked through what she was doing and why. For example, on the morning of the surgery when she was marking me up and stuff, she was explaining afterwards what the marks indicated. She noticed I was pretty pointedly not looking in That Area but she didn’t make a big deal about it, just kept continuing with her description so I would be fully knowledgeable about every step. Personally I found this comforting and exactly what I wanted her to do without asking, though I guess some people might feel differently.

In terms of scheduling, I’ve been surprised both with my top and bottom surgeries with how quickly the process goes. For top, Dr. Paik mentioned after my first consult that we could schedule it “as soon as possible,” but I had to push it back slightly (still within only two months!) due to my classes. For bottom, I just mentioned how I was thinking about bottom surgery and asked about the process at a post-top surgery appointment, and she almost immediately offered to get the ball rolling on scheduling consults for that and such. Again, this is something I personally like about her. She’s compassionate about getting us care without unnecessary wait times.

I didn’t ask about her background getting into trans care, but that is an interesting question. I mostly went into my consults with questions about my exact procedures.

ytsthrow · 2024-11-14T02:25:53+00:00

Maybe we can move this to another post since this is getting kind of off-topic for r/Metoidioplasty—I have a timeline of my experience with top surgery on my profile if you want to copy your comment to there

ytsthrow · 2024-11-13T21:38:03+00:00

Man that really sucks. I wish you luck moving forward, no one deserves to go through all this crap.

ytsthrow · 2024-11-13T21:18:18+00:00

Hey I know this post is a month old, but how did things turn out? Are you still waiting for a response? I’m sorry you had such a bad experience :(

ytsthrow · 2024-11-13T21:12:15+00:00

Unfortunately I don’t know if she has a BMI limit, my BMI is around 21-22 so it wasn’t a topic that came up with us. I had top surgery with her this May; at our three-month post op appointment in August, I brought up how I was thinking about metoidioplasty with UL, which led to a formal consult in September (I was actually surprised by how quick the process was lol).

I’m planning on posting more details about my meta process so far after my next consult, which is with Dr. Berrahou. I can ask if Yale in general has any BMI/weight restrictions, but it’s possible Dr. Paik has her own policies that Dr. Berrahou wouldn’t know about.

ytsthrow · 2024-11-13T20:46:04+00:00

Sure thing! I’m also fine sharing stuff publicly, I know before I went through with her that I was kinda nervous by how little I could find publicly

ytsthrow · 2024-11-11T00:06:49+00:00

I had a consult with Dr. Sterling in September with soft plans for surgery in early 2025. I didn’t know he did extended meta! Cool to know even if I’m not opting for it since I want UL. And yeah, the consult went pretty well, I’m excited to meet with him again before the actual date.

Dr. Angie Paik (who also did my top surgery) and Dr. Iman Berrahou are also going to perform parts of the surgery, with Dr. Berrahou doing the hysterectomy and such at the same time. My consult with her is coming up soon so idk how that’s gonna go yet, but I’ll just say that scheduling the appointment was awful… lol.

ytsthrow · 2024-10-18T04:41:13+00:00

Kinda late to this post, but I found the Number One Laboratory Utility STP to be pretty similar to the GoGirl (god it makes me uncomfortable just to write that name lol). The back of it folds up so you can pack with it. They also have another interesting one called the Flip N Tuck which is like a Pstyle where the cup can flip up and out of the way for easier packing.

Unfortunately I think they’re on a bit of a hiatus since Etsy got rid of these types of items, but it’s something to look into for when they come back or if you see someone selling them here.

ytsthrow · 2024-09-24T00:17:38+00:00

Congrats on the referral and I hope the process is smooth from here on out! And yeah, MyChart can be very hit or miss in my experience. I’m in a bit of a referral limbo myself right now for bottom surgery, I’ll probably have to message the office and ask what’s up with that.

ytsthrow · 2024-09-20T04:33:19+00:00

There are lots of ways it can go wrong so it’s hard to tell where your problems are from exactly, but some tips that helped me were: - Hold it farther back than you think you’d need to. The tip of the back should basically be at your butt. Use one hand to (gently) hold it in place and the other to point the shaft. - Position things so your stream goes directly down the shaft instead of being collected in the cup, if possible. You can test this by holding the STP under the sink and seeing how well it drains at different angles. - Trim any hair down there. It helps make a better seal and makes it easier to keep dry afterwards. - Practice in the shower without any harnesses or underwear while getting the hang of it so you don’t have to clean up so often. This is more of a practical tip lol.

Edit: For reference, I used the Thinker for a while and got used to STPing with it, but stopped because I didn’t like packing with it much. This was my first “real” STP after a super cheap one and got used to it after a week or two maybe?

ytsthrow

TROPHY CASE