update 9/10/19
officially seeking a surgical revision for Unsatisfactory bottom surgery
BEGONE, FLAP
also lmao my beloved wonderful pcp at lyon-martin like âyeah dr. garcia moved down to la.... for Reasons, I Think.â Word
getting a referral to a dr. chen who is PRIVATE NOT UCSF YAY.
theyâre looking at wording because Insurance; their first instinct was âmetoidioplasty revisionâ which i was like lmao itâs not tho, there was no release/meto part, and then my v good doctor was like oh yeah Hmm...
i talked about seeing the word labiectomy, and about having gotten urethral lengthening âto prevent infection and improve hygieneâ and yet hygiene is still way impacted, and about mostly seeing it as vaginectomy. so theyâll try out some words/coding
i complained about my treatment and about the not having...done what i asked...with the surgery...because âhealthy tissueâ wtf..... and my wonderful doctor asked if i was unhappy with how the results looked and felt and i was so HONESTLY YEAH
for real, for all that the initial relief of No More Stuff was immense (and so was the Trauma)... as thatâs worn off iâve been increasingly like. Blugh. about the look, feel, everything. like :/// at best down to :((
and i had really written off surgery as a Never Again, Trauma. which had preempted considering anything. plus i thought nothing would be- valid, covered, medically necessary, Transition, anymore. would be plastic surgery, cosmetic, psh youâre unhappy with Looks.
but... iâm getting more support, now, and recovering too, and better at self-advocating and with senses of what to watch for and how to preempt. and itâs maybe- worth it. and yeah actually itâs- super related to gender and selfhood and dysphoria.
i still havenât really found any- photos, models, descriptions even, of what i want? despite hearing about labiectomy. and now finding the word monsplasty(??). mostly i just- want there to NOT BE STUFF, below lil outtie bit, which i donât want released or grown on T or anything, and i do want kinda as it is all recessed. so preserving the way itâs in a lil skin pocket, but smoothing the Fuck out of that shit below, no more of this Extraneous Painful Stupid Hardtoclean Intheway Imo-ugly-af-on-me Shouldnât-be-there Skin
and i canât really draw or envision it but. maybe i can be hopeful about it.
also apparently now they only ask for one therapist + one doctor (and they might even be able to cosign the same letter)! gasp! instead of Psych Phd + therapist + MD three separate letters

















