#labiectomy

officially seeking a surgical revision for Unsatisfactory bottom surgery

BEGONE, FLAP

also lmao my beloved wonderful pcp at lyon-martin like “yeah dr. garcia moved down to la.... for Reasons, I Think.” Word

getting a referral to a dr. chen who is PRIVATE NOT UCSF YAY.

they’re looking at wording because Insurance; their first instinct was “metoidioplasty revision” which i was like lmao it’s 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 “to prevent infection and improve hygiene” and yet hygiene is still way impacted, and about mostly seeing it as vaginectomy. so they’ll try out some words/coding

i complained about my treatment and about the not having...done what i asked...with the surgery...because “healthy tissue” 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 that’s worn off i’ve 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 you’re unhappy with Looks.

but... i’m 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 it’s maybe- worth it. and yeah actually it’s- super related to gender and selfhood and dysphoria.

i still haven’t 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 don’t want released or grown on T or anything, and i do want kinda as it is all recessed. so preserving the way it’s 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 Shouldn’t-be-there Skin

and i can’t really draw or envision it but. maybe i can be hopeful about it.

heyyyy news

had a video remote consult today (that is so nice for a first meeting, oh my god, please make this a usual option, so much less stressful than Getting a place and Checking in and Waiting and trying to self-regulate and you’re on Their Turf and hhh and medical environments)

crane center with dr. michael safir, am going to also talk to dr. angela rodriguez

talked about my journey and experiences, was immediately asked why previous surgery experience was bad, saw notes being taken about the fluorescent lights and the meds denied because time of day wasn’t noted

was asked to describe what bothered me currently dysphoria-ways and was just UGHGHHG face/noises/gestures, right, about The Skin and the Way it IS, which got a heh yeah understandable sounds about right

talked also about lesser concerns, the little divot near the perineal area that can be hard to keep clean (and confuses sexual partners lmao), the minor urinary retention where it sometimes feels like even after voiding there is still a bit left (but never much more than a few seconds, and usually voidable with a little push), Symmetry

talked about Traditional Pathways and how for crane center most folks they give vaginectomies are also getting metoidioplasty or phalloplasty so again the not quite comparable results, and how most nullo/nullification surgery is for cis men who id as eunuchs and sometimes get a zero-depth vaginoplasty (didn’t know that part), and how dr. rodriguez mainly does plastic surgery after vaginoplasty for trans women, and how dr. safir does a lot of vaginectomies (again with metoidio or phallo) but his background is in doing both cis men and cis women urology and he’s done tons of labioplasty for cis women, so even though his title is urologist he has more experience probably (but he still recommended i talk to dr. rodriguez)

talked about insurance coding language and how lyon-martin had called it a metoidioplasty (revision) and dr. safir was very like no that’s a major operation and this would be minor, we’d probably call it a labioplasty (me like aha altering the appearance..... Into Disappear) (buzzes about still wanting labiectomy to be The Word, Like, Obviously, It Is The Etymologyically Correct One, but considering if i’ll allocate the effort)

talked about the lack of results to look at (metoidios look hella different!  didn’t explicitly talk about, but my impression sure is that they can cinch skin closer underneath because T and release means it extends, whereas without means skin pocket right. god still toying with words there since nook is less good-feeling because of breaking up with homestuck, lol).  talked about the lack of ways to envision also?  but knowing the Not This and the Remove It and the symmetry, right.

probably need to talk more about the fantasy world Fully Rescindable, Looks Smooth And Then Arousal Means Little Emergence setup, in terms of truly designing as close as possible.  god should i be looking at lizards.  heh.

oh and they do need photos of the Surgical Site, hair is fine, don’t have to transmit them electronically (albeit through secure online portal and only to the One surgeon) if don’t want, can come in person and show photos on phone (they don’t even get a copy!), there is no in-person exam regardless (!!!!! holy shit)

very cool.  much less charisma-y bustle-y, hard to tell if that’s because yknow remote video consult is a very different environment, or because people involved.  but dr. safir was very like “i just want to get you taken care of, and we will take care of you” (between him and dr. rodriguez right) and felt much more Experienced and Chill and also Not About A Portfolio Or Technique Development and thank you

also i guess 85% of their patients are gender surgeries and they have their own site and staff, so the whole misgendering thing Should be better (we’ll see around being non-binary specifically, and around looking estrogen-dominant)