MALE TO FEMALE [MtF OR TRANS FEMALE]
FEMALE TO MALE [FtM OR TRANS MALE]
GENDER DYSPHORIA IS BROADLY DEFINED AS DISCOMFORT OR DISTRESS THAT IS CAUSED BY A DISCREPANCY BETWEEN A PERSON’S GENDER IDENTITY AND THAT PERSON’S SEX ASSIGNED AT BIRTH. LOOKING FEMININE OR MASCULINE IS EXTREMELY IMPORTANT FOR A TRANS FEMALE OR A TRANS MALE. SEX REASSSIGNMENT SURGERIES ARE FAR MORE EXTENSIVE THAN THE FEMINIZING OR MASCULINIZING TREATMENTS.
THERE ARE STANDARDS OF CARE WHICH HAS SPECIFIC GUIDELINES PROVIDED BY THE WPATH CRITERIA WHICH IS CONSTANTLY UPGRADED. THE WPATH STANDARDS OF CARE IS ISSUED BY THE WORLD PROFESSIONAL ASSOCIATION FOR TRANSGENDER HEALTH. THIS ASSOCIATION WORKS WORLD WIDE FOR RENDERING MAXIMUM GENERAL HEALTH, PSYCOLOGICAL WELL BEING AND SELF FULFILMENTOF PERSONS WITH GENDER DYSPHORIA. THIS INCLUDES HORMONE THERAPY AND OR SURGICAL TREATMENTS TO MEET THE DIVERSE HEALTH CARE NEEDS OF TRANSSEXUALS, TRANSGENDERS AND GENDER NONCONFORMING PEOPLE. THESE STANDARDS OF CARE WHICH ARE MOSTLY EXPLAINED FROM WESTERN COUNTRIES MIGHT HAVE DIFFERENCES IN THE FOLLOWING LIKE SOCIAL ATTITUDES TOWARDS THOSE GETTING TREATED LIKE THE TRANSSEXUALS, TRANSGENDERS AND GENDER NONCONFORMING PEOPLE, LANGUAGE USED TO ADDRESS THEM, ACCESS AND TREATMENT COST, LEGAL POLICIES, ETC. WHATEVER TREATMENT PROVIDED MUST BE IN ACCORDANCE TO THESE CRITERIAS.
THE OVERALL AIM AND GOAL OF THE STANDARDS OF CARE IS ACHIEVED BY,
GIVING PRIMARY CARE
VOICE AND COMMUNICATION THERAPY
MENTAL HEALTH LIKE COUNSELLING
HORMONAL THERAPY
GENDER REASSIGNMENT SURGERIES
REFERRAL FOR SURGERY
SURGICAL TREATMENTS FOR GENDER DYSPHORIA CAN BE INITIATED WITH A REFERRAL FROM A MENTAL HEALTH PROFESSIONAL/PSYCHIATRIST.
CRITERIAS FOR GENDER REASSIGNMENT SURGERY
SURGERY FALLS UNDER IRREVERSIBLE INTERVENTION WHICH IS OFTEN THE LAST AND THE MOST DESIRED STEP IN THE TREATMENT PROCESS AND WE STRICTLY FOLLOW THE CRITERIAS BEFORE PROCEEDING GENDER REASSIGNMENT SURGERY.
LONG TERM WELL DOCUMENTED GENDER DYSPHORIA
SUITABLE AGE
WELL CONTROLLED MEDICAL AND MENTAL HEALTH
COMPLETED OR PROCEEDING HORMONAL THERAPY
SEX REASSIGNMENT SURGERY FOR TRANS FEMALE [MtF]
BREAST/CHEST SURGERY: AUGMENTATION MAMMOPLASTY LIKE BREAST IMPLANTS OR BREAST FAT TRANSFER.
HAIR RESTORATION: FRONTAL AND TEMPORAL RECESSION CAN BE ADDRESSED EITHER WITH SCALP ADVANCEMENT OR HAIR TRANSPLANT.
RESHAPING THE NOSE: RHINOPLASTY IS ALWAYS A MATTER OF PREFERRENCE IN FACIAL FEMINIZATION. FAT FILL, DERMAL FILLER, NOSE IMPLANTS OR CARTILAGE GRAFTS ARE THE CHOICES AND IT COULD BE EITHER OPEN OR A CLOSED RHINOPLASTY.
FILLING THE TEMPORAL FOSSA: FAT TRANSFER OR DERMAL FILLER CAN BE USED FOR TEMPORAL FOSSA DEPRESSION.
CHEEK COUNTOURING: CHEEK COUNTOURING HAS NOTHING TO DO WITH FACIAL FEMINIZATION BUT IS DONE SINCE PROMINENT CHEEKS GIVES AN AESTHETICALLY PLEASING APPEARANCE. CHEEK IMPLANTS, DERMAL FILLER OR FAT FILL ARE THE OPTIONS.
LIP RESHAPING: THIS INCLUDES UPPER AND LOWER LIP REDUCTION, VERMILLION BORDER RESHAPING AND LIP ENHANCEMENT THROUGH DERMAL FILLER OR FAT TRANSFER, GUMMY SMILE CORRECTION WITH BOTOX IS ALSO RECOMMENDED TO GIVE AN AESTHETIC SMILE.
CHIN CORRECTION: CHIN PLAYS A HIGHLY IMPORTANT ROLE IN GENDER RECOGNITION. INCREASING OR REDUCING VERTICAL HEIGHT AND WIDTH MAKES AESTHETICALLY PLEASING APPEARANCE. SURGICAL CORRECTION, CHIN IMPLANTS, FAT TRANSFER OR DERMAL FILLER CAN BE DONE TO RESHAPE THE CHIN.
OTHER FACIAL PROCEDURES INCLUDES BLEPHAROPLASTY, FACELIFTS, JAW RESHAPING, EYEBROW TRANSPLANT, OTOPLASTY AND LASER HAIR REDUCTION.
SEX REASSIGNMENT SURGERY FOR TRANS MALE [FtM]
TOP SURGERY FALLS UNDER IRREVERSBLE INTERVENTION WHICH INVOLVES BREAST REMOVAL. WE FOLLOW THREE TYPES OF SURGICAL INTERVENTION FOR BREAST REMOVAL:SMALL BREAST
SMALL BREASTS: LIPOSUCTION OF THE CHEST REGION WITH GLAND EXCISION.
MODERATE SIZED BREAST
STAGE 1 : LIPOSUCTION WITH GLAND EXCISION
STAGE 2 : CIRCUM AREOLAR SKIN EXCISION
HEAVY BREAST
HEAVY BREASTS (OR) PEOPLE NOT WILLING FOR TWO STAGE PROCEDURE: DOUBLE INCISION MASTECTOMY WITH FREE NIPPLE AREOLAR GRAFT.
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