What is sex reassignment surgery(SRS)?

Transgender surgery, also known as sex reassignment surgery(SRS) may involve multiple procedures and can be performed on males or females who are transitioning into the opposite gender, respectively.

What is gender identity?

Gender identity is not learned through an individual’s environment or upbringing. An individual’s identity may be formed in early stages of the fetus. The only way to resolve feelings of gender identityis through transsexual transition.

Who is a candidate for sex reassignment surgery(SRS)?

The best candidates for transgender surgery understand their gender identity. Patients must be at least 18 years old, responsible, and display stable mental health. Patients must understand the benefits and risks of hormone therapy. Patients must have a minimum of 12 months of real life experience in their new gender identity.

About Sexual Reassignment Surgery(SRS) in San Francisco

Gender Identity Disorder(GID) or gender dysphoria describes those who feel that their outward appearance doesn’t match their gender identity.

Transgender surgery,  also known as sexual reassignment surgery(SRS) may involve multiple procedures and can be performed on males or females who are transitioning into the opposite gender, respectively.

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Female to Male

Top surgery may involve a bilateral mastectomy,  removal of all breast tissue(which may prevent cancer). Horizontal incisions are made across the bottom of the nipples to remove fatty tissue and mammary glands with a scalpel. Nipples are repositioned using the pedicle technique to maintain sensation. The nipples are positioned higher from a stalk of tissue for a more aesthetically pleasing outcome. This method is recommended for patients who are cup sizes B+.

Another method may include the keyhole/peri-areolar incision. Incisions are made around the areola, and fatty tissue is scooped out with a scalpel and liposuction. This method is recommended for patients with small amounts of breast tissue(cup sizes A).
Surgery is performed under general anesthesia and may take up to four hours. This procedure is done on an outpatient basis. Dr.Usha Rajagopal will visit and follow up with her patients to remove sutures, and check in on the patients healing process. Allow up to four weeks to heal, including no rigorous activity for up to two months.

Male to Female

Top surgery may involve breast augmentation, and rhinoplasty which can provide a more feminine appearance. Other options include facial fillers and a lip liftLiposuction can be an additional procedure to create a more feminine physique. Laser hair removal may be a finishing touch.

If you have any questions regarding Sexual Reassignment, or wish to schedule a consultation with Dr. Rajagopal, please call the San Francisco Plastic Surgery & Laser Center at 415-392-3333.