Technically, it is known as sex reassignment surgery to a set of surgical interventions that help a person to achieve the sex corresponding to their identity, different from that of birth. Sex change surgery in Delhi is a complex process that transgender people choose, who are born with a sex and a physical appearance that does not correspond to their gender identity. Precisely, Dr. Sahil Singla, best plastic surgeon in Delhi, clarifies that “these transgender surgery in Delhi are performed to be the gender with which they feel identified.”

The techniques and goals of sex reassignment surgery may vary according to the case of transgender women, whose biological sex is male, but whose gender identity is female; or transgender men, to whom the opposite happens.

We explain what the available procedures consist of and what results they obtain.

Surgeries for female trans-sexuality

Among the procedures available to modify both the male genital and the physical features to more feminine ones are:

Vaginoplasty to build the vagina

It is the most prominent surgery in the sex change surgery in Delhi in the case of transgender women, and is achieved through vaginoplasty surgery, or feminizing genitoplasty, in which the penis is removed and an aesthetic and functional vagina is provided. Specifically, these procedures are combined:

• Orchiectomy and penectomía, which consists of removing the testicles and the penis.
• Vaginoplasty to build the vagina. Our surgeon tells us that “it is created with penile or colon tissue.” It can be done in two ways: inverting the tissues of the penis and scrotum or using the large intestine , specifically the part that is located at the end.
• Vulvoplasty to provide the vulva .
• Clitoroplasty to get the clitoris .
• Labiaplasty to achieve the characteristic lips of the female genitalia.

Our plastic surgeon in Delhi reminds us that, to choose the option that best suits each case, it is necessary to consult with professionals, who assess the personal characteristics of each patient.

Breast and buttock augmentation

There are certain plastic surgeries that help to obtain a more feminine silhouette. Specifically, to modify the appearance of the chest and buttocks, techniques are used, such as:

• Prosthesis. Both breasts and buttocks can be inserted implants that provide a larger size and an attractive shape.
• Lipofilling. Through which localized fat is extracted from the patient and relocated to the breasts or buttocks, which provides a smoother and more rounded appearance to these parts of the body. At the same time, it allows the silhouette to be molded, since fat is removed from areas where it is unsightly.

Complementary aesthetic medicine

In addition to the above procedures, which are necessary to carry out the most obvious changes, it is also possible to perform others to complete the aesthetic change towards a more feminine appearance.

• Refine the face with the facial feminization technique.
• Reduce the nut of the neck, intervening the size of the thyroid cartilage.
• Remove hair .

Possible side effects

Although sex change surgery in Delhi has advanced and currently offers good results, as in any intervention, there is always a minimal possibility of complications, such as bruising or infection, fistulas between the rectum and vagina, necrosis or lack of blood flow in the genital labia and vagina, stricture or scar in the urethra or that the vagina is not adequate for sexual intercourse.

Surgeries for male trans-sexuality

In this case, they are surgical interventions aimed at getting transgender men to acquire masculine physical traits with which they do identify. Currently, they can choose these treatments:

Build a penis

There are two methods of transgender surgery in Delhi to achieve a male genitalia, which are known as metaidoioplasty and phalloplasty, but in both the objective is, as our surgeon explains, “to create a functional penis, as well as aesthetic, since it must enable erection, erogenous tactile sensitivity and the urination“.

These are the possible ways to achieve it:

• Metaidoioplasty, the patient follows a hormonal treatment with which the size of the clitoris is increased. Later, a penis is created from this hypertrophied organ. In this regard, our plastic surgeon in Jammu points out that “although the functionality of the penis is almost complete, the organ created is small in size and is not entirely suitable for sexual penetration.”
• Phalloplasty consists of creating the penis with tissues from the forearm, thigh, abdomen or other areas of the patient’s body. Compared to the previous technique, our surgeon points out that “here a penis of adequate anatomical dimensions for sexual penetration is achieved”.

These surgeries to create the penis are complemented by other additional techniques.

• Removal of the uterus and vagina.
• Reconstruction of the urethra.
• Incorporation of the testicles with a special prosthesis.

Sex Change Surgery in Delhi to masculinize the body

Additionally, the following procedures are usually carried out to achieve the desired masculine appearance:

• Mastectomy to remove the breasts.
• Specific implants to obtain a desired pectoral.
• Liposuction and lipofilling to eliminate localized fat and relocate it to other more aesthetic areas.

Possible side effects

As in sex change surgery in Delhi for transgender women, in this case there can also be some side effects such as bruising, infections, lack of blood flow in the penile tissue, less sensitivity, urinary fistulas and scars.

Finally, it is important to note that sex reassignment or change surgery is a complicated process in which it is recommended to support the patient from various specialties, especially if it involves making decisions about possible surgical interventions.

“Vaginoplasty in Delhi is a procedure to reverses the relaxation of the vaginal structures due to childbirth, episiotomies or the product of natural aging, restoring the necessary firmness for adequate sexual gratification.”

The Vaginoplasty is a surgical procedure that involves strengthening the muscles of the back of the vagina and trim excess tissue reducing the diameter of the vagina.

Due to the birth of their children through childbirth and flaccidity of the tissues, the diameter of the vagina increases, and the muscles lose their strength and tone. The sensation of flaccidity and in turn the decrease in friction that many women feel is also noticed by their partner during sexual intercourse.

With the Vaginoplasty surgical technique, the width of the vagina is reduced, which results in an increase in the tone of its muscles, increasing friction during sexual intercourse and resulting in a much more pleasant experience for the patient and her partner.

The goal of Vaginoplasty in Delhi is to restore lost tone to the vaginal muscle resulting in greater strength and ability to contract. During the operation, the stretched muscle at the back of the vagina is attached and shortened with absorbable sutures, while at the same time, excess skin is removed. By doing this, the vaginal muscles and surrounding soft tissue are tightened; scars would not be visible.

Process

In the first place, the localized area is anesthetized, so that no type of hospital admission is necessary. Second, resorbable stitches are given inside the vagina to tighten the inner vagina and the entrance size is reduced to return it to its natural state. The stitches are generally absorbable, they do not have to be removed and they fall out around 15 days after surgery.

Pre-treatment care

For surgery, a preoperative study is required: blood tests (hemogram, biochemistry and coagulation), electrocardiogram and chest X-ray. Do not take aspirin or other medications that contain salicylates during the week before and after the intervention. Do not smoke (or avoid it as much as possible) during the same period contemplated in the previous paragraph.

Post-treatment care

After the surgery, (as bandages are not placed) the patient bleeds approximately 12-24h, the first hours after the surgery place a local cold, use wet toilet paper (or specific hygienic wipes) when it is necessary to go to the cleaning and daily cures of the area with vaginal betadine should be performed at home until the stitches fall off or are removed. Sexual relations cannot be resumed until more or less 1 month has passed, likewise not doing sports, saunas, efforts, etc. up to the month after surgery.

8 things to know when considering vaginoplasty in Delhi as an option

• Recently, vaginoplasty has gained popularity as an option for women who want to increase their confidence in their own body, as well as reverse the sagging associated with childbirth, episiotomy or aging. It is considered that the reduction in the diameter of the vagina can also be associated with an increase in friction at the time of sexual intercourse.
• Vaginoplasty has been controversial; its detractors point out that this operation by itself is not capable of increasing sexual satisfaction, since this is a multifactorial phenomenon with both physiological, psychological and social ingredients. However, others argue that a woman’s confidence in her own anatomy is a factor that can significantly influence a satisfactory sexual relationship.
• If you are considering vaginoplasty as an option, it is important that you speak openly with your plastic surgeon in Delhi about your concerns, doubts and above all, about your expectations.
• Vaginoplasty is one of the surgeries that are grouped under the concept of “vaginal rejuvenation”, “vaginal aesthetics” or “gynecological cosmetology”, along with other procedures such as labiaplasty, clitoral hood reduction and / or G-spot amplification.
• Vaginoplasty in Delhi can be done under local anesthesia and the procedure takes about an hour or two. In general, it is managed as outpatient surgery and the patient is discharged after surgery to go home.
• Despite being a relatively simple procedure, vaginoplasty, like any other surgery, has certain risks: bleeding, bruising, infection, dehiscence of the sutures, among others. Achieving the width of the vagina that the patient requires is assessed individually since if it is not achieved it can cause pain in the relationship or not obtain the desired results. You should discuss all risks with your specialist before making the decision to have a vaginoplasty.
• Post-operative care may include a period of 6 to 8 weeks of “pelvic rest” during which the patient must abstain from sexual intercourse, exertion, wear tight clothing, and other care. In general, it is possible to return to daily activities within 4 to 7 days.

What is labiaplasty?

Labiaplasty in Delhi is a reshaping surgery of the female external genitalia that allows the labia minora to be restored to its natural size and appearance.

Nowadays it is no longer a taboo to talk, both among friends and in the media, about the characteristics of the female genital area.

Some women have recognized that the exaggerated length of the labia minora or the marked thinness of the elders is not a condition to suffer but a situation that can be remedied.

In general, women who undergo labiaplasty show a high degree of satisfaction and affirm that they have regained their self-esteem and self-confidence. After the intervention, the patient recovers a more aesthetic, tense, and youthful appearance in her intimate area without having any loss of sensitivity generally.

Why is it done?

This operation of the genital lips corrects morphological or appearance alterations of the area without altering its functionality, by applying different techniques appropriate to each patient and the type of malformation suffered. When the labia minora are excessively large, they present an irregular and abnormal shape. Then a reduction and correction of them is made. On the other hand, labiaplasty also allows to increase and reshape the labia majora through the application of hyaluronic acid infiltrations or fatty tissue fillers.

What does it consist of?

It consists of making an incision in the area, thus eliminating both the mucosa and substances that make up the excess volume and the excess skin. The plastic surgeon in Delhi then closes this incision.

Preparation for labiaplasty in Delhi

Before undergoing labiaplasty, it is important to make a consultation where the patient’s medical history is reviewed. It is recommended not to smoke during the two weeks prior to the intervention.

Post-intervention care

The recovery time after the intervention depends on how the surgical process develops. As it is an outpatient operation, the patient goes home after the intervention and it is not necessary to stay in the hospital. In some special cases, it may be necessary to stay in the hospital for two or three days, to avoid infections and for the tissues to stabilize without suffering any injury.

It is advisable to rest for the next 24 or 48 hours. The inflammation will go down and the stitches will fall off naturally. Returning to work depends on each person, although it is usual to return to work after a week. Specialists advise not to have sex before four or five weeks.

What risks or complications does a Labiaplasty have?

It is a minor surgery, the risks are minimal and common to any minor intervention such as infections, inflammation of the area and heavy postoperative bleeding (usually less than a rule).

As in any surgical intervention, it is necessary to sign an informed consent once the explanations have been understood in clear and simple language.

Dr Sahil Singla is an expert surgeon for reconstructive surgery. He has perfomed hundreds of Hymenoplasty in Delhi. This is a surgical procedure lasting 45 to 60 minutes by restoring the hymen, a fleshy membrane in a ring at the entrance of the vagina whose physiological function is not clear and whose social value in some lies cultures guarantee female virginity.

When the hymen tears after sexual contact, the membrane breaks in the shape of a “star” and the woman bleeds due to the rupture of the hymen, therefore in hymenoplasty the hymen is reconstructed through different processes and a small hole is left for the exit of menstruation and other fluids. The points are reabsorbed by themselves.

Techniques to perform a hymenoplasty in Delhi

The simplest is the one in which the remnants of the hymen are simply joined by applying local anesthesia. It can only be done in some cases where the break is small.

You can also use a tear-away biological material that is implanted at the entrance to the vagina in a way that mimics the “virginal” hymen called Alloplant, a technique similar to creating a membrane with a blood supply. Sometimes it may include a gelatinous capsule of a laboratory-made substance that mimics blood.

Vaginal plastic surgery can be performed, in which an incision is made on both sides of the mucosa that lines the vaginal walls and is joined together. Unlike the other two techniques, in this case you must wait a while before having sexual intercourse as you have to allow time for recovery and healing. A break of at least 24 hours after surgery is recommended.

The risks of undergoing a hymenoplasty are:

• Pain.
• Inflammation.
• Infection in the treated area.
• Hemorrhage.
• Damage to the bladder or rectum (rare complication).

After surgery, the hymen will behave in the same way as before the first sexual intercourse and the woman will even feel pain and bleed again as in “her first time”.

Influence of culture on hymenoplasty

It is a surgical practice in high demand by women whose culture places great importance on the woman’s virginity and in which the so-called Virginity Test is practiced, a procedure that determines whether a woman is a virgin. The test consists of an inspection of the hymen, assuming that it can only rupture as a result of sexual intercourse.

It emerged as a solution to those women who, without being virgins, wanted to pretend it on their wedding night. The most established reasons for this are the rejection of one’s own family and / or the husband’s family, as well as the rejection of one’s future spouse. In some cases in certain countries, it is punished with measures that can lead to death by stoning in some cultures. Also, various societies consider it necessary to ensure a lasting relationship.

The reconstruction of the hymen can, therefore, be an option for women who, due to social or family pressure, must arrive at marriage as virgins.

It is necessary to know that there may be several reasons other than having had intercourse for which the woman may not have a hymen or not bleed during the first intercourse, such as:

• One in a thousand women are born without a hymen.
• Up to 44% of women do not experience blood loss during the first intercourse, which means that in some cultures that are tested for bleeding this would not occur.
• The hymen can be broken by inserting a finger into the vagina or a tampon
• Practice exercises such as horse riding, swimming, cycling or gymnastics.
• Excessive menstrual flow.

Frequently Asked Questions (FAQ)

When can I have sex after a hymenoplasty in Delhi?

After the surgery of hymenoplasty in Delhi, it is recommended not to have sexual intercourse for at least a month so that it heals well, but the doctor will assess your case.

Will it take me a long time to get back to work?

It will depend on the work you do; If it is a job that does not require physical effort, you may be able to start two – three days after the intervention. The plastic surgeon in Delhi will assess your case and give you specific recommendations based on your work activity

What post-operative care should I have after a hymenoplasty?

After hymenoplasty, the plastic surgeon in Panipat recommends that the patient not make physical efforts for a few weeks. In addition, you must take the medication that the doctor has ordered, keep the area clean and not use tampons during the postoperative period.

What is the difference between a hymenoplasty and a hymenectomy?

Hymenoplasty is the reconstruction of the hymen and hymenectomy consists of the perforation of it. Hymenectomy is performed on those women who are born with an imperforate hymen, without the small openings necessary to expel secretions and menstruation.

What risks can I have with a hymenoplasty?

Hymenoplasty in Delhi has little risk. The only thing that the patient may feel is slight pain and swelling during the first days after the operation. Infections or hemorrhages rarely occur.

Can I combine hymenoplasty with another surgery?

Yes, you can. The surgeries / treatments with which it is usually combined are:

• Labiaplasty.
• Breast surgery.
• Vaginal rejuvenation using platelet rich plasma.