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Gender-Affirming Surgery

Insurance Coverage for Gender-Affirming Surgery Medically reviewed by Paul Gonzales on March 13, 2024. Navigating insurance coverage for gender affirmation surgery can be complex, but many insurance providers now recognize these forms of healthcare for transgender individuals as medically necessary and thereby deserving of coverage. This guide aims to simplify the process of finding and applying for insurance coverage for gender-affirmative surgery, also known as gender confirmation surgery. The GCC’s list of insurance providers that cover gender-affirming surgeries Below you can find a list of insurance providers for which our team has successfully obtained approval for top surgery procedures from here. If you don’t see your insurance listed here or …

What is the Vaginoplasty Procedure?

The Ultimate Guide to Vaginoplasty, Vulvoplasty and Labiaplasty for 2024 Medically reviewed by Jennifer Richman on April 19, 2024. Vaginoplasty, vulvoplasty and labiaplasty are gender-affirming genital reconstruction procedures that can have been clinically proven to help certain transgender women and non binary patients feel more aligned with their bodies. These procedures have extremely high rates of general satisfaction and satisfaction with sexual function when conducted by experienced surgeons in proper facilities with state-of-the-art techniques. Here we describe the techniques, staging and surgical results a patient can have undergoing a vaginoplasty, vulvoplasty (aka. “zero-depth vaginoplasty”), labiaplasty and penile-preserving vaginoplasty. We also explain eligibility requirements, costs and recovery guidelines. The bottom surgery …

Fertility Preservation Before Bottom Surgery

Fertility Preservation Before Bottom Surgery Medically reviewed by Jennifer Richman on February 16, 2024. Reproductive considerations are often a central part of someone’s medical transition journey. Whether you are interested in having biological children or are just considering your options, we have compiled a guide on fertility preservation options for those who produce sperm or eggs. These options are particularly relevant for individuals who are interested in or undergoing gender affirming hormone replacement therapy (HRT) or bottom surgery. Surgeries like orchiectomy (removal of the testicles), vaginectomy (removal of the vaginan canal), hysterectomy (removal of the uterus), and oophorectomy (removal of the ovaries) can have an irreversible impact on a patient’s …

Medical tattooing for surgical patients: what is nipple tattooing, scar tattooing and microneedling?

Medical tattooing for surgical patients: what is nipple tattooing, scar tattooing and microneedling? Medical tattooing and microneedling are common parts of the surgical journey and are often a patient’s final step in achieving their desired results. A nipple and areola tattoo is common for top surgery patients whose nipples have either been removed during surgery or for those who would like to alter the size, shape and color of their nipple grafts. Tattooing can also be used to recolor phalloplasties, conceal scars and increase the appearance of hair density on the scalp. Microneedling is an inkless tattoo needle therapy that can help with scar discoloration and flattening; in the case …

What will my face look like after FFS? Post-operative aesthetics and healing

What will my face look like after FFS? Post-operative aesthetics and healing This is an introduction to the aesthetic recovery timeline for Facial Feminization Surgery (FFS) or other kinds of Gender Affirming Facial Surgeries (GAFS). Many of the inquiries we receive about “male to female (MTF) surgery results” or “facial feminization surgery (FFS) before and after” have to do with a patient’s concerns about how their appearance will change over time. Overall, it takes 9-12 months for patients to see their final results, although it often takes longer for skin to tighten and scars to fully mature. This is why we typically wait a year to make any facial surgery …

MTF Body Contouring Surgery for a Feminine Figure

Body Contouring Surgery for a Feminine Figure Medically reviewed by Jennifer Richman on February 22, 2024. This article is an introduction for those interested in gender-affirming body contouring to demasculinize, feminize and/or androgenize their body shape. The procedures we offer are commonly referred to as body feminization surgery (BFM), hip dip fat transfer, buttock lift surgery, transgender BBL, and MTF transgender body sculpting, liposuction, and fat transfer. We discuss the common body types or shapes produced by estrogenic puberty–hourglass, rectangular, pear and apple–as reference points to demonstrate how liposuction and fat transfer procedures can alter a patient’s body frame. In order to reduce the physiologic changes that occur during and …

Pre-Operative Assessment and Goal-Setting for Gender Affirming Body Contouring: Masculinization and Androgenization

Pre-Operative Assessment and Goal-Setting for Gender Affirming Body Contouring: Masculinization and Androgenization This article is an introduction for those interested in gender affirming body contouring to de-feminize, masculinize and/or androgenize their body shape–sometimes referred to as body masculinization surgery (BMS). We discuss the common effects of an estrogenic vs. androgenic puberty on bone structure and soft tissue–such as overall body shape, upper vs. lower body fat ratios and hip to waist ratios–to explain what gender-affirming liposuction can accomplish. We hope this information will help patients craft realistic goals and have more informed conversations with our surgeons about relieving gender dysphoria and achieving gender euphoria through body contouring the thighs, hips, …

additional-surgeries

Additional Gender Confirmation Surgeries Every patient is unique and has a different relationship to their bodies and experiences of discomfort or gender dysphoria/incongruence. For this reason, some patients choose to undergo multiple procedures on their journey towards physical and emotional well-being. Other Popular “Top” Procedures In addition to breast augmentation, there are a variety of other surgery options that can create a more conventionally feminine upper body and facial appearance, including: Liposuction – A body contouring procedure that eliminates unwanted pockets of fat from localized areas of the body. Abdominoplasty – A body contouring procedure that removes excess skin and fat from the abdominal region. Rhinoplasty – A surgical procedure …

Introduction & Resources Page

Introduction & Resources Page While it is impossible to condense all information about sex, gender, and  transgender and non-binary history and general information into a single page, we wanted to do our best to provide a basic introduction on the topic to give you the necessary context to be able to understand surgical information on this website.  The Gender Confirmation Center (or, GCC) is a surgical practice dedicated to providing transgender and nonbinary people high-quality and affirming gender confirming surgical procedures, as well as support navigating the surgical  process. We want it to be as easy for our patients as possible to be able to access these medically necessary and …

Gender Affirming Facial Surgery for Non-Binary Patients

Gender Affirming Facial Surgery for Non-Binary Patients This article is an overview of how the techniques of Facial Masculinization and Facial Feminization Surgery (FMS and FFS) can be incorporated into Gender Affirming Facial Surgery for non-binary patients. Gender Confirming Facial Surgery and Gender Affirming Facial Surgery are both umbrella terms commonly used in the field of gender confirmation surgery to refer to the vast array of reconstructive facial surgery options that can be used to help achieve gender euphoria. We go over how the unique needs of gender expansive, gender fluid and androgynous-identifying patients can be made through hairline, forehead,  cheek, nose, jaw, chin and adam’s apple surgery. What is …

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