Aditya Sood, MD, MBA, FACS

Thank you for your question. This procedure can safely be performed with general or local anesthesia in the hands of an experienced and board certified plastic surgeon for this procedure. The pros are that there can be a significant and permanent  increase in girth or width, usually approximately 2.5 cm in circumference at the base, mid shaft, and distal shaft. This procedure does not affect length of the penis significantly, nor does it affect the size of the head of the penis. Cons: without proper care after the procedure including regular massage daily there can potentially be clumping of fat but this is not very common with certain surgical techniques and postoperative care. Additionally, there are other surgical risks as associated with any procedure including; bleeding, infection, scarring, anesthesia related risks, fat embolism due to transfer. 

Thank you for your question. After transferring fat to the penile shaft it will still function normally in terms of erection, and the fat that is transferred will evenly spread during the erection to allow for increased girth/width both soft or with erection. Please see a board certified plastic surgeon experienced in this procedure. 

Thank you for your question! Renuvion J-Plasma is a great tool which uses cold helium plasma combined with radiofrequency.. essentially allowing the surgeon to tighten the skin. It is best used in combination with liposuction of almost any part of the body with excess fat. The "wand" is placed underneath the skin and somewhat resembles a liposuction cannula device. It does have limitations as it cannot tighten the skin enough to avoid a tummy tuck but it is perfect for anywhere in between. Best of luck to you!

That is a great question. In general a revision is not associated with increased risks, unless of course there is an infection in the first place. The second go-round is slightly more difficult for any surgeon to do, so please look for an experienced and board certified plastic surgeon. 

Thank you for your question. This varies greatly depending on your surgeon as well as location. In general for my practice, it starts around $6k for fat grafting for penile girth and increases with adjunct procedures. Hope this helps. 

Great question! The short answer is .. yes.. but it very much depends on which procedure is done for enlargement. My preferred method is fat transfer to the penile shaft (taken from any unwanted area of the body). This allows for resting increased girth (and some minimal changes to length). With erection the size is retained although distributed along the erected shaft. Hope this helps!

Great question! Yes, you are definitely able to get this procedure done. The caveat is that insurance will not be involved without a documented gender dysphoria diagnosis. If you do wish to continue a plastic surgeon would more than likely require at least a letter from a psychiatrist to better understand if this procedure is right for you. Best of luck in your search for a doctor, be sure to look for a board certified plastic surgeon who can present to you an array of options (implant types, scar placement, etc.). 

Thank you for your question! Most plastic surgeons perform breast augmentation but I would urge you to find a plastic surgeon who specializes in transgender surgery to help you meet your goals. best of luck to you!

Thank you for your question and providing photos. The most common procedures to get this look would include a breast augmentation along with liposuction 360 (entire torso including abdomen, flanks, back) and fat transfer to the buttocks and hips. I do believe that you can achieve a great result without buttock implants in your case. Please see a board certified plastic surgeon in person to help answer your questions and provide you with all the options. 

Thank you for your question! Regarding the question in your title.. many surgeons do not perform top and bottom surgery simultaneously.. and there is many reasons including long operative times depending on exactly which surgical methods are necessary. That being said, generally top surgery is performed first after 1 year of assuming the male role and hormone supplementation, along with a letter from a psychologist/psychiatrist documenting a diagnosis of gender dysphoria. Please see a board certified plastic surgeon to answer your questions in person :)