Treatment Provider

Gary J. Alter, MD
Board Certified Plastic Surgeon
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Getting older... hopefully gracefully (wedding aniversary tomorrow)

I wanted to give an update, a "long term" update on my surgical outcome. It has been 17 years now since my bottom surgery, and it will be 18 years this coming May since my FFS. Tomorrow will be my 15th wedding anniversary. I am feeling a bit sad and reflective, as I have been trying to age gracefully. This August it will be 21 years since I started my journey towards womanhood in earnest with regular doses of estrogen and blockers. In late May, it will also be 19 years since I became a full-time girl, directly after coming home from my high school graduation. I cannot thank my Mom and God-Mom enough for supporting me. In October it will also be 19 years since I first met my husband and went on our first date. I don't know who was more nervous (I have never been on a date with a boy before) or he. That night, I also got my first sensual kiss, when he stopped to drop me off at home.

What can I report, other than being a little tipsy right now from drinking Lambrusco. I think Dr. Alter's work has really held up. I am glad I didn't get my breasts done at the time of my FFS as I had originally wanted to do. In fact, I never did get implants as I had developed a small B-cup just on hormones. The implant in my chin is giving me a few problems. I fell in the bathroom last year and hit my jaw. Since then, I think I damaged it perhaps. My vagina has also stood the test of time and have no complaints. Oddly enough, last week I experienced the dreaded "phantom penis" for the first time in probably 2 or 3 years while in a faculty meeting at work. It was awkward to say the least. What brought that episode on, I have no idea. It thankfully only lasted about 30 seconds and it disappeared as suddenly as it started. That is really all. My sensitivity has not diminished. My scars down below have almost completely faded now and are practically unnoticeable unless you actually look for them.

Mentally, I still love being a girl. At this point in my life, I have had breasts just as long as I did not, and in a couple of years, I will have had my pussy just as long as I had a penis. My husband, Steven, and I are still happily married and looking forward to many more happy years together. So yes, all the expense, the pain, and the surgeries were all very much worth while and I have not regretted it one bit. I still try to be a "girly girl", but it is becoming more difficult. When I was 20 or 21, I was often told I looked stunning in a miniskirt and heels, today I unfortunately cannot get away with that anymore (or wearing fishnets for my sweetie because he loves it when I do). Now, if I could have just stayed 28 or 29 for the rest of my life... :D

Something important

I had forgotten to add something really important. Something so many girls seem to forget. While it is really important to have a natural looking, healthy vagina we may want to have penetrative, vaginal intercourse, it is more important to be able to tinkle without spraying, sitting in weird positions, or making some other mess. I still had to learn to tinkle again without a penis, but not to have it spray or sitting in a strange position on the commode made things much easier.

I Love Dr. Alter (I Had my SRS and Also FFS with Him)

I am extremely happy with the outcomes of both of my surgeries he did. I had my FFS in May 2003, and my SRS in Feb 2004, both at age 19. I saw Dr. Alter at his practice in Beverly Hills, and he and his staff were very caring for the most part. He is an extremely funny guy, who will try to make you laugh and smile. I really have him to thank in helping me become the girl I am today. I am happily married, living a quiet life with my husband.

What really attracted me to Dr. Alter, other than his reputation, is that he is not only a board certified plastic surgeon, but also a urologist as well. He was able to not only work miracles with my tiny penis (about 2 1/2 inches) and give me a tad over 6 inches of vaginal depth, but made certain that my urine stream would go nearly straight down when sitting to tinkle. I had heard so many horror stories, and I was really worried. Yet, all turned out extremely well. In addition, my vagina (not only the clitoris) is extremely sensitive and I am able to feel, the head of my husband's penis for example, slipping all the way inside. This too, I would say is a positive. Now, 15 years since my surgery, nearly all of the scars which had been well hidden have faded which makes me really happy as well.

The only real "con" is the cost. Even in 2004, my SRS was nearly $30,000 (including hospital stay), and my FFS was right at $16,000. The only other thing, although not really a "con", is that I had what Dr. Alter calls a "phantom penis" for about 5 years following my SRS. Here I would suddenly feel like I had an erect penis, or was getting an erection. Although this of course was completely psychological as I did not have a penis, none the less it was a bit frightening and uncomfortable.

Provider Review

Board Certified Plastic Surgeon
416 N Bedford Dr., Beverly Hills, California
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