Procedures for People Who Identify as Non-Binary
For those patients who identify as non-binary, it is critical to understand what appearance will best affirm their gender, as their particular wishes may not conform to traditional ideas of male and female gender expression. At Align Surgical, we will take the time to get to know you and understand what types of change in appearance you are looking for. We truly understand that each patient is on an individual journey, and we always avoid a “one-size-fits-all” mentality. The procedures required to meet your goals may involve variations to the standard top surgery, breast augmentation, facial, and bottom surgery techniques. We will therefore be sure to create a surgical plan which is customized, and in accordance with whichever appearance best affirms your gender.
“Top Surgery” refers to modification of the chest to either masculinize or feminize this part of the body. Non-binary patients may seek mastectomy and reconstruction of the nipples and areolas to achieve a masculine chest, although some patients desire variations in theses standard techniques to achieve their goals in gender expression. Procedures may include mastectomy without nipple reconstruction, modifications in the size and placement of the nipple-areola complex, modifications in placement and shape of the incisions, and desire to achieve a more androgynous or gender neutral chest, among others. Top surgery for Non-Binary clients who seek to feminize their upper body typically involves the use of implants, but once again, we will discuss with you a variety of options to achieve your goals. All clients who undergo top surgery can expect:
- An alignment of your internal and external selves
- Increased confidence
- More access to the kind of clothes you wish to wear
- Long lasting results
While top surgery is not for everyone, it may be a wonderful option that will help you reach your goals. At Align Surgical, our skill, knowledge, and technical expertise can help change your profile in ways hormones cannot, and help you feel more at home in your own body.
Genital surgery (sometimes referred to as “bottom surgery”) is available to clients who wish to augment their lower body in order to create alignment with their gender identity. Commonly performed genital surgeries include vaginoplasty, when a vagina, vulva, labia, clitoral hood and clitoris are constructed from scrotal and urethral flaps; and phalloplasty, the construction of a phallus using your own tissue. Benefits of genital surgery can include:
- Life-changing gender confirmation
- Ability to have enjoyable intercourse
- Improved confidence
- Profound sense of completion
- Natural-looking, and natural-feeling, aesthetic results
- Long-lasting outcome
In addition to vaginoplasty and phalloplasty procedures, there are several additional procedures and surgeries that can accompany bottom surgery; additional work is dependent on the desired outcome and specific health needs of each client. For transmasculine/non-binary/gender expansive individuals, variations may include vaginoplasty-preserving phalloplasty, nullification, and any other modifications the patient may desire in phalloplasty. For transfeminine/non-binary/gender expansive individuals, variations may include pursuing only orchiectomy, nullification or nullo procedure (penectomy, orchiectomy, and scrotectomy without genital feminization), minimal-depth vaginoplasty (or zero-depth vaginoplasty) or vulvoplasty, or phallus-preserving vaginoplasty.
As all patients who undergo genital surgery have their own goals and desires for the outcome of their transition, Dr. Satterwhite, Dr. Rodriguez, and Dr. Gurjala work closely with clients in their San Francisco Align Surgical Associates Inc. offices in order to create a personalized procedure plan that will give you the most seamless and satisfying results.