What You Need to Know
Going through a sex change male to female (MTF) involves a process that, for thousands of years, was beyond the imagination of anyone. People who grew up in the bodies of boys and, later, young men, even though they knew in their essence that they were not boys or men, ere shamed and scorned for their confusion, for the insolence of insisting on their difference.
The first sex change male to female (MTF) occurred in the 1930s, as surgeons in Germany devised a way to help men become physiologically the way that they thought they were on the inside. The first vaginoplasty took place in 1931, and in the decades since then, other tools have arrived to help biological men who identify as women make that change as completely as possible. Now it’s possible to undergo surgical procedures to do everything from adding heft to your breasts, buttocks and calves to plumping up your cheeks and shortening your chin to turning the skin, nerves and blood supply in your penis into a vagina that functions (in terms of sensation) much the same as a biological woman’s does.
Experiencing a sex change male to female (MTF) involves as many different possible surgical combinations as there are patients. The primary areas of aesthetic concern are the chest and the face, as those are the areas of the body that appear first to the eye. Men’s eyebrows sit lower than women’s do, and men have a hairline that sits up higher than a woman’s. Changing this frequently involves bringing the scalp slightly forward while changing the location of the eyebrow line.
The shape of a man’s forehead is different as well, as the bone behind the eyebrow ridge tends to stick out more from a man’s head than it does from a woman’s. Several different methods of changing that exist, from thinning the eyebrow ridge bone to disassembling the bones, moving or changing the structure of the skull, and then putting it back together in a more feminine shape.
When it comes to the chest, for many patients hormone therapy does enough of a job to satisfy patients. Trans women (people going through male to female surgery) typically get breasts that are about a cup or so smaller than those of their sisters and mother, and for some, that’s large enough. Others want to augment them with implants — and both saline and silicone implants are available for them, after a surgical procedure.
For many, these changes to the top half of the body are sufficient. People who start hormone treatment while they are still teenagers find that their pelvis will widen naturally, but even those who start treatment after puberty has ended find that a layer of subcutaneous fat settles in over their entire hip area. For many, this is enough, and they don’t ask for buttock implants as well.
Some patients want a more thorough transformation that involves removing the erectile tissue inside the penis and turning the rest into a vagina. Those who were not circumcised as children often have enough skin for surgeons to fashion a sensitive clitoris, thanks to the nerve endings that are still at work inside that tissue. Some other patients end up using part of their sigmoid colon to make a vaginal lining; the specifics depend on the anatomy of the patient.