Secondary surgery
in trans women
MTF
First consultation free
Secondary surgery
in MTF trans women
Secondary surgery
MTF revision surgery following gender affirmation procedures
MADRID | ZURICH
Secondary surgery in trans women aims to correct, optimize, or complete the results obtained after previous gender-affirming interventions. This is within the context of transition. MTF (Male-to-Female), These surgeries can be performed after procedures such as vaginoplasty, facial feminization (FFS), body feminization, or breast augmentation.
In some cases, secondary surgery allows for the treatment of postoperative complications or the improvement of aesthetic results that have not progressed as expected after the initial procedure. In others, the goal is to refine specific anatomical aspects or complete procedures that require more than one surgical stage.
Revision surgeries require particularly careful planning, as they involve working on previously operated tissues. For this reason, the medical evaluation includes an analysis of the techniques used previously, the current state of the tissues, and each patient's goals.
Dr. Richard Fakin has extensive international experience in primary and secondary surgery within the field of gender affirmation surgery and surgery MTF, addressing complex revisions with a reconstructive and aesthetic approach aimed at achieving safe and natural results.
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DURATION 60 minutes
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DISCHARGE FROM THE CLINIC Same day
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BACK TO WORK 4 – 6 days
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DURATION 60 minutes
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DISCHARGE FROM THE CLINIC Same day
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BACK TO WORK 4 – 6 days
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SUITABLE FOR SOCIETY 3-5 days
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ANESTHESIA General
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FULL RECOVERY 2-3 weeks
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SUITABLE FOR SOCIETY 3-5 days
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ANESTHESIA General
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FULL RECOVERY 2-3 weeks
Instructions
When can secondary MTF surgery be considered?
Secondary surgery may be considered when it is necessary to correct or improve results obtained after previous gender affirmation procedures or MTF surgeries.
Depending on the case, these interventions can be performed to improve the function of reconstructed structures, treat certain complications, or refine the aesthetic outcome of previous surgery. Among the most frequent situations are:
- correction of unsatisfactory aesthetic results
- treatment of postoperative complications
- improvement of genital or anatomical function
- optimization of facial or body harmony
The indication for secondary surgery is always established after an individualized medical assessment, in which the previous interventions performed and the current anatomical characteristics of the patient are analyzed.
Revision surgical techniques
Secondary vaginoplasty surgery
Follow-up appointments after vaginoplasty can be for both functional and aesthetic reasons. In some cases, patients consult because insufficient vaginal depth or irregularities in vulvar anatomy after an initial penile skin inversion technique performed at other centers.
Revision procedures may include scar revision, labia minora reconstruction, fat transfer to the labia majora, or urethral correction. In certain cases, vaginal cavity reconstruction may also be performed using intestinal techniques, such as sigmoid colon interposition.
Dr. Richard Fakin is internationally recognized for his expertise in primary and secondary vaginoplasty surgery, using different reconstructive techniques with skin, colon or peritoneum grafts depending on the characteristics of each case.
Secondary breast surgery
Secondary breast surgery allows to correct or improve results obtained after a previous breast augmentation in patients within the MTF transition process.
In transgender women, surgical planning must take into account specific anatomical features such as chest width, nipple position, and the distance between the breasts. When these aspects have not been adequately considered in a previous surgery, a revision procedure may be necessary to improve implant position, breast symmetry, or the definition of the inframammary fold.
The techniques used may include implant replacement, implant pocket adjustment, autologous fat transfer, or breast lift procedures. The goal of these interventions is to improve breast contour proportions and achieve a more natural and balanced appearance.
Secondary facial feminization surgery
Secondary facial feminization can be performed when it is necessary to improve or complete previous facial feminization procedures within the MTF transition process.
In these cases, visible scars, facial asymmetries, or incomplete results in certain areas of the face can be corrected. Touch-ups can also be performed on the nose, the periocular region, or the contours of the forehead and chin to optimize facial harmony.
In some patients, complementary techniques such as micro or nanofat transfer are used, which allows for improving the volume of certain areas and smoothing facial contours.
Secondary intimate surgery
Secondary intimate surgery may be performed when it is necessary to correct or improve results obtained after previous genital interventions within gender affirmation surgery.
Depending on the case, these interventions can have a reconstructive, functional, or aesthetic focus. Treatment may include scar revision, reconstruction of genital structures, or improvement of the intimate area's contour.
This type of procedure requires very precise surgical planning and specialized experience in reconstructive genital surgery.
Real case results
before and after secondary surgery
Secondary surgery:
Frequently Asked Questions
What is secondary MTF surgery?
Secondary MTF surgery is a revision procedure performed after previous gender-affirming procedures to correct, optimize, or complete aesthetic or functional outcomes.
When might secondary surgery be necessary?
It may be considered when the results of a previous surgery are not satisfactory from a functional or aesthetic point of view.
Is secondary surgery more complex than primary surgery?
In many cases, yes, since it involves working on previously operated tissues and requires more precise surgical planning.
Can the results of surgeries performed at other centers be corrected?
Yes. Many secondary surgeries are performed to improve results obtained from previous procedures performed at other centers.
How much time should pass between the initial surgery and a follow-up appointment?
It depends on the procedure performed and the evolution of the tissues, although it is usually recommended to wait several months to allow for complete healing before performing secondary surgery.
Can several revision surgeries be combined into a single procedure?
In certain cases it is possible to combine several secondary procedures in the same surgery, provided that the patient's medical conditions allow it.
Dr. Richard Fakin
international elite surgeon
At his clinics in Madrid and Zurich, Dr. Fakin leads a highly professional and committed team of specialists who share the same philosophy: to offer rigorous medical care, but friendly in its human approach. Each patient receives individualized support, from the first consultation to post-operative follow-up.
Beyond the technique, Dr. Fakin and his team's commitment is reflected in transparent, honest, and personalized care, where Each patient is treated with dedication and professionalism in all phases of the process.
Our facilities
Madrid
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C. de Velázquez, 109, 28006 Madrid, Spain
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madrid@drrichardfakin.com
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+34 679 85 86 39
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C. de Velázquez, 109, 28006 Madrid, Spain
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madrid@drrichardfakin.com
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+34 679 85 86 39
Zurich
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Giesshübelstrasse 45, 8045 Zurich
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zurich@drrichardfakin.com
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+41 78 206 44 88
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Giesshübelstrasse 45, 8045 Zurich
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zurich@drrichardfakin.com
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+41 78 206 44 88
