Secondary Surgery

PD Dr. Richard Fakin / Gender Reaffirming Surgery (GRS) / Secondary Surgery

Secondary transgender surgery

Madrid | Zurich

The objective of a secondary surgery is to correct and optimize the results and/or post-operative complications of transgender surgical interventions such as gender reassignment, feminization of the face and body, breast augmentation or mastectomy. In many cases, secondary surgery represents a symbiosis between reconstructive surgery and cosmetic surgery.

For the majority of trans patients who have suffered complications or unsatisfactory aesthetic results as a consequence of inadequate surgical techniques or incorrect indications, a secondary surgery can create doubts, fears and indecision, which is why transparent, objective and empathic communication between the patient and the patient is essential. patient and surgeon. PD Dr. Richard Fakin  has extensive experience in the field of primary and secondary surgery with trans patients. We offer consultations and services of maximum professionalism, transparency and discretion.

Secondary vaginoplasty surgery

The indications in secondary surgery following a  vaginoplasty  can be aesthetic or functional in nature. A large part of our patients ask for a secondary vaginoplasty with colon due to insufficient neo-vaginal depth with the penile skin inversion technique performed in other centers. Other patients need  scar correction ,  fat transfer  in labia majora that have been reduced too much, labia minora reconstruction, urethral reduction, a secondary commissuroplasty or clitoral lift, among many others.

PD Dr. Richard Fakin  is a world-renowned expert in primary intimate surgery as well as secondary vaginoplasty involving the skin and colon.

Transgender Secondary Plastic Surgery

Learn more about Transgender Secondary Plastic Surgery procedures on  our  Facebook profile.

Secondary chest surgery

The concepts of breast augmentation in trans women are fundamentally different compared to cis women and provide for a minimum distance between the two breasts, definition of the new breast fold and a satisfactory cleavage. Unfortunately we see many patients where these crucial concepts were not properly implemented leading to dissatisfied patients.

With the latest techniques and implants we offer a wide range of possibilities such as; a wide variety of silicone prostheses, pre-expansion of tissue with the expander system,  fat transfer , use of various flaps,  nipple reconstruction ,  symmetrizing lifting , correction of asymmetries and  scars  , etc.

The objective of a secondary breast surgery is to create the desired appearance and symmetry, being effective and safe interventions.

Learn more about Transgender Secondary Plastic Surgery procedures on our   Instagram profile.

Secondary facial feminization surgery

The great variety of surgical retouching includes the  correction of scars  and asymmetries,  transfer of micro- and nano-fat , use of flaps and  fat grafting ,  retouching of the nose  and the peri-orbital area, etc. In many cases we optimize or complement the feminization of bone structures of the forehead, chin and periocular, obtaining a more harmonious and feminine result.

Learn more about Transgender Secondary Plastic Surgery procedures on  our  Facebook profile.

Intimate secondary surgery

The indications in genital surgery can be of an aesthetic, restorative, oncological or transgender nature. In secondary surgery it is important to respect aesthetic and functional aspects, using safe techniques and personalized post-operative care.

Dr.  PD Dr. Richard Fakin  is a world-renowned expert in primary as well as secondary intimate surgery.

Learn more about Transgender Secondary Plastic Surgery procedures on our   Instagram profile.

Real cases before and after

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