If the person transitioning desires a bigger penis, the other option would be phalloplasty. Trans men with moderate to large breasts usually require a formal bilateral mastectomy with grafting and reconstruction of the nipple-areola. Certain medical doctors[ which?
In addition, there is less denervation damage to the nerves supplying the skin of the chest wall with a peri-areolar mastectomy, and less time is required for sensation to return. Hysterectomy and bilateral salpingo-oophorectomy[ edit ] Hysterectomy is the removal of the uterus.
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Completely removing and grafting often results in a loss of sensation of that area that may take months to over a year to return, or may never return at all; and in rare cases in the complete loss of this tissue. However, a penile implant can be inserted, much like those that would be used in cisgender men who have incurable cases of erectile dysfunction. For female-to-male transsexual individuals, is it possible to construct a fully sexually-functional penis?
In a second surgery the excess skin is removed.
See Male Chest Reconstruction. Hysterectomy without BSO in women is sometimes erroneously referred to as a 'partial hysterectomy' and is done to treat uterine disease while maintaining the female hormonal milieu until natural menopause occurs. Some undergo this as their only gender-identity confirming 'bottom surgery'.