Having been trained in urology, reconstructive urology and plastic surgery allows Dr. Crane to understand the complex transformation from female to male from both the urologist and plastic surgeon’s perspective.
Dr. Crane, Dr. Satterwhite, and Dr. Chen strongly believe in a personalized approach in assisting their patients achieve their surgical goals. The doctors give all their postoperative patients their own cell phone number and email should patients have any urgent and emergent questions and concerns during their stay in the San Francisco Bay Area.
For details about the FTM surgery procedures offered by Dr. Crane, Dr. Satterwhite, and Dr Chen, please click the links below.
Top Surgery is one of the most common female to male gender confirmation surgeries. Dr. Crane and Dr. Satterwhite perform both the double incision and keyhole surgical procedures. For double incision patients, Dr. Crane and Dr. Satterwhite do not use drains. This is safely accomplished by leaving an abundance of lymphatic tissue which allows your own body to reabsorb the fluid that the drains would remove. With the combination of not using drains and performing intercostal nerve blocks with Lidocaine before starting the procedure, Dr. Crane and Dr. Satterwhite’s patients have a dramatic decrease in their post-operative pain.
Patients may pursue a metoidioplasty (meta) or phalloplasty with or without urethral lengthening.
Free flap phalloplasty techniques offer optimal sensation, and include radial forearm, anterior lateral thigh (ALT) and musculocutaneous latissimus dorsi (MLD) phalloplasty. Urethral lengthening, vaginectomy, scrotoplasty and penile implant placement are optional.
For genital reconstruction, we follow the World Professional Association of Transgendered Health (WPATH) guidelines and requires two letters of recommendation from mental health professionals, hormonal treatment and a year real-life test. Some exceptions are made for patients that transitioned years beforehand and have had legal documents changed reflecting their true gender.
For more information about having female to male (FTM) surgery in San Francisco with Dr. Crane and Dr. Satterwhite, please contact us.