Metoidioplasty,
or “meta” for short, is a good option for those who do not want to undergo Phalloplasty. The average length of a phallus after metoidioplasty is about 4-6 cm. This is long enough to direct a stream while standing.
Metoidioplasty surgery generally involves releasing a hormonally enlarged clitoris, urethroplasty (lengthening the urethra to the tip of the phallus), covering the phallus with neighboring skin, vaginectomy, and scrotoplasty. However, urethral lengthening, vaginectomy, and scrotoplasty are all optional.
Our surgeons are proficient in many different types of metoidioplasty to best suit the patient’s anatomy. We take into consideration the size of the clitoral hood, urethral plate, and neighboring tissue to maximize the aesthetic result. Our surgeons also perform a complete vaginectomy to create an anatomically male perineum.
Scrotoplasty is performed using rotational flaps of the labia majora so that the scrotum is anterior in the anatomic male position. Testicular implants can be placed 6 months after scrotoplasty to minimize risk of implant erosion. If the patient desires a larger scrotum, tissue expanders can be placed prior to scrotoplasty.
Why Choose Chrisalys for Metoidioplasty in Beverly Hills
Specialized Expertise:
- 26+ years of body contouring experience
- Board-certified plastic surgeon and Fellow of American College of Surgeons
- Advanced techniques optimizing survival rates
- Understanding of masculine body aesthetics and proportions
Comprehensive Approach:
- Strategic harvest creating definition while providing donor fat
- Customized enhancement based on individual anatomy and goals
- Multiple area treatment for complete physique transformation
- Natural-looking results maintaining athletic appearance
Patients throughout Los Angeles trust Chrisalys for male fat grafting that delivers natural enhancement and athletic definition through expert care at our Beverly Hills facility.
Meet Dr. David Sayah
Dr David Sayah is a board certified plastic surgeon in Beverly Hills known for his natural approach to aesthetic surgery. With more than 26 years of experience, he combines surgical precision with artistic insight to deliver balanced and refined results. His philosophy centers on enhancing individual beauty rather than changing it.
A graduate of the UCLA School of Medicine and a Fellow of the American College of Surgeons, Dr Sayah trained at leading medical centers including NYU and UCLA. His work in wound healing and scar formation research helps patients heal beautifully with minimal scarring. Fluent in five languages, he welcomes patients from Beverly Hills, Los Angeles, and across the world who seek exceptional, natural results.
Metoidioplasty is a gender affirming bottom surgery designed for trans masculine and gender diverse patients seeking a masculine genital appearance while preserving natural sensation. The procedure uses hormonally enlarged tissue to create a small phallus and may be performed on its own or as part of a staged transition plan.
Depending on individual goals, metoidioplasty may include urethral lengthening for standing urination, scrotoplasty, and preparation for future testicular implants. Surgical planning focuses on function, comfort, and outcomes that align with each patient’s lifestyle and identity.
Metoidioplasty at SimplyTrans is performed under the care of Dr. David Sayah. Patients seeking metoidioplasty in Beverly Hills or Los Angeles choose SimplyTrans for physician led evaluation, thoughtful planning, and refined surgical care.
