Phalloplasty is a gender affirming bottom surgery designed for trans masculine and gender diverse patients seeking the creation of a full sized phallus. This complex procedure is typically performed in stages and may include urethral lengthening, scrotoplasty, and future placement of testicular or erectile implants, depending on individual goals.
Each surgical plan is carefully developed based on anatomy, functional priorities, and long term considerations. The focus is on achieving natural appearance, functional outcomes, and alignment with the patient’s identity and lifestyle.
Phalloplasty at SimplyTrans is performed under the care of Dr. David Sayah. Patients seeking phalloplasty in Beverly Hills or Los Angeles choose SimplyTrans for physician led planning, meticulous technique, and comprehensive, staged care.
Stages of Phalloplasty
Phalloplasty is rarely a single procedure, often requiring multiple stages spread over a year or more:
- Initial Stage: Creation of the phallic shaft using skin grafts, usually from the radial free forearm (RFF) or anterolateral thigh (ALT), and establishing blood/nerve supply.
- Urethral Lengthening: A “tube-in-tube” technique is often used to extend the urethra, enabling urination from the tip of the phallus.
- Subsequent Stages: These include scrotoplasty (creating the scrotum), glansplasty (creating the head of the penis), and vaginectomy (closing the vaginal cavity), generally done months apart.
- Final Stages: Insertion of testicular implants and inflatable penile erectile implants for sexual intercourse.
Success and Long-Term Outcomes
- Success Rates: The procedure boasts high success rates for creating a natural-looking phallus and significantly improves quality of life.
- Sensation: Tactile and often erogenous sensation is achieved through microscopic nerve connection (nerve anastomosis).
- Functional Outcomes: Successful cases allow for urination while standing.
Potential Risks and Complications
Other Risks: Infection, wound healing issues, scarring, and potential loss of sensation
Urinary Complications: The most common complications are urethral strictures (narrowing) or fistulas (leaks), which may require further surgeries.
Graft Issues: Risk of partial or total loss of the tissue graft (flap loss) due to vascular issues.
Why Choose Chrisalys for Phallopasty in Beverly Hills
Specialized Expertise:
- 26+ years of male 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.
