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Common Trans Feminine Bottom Surgery Revisions

Introitus/Vaginal Opening Tightening: Adjusts the opening to address functional

Labiaplasty/Clitoroplasty: The most frequent revisions, used to improve the aesthetic appearance, shape, and symmetry of the labia and clitoral hood.

Posterior Vaginal Webbing Release: Corrects skin buildup that covers the vaginal entrance, which can make dilation or intercourse difficult.

Urethral Revision: Addresses functional issues such as urinary spraying, urine retention, or difficulty urinating.

Scar Revision & Tissue Removal: Addresses unsatisfactory scar tissue, keloids, or excess skin around the surgical site.

Recovery and Timing

  • Timing: While some refinements can be made sooner, many surgeons recommend waiting 6–12 months for initial swelling to subside before performing major revisions.
  • Procedure Type: Most revision procedures are done as outpatient, but some might require a short hospital stay depending on complexity.
  • Recovery: Recovery is generally faster than the primary surgery, but similar precautions regarding lifting and activity are often advised
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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.

Meet Dr. Sayah

Revision bottom surgery is designed for patients seeking improvement after a previous gender affirming genital procedure. This surgery may address concerns related to appearance, comfort, function, or healing outcomes following procedures such as vaginoplasty, vulvoplasty, phalloplasty, metoidioplasty, or scrotoplasty.

Each revision plan is carefully developed based on the individual’s surgical history, anatomy, and goals. Revision bottom surgery may involve contour refinement, scar revision, functional correction, or staged adjustments to support improved comfort and long term satisfaction.

Revision bottom surgery at SimplyTrans is performed under the care of Dr. David Sayah. Patients seeking revision bottom surgery in Beverly Hills or Los Angeles choose SimplyTrans for physician led evaluation, meticulous surgical planning, and a thoughtful approach to complex revision care.

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