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Gender Confirmation – Female to Male


I perform a metaidoioplasty (extend, straighten, and release the clitoris) but do not extend the urethra (urinary opening). At one operation, I will straighten the new penis, recess the labia majora (outer lips) downward to create a scrotum, and insert testicle implants. I often remove excess pubic fat by liposuction or excision. I don’t do a urethral extension, which requires a hysterectomy, vaginectomy, etc, because it has a much higher complication rate. I also do not perform microsurgical free flap phalloplasty, such as making a penis from a forearm. Surgery is performed as an outpatient.

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Secondary reconstruction

I perform a secondary reconstruction of other phalloplasties to improve appearance, correct urinary problems, or insert penile implants. The scrotum is constructed by various techniques including tissue expansion, insertion of testicle implants, muscle flaps, and grafts. Testicle implants made of saline of solid gel are available.

Interesting People with Bob Brill

Dr. Gary Alter discusses everything from the actual step by step “Sex Change Surgery” with award winning journalist Bob Brill.

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As a best in class plastic surgeon, Dr. Gary Alter provides highly personalized and comprehensive care. His philosophy regarding the physician / patient relationship is based on trust and has earned him one of the most respected reputations in the world.

For more information about the surgeries we offer or to schedule a consultation with the board certified plastic surgeon, please contact either our Beverly Hills of New York City plastic surgery practice:


416 N Bedford Dr, Suite 400
Beverly Hills, CA 90210
Tel: (310) 275-5566


461 Park Ave South, 7th Floor
New York, NY 10016
Tel: (212) 321-0749