Dr. Alter’s Before and After
MALE-TO-FEMALE SEX REASSIGNMENT REVISIONS

Dr. Alter specializes in transgender sexual reassignment surgery and has spent decades perfecting his reconstructive techniques. All patients featured in this gallery are unique and an individualized treatment plan was developed for each case.

PATIENT 1

MTF SEX REASSIGNMENT REVISIONS

28-year-old: Diamond excision in mons pubis to eliminate concavity by bringing fat and labia majora together Created clitoral hood and labia minora; Lowered urethra and removed spongy tissue.

a. Pre-operation b. Post-surgery

PATIENT 2

MTF SEX REASSIGNMENT REVISIONS

51-year-old: No clitoris so pseudo-urethra tract opened; Diamond excision in mons pubis to eliminate concavity by bringing fat and labia majora together; Created clitoral hood and labia minora; Fat injections to labia majora; Lowered urethra and removed spongy tissue

a. Pre-operation b. Post-surgery

PATIENT 3

MTF SEX REASSIGNMENT REVISIONS

40-year-old: Diamond excision in mons pubis to eliminate concavity by bringing fat and labia majora together and to improve old W-plasty scar; Recreated clitoral hood; Fat injections to labia majora

a. Pre-operation b. Post-surgery

PATIENT 4

MTF SEX REASSIGNMENT REVISIONS

28-year-old: Diamond excision in mons pubis to eliminate concavity by bringing fat and labia majora together Created clitoral hood and labia minora; Lowered urethra and removed spongy tissue.

a. Pre-operation b. Post-surgery

PATIENT 5

MTF SEX REASSIGNMENT REVISIONS

53-year-old: Created labia minora; Released the posterior vaginal opening; Lowered urethra and removed spongy tissue.
a. Pre-operation b. Post-surgery c. Pre-operation open d. Post-surgery open

PATIENT 6

MTF SEX REASSIGNMENT REVISIONS

43-year-old: Op #1: Skin excision in mons pubis to eliminate mons pubis concavity by bringing fat and labia majora together: Created clitoral hood and labia minora; Excised excess labial skin; Op #2: (years later) (markings shown); Diamond excision to remove a small residual concavity; Removed excess labia majora.
a. Pre-operation with marking for skin excision b. Post- first surgery c. Pre-second operation with markings for pubic and labia majora skin excisions.
d. Post-second surgery shortly after surgery

PATIENT 7

MTF SEX REASSIGNMENT REVISIONS

51-year-old: No clitoris so pseudo-urethra tract opened; Diamond excision in mons pubis to eliminate concavity by bringing fat and labia majora together; Created clitoral hood and labia minora; Fat injections to labia majora; Lowered urethra and removed spongy tissue.

a. Pre-operation b. Post-surgery

PATIENT 8

MTF SEX REASSIGNMENT REVISIONS

40-year-old: Diamond excision in mons pubis to eliminate concavity by bringing fat and labia majora together and to improve old W-plasty scar; Recreated clitoral hood; Fat injections to labia majora.

a. Pre-operation b. Post-surgery

PATIENT 9

MTF SEX REASSIGNMENT REVISIONS

20-year-old: Diamond excision in mons pubis to eliminate concavity by bringing fat and labia majora together; Clitoral hood and labia minora created; Head of clitoris reduced; Reduced labia majora; Lowered urethra and removed spongy tissue.
a. Pre-operation standing b. Post-surgery standing c. Pre-operation d. Post-surgery

Patient-First Policy

Dr. Alter and the entire team are dedicated to providing every patient with exceptional individualized care—from consultation to recovery. We take the time to learn about your concerns, goals, and desires, so we can build a plan that addresses your concerns and gets you the
results you deserve.

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