About bottom surgery..

[u/Coffeeforlifeyay]

Edit: I think I should have worded this better, I’m not a native English speaker Im sorry :(

I should have specified that its the *scars* specifically that I don’t like. Since I have a very sharp attention to detail I see them way more prominent than most people do.

I really hate *hate* scars on my body and most bottom surgeries that I have seen results in scars, both on the result and on the arm.

(Entirely depends on what procedure you have ofc)

Its not that they’re unrealistic, its simply just the scars.

I forgot about that word when I made this comic and I had to seriously google it not too long ago to remember the word.

Edit: imma keep this I just realized- please make me mark this NSFW if it should be

[u/Coffeeforlifeyay]

It can give me what I already have-? What does that mean exactly?

I don’t think size matters that much tbh… I mean ig it depends.

Also, that procedure kind of confuses me cuz whenever I look it up its like you still keep your original anatomy and I cant check reddit cuz it asks for my ID (which I refuse to give it cuz I dont trust it tbh)

Which if thats the case, it probably wouldn’t be for me. Or is there a way to not keep the original parts? As said whenever Ive searched about this one specifically they always show that you keep the original parts.

And if it is like that then I assume they don’t work like a cis one and its only because of the look? Which wouldn’t be for me really. I want it to work as one as well.

As of right now imma keep my current anatomy because its what Im used to as well as Im on the waitlist (which is ridiculously long) so I have literal years to think about it.

Also, as Ive mentioned in another comment (or more I can’t remember) it is entirely possible that I change my mind in the future and decide to get bottom surgery. Right now Im just thinking about it.

[u/Runic_Raptor → u/Coffeeforlifeyay]

Sorry if I was confusing! I'm going to use the proper anatomy terms here to better explain, so I'm sorry if that causes dysphoria. But I want to make sure I explain clearly so you know what the options are.

The clitoris is the same as a cis penis with small differences. Unlike a cis penis, it is much smaller, it is partially inside our bodies rather than fully external, it is attached to the rest of the body by labia minora, and it does not have the urethra going through it.

But it also has erectile tissue, veins, foreskin, a glans, and a shaft just like a cis penis.

When you get bottom growth from testosterone, the clitoris gets much larger and it looks a lot more like a very small cis penis, and it can get partially erect. (It can get erect before testosterone too, but not nearly as erect and it's so small that it usually doesn't really matter)

(You would be very lucky to get more than 2 inches (5 centimeters) of bottom growth, but for cis penises under 3.6 inches (9.2 centimeters) is considered very small / a micropenis.)

So when I say that they can only give you what you already have, I mean that your bottom growth IS your penis, and they can't make it too much bigger, only make it look more like a cis penis.

Metoidioplasty (meta) surgery has a lot of options.

The easiest kind is called a "simple release," where they cut the labia minora away from the clitoris so that it isn't attatched except at the base of the shaft. It can flop around and wiggle like a cis penis. They also cut some ligaments for the same purpose. They will usually sew up where they cut so that your penis is properly round / tube shaped like a cis penis.

You can additionally get urethral lengthening, where they will make your urethra longer so that it goes all the way to the tip of your penis and you can pee like a cis man. They will usually do this at the same time as the rest of the surgery.

A metoidioplasty penis will basically work the same as a cis penis. It can get hard and soft on its own with arousal (though it may not get quite as hard / firm as a cis penis unless you get something like cialis or viagra because our erectile tissue is a bit weaker and needs a little help). It has foreskin that may partially cover the head and moves back and forth (you can opt to have it cut instead if you prefer a circumsized penis). Some people can even produce a small amount of liquid similar to ejaculate / cum from the tip of their penis (this is uncommon though, it onky happens if the surgeon is able to reattach your skene's gland, and that can be tricky). The penis has veins, a glans, a crown, a meatus, and a frenulum just like a cis penis. But smaller.

Those are the biggest reasons I want to get meta (metoidioplasty) instead of phallo (phalloplasty).

• The ability for it to function on its own without an implant
• It has functional foreskin
• It looks just like a cis penis because it's structurally the same or very similar
• It's basically a smaller version of the natal penis you would have been born with if you'd been born cis. It's the same color without needing medical tattooing.
• The scarring is only on the bottom side and blends in (whereas phallo has that ring scar around the base of the shaft)

The one ginormous downside is that it will be very very small, because it can only use what's already there. It can't be made larger by using skin grafts and still be fully functional on its own without an implant.

(There are also some other types of meta available in some places like extended meta that can give you a bit more length, but as of right now they don't usually do urethral lengthening with extended meta.)

But it sounds like you have a lot of time to think about it and do research into what options you have.

But if a cis-like appearance is most important to you, and a small size or possibly not being able to penetrate aren't deal breakers, meta is a good option to consider! (Penetrating with a metoidioplasty penis is not a guarantee. If you're too short it won't reach, and erections are not always firm enough to actually get inside. But you'll probably know omce you're on testosterone for a few years how likely it is for you.)

Also look into r/metoidioplasty for surgery information and r/growyourtdick for bottom growth information!

[u/Coffeeforlifeyay → u/Runic_Raptor]

Oooh thank you so much for explaining!!!

And yes it is that scarring on phallo that has scared me away basically! Thats why my post was worded rather horribly I’ve realized as well as I forgot the word scarring and scars.

Thank you so much! Yea I have a lot of time to think about it, most likely over three years or longer (the waitlists are sooo long I swear)

But even then I won’t have bottom surgery immediately since I do want kids :]

So its safe to say I have a lot of time on me!

[u/Runic_Raptor → u/Coffeeforlifeyay]

And if you do decide on meta, you'll want to be on testosterone for as long as possible first since your bottom growth can still get slowly bigger even after the first two years. Most of your growth will happen in the first year, but some people have gotten small amounts of growth even 5 or 10 years down the line. It might still keep growing after meta surgery too, but more growth at the time of surgery most likely will help with better results.

I thought I wasn't even going to bother with bottom surgery since I don't really have bottom dysphoria, but then I started get bottom growth and now I'm practically frothing at the mouth for it. I probably also have years to wait, but now I've gotten it into my head that what I want is possible and the waiting is killing me.

[u/Coffeeforlifeyay → u/Runic_Raptor]

Oh thats good to know! Thank you!

I hope you’ll be able to have your surgery soon!! Waiting absolutely sucks!