Kim FtM Phalloplasty Conjoined Bilateral Pedicled Groin Flap
Kim FtM Penis
Conjoined Bilateral Pedicled Groin Flap FtM Phalloplasty, also known as Kim FtM Phalloplasty or Kim FtM Penis is about 35% more affordable than other FtM phalloplasty procedures being offered. FtM penis size is dictated by the details of the person's body and size.
There is no option about penis size but the neophallus can still be used to urinate standing and results in larger penis size than metoidioplasty.
The neophallus is big enough and long enough to accommodate a penile prosthesis implant to enable FtM erections & FtM sex.
The penis length resulting from Kim FtM Phalloplasty almost achieves the global average penis length for natal males in most countries of the world and exceeds the average for India [10.1 cm (4")] and Korea [9.6 cm (3.8")].
Basically, the size and realism of a neophallus is directly proportional to the cost and number of hours in surgery as well as the skill and experience of the surgeon and the procedure used.
Conjoined Bilateral Pedicled Groin Flap FtM Phalloplasty and other phalloplasty surgery can be compared like cars: Kim FtM Phalloplasty is like a Hyundai passenger car — it works reliably, it gets you were you are going, it is good value for the money, it's safe, and the final result is aesthetically good.
Kim FtM Phalloplasty, results in a larger and better neophallus than radial forearm phalloplasty and metoidioplasty.
The results of more than 150 patients has shown the scarring is significantly less than radial forearm phalloplasty and is totally concealed by underwear or a swimming suit.
Total Phalloplasty is a more complex, difficult, time-consuming, costly and challenging procedure that results in substantially more donor site scarring that is more visible.
Kim Phalloplasty costs nearly 35% less.
A Kim FtM Penis averages about 10.5 cm long (4.1 inches) and 4.5 cm wide (diameter, 1.8 inches thick). Size is genetically determined by body size and type. Size is not selectable by patient or doctor.
It is suitable for a malleable penile prosthesis implant. An inflatable prosthesis is also an option.
After penile prosthesis implantation, the penis may get slightly longer and bigger. About 40% of patients decide to get a penile implant. Some opt for an inflatable prothesis although it doubles the cost of Stage Three.
Conjoined Bilateral Pedicled Groin Flap FtM Phalloplasty is a three-stage procedure. Stages cannot be combined.
Patients should allow at least six months of healing between each stage of surgery.
Surgical fees are precise package prices, not approximate.
Not included in the package price are: inflatable penile prosthesis (IPP), general anesthesia, pre-op testing, lodging outside of the clinic, and food during hospitalization. Most patients prepare simple food in advance, such as bread, water, yogurt. Or they can order out and have food delivered to the clinic.
A package price includes everything relevant to the medical nature of the visit to Seoul.
No FtM gender reassignment surgery (SRS organ removal) is included in any stages of this FtM surgery except vaginectomy in Stage Two.
Total medical cost for all stages of Kim FtM Phalloplasty and no options is US$30000. You only pay for the stage of surgery you are getting at the time you get it.
Each of the three stages of phalloplasty requires an entire day of surgery by Dr Kim.
Patients do not need to stop Hormone Replacement therapy prior to surgery. Dr Kim explains:
DVT (deep vein thromboembolism) is the most common complication of MtF SRS caused by old type estrogen (diethylstilbestrol). Testosterone is known to prevent DVT. That is why we don't need to recommend FtM patients stop testosterone before surgery.
Note
Dr Kim reserves the right to require general anesthesia be used when his medical opinion is that it would be in the best interests of the patient. A patient can also choose to have general anesthesia used at an additional cost of US$2000. Pre-op testing cost US$200. Results take 24 hours. Physical examination and a consultation costs US$200. The fee is waived for all persons who recieved a long-distance evaluation and pre-approval as a suitable candidate. Members of the public who eventually become patients also have this fee waived or have it credited towards their medical costs.
Kim FtM Phalloplasty
- Stage One — phalloplasty using bi-lateral groin flap, scrotoplasty using 20 ml testicular implants: US$12000. It requires 7~11 hours of surgery, 4-5 nights in hospital, three weeks total time in Seoul. Epidural + sedation is always the default anesthesia and is included in price quotes. (General anesthesia is optional and price is sensitive to inflation and supply-chain disruptions)
- Stage Two — vaginectomy, urethroplasty and glans reconstruction: US$10000. This stage of phalloplasty takes7~11 hours of surgery, 4-5 nights in hospital, two weeks total time in Seoul.
- Stage Three — Stage Three — malleable penile prosthesis implantation (German brand Genesis) US$8000. Takes 7~11 hours of surgery, 2-3 nights in hospital, two weeks total time in Seoul. Inflatable Penile Prosthesis (IPP) implantation surgery using Coloplast device: US$15000.
Longer recovery periods are recommended, if possible. Air travel is challenging for persons recovering from surgery.
Kim Phalloplasty hides all donor site scars much better than radial forearm phalloplasty.
It is a good choice if nearly US$42000 for MLD Total Phalloplasty is too costly.
The surgical results provide good quality of life and are good value for money, resulting in an effective, useful penis.
Dr Kim says, BMI is not an issue for FtM phalloplasty patients:
Groin flap phalloplasty can be performed on very obese patients without a problem. But I need photos of the patient's trunk area in advance of surgery for proper and precise answers.
Recovery from surgery is swift. It is reasonable to expect to be able to walk unassisted the day after surgery.
On the day of surgery, a patient can walk from the operating table to his bed. Your physical activity will be determined by you yourself. When you don't have pain or difficulties, then is the time to return to normal activities. Questions about this and other matters will be repeatedly answered and reviewed multiple times (daily) during your stay in Seoul. So you don't need to be in a hurry to know everything in advance. A good soldier is developed by real fighting, not by only doing exercises.
A Kim FtM penis enables urinating while standing and holding it — point-and-shoot capability.
Kim FtM Phalloplasty also enables erect penile state and sexual intercourse with a partner.
Penis size is controlled by the size of the patient and donor site area, not the doctor. That means size depends on genetics. It is not negotiable. Surgeon and patient preference is irrelevant.
Erotic sensation and ability to have an orgasm continues to be provided by the clitoris preserved at the base of the neophallus. Patients report tactile (normal, ordinary) sensation develops in the bottom half of the penis. That results from the nerve re-engineering that is a standard component of the procedure. Some people refer to it as “nerve hook-up”.
This phalloplasty creates a penis competitive with the national average size of natal male penises in many countries.
The number of possible complications are more than you expect.
One of the most important reasons for very long postoperative period in Seoul is not only treatment but also patient education and training how to solve unexpected happenings. Any patient who is not sure he has learned perfectly should stay longer than others and use me more.
Infection rate for FtM penile prosthesis implantation is double the rate of natal males getting the same implant.
The primary complication of penis prosthesis implantation surgery is infection and the second is the risk of protrusion.
Possible complications from vaginectomy are many, such as post-operative bleeding.
Dr Kim considers complications as natural. Challenges are expected.
He is trained and experienced in solving medical challenges effectively. Don't worry excessively.
Other Available FtM Surgical Procedures
Sexual Reassignment Surgery (SRS) and enhancements for FtM phalloplasties done elsewhere by other surgeons are available and include:
- Trans-vaginal Hysterectomy
- Metoidioplasty
- Scrotoplasty
- Inflatable Penile Prosthesis Implantation
- Malleable Penile Prosthesis Implantation
- Urethroplasty
- Mastectomy
Metoidioplasty before phalloplasty is possible but not recommended.
Phalloplasty remains an option available to patients who have had metoidioplasty performed.
But metoidioplasty makes phalloplasty more challenging and complex by causing “minimized tissue availability”.
That increases the cost of the phalloplasty.
Metoidioplasty before phalloplasty may cause urethroplasty to require two stages instead of one.
The increase in cost depends on the variation of metoidioplasty the patient had performed but all 3-4 stages will cost not more than US$30,000.
Doctors around the world offer many variations of metoidioplasty.
Telling Dr Kim you have already had “metoidioplasty” provides him with little information.
When requesting an initial, free, long-distance evaluation, also tell us who performed the metoidioplasty, where, and when and provide photos showing the result.
Making an Appointment
Dr Kim asks that a patient requesting a surgery date:
- propose a date at least one week in advance;
- provide us with a medical history;
- send electronic copies of his original signed letters from the psychiatrists or mental health professionals to Dr Kim that state you have been diangnosed with Gender Dysphoria and Dr Kim is authorized to use surgery to correct the problem.
Those documents on the psychiatrist's official stationary with completel contact information are required by The World Professional Association for Transgender Health (WPATH) Standards of Care (SOC) to which Dr Kim chooses to adhere. Hand-deliver the original letters to the surgeon when you meet him at the clinic in Seoul.
The SOC are available in these languages:
In the first quarter of 2021, Dr Kim is performing surgery as usual but Covid-19 has caused the government to create challenges to travel. Visa requirements are changeable and must be checked regularly. Nationalities that needed no Korean visa in the past need one in 2021. Check and re-check with the South Korean embassy or consulate in your country or region for current official policies regarding travel to South Korea.
You will need to arrive in Seoul with a fresh, new, negative PCR (polymerase chain reaction) CoVID test result that has been administered not more than 72 hours before departure from your place of disembarkation.
It is now common for airlines and many immigration authorities at airports to require evidence that a blood PCR test has been performed within the past 72 hours and produced a negative result.
Regardless of a negative test result, after landing in Seoul, the government currently requires new arrivals to isolate for two weeks unless you are part of a “Vaccinated Travel Lane” (VTL)
When you emerge from quarantine, you can freely travel to your consultations, examinations, pre-operative blood tests and surgery.