11 6 month post-op (2020)
10 Before/After: Original vaginoplasty done in the UK–urethral erectile tissue projected 2 cm out from the body, partially obstructing the vagina. Labia majora were also slightly too large.
9 [Left/Center] MTF with US surgeon Vaginoplasty plus 3 labiaplasties and skin grafting by a plastic surgeon. Patient has a severe ring of vaginal entry scar tissue narrowing vagina to barely 3/4 inches. Depressed entry sulcus on left. Clitoris huge, grossly exposed, and 2 cm too anterior. Depth 3 inches although patient unconcerned about depth. 2 large dog ears at top of scars bilaterally and mounds of fat. Dimple of stubborn unhealed area below clitoris with granulation tissue. Dr. Bowers performed bilateral scar revisions removing ‘dog ears’, bilateral fat transfers to depressed areas of vulva, release of entry scar banding, hoodplasty and clitoroplasty. Depth not addressed per patient request.

8 [L] GAV surgeon: Rumer 2015. No depth (graft necrosis, prolapse, bladder injury), infected perineal abscess/sinus draining 2 years later. Clitoris grossly too anterior and rightward. Large mounded labia majora. No Clitoral hooding. Urethra grossly too high. Clitoral adhesions. Patient reports minimal Clitoral sensation. [R] Labiaplasty/urethroplasty/excision of abscess tract: Bowers May 2018
7 Original GAV not perform by Dr. Bowers. Before and after photos of Labiaplasty, July 2017
6 Local GAV result. No clitoris, 2 cm right deviated urethra, poor scarring, gross asymmetry. Pre and Post-Op 2016
5 2014: Revision of a GAV surgery not performed by Dr Bowers. Note the absence of a clitoral hood after the original surgery. This was corrected during the revision along with the creation of labia minora and removal of the erectile tissue anterior to the vagina and relocation of the urethra.
4 GAV disaster (not performed by Dr Bowers). Note the direction of the catheter preop that is pointing straight up. This was corrected along with creating of labia minora and clitoral hooding.
3 Initial GAV not performed by Dr. Bowers
2 Initial GAV not performed by Dr. Bowers, who created labia minora and better framing of the vagina.
1 Before/After Dec 2016
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