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Transmasculine Bottom Surgery in Darien

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The Aesthetic Center proudly offers transmasculine bottom surgery. As one of only a few medical facilities in the United States that specialize in female to male genital reconstruction, also known as FTM Bottom Surgery, we combine unparalleled knowledge of reproductive anatomy with careful planning in order to ensure the best result.

For transgender male patients hoping to make a complete transformation to assume their true gender identity, surgery can remove or reshape female genitalia so it takes on a masculine appearance. Connecticut transmasculine bottom surgery gives trans men a new lease on life, opening up a world of possibilities.

What Transmasculine Bottom Surgery Can Do

Gender roles are often dictated by society at birth based on the genitalia. If you were assigned female at birth (AFAB) but identify as male, this can be frustrating. FTM bottom surgery helps trans men look and feel like the person they know themselves to be. Aside from the cosmetic improvement trans bottom surgery provides, most trans male patients report higher self-esteem and body confidence after gender-reassignment surgery.

If you are considering FTM bottom surgery Fairfield County experts at The Aesthetic Center will be your guide. Our professionalism, discretion, and cutting-edge surgical methods have helped many trans men become their true selves.

Transmasculine Bottom Surgery in Darien and Fairfield County

Find a Long-term Advisor on Your Transgender Journey

The medical team at The Aesthetic Center has over 20 years of experience in cosmetic and reconstructive surgery. Experienced in the latest FTM procedures, our caring and compassionate team works closely with each patient to achieve stellar results.

Choosing to undergo transgender MTF surgery is a big decision. That is why it’s critical to choose a Connecticut plastic surgeon that is dedicated to becoming your long-term aesthetic advisor. Building relationships with each of our patients is important to us. Our goal is to listen to your concerns, answer questions, and create a surgical plan that is customized to your needs.

Private, personalized care helps our patients feel safe, comfortable and respected throughout the female to male gender transition. With a private surgical facility, you can expect individualized attention and complete discretion from consultation to surgery.

Our Surgery Center Offers Exclusivity & Privacy in Close Proximity to Manhattan

The heart of The Aesthetic Center is our private operating suite in Darien, CT. We are conveniently located in Fairfield County, just a short distance from New York City.

The facility is clean and modern, outfitted with the latest surgical equipment, state-licensed, and nationally accredited. Beyond the operating room, we offer a private, safe, and comfortable place for our transgender patients to feel at home, without fear of judgment.

Unlike large hospital settings that have a high turnover of staff and lack of privacy, you can expect a warm and inviting atmosphere. While hospitals have high-risk contamination from sick patients, our surgical center caters exclusively to plastic surgery clients. Thus, our facility is safer and more sterile than public hospitals. We have the lowest infection rate in Connecticut.


There are various gender-reassignment surgeries for transgender men. FTM genital surgery starts with an FTM hysterectomy with ovary removal, then removal and closure of the vaginal opening with vaginectomy, or colpocleisis. Patients can choose between metoidioplasty or phalloplasty to replicate the male phallus. Scrotoplasty (testicular implants) also help mimic the appearance of male sexual organs. Urethral lengthening may also be necessary in some cases.

The plastic surgeons at The Aesthetic Center are versed in the latest genital reconstruction procedures. Our surgical plans are tailored to meet your specific goals. Whether you wish to have the female genitalia partially or fully transformed into male sexual organs, we can help.

Choosing phalloplasty or metoidioplasty is a very personal decision. These are two very different procedures. While both can involve scrotoplasty (testicle implants), they differ in significant ways. The main differences are the penile size and the degree of sexual function a transgender male hopes to achieve after genital surgery.

Metoidioplasty releases existing clitoral tissue to enlarge the penile area, along with optional urethral lengthening so that the patient may urinate standing up. Patients must engage in testosterone hormone therapy for two years prior to surgery to pre-enlarge the clitoral tissue. Metoidioplasty does not allow room for an erectile device because neo-penile length is limited. Penetrative intercourse is generally not possible with this method.

Phalloplasty is considered the gold standard in FTM genital reconstruction. It is a more extensive surgery than metoidioplasty. This procedure replicates a full-size male penis with neourethra using a flap of skin grafted from the thigh or forearm. If urethral lengthening is needed, the vaginal wall flap may be reconstructed for this purpose.

Highly experienced in both types of gender-reassignment surgery, our plastic surgeons will be glad to discuss the surgical method that will deliver the results you wish to accomplish.

Recovery time varies based on the extent of surgery. The average phalloplasty downtime is 4-6 weeks. Metoidioplasty (clitoral release) is a less complex procedure with a shorter downtime of approximately 2-4 weeks. If urethral lengthening occurs during metoidioplasty, it may prolong recovery. However, the benefit is that you will be able to urinate standing up.

If you are considering plastic surgery in Fairfield County or anywhere in Connecticut, contact us to schedule a one-on-one consultation with one of our expert plastic surgeons.

722 Post Road, Suite 202, Darien, CT 06820

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