Skin graft Vaginoplasty

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About Skin Graft Vaginoplasty


Skin Graft Vaginoplasty, also known as Scrotal Skin Graft Vaginoplasty, is a well-established surgical technique for creating a vaginal canal using skin from the scrotal area. Dr. Chettasak has refined this procedure over two decades, optimizing outcomes regarding vaginal depth, appearance, and sensation.

The primary advantages of this method include:

🌷 Natural Appearance: The skin graft closely resembles the natural texture and color of vaginal tissue.

📐 Reliable Depth: Typically achieving vaginal depths of about 6 inches, suitable for sexual intercourse.

🌟 Preservation of Sensation: Dr. Chettasak’s careful surgical approach maintains and preserves nerve endings, supporting pleasurable sexual sensation post-surgery.

Advantages of Skin Graft Vaginoplasty


✅ Advantages:

  • Reliable and predictable outcomes for depth and function.

  • Aesthetic appearance closely mimicking natural vaginal tissue.

  • Sensory preservation due to nerve-sparing techniques.

Considerations of Skin Graft Vaginoplasty


⚠️ Considerations:

  • Skin graft vaginoplasty lacks self-lubrication, thus requiring lubricant jelly during intercourse.

  • Regular dilation is necessary to maintain depth; insufficient dilation can lead to irreversible shortening of the vaginal canal.

Procedure Steps & Technique

1. Creating the Vaginal Canal

During surgery, Dr. Chettasak carefully constructs a vaginal canal between the bladder and rectum. His precise technique ensures maximum achievable depth safely, avoiding complications such as fistulas or tears.

2. Harvesting and Preparing the Skin Graft

Skin is carefully harvested from the scrotum, meticulously prepared, and shaped to line the new vaginal canal. Dr. Chettasak uses a refined approach to ensure that graft tissue integrates effectively, creating a durable and naturally appearing vaginal lining.

3. Graft Placement and Stabilization

Once prepared, the skin graft is secured inside the vaginal canal. Dr. Chettasak carefully stabilizes the graft using specially prepared gauze packing, which remains in place for approximately seven days post-surgery. This allows the graft tissue to successfully adhere and heal, forming the stable vaginal lining.

Healing and Recovery

Immediate Post-Operative Care

  • After about seven days, the gauze packing is gently removed, and your healing progress is assessed by Dr. Chettasak or his surgical nurse.

  • Your initial vaginal dilation session will be supervised by our medical team to confirm your vaginal depth and teach you proper dilation techniques.

Vaginal Dilation

Following Skin Graft Vaginoplasty, regular and careful vaginal dilation is mandatory to prevent contraction of the graft tissue and to maintain the functional depth of the vagina.

Dr. Chettasak’s recommended dilation program involves:

  • Daily dilation (3 times a day) totaling approximately 2–2.5 hours per day in the first year.

  • Utilizing Dr. Chettasak’s specially designed 5-piece vaginal dilator set provided as part of your surgical package.

Why Choose Dr. Chettasak for Your Skin Graft Vaginoplasty?


Dr. Chettasak Tulayaphanich is internationally respected for his exceptional results and refined surgical techniques in transgender healthcare. With thousands of successful vaginoplasties performed for patients globally, he is recognized for:

✅ Expertise in achieving aesthetic excellence and functional results

✅ Commitment to safety, comfort, and patient satisfaction

✅ Clear and personalized communication before, during, and after your procedure

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