Ultra Aesthetics

Ravinder Jarial, D.O.

Facial Plastic Surgery in West Palm Beach

FTM Bottom Surgery

FTM Bottom Surgery In West Palm Beach & Palm Beach, FL

Female-to-male bottom surgery works with your existing tissue to create a penis. The full procedure is called a metoidioplasty and Dr. Jarial offers one surgery in this category:

Mons Resection

A mons resection is, effectively, a procedure that moves the penis and scrotum forward to achieve a natural-looking penis (the created penis is often lower than desired and the scrotum may be between the legs). An incision is made, skin and fatty tissue from the mons pubis – the section immediately above the penis – is removed, the remaining skin pulled upward, and the incision closed. This lifts the penis to a more natural position and improves both visibility and accessibility. After a mons resection, you’ll be off work for a week, and it will take around four weeks for the majority of the healing to occur.

female to male top surgery West Palm Beach, FL

Bottom Surgery

Bottom Surgery West Palm Beach, FL

An important final step in many transgender journeys, bottom surgery can be a key piece of the puzzle in expressing a physical gender that matches your gender identity. At Ultra Aesthetics in Florida, we offer a number of bottom surgery procedures along with a raft of other male-to-female and female-to-male options to help get you where you want to be.

FAQs

Am I a good candidate for mons resection?

You may be a good candidate if you’ve noticed your neophallus appears recessed or less prominent due to excess tissue in the mons pubis. Ideal candidates are in generally good health, are non-smokers, and have realistic expectations. Dr. Jarial will evaluate your anatomy and previous surgical outcomes to determine whether this procedure suits your goals.

Can a mons resection be performed as a standalone procedure?

Yes, mons resection can be done independently, especially if you’re not seeking full bottom surgery but still want to address excess tissue or improve the contour of the area. It can also be scheduled separately from phalloplasty if healing or personal readiness requires staged procedures.

Will mons resection affect sexual function or sensation?

Mons resection focuses on the soft tissue above your genital area and typically does not impact the nerves responsible for sexual sensation. When performed carefully by an experienced surgeon like Dr. Jarial, the goal is to preserve sensation while enhancing appearance and function.

How visible will the scars be after a mons resection?

Scars from mons resection are typically placed low on the abdomen and can often be concealed by underwear or swimwear. Over time, they usually fade with proper care, and scar revision techniques may be available if desired.

How soon after bottom surgery can I undergo mons resection?

Timing depends on your healing progress. Most patients are advised to wait at least six months after phalloplasty or metoidioplasty to allow swelling to subside and tissues to stabilize. Dr. Jarial will assess your readiness during follow-up appointments.

What type of anesthesia is used for mons resection?

Mons resection is usually performed under general anesthesia, ensuring your comfort throughout the procedure. In some cases, local anesthesia with sedation may be an option, depending on the extent of the surgery and your health profile.

What are the risks or complications of a mons resection?

Like any surgery, risks include infection, bleeding, scarring, or asymmetry. Working with a surgeon who specializes in gender-affirming procedures helps reduce these risks. Following post-op instructions carefully also supports a smooth recovery.

How do I prepare for a mons resection procedure?

Preparation involves lab tests, adjusting medications, and avoiding smoking or blood thinners. You’ll receive detailed instructions from Dr. Jarial to follow in the days leading up to surgery to ensure your safety and successful healing.

Will I need to wear compression garments during recovery?

Yes, wearing compression garments helps minimize swelling, supports your tissues, and promotes even healing. You’ll be advised on how long to wear them and how to care for your surgical site during recovery.

When can I resume physical activity and exercise after mons resection?

You’ll need to avoid strenuous activities and heavy lifting for several weeks. Most patients can begin light movement after a few days and resume more intense exercise after four to six weeks, depending on healing.

Can mons resection be combined with scar revision or other procedures?

Yes, combining mons resection with scar revision, liposuction, or additional contouring can maximize your results and reduce the need for multiple recovery periods. Dr. Jarial will guide you through your options based on your goals.

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Ultra Aesthetics Location

410 Evernia St., Ste. 109, West Palm Beach, FL