Taking the next step in your gender affirming care is deeply personal, and finding care you can trust makes all the difference. Female to male bottom surgery is more than a physical transformation; it’s an opportunity to feel fully aligned with who you are. With the right surgical team and support, you can move forward with confidence, comfort, and a renewed sense of self.
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:

What is 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.
Bottom Surgery
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.

Benefits of Female to Male Bottom Surgery
- Alleviates gender dysphoria by aligning physical anatomy with gender identity
- Enhances self-confidence and body comfort, helping individuals feel more at ease in their own skin
- Supports emotional well-being and overall mental health
- Allows for standing urination (depending on the procedure), increasing convenience and independence
- Improves sexual function and sensation, depending on surgical technique and healing
- Promotes a greater sense of authenticity in daily life and personal relationships
- Empowers individuals to live fully and confidently as their true selves
Candidates for Female to Male Bottom Surgery
- Individuals diagnosed with gender dysphoria who seek surgical alignment with their gender identity
- Those in good overall physical health, without uncontrolled medical conditions that could impair healing
- Patients who are emotionally and mentally prepared for surgery and the recovery process
- Individuals who have realistic expectations about outcomes, including function, appearance, and potential risks
- Those who have undergone hormone therapy (typically testosterone), if recommended as part of their transition plan
- Patients who have received appropriate mental health support or clearance, in accordance with established care guidelines
- Non-smokers or those willing to stop smoking prior to surgery to support proper healing
- Individuals committed to post-operative care, including follow-up visits and recovery protocols
Why Choose Ultra Aesthetics
Choosing the right provider for female to male bottom surgery is essential to achieving results that align with your goals. At Ultra Aesthetics, Dr. Ravinder Jarial is committed to delivering compassionate, patient-centered care in a respectful and supportive environment. Patients are given the information and guidance they need to make confident, informed decisions about their treatment.
With extensive training in general, plastic, and reconstructive surgery, including advanced craniofacial fellowship training, Dr. Jarial brings a high level of skill and precision to every procedure. Known for his exacting standards and dedication to patient satisfaction, he prioritizes both safety and results, ensuring you feel confident every step of your journey.
FAQs
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Live More Confidently in Your Body with FTM Bottom Surgery in West Palm Beach, FL
Your journey deserves expert care, understanding, and support every step of the way. At Ultra Aesthetics, we’re here to help you achieve results that feel authentic and empowering. Call (561) 249-0390 today to schedule your appointment and begin moving toward greater comfort, confidence, and alignment.
