Sigma-Lead (Sex Change Surgery) Results


Sigma-Lead GCS/SRS result of a 23-year-old MtF patient
  • Vaginal depth: 9 inches

Before

Clitoris and labia have a wonderful definition


Sigma-Lead GCS/SRS result of a 26-year-old MtF patient
  • This case shows the Sigma-Lead result of a young MtF transgender candidate
  • Well formed labia minora (hairless with grooves between majora and minora) can be appreciated
  • Proper clitoris shape and size with wonderful clitoral hood extension into the labia minora
  • The vaginal depth achieved in this Sigma-Lead surgery is about 8 inches

Proper female appearance of the external genitalia with defined labia minora

Clearly visible neo-clitoris with a well formed clitoral hood


Cosmetic GCS/SRS result of a 32-year-old MtF patient
  • Outer genitalia with proper female appearance and without any visible signs of surgery
  • The patient opted for cosmetic GCS/SRS with plans for a Sigma-Lead vaginoplasty at later date
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Before

Sigma-Lead Surgery Results 32

After


Cosmetic GCS/SRS result of a 33-year-old MtF patient from Nigeria
  • The result shows a proper female genital appearance
  • This cosmetic GCS/SRS resulted in a 5 inches deep vagina
  • Patient maintained the dilation schedule for 6 months
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Before

Sigma-Lead Surgery Results 34

After


Cosmetic GCS/SRS result of a 26-year-old Indonesian MtF patient
  • The Indonesian patient opted for cosmetic GCS/SRS due to financial constraints
  • The Sigma-Lead vaginoplasty is planned for a later date
  • A well defined clitoral complex and hairless labia minora are clearly visible
  • Some extra skin was left in the lower aspect so that the future Sigma-Lead vaginoplasty can be performed properly
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Before

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Cosmetic GCS/SRS showing well-defined labia majora, minora, and clitoral complex

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Right labia minora with a well-defined groove

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Left labia minora with a well-defined groove

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Extra skin at the lower aspect to be utilized for Sigma-Lead vaginoplasty at a later date


Sigma-Lead GCS/SRS outcome of a 29-year-old MtF patient from India resulting in a vaginal depth of 10 inches
  • The overall necessary dilatation schedule with soft and rigid dilators for the patient was 4 months
  • The patient is extremely happy with her clitoris and outer genitalia
  • Clearly visible well-defined labia minora with a yielding natural introitus
  • Over time the vaginal mucosa will gain a normal pinkish color as being demonstrated in picture 3
  • The patient is married and claims to have normal sexual desire experiencing female erotic pleasure and female orgasms
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Result with well-defined clitoris, labia majora and minora

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Left-hand finger pointing at the clearly visible clitoris

 

Sigma-Lead Surgery Results 42

Vaginal opening showing proper looking vaginal mucosa (Sigma-Lead mucosa)


Cosmetic GCS/SRS outcome of a 32-year-old MtF transgender patient resulting in a vaginal depth of about 4 inches
  • The patient is happy with a natural female appearance of the outer genitalia.
  • The result pictures show very well defined hairless labia minora being lifted
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Proper female vulva appearance including a well-defined clitoris and well-defined labia minora

 

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Right labia minora

 

Sigma-Lead Surgery Results 45

Left labia minora


Cosmetic GCS/SRS outcome of a 28-year-old MtF patient resulting in a vaginal depth of about 5 inches
  • The patient is highly satisfied with the natural female appearance of the outer genitalia
  • The result pictures show an excellent demonstration of well defined hairless labia minora
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Proper female appearance of the vulva including a well-defined clitoris, well-defined labia minora, and a natural introitus

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Right labia minora

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Right labia minora, lateral groove

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Left labia minora


Cosmetic GCS/SRS of a 26-year-old MtF patient from Hyderabad, India
  • She opted for cosmetic GCS/SRS due to financial constraints and the Sigma-Lead vaginoplasty will be performed at a later date
  • The option of a Sigma-Lead vaginoplasty using a short colon graft for greater depth and better vaginal sensation is available
  • The patient is happy with the shape of the outer genitalia and currently content with a vaginal depth of 4 inches
  • In cases like those, the combination of a cosmetic GCS/SRS and a Sigma-Lead vaginoplasty performed at a later date remains the best option to achieve an excellent sensitive and functional result
Sigma-Lead Surgery Results 3

Proper female appearance of the vulva including a well-defined clitoris, well-defined labia minora, and a natural introitus

Sigma-Lead Surgery Results 1

Right labia minora

Sigma-Lead Surgery Results 2

Right labia minora, lateral groove


Sigma-Lead GCS/SRS result of a 30-year-old MtF patient from West Bengal, India
  • The patient is extremely satisfied with the results
  • The patient thoroughly appreciated the rapid post-op recovery and short overall healing period
  • The visible pinkish margins are the fresh junctional scars which will disappear over time
  • The patient completed dilation training
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Proper looking vulva where the healing margins of the vagina can be seen

 

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Demonstration of the defined normal sized arousable clitoris and the sensitive labia minora


Sigma-Lead GCS/SRS result of a 26-year-old MtF patient from Africa
  • Well formed clitoris, labia majora, and minora
  • Vaginal depth achieved: about 9 inches.
  • Picture showing dilation with the soft dilator 7 days after surgery.
     
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Before

 

Sigma-Lead Surgery Results 6

After


Cosmetic GCS/SRS outcome of a 36-year-old MtF patient from China resulting in a vaginal depth of 5 inches
  • Well defined clitoral hooding, labia majora and labia minora
     
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Sigma-Lead Surgery Results 12

Sigma-Lead GCS/SRS result of a 40-year-old MtF patient from South Africa
  • The picture shows the hairless inner surface of the labia minora and depicts a clearly visible clitoris and the clitoral hood.
  • The vaginal introitus showing the mucosa covered lining can be appreciated
  • Vaginal depth achieved: 9 inches
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Sigma-Lead Surgery Results 14

Sigma-Lead Surgery Results 18

Before

Sigma-Lead Surgery Results 16

Clearly visible outer genitalia including the pubic mound and the labia

 

Sigma-Lead Surgery Results 17

Legs butterflied open showing the clitoris, hairless labia minora, urethral opening, and vaginal opening


Sigma-Lead GCS/SRS result of a 30-year-old MtF patient
  • The patient is extremely happy with the results
  • The clitoris is clearly visible and was made slightly oversized as per patient’s desire
  • Vaginal depth achieved: 9 inches, allowing for proper sexual intercourse of the patient
     
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Before

Sigma-Lead Surgery Results 19

After


27-year-old MtF patient from Nepal who received cosmetic GCS/SRS following Sigma-Lead vaginoplasty 1 year later
  • The patient completed her dilation regimen until 4 months post-op with no further dilation necessary
  • Vaginal depth achieved: fully functional 8 inches
  • 2-year follow-up picture sent by the patient
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Before Surgery

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After Sigma-Lead Surgery

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Demonstrating vaginal depth after Sigma-Lead GCS/SRS


27-year-old MtF patient from Nepal who received cosmetic GCS/SRS following Sigma-Lead vaginoplasty 1 year later
  • The patient completed her dilation regimen until 4 months post-op with no further dilation necessary
  • Vaginal depth achieved: fully functional 8 inches
  • 2-year follow-up picture sent by the patient
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External genitalia

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Insertion of the rigid dilator into the vaginal opening


Sigma-Lead GCS/SRS outcome of a 23-year-old MtF patient from the Philippines resulting in a vaginal depth of 10 inches
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Before

Sigma-Lead Surgery Results 28

After

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