- The RFF phalloplasty takes a large skin graft from the sensitive forearm region to construct a phallus. The ALT phalloplasty takes a large skin graft from the sensitive outer thigh region to construct a phallus.
- Nerve innervation microsurgery allows the patient to experience erogenous sensation in their penis by hooking up one of the clitoral nerves to the sensory nerve of the forearm or thigh.
- A very noticeable scar is left on the forearm or outer thigh from the skin graft. 2-4 weeks after the flap is taken from the forearm, Dr. Ley will cover the donor site with a split or full-thickness skin graft from the thigh.
- The illustrations below demonstrate what steps are involved in a RFF phalloplasty, which is similar to the ALT. Specifically, we show how a penis is constructed, a urethra is lengthened and nerves are “hooked up” to allow for erotic sensation.
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