Skin graft technique for Sex Reassignment Surgery

Dr. Chettawut’s Vaginal Dilation Philosophy

Doctor Chettawut’s Non-Penile Inversion SRS with Skin Graft Technique

My Responsibility as Your Surgeon

I safely create the maximum achievable depth of the vaginal tunnel and use the best quality skin graft to form the entire vaginal lining. This is the foundation — but a foundation only holds if it’s maintained.

Your Responsibility as My Patient

Once you leave the operating room, the outcome becomes a shared project. Following the dilation program strictly is how you maintain the depth I created for you.

The stretching force from dilation does two things: it prevents the skin graft from contracting inside the vagina, and it keeps the vaginal wall elastic enough to comfortably accommodate penetration, regardless of size.

Dr. Chettawut’s non-penile inversion technique, unlike the traditional penile inversion method, meticulously manages the valued penile skin to create an anatomically precise and natural look for the inner labia and vaginal opening. This approach offers refined and defined aesthetic results that closely resemble a cis female’s external genital appearance.

Illustration of Dr. Chettawut's skin graft technique for male-to-female sex reassignment surgery.

Key Advantages of Non-Penile Inversion Technique

Skin Graft from Scrotal Skin

Instead of inverting the penile skin into the vaginal cavity, Dr. Chettawut uses scrotal skin as the main source for the vaginal lining. This ensures a hairless and durable vaginal lining.