Revision and Complication Management

When affirming surgery doesn’t go as planned, our team is here to help you move forward.

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What Is Revision and Complication Management?

Sometimes, results from gender-affirming surgery may not align with your expectations physically, functionally, or emotionally. That doesn't mean your journey is over.

At The Center for Gender Affirmation we support transfeminine individuals in reclaiming comfort, sensation, and aesthetic harmony through advanced revision surgery. Whether you’re experiencing complications like tissue breakdown, scarring, or loss of function, or simply seeking a more affirming result, our microsurgical team is here to help.

Revision procedures are often part of long-term care plans or may arise years later as your identity and goals evolve. No matter the timeline, we approach each revision with the same level of empathy, precision, and hope as a first surgery.

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What Revision Can Restore

  • Relief from pain, distress, or misalignment caused by previous outcomes
  • Pride and affirmation in your reflection, and how your body feels
  • Improved sensation and function, especially for areas like the neovagina, breasts, or facial features
  • Aesthetic refinements that reflect who you are today

What to Expect

During the Procedure

Revision surgeries vary widely and may involve techniques like flap salvage, nerve coaptation, scar revision, or graft reconstruction. Some procedures are single-stage; others require a thoughtful, phased approach to protect your long-term well-being.

Our team will guide you step-by-step through a personalized plan that reflects your goals, anatomy, and healing history.

Risks and Recovery

As with any surgery, there are some risks, such as bleeding, infection, and scarring. But our team uses evidence-backed microsurgical protocols to reduce complications and optimize healing. Recovery time depends on the procedure, and we’re with you at every step — from pre-op prep through post-op support.

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What to Expect

During the Procedure

Revision surgeries vary widely and may involve techniques like flap salvage, nerve coaptation, scar revision, or graft reconstruction. Some procedures are single-stage; others require a thoughtful, phased approach to protect your long-term well-being.

Our team will guide you step-by-step through a personalized plan that reflects your goals, anatomy, and healing history.

Risks and Recovery

As with any surgery, there are some risks, such as bleeding, infection, and scarring. But our team uses evidence-backed microsurgical protocols to reduce complications and optimize healing. Recovery time depends on the procedure, and we’re with you at every step — from pre-op prep through post-op support.

Contact Us Today

Request an Appointment
Find a Location

Planning for Surgery

Travel and Accommodations 
We welcome patients from all over. Our care coordinators can help arrange lodging and travel support for out-of-town patients.

Insurance and Financial Planning
Our navigators advocate on your behalf to secure coverage whenever possible, and we offer financing guidance for self-pay cases.

Additional Resources
Looking for more information? Explore our Patient Resource Center for pre-op checklists, FAQs, and community support links.

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Frequently Asked Questions

What revision surgery options do you offer?

Our team specializes in a wide range of transfeminine revision procedures, including:

  • Breast implant revision (to address capsular contracture, asymmetry, or sizing)
  • Clitoral or sensory nerve repair (to restore erogenous sensation)
  • Facial feminization revision (for contour refinement or symmetry)
  • Scar revision and skin resurfacing (for visible surgical scars)
  • Tracheal shave revision (for residual thyroid cartilage or scarring)
  • Vaginoplasty revision (to address depth, narrowing, or function)

Each plan is personalized based on your needs, healing history, and goals for comfort, aesthetics, and function.

Will you need to undo my previous surgery?

Not necessarily. Many revisions use grafts, tissue flaps, or microsurgical repair to enhance or correct what's already there.

How soon can I get a revision?

We generally recommend waiting 6–12 months post-op to allow your body to fully heal before assessing revision options.

Is revision surgery covered by insurance?

Often, yes. Our navigators help with documentation, preauthorization, and appeals to maximize your benefits.

How do I know if I need revision?

If you’re experiencing pain, loss of sensation, visible irregularities, or emotional discomfort from a past procedure, a consult can help clarify your next steps.

What’s the difference between a revision and a touch-up?

Revisions address complications or functional concerns. Touch-ups are aesthetic refinements.