When Bluebond-Langner began his career, he said, the senior surgeon warned, “Be careful what you know.” Unheeding, he began to assemble the training he needed to perform topical surgery, vaginoplasty, phalloplasty and metoidioplasty (a minimally invasive procedure that produces small penises using only the natal tissue of the clitoris). This training took him around the world: to Thailand and Canada to study vaginoplasty and to Mexico City, where he studied microsurgery, a procedure that promotes skin transplants through vascular connections of vessels on a microscopic scale. He underwent urogenital complex surgery, including phalloplasty for micropenis and trauma. At the University of Maryland in 2016, she underwent her first gender-approved phalloplasty. The surgery, as he knew, was completed. (He and the patient lost touch after two years.) A few years ago, Rodriguez moved to NYU Langone to become president of a plastic surgery facility. Eventually, he sought Bluebond-Langner to start a career in transplant surgery.
NYU trades women-surgery in its suite on the sixth floor of the glass office in Manhattan. My first visit was in March 2021. Out of the elevator, I immediately saw how beautiful everything was. The waiting room features Keurig machines and orchids in vases and iPads with futuristic palm-print scanners. By far the age of the privacy website, the beneficiaries’ names have been posted on the walls. Taking the chair of a mid-century chair (or leather swivel lounger or chrome accent chair), a versatile journalist can forgive the thought rather than be a little unreliable. . Immigrants in the United States are in close contact with clinics: On the one hand, there are calls to expand and improve care that has a history of denial; On the other hand, we are often not blind to the fact that our body is doing well in the market for profit. “We get paid,” Bluebond-Langner said, explaining that he did not receive extra money for more patients. “Even they encouraged us a little. They will provide additional services to us. “
Bluebond-Langner is smiling and direct and often unavoidable for the surgeon alone. When he came to NYU in 2017 to start the program, he had only two colleagues – Zhao and Jamie Levine, surgeons. Over the years, the team has grown to include administrative staff, a research center, a physical therapist, two social workers and two nurses. More than half of the team identified as trans, including two surgeons in training, which Bluebond-Langner hopes will one day complete itself and Zhao.
A transplant is a list that needs to be done. In order to be approved for phalloplasty, candidates must be separated from two psychiatrists. They require laser hair removal from the skin-flp feeding area and support it through a recurring (and often immobilizing) phase of treatment. “Unfortunately, many of our patients have fallen ill,” Bluebond-Langner said, “they can not depend on their job or family for support.” He sees the program team as critical to achieving the benefits of surgery. Although trans rights have risen to prominence, many of its patients are still suffering from hardships – poverty, unstable housing, disrupted relationships – leading to recovery. harder. “If it is difficult to work because you are trans, it will not help you with surgery.”
‘People understand trade. But we will not accept this situation as necessary in other procedures. ‘
Walking home to the Bluebond-Langner private office, we pushed past rushing back and forth in custom NYU gender gowns. (The service logo is a coy fig page.) In, above the forum, hang an autographed poster of “Pose” actress Dominique Jackson. From the bookshelf, back to the issues of Plastic and Reconstructive Surgery leaned alongside a bunch of coffee books: “The Vagina Bible,” “The Great Wall of Vagina,” “A Celebration of Vulva Diversity.” ” Bluebond-Langner is our vagina for every penis. It sometimes completes three vaginas in a day; Each penis usually takes at least two surgeries, but usually four or more. “The greater the demand for vaginoplasty,” he said. “I think this goes back to the fact that it is a lower, one-level process. The risk is lower.”
The NYU project has conducted over 150 phalloplasties to date. At the initial consultation of the surgeon, Bluebond-Langner tried to understand which type of sexual preference the patient would have, in order to better integrate the procedure to improve the quality of life when reduce the risk of problems. In the early days of formalized transgender medicine in the United States – a period between the 1960s and 1980s – phalloplasty was rare and pretty much one-size-fits-all, with it the goal is to repeat the best form and function of the design concept. American noov. While this is still the prospect of many patients, Bluebond-Langner himself, and the major therapist, has begun to move away from this measure as a goal-oriented surgical measure.