Facial Masculinization Surgery (FMS) by Dr. Carlos Mendez

Facial Masculinization Surgery (FMS)

While hormone replacement therapy (HRT) with testosterone induces many physical changes, it cannot alter the underlying bone structure of the face. Facial Masculinization Surgery (FMS) encompasses a set of advanced reconstructive procedures designed to transform facial contours, providing a distinctly more masculine appearance.

At the Mexico Transgender Center, our board-certified surgeons utilize state-of-the-art techniques and custom implants to build angularity, definition, and prominence in key facial regions, helping transmasculine and non-binary individuals align their physical appearance with their gender identity.

Core FMS Procedures

A masculine face is typically characterized by stronger, more angular bone structures, a broader jawline, and a more prominent brow ridge. FMS is highly customizable, and a surgical plan may include one or a combination of the following procedures:

1. Jaw Augmentation (Jaw Contouring)

Masculine jawlines are generally wider and have a sharper, more squared-off angle at the back of the jaw. By utilizing customized surgical implants or bone reshaping techniques, we can increase the width and angularity of the lower face, creating a strong, defined jawline.

2. Chin Augmentation (Genioplasty)

A prominent, square chin is a hallmark of facial masculinity. Chin augmentation can be performed using customized implants or through a sliding genioplasty (where the native bone is cut and moved forward) to increase both the projection and the width of the chin, balancing the lower facial proportions.

3. Brow Augmentation & Forehead Lengthening

Male foreheads typically have a prominent brow ridge (supraorbital bossing) just above the eyes, and a slightly longer distance between the hairline and the eyebrows. We can augment the brow ridge using synthetic materials or bone cement to create a heavier, more masculine brow, effectively altering the way light and shadows fall across the upper face.

4. Masculinizing Rhinoplasty

A masculine nose is often broader, with a straighter profile and a less rotated tip compared to a feminine nose. Rhinoplasty can be tailored to build up the bridge of the nose or adjust the tip to create a stronger, more prominent nasal structure that complements the newly augmented jaw and chin.

5. Thyroid Cartilage Enhancement (Adam’s Apple)

For patients desiring a prominent Adam’s apple, thyroid cartilage enhancement involves placing a carefully sculpted implant over the native cartilage in the throat. This procedure safely creates the visual appearance of a male Adam’s apple without affecting the vocal cords.

Your Custom Surgical Plan

Because every patient’s starting anatomy and personal goals are unique, FMS requires a highly individualized approach. During your consultation, our surgeons will carefully evaluate your facial proportions and discuss which combination of procedures will best achieve your desired masculine aesthetic.

Finance 100% of your surgery + Plus all travel costs! 

Click here to apply Today!

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Celebrity Facelift by Dr. Carlos Mendez

Cosmetic & Anti-Aging Procedures

Did you know that at Mexico Transgender Center we also offer non-transgender procedures?

Dr. Carlos Mendez is our amazing Board Certified plastic surgeon who has performed countless HI-END FACELIFT surgeries, delivering excellent results for our patients at a fraction of the cost of such surgery in the United States. Your dream of looking young, naturally beautiful and feminine at any age, has never been this accessible.

Exceptional Quality, Accessible Pricing

Similar high-end Deep Plane Facelift results can cost up to $100K USD in the USA, but our patients achieve stunning, natural outcomes for a fraction of that price without compromising on surgical excellence.

Why Choose Our High-End Facelift?

  • Look like yourself, only way younger!
  • No distorted facial features or looking unnatural.
  • Surprise friends and family with a new, younger appearance.
  • No “grimace look” or looking like a “cat woman”.
  • Deep plane facelift technique featuring a quick recovery!
  • …and many other aesthetic procedures offered, just ask!

Understanding Facelift Techniques: SMAS vs. Deep Plane

A SMAS facelift tightens the superficial layer (Superficial Musculoaponeurotic System) for moderate aging, while a deep plane facelift goes under the SMAS, lifting deeper structures (muscles, fat) for more comprehensive, natural, and longer-lasting results, especially for significant sagging and deep folds. This makes the deep plane approach better for moderate to severe aging compared to the SMAS’s mild-to-moderate focus, but it requires more surgical skill and potentially a slightly longer recovery.

SMAS Facelift

  • Targets: The SMAS layer, lifting skin and some underlying tissue.
  • Best For: Mild to moderate aging signs, jowls, good skin elasticity.
  • Results: Natural-looking, moderate improvement, lasts about 10–12 years.
  • Recovery: Around 1 week for initial recovery.

Deep Plane Facelift

  • Targets: Deeper tissues (muscles, ligaments, fat pads) beneath the SMAS.
  • Best For: Moderate to severe aging, significant midface sagging, deep nasolabial folds.
  • Results: More dramatic, comprehensive, and natural-looking lift (avoids the “tight” look).
  • Longevity: Longer-lasting, often 15+ years, because it addresses deeper causes of aging.
  • Recovery: Can be slightly longer due to the more invasive nature.

Key Difference: Depth & Longevity

The core distinction is depth. The deep plane technique releases ligaments and repositions structural fat pads, creating a more profound, longer-lasting lift by addressing the root cause of sagging, whereas the SMAS lift tightens tissues at a shallower level.

Which is Right for You?

  • Choose SMAS for early signs of aging or moderate improvement.
  • Choose Deep Plane for more significant aging, deeper wrinkles, and the most durable results, especially for midface rejuvenation.

Always consult a board-certified plastic surgeon to determine the best technique for your specific goals and anatomy.

Yes, absolutely! Our doctors are available for private consultations via WhatsApp (up to 15-20 minutes per patient, Please see schedule and instructions on how to join).

IMPORTANT: All patients will also have a private consultation with our doctors one day before surgery.

Schedule Your Private Consultation Today!

We offer both deep plane and SMAS facelift surgery. Please read above description to learn more about each approach.

To protect the privacy of our patients, we do not publicly display their facial photos on our website. Some patients have agreed to share their before/after photos with out prospective patients. Please contact us for more information.

Facelift surgery by Dr. Carlos Mendez
Looking to connect with our past patients who received a similar surgery at Mexico Transgender Center?
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Finance 100% of your surgery + Plus all travel costs! 

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Hair Transplant Surgery (Tijuana)


Great news!

We now offer hair transplant surgery in Tijuana by Dra.Del Cabello in Tijuana.

We are able to offer special low-cost packages for our transgender and non-transgender patients.

Dra.Del Cabello is well known in the industry for her attention to detail and amazing results!

This page will be updated soon with more information. In the meantime, feel free to place your inquiry.

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Orchiectomy & Nullification, Penectomy by Dr. Ivan Aguilar

"I traveled all the way from Australia to see Dr. Ivan for my Nullo surgery and it was the Best Decision Ever!" - Steven (AU)
5/5

Gender-Affirming & Urological Procedures

Orchiectomy (Bilateral)

Sometimes, it is difficult or impossible to take feminizing hormones. An endocrinologist may recommend an orchiectomy, which involves removal of the testicles, to considerably reduce the production of testosterone.

Important Consideration for Future Vaginoplasty

An orchiectomy prior to vaginoplasty does not compromise the results of the latter. However, because the scrotal skin may retract (shrink) after an orchiectomy, a skin graft may be necessary for the construction of the vaginal cavity. If you plan to have vaginoplasty surgery, it is recommended that you do stretching exercises with the skin of your scrotum to prevent it from retracting (shrinking) after your orchiectomy.

Orchiectomy with Scrotectomy

During an orchiectomy, the surgeon will remove one or both testicles from the scrotum. During a scrotectomy, the surgeon will remove the entire scrotum or a portion of it.

If your transition will eventually include a vaginoplasty, the scrotal tissue may be used to create the vaginal lining. A vaginoplasty is the construction of a vagina using skin grafts. In these cases, a scrotectomy may not be recommended.

If there is no scrotal tissue available for a vaginoplasty, the next option for constructing the vaginal tissue can often include skin grafts from the upper thigh.

It is a good idea to talk to your doctor about all of your options. Be open with them about future surgeries you may plan to have. Before the procedure, talk to your doctor about fertility preservation and the impact to sexual functioning.

Male Nullification (Male-to-Nullo)

Male nullification, or genital nullification surgery (nullo/nullectomy), is a type of gender-affirming surgery where external male genitalia (penis and scrotum) are removed, the urethra is shortened, and the area is made smooth. This creates a neutral or agender appearance, often with preserved nerve endings for sensation. It is popular for non-binary individuals seeking alignment with their identity beyond traditional binary transitions.

What It Involves

  • Penectomy: Removal of the penis.
  • Orchiectomy: Removal of the testicles.
  • Scrotal Reduction: The scrotum is reduced or removed.
  • Urethral Shortening: The urethra is shortened, allowing urination through the new opening.
  • Sensate Tissue Preservation (Optional): Some surgeons can preserve highly sensitive penile tissue and bury it in the mons, creating a “hidden” clitoris for heightened sensation.

Who It Is For

  • Non-Binary & Agender Individuals: People whose gender identity isn’t exclusively male or female and seek a body that reflects a neutral or null gender.
  • Gender Non-Conforming Individuals: Those who don’t desire a full binary transition but want genital affirmation.

Goals & Benefits

  • Gender Affirmation: Aligns physical form with internal gender identity.
  • Smooth Appearance: Creates a flat, unbroken transition from the abdomen to the groin.
  • Empowerment: A powerful declaration of self-acceptance and authenticity.
  • Improved Mental Health: Reduces gender dysphoria and increases well-being.

Key Considerations

  • Recovery: Involves several weeks of healing with activity restrictions.

Female Nullification

Female nullification, or genital nullification surgery (also called nulloplasty), is a type of gender-affirming surgery for non-binary or agender individuals, particularly those assigned female at birth (AFAB). The procedure removes genital tissue (like the clitoris, labia, and uterus) and creates a smooth, flat pelvic area with only urethral and anal openings. This aligns their physical body with a non-binary identity or desire for a sexless appearance, often involving burying sensitive tissue for retained sensation.

What It Involves (for AFAB individuals)

  • Removal of tissue: Vaginectomy, labiectomy, clitorectomy, vulvectomy, and sometimes hysterectomy (uterus removal).
  • Urethral modification: Shortening the urethra and creating a smooth opening.
  • Creation of a smooth area: Removing excess skin and tissue to create a flat, smooth transition from the lower abdomen to the groin.
  • Sensation preservation: Often, clitoral nerve tissue is preserved and buried in the mons (the mound of flesh above the pubic bone) for potential sensation.

Goals and Reasons

  • Gender affirmation: To align physical characteristics with an agender or non-binary identity.
  • Dysphoria relief: To alleviate gender dysphoria for individuals who don’t feel male or female.
  • Asexuality/Sexlessness: To achieve a body that reflects a physically sexless or asexual identity.

Recovery & Considerations

  • Recovery: Involves significant pain, swelling, limited movement, and restrictions on heavy lifting for several weeks to months.
  • Customization: Procedures are highly customizable to meet individual goals.

Penis Reduction Surgery

Penis reduction surgery, or reduction corporoplasty, is a rare procedure to decrease penile size (length or girth) due to conditions like macrophallism (abnormally large penis from genetics or sickle cell) or severe deformity. It often involves removing tissue to improve function, aesthetics, or allow for comfortable intercourse. Techniques include tissue excision, skin plication, and sometimes urethroplasty, aiming for better symmetry and normal function, though it is highly complex and case-specific.

Reasons for the Surgery

  • Macrophallism: A condition where the penis is significantly larger than average, causing physical difficulties.
  • Functional Issues: Inability to have intercourse or play sports due to size or shape.
  • Partner Comfort: To alleviate discomfort for a partner during intercourse.
  • Reconstruction: To reduce size after reconstructive surgery.
  • Cosmetic/Psychological: Dissatisfaction with size or appearance.

Surgical Techniques

  • Tissue Excision: Removing elliptical or wedge-shaped sections of tissue from the penile shaft (corpora).
  • Incision & Reshaping: Using Y-shaped or curved incisions to reduce circumference and reshape the glans.
  • Urethroplasty: Re-routing or adjusting the urethra (urine tube) to fit the reduced penis.
  • Corporoplasty: Modifying the erectile tissue (corpora cavernosa) to reduce bulk.

Outcomes & Considerations

  • Success: Case reports show successful reduction with improved appearance, symmetry, and function, with patients reporting high satisfaction.
  • Risks: Potential complications include issues around the urethra and erectile dysfunction, though specialized cases report good functional recovery.

Finance 100% of your surgery + Plus all travel costs! 

Click here to apply Today!

NOTICE ABOUT SURGERY PHOTOS: Post op photos are available upon request.

Looking to connect with our past patients who received a similar surgery at Mexico Transgender Center?
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Mastectomy, FTM and Non-Binary Surgery

Mexico Transgender Center FTM Body Masculinization

Torso Masculinization Surgery

Also known as Top Surgery, this procedure involves the surgical removal of breast tissue and mammary glands to create a flatter, more masculine or contoured chest appearance.

Surgical Techniques

Subcutaneous (Periareolar) Mastectomy

Typically recommended for patients with minimal excess skin and smaller chests.

  • Small incisions are made following the lower border of each areola.
  • Tissues, glands, and excess skin are carefully resected through these small incisions.
  • The incisions are then closed, resulting in minimal, well-concealed scarring.

Double Incision Bilateral Mastectomy Most Popular

This technique is recommended by surgeons for patients with a larger amount of excess tissue, mammary glands, and skin.

  • An incision is made around each areola to safely remove and preserve the nipple.
  • A sub-pectoral (lower chest) incision is made on each side of the torso.
  • The skin between the nipple and the lower incision is removed along with the underlying tissue and mammary glands.
  • The chest is contoured and the sub-pectoral incision is securely closed.
  • The nipples are grafted and attached to a natural, masculine position on the torso (Nipple-Areolar Complex or NAC graft).

Post-Operative Care & Healing

After Surgery Guidelines

Specific Care (Drains): You may have Jackson-Pratt drains temporarily installed during surgery to prevent fluid buildup. You will likely leave the hospital with these drains in place. A family doctor or nurse can easily remove them a few days after your surgery, following your surgeon’s specific directions.

The Healing Process: Healing is a gradual process. During the 9 to 12 months following the procedure, the skin will naturally retract, which helps correct any residual laxity or looseness over the chest wall.

Enhancements

Chest (Pectoral) Implants

Male chest implants are designed to add bulk, size, and definition to the pectoral region. They can be used to build an underdeveloped chest or correct existing muscle asymmetries.

  • Material: Unlike fluid-filled female breast implants, male implants are made of soft but solid silicone, meaning they cannot leak or deflate.
  • Placement: They are anatomically designed for a masculine physique and are placed beneath the pectoral muscles.

Did you know? Dr. Carlos Mendez has performed hundreds of reconstructive transgender procedures, including double mastectomy, non-binary mastectomy, facial and body masculinization surgery and more!

"My experience has been truly amazing! Scarring healed up so well, better than I expected, after just 3 months!" - Noah (USA)
5/5

NOTICE: Most of these examples were taken only 1-5 days post-op. Scar will heal with time.

"Entire staff was amazing, my surgery was a huge success and I am extremely happy now!" - Jake (USA)
5/5

Finance 100% of your surgery + Plus all travel costs! 

Click here to apply Today!

Looking to connect with our past patients who received a similar surgery at Mexico Transgender Center?
Ask us to join our friendly WhatsApp group TODAY!
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Penis Enlargement With PeniFlex™ by Dr. Ivan Aguilar

Penile Lenghening & Girth Augmentation with PeniFlex™ and other techniques.

Dr. Ivan Aguilar is the only doctor in Mexico who has years of experience in penile enlargement. He is the inventor of the revolutionary PeniFlex™ silicone implant. For penile lengthening we dissect the penis for a degloving of the penis, thus we start gaining length, after that we cut the penis suspensory ligament in order to achieve the results required, we must consider penoescrotal skin adhesion, if need it, we can do a reduction to gain more length, after completing the lengthening procedure. The length and girth augmentation depend on the patients penis, we can achieve enhancement of 2 to 2.8 inches. The surgery is an ambulatory procedure and you can go back home 3-5 days later, no stitches removal required.
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For girth augmentation, we use fat transfer, hialuronic acid, Radiesse or PMMA, Alloderm or Belladerm, and the latest autology tissue dermal fat graft, a procedure where we take fat with dermal graft from below the buttock area, finally we proceed to circumcision if the patient desires, procedure we do recommend.

PeniFlex™ implant is a very popular and completely permanent solution to penile enlargement.

Click here to visit our penile enlargement website
Looking to connect with our past patients who received a similar surgery at Mexico Transgender Center?
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Ready to start exploring your options?
TALK TO US TODAY!

Finance 100% of your surgery + Plus all travel costs! 

Click here to apply Today!

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Prices, Packages & Special Offers

Surgical Investment Guide

All prices are listed in US Dollars

NOTICE

Prices are subject to change. Quotes are valid for 90 days, subject to current official USD/MXN exchange rate. If your surgery is not listed, please contact us for a custom quote.

Lower Feminization Surgeries

  • Bilateral Orchiectomy OR Scrotectomy: $2,999 (Special)
  • Scrotoplasty (Standalone): $3,299
  • Orchiectomy with Scrotectomy: $3,599 (Special)
  • Nullification (Nullo Surgery): $9,999 (Special)
  • Zero (Limited) Depth SRS: $11,999 (Special)
  • PPV (Phallus Preserving Vaginoplasty): $13,999 (Reg. $16,999)
  • Penile Inversion with Scrotal Graft: $14,999 (Special thru Aug 2026)
  • Peritoneal Pull-Through SRS: $21,999 (Special thru May 2025)
  • Penectomy / Partial / Penis Reduction: $8,999 – $14,899 (Based on complexity)
  • Circumcision: $999 (Add-on) / $1,999 (Standalone)

Facial Feminization Surgery (FFS)

  • Upper Lip Lift: $2,599
  • Tracheal Shave: $3,399
  • Jaw Remodeling (Bone Shave): $3,999
  • Chin Reconstruction (Without Implant): $3,999
  • Primary Rhinoplasty: $4,699 – $4,999
  • Chin Reconstruction (With Implant): $4,999
  • Type 3 Forehead & Hairline Advancement: $7,399 (Special)
  • Lip Injections: $450 / mL

Body Feminization

  • Breast Implants (Round, Cohesive Silicone): $5,999
  • Breast Implants (Anatomical Cohesive): $6,499
  • Gluteal (Buttocks) Implants: $7,999
  • Gluteal Implants + 360° Liposuction: $11,999 (Overweight patients: Please inquire)
  • 360° Liposuction (Hi-Def + Vaser + J-Plasma): Please inquire (Based on BMI)

Masculinization Surgeries (FTM & Non-Binary)

  • Mastectomy (Top Surgery): $4,999 (Based on BMI)
  • Metoidioplasty (Without implants/vaginectomy): $5,999
  • Hysterectomy: $6,599 (Note: Required before vaginectomy)
  • Metoidioplasty (Complete with testicular implants): $6,999
  • Metoidioplasty (Complete with implants & vaginectomy): $8,499
  • Kim Phalloplasty (3-Stage Procedure): $31,999

Secure Your Pricing & Financing Options

While hospital costs and exchange rates inevitably fluctuate, we are dedicated to keeping our world-class care accessible. Dozens of patients have already locked in these current low prices for their future surgeries—ask us how you can secure yours today!

We also offer flexible financing. US patients can finance up to 100% of their surgery and travel costs (subject to credit approval).

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Male-To-Female Sex Reassignment Surgery (SRS)

"Dr. Aguilar and his entire team was super attentive and made me feel truly special! Recommended 100%" - Lisa (USA)
5/5

Surgical Methods for MTF Gender Reassignment

At the Mexico Transgender Center, we understand that choosing the right surgical approach for your transition is one of the most significant decisions you will make. Gender confirmation surgery is not one-size-fits-all. The optimal technique depends heavily on your anatomical starting point, your surgical goals, and your lifestyle considerations.

This comprehensive guide details the four primary surgical methods we utilize, outlining the procedural mechanics, advantages, limitations, and specific recovery protocols to help you make an informed decision.

The MTC Advantage: Surgical Hair Removal

A standard requirement for many inversion techniques globally is 12 to 18 months of painful and costly pre-operative electrolysis or laser hair removal to prevent internal hair growth. At the Mexico Transgender Center, we utilize a specialized surgical defolliculation approach in the operating room.

During your surgery, our skilled surgeons meticulously dissect the tissue flap and manually scrape away the subcutaneous fat and hair follicles from the dermis. This safely clears the tissue of active follicles, saving you thousands of dollars and months of delay.

Clinical Note: While highly effective, patients should be aware that dormant follicles (those not actively growing during surgery) can occasionally be missed, carrying a slight risk of minor future internal hair growth. Additionally, the scraping process requires precise thinning of the tissue, which our experienced surgeons carefully manage to preserve optimal blood supply.

1. Penile Inversion Vaginoplasty

The Penile Inversion method remains the “gold standard” in gender-affirming surgery globally due to its long history of reliability and excellent cosmetic outcomes.

The Procedure

The surgeon carefully dissects the penile skin and inverts it (turns it inside out) to form the lining of the newly created vaginal cavity, which is situated between the rectum and the bladder. The scrotal skin and urethral tissue are artfully repurposed to construct the external female genitalia, including the labia and a sensate clitoris.

Pros

  • Uses native genital skin, providing excellent natural sensation and aesthetic blending with surrounding tissue.
  • A highly reliable, widely practiced technique with decades of clinical data.

Cons

  • Vaginal depth is entirely dependent on the amount of available penile tissue.
  • The resulting canal does not naturally self-lubricate.

Recovery

Patients typically remain in the hospital for 2 days, returning home with a urinary catheter for approximately one week. A rigorous, lifelong dilation schedule is strictly required to prevent the canal from losing depth or closing.

2. Penile Inversion with Scrotal Graft

This hybrid approach is utilized for patients who desire full penetrative depth but lack sufficient penile tissue—a common occurrence for patients who began hormone replacement therapy early or utilized puberty blockers.

The Procedure

To overcome the lack of penile skin, the surgeon harvests a section of scrotal skin. This tissue is thoroughly cleaned of fat and follicles (utilizing our surgical defolliculation method) and is sutured to the end of the inverted penile skin, acting as an extension tube. This elongated tissue complex is then positioned into the pelvic cavity to form a deep vaginal canal.

Pros

  • Guarantees adequate vaginal depth even with minimal starting penile tissue.
  • Eliminates the need for complex abdominal or intestinal grafts by utilizing localized genital tissue.

Cons

  • There is a slightly higher risk of tissue stricture (narrowing) at the internal seam where the two skin types are joined.

Recovery

The hospital stay mirrors the standard inversion (2 days). However, postoperative dilation must be executed with extreme meticulousness. Skin grafts are naturally prone to contraction as they heal, so consistent dilation is paramount to ensure the graft adheres properly and maintains its full depth.

3. Zero-Depth Vaginoplasty (Vulvoplasty)

Vulvoplasty is an external-only procedure designed for patients who seek the aesthetic and functional external appearance of female genitalia but do not desire a vaginal canal for penetrative intercourse.

The Procedure

The surgeon removes the internal erectile tissues and utilizes the native penile and scrotal skin to sculpt a highly aesthetic clitoris, labia majora, labia minora, and female urethral opening. Crucially, no deep dissection is performed between the bladder and rectum, meaning no internal cavity is created.

Pros

  • No dilation is ever required.
  • Significantly shorter surgery and an easier, less painful recovery period.
  • Drastically reduced risk of deep pelvic complications, such as rectal or bladder fistulas.

Cons

  • Penetrative vaginal intercourse is not possible.
  • Revising a zero-depth procedure to a full-depth procedure later in life is highly complex and usually requires invasive intestinal grafting.

Recovery

Hospitalization is brief, usually 1 day. A catheter remains for about a week to protect the repositioned urethra. Recovery focuses entirely on external wound care and managing localized swelling, avoiding the deep pelvic pain associated with cavity creation.

4. Robotic Peritoneal Pull-Through

This is a highly advanced, minimally invasive robotic technique that utilizes the body’s internal abdominal lining to create a superior vaginal canal.

The Procedure

Using a precision robotic surgical system (such as the Da Vinci robot) via small abdominal incisions, the surgeon accesses the peritoneum—the highly vascular, elastic membrane lining the abdominal cavity. This membrane is pulled down and attached to the pelvic floor to form the upper portion of the vagina. The lower entrance is typically lined with a specially prepared scrotal skin graft.

Pros

  • Achieves excellent vaginal depth independent of external genital size.
  • The peritoneal tissue closely mimics natural vaginal mucosa and provides natural self-lubrication.
  • Virtually eliminates the risk of internal hair growth.

Cons

  • A highly complex, dual-site surgery requiring both external genital reconstruction and internal abdominal access.
  • Carries slightly different risks related to abdominal surgery (e.g., bowel complications) since the abdominal cavity is breached.

Recovery

Hospitalization typically lasts 2 to 4 days. Initial recovery involves healing the small abdominal incisions used for the robotic arms. While the peritoneal lining is elastic and forgiving, a standard dilation protocol is still required to maintain the canal space and ensure the elasticity of the lower scrotal graft.

Summary Comparison

Method Vaginal Depth Self-Lubrication Dilation Required Best Suited For
Penile Inversion Dependent on native tissue No Yes (Lifelong) Patients with adequate penile tissue seeking a proven method.
Inversion + Graft Excellent (Extended) No Yes (Strictly) Patients with minimal tissue seeking full penetrative depth.
Zero-Depth (Vulvoplasty) None (External Only) N/A No Patients prioritizing an easier recovery, no dilation, and external aesthetics.
Robotic Peritoneal Excellent Yes (Natural Mucosa) Yes Patients seeking natural lubrication or those needing revision surgery.

The clitoral hood is a fold of skin that surrounds and protects the clitoris. It is vital not only in protecting the clitoris, but also in achieving pleasure during sexual arousal, this hood is constructed with the penile skin and the urethra mucosa to achieve this sensation.

Dr. Aguilar expertise is to preserve specific sensory nerve to provide excellent sensation and successful achievement of orgasm, the neo-clitoris is made from the dorsal part of glans pens, the most sensitive area of the glans and the preservation of the neurovascular bundle will ensure the sensation and achievement of orgasm guarantee.

The vulva is made from the ventral part of the penis when is inverted and a lining of the urethra mucosa, will provide lubrication and pleasure sensory, due to its pudendal innervation and the inner labia is normally pink in color and extends to the bottom of the vulva vestibule to become the posterior fourchette which is similar to the appearance of inner labia in biological women.

Dr. Aguilar do not depend on the inversion of the penile skin totally, the scrotal skin, will be remodeled and will create a natural shape of vaginal opening in vertical orientation for the best realistic look and function, this scrotal graft will provide a 6 to 8 inches depth vagina, allowing Dr. Aguilar to use part of the penile skin for the creation of the labia. The vaginal opening can also expand appropriately to accommodate pleasurable sexual intercourse and vaginal dilators in varied sizes.

The process of skin graft technique is delicate as the donor skin from scrotum and groin will be converted to be the intermediate thickness of skin graft which means the superficial part of dermal layer is preserved to maintain skin durability.

To ensure that the skin graft will be 100% hairless, the hair follicles of the scrotal skin will be cauterized, so if the patient did not got a proper laser hair treatment or Hydrolysis, Dr. Aguilar will take care of the hair follicles during the surgery.

Self-lubrication can be also expected by preservation of specific secretory glands around the urethral & vaginal opening, but Dr. Aguilar recommends lubricant for intercourse, for less vaginal discomfort.

The urethral orifice is set above the vaginal opening at the correct anatomical position to allow female pattern of urine flow, being Dr. Aguilar a reconstructive urologist, the urethra reconstruction is guarantee it won’t close, major complication seeing in plastic surgeons urethroplasty.

All spongiosum muscles around urethra are completely removed to prevent tissue engorgement during sexual arousal which can narrow the vaginal opening, create the sensation of cystocele or cause difficulty during sexual intercourse.

Our highly qualified surgical nurses will assist you after the operation, they will be with you 24/7 in the hospital at your bedside, after you are discharged they will come to visit your daily at the hotel and they will do their best to provide all necessary after care for you, it is our policy to provide only well-trained and specialized surgical nurses who know all the details of your surgery to closely monitor and take care of you during your recovery.

Upon discharge, we will provide you with all necessary oral medications including the detailed instruction on how to take the medications correctly, post-surgical garment to retain the vaginal package (Special Diaper), SRS certificates containing the original handwritten signatures of Dr. Aguilar and Letter of Postoperative Care Management.

For Penile Inversion SRS you will be required to purchase a set of dilators:

soulsource.com 

Sensitivity and orgasm are well achievable with all types of SRS as the nerves responsible for sensation are carefully preserved during the surgery. 

Like with any surgical intervention, complications do happen but they are rather rare. Mainly, complications are related to vaginal canal, that may lose depth or even close up, if dilating regimen is not closely followed or done improperly. We have performed hundreds of SRS surgeries to date and are only aware of 2 patients who lost depth due to failure to dilate. Rectal injury is also a possible risk with certain patients.

Remember, after you leave hospital, it is your sole responsibility to closely stick to dilation regimen, to avoid closure of vaginal canal.

Note that none of these risks are present for cosmetic SRS, which does not involve creation of a vaginal canal or any dilating at all. More and more of our patients choose cosmetic SRS.

Yes, absolutely! Our doctors are available for private consultations via WhatsApp (up to 30 minutes per patient, Please see schedule and instructions on how to join).

IMPORTANT: All patients will also have a private consultation with our doctors one day before surgery.

Schedule Your Private Consultation Today!

Therapist letter is NOT required for nullification and zero depth vaginoplasty. At least one letter is needed for other types of MTF SRS.

In some cases we can help obtain the letter while you are already in Mexico, for patients coming from countries where obtaining such letter can be difficult.

Finance 100% of your surgery + Plus all travel costs! 

Click here to apply Today!

NOTICE ABOUT SURGERY PHOTOS: Post op photos are available upon request.

Looking to connect with our past patients who received a similar surgery at Mexico Transgender Center?
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Facial Feminization Surgery (FFS) by Dr. Carlos Mendez

Facial Reconstruction & Feminization

Face & Neck Lift Surgery

Dr. Mendez utilizes the 2 layer rhytidectomy which includes the combination of skin rejuvenation and also SMAS lift, this is a more reliable method of skin rejuvenation that mainly works by eliminating the saggy skin and creases and tightens the muscles and tissues underneath it to achieve a more youthful look and longer result compared with only traditional skin lifting procedure.

Upper and lower Blepharoplasty & Double eyelid surgery, which consist in the surgical removal of fats and excess skin on the upper and lower eyelid, is a procedure that can be done at the same time (for an extra cost). Apart from its aesthetic effect, the upper eyelid surgery is beneficial for older people who have droopy skin that interferes or blocks their vision. An attractive & natural fold with long lasting result will be achieved.

Otoplasty

Surgery of the ear is a minor operation to correct the protruding ear by skin and/or cartilage reshaping. A linear incision made during the surgery will be well hidden and unnoticeable when viewed from the back to bring the ear closer to the head.

Rhinoplasty

We offer various nose surgeries which includes feminizing, reshaping and reduction rhinoplasty depending on the individual’s need or preference. In many cases, the incisions are made via what’s referred to as a “closed rhinoplasty.” This means that the incisions are made on the inside of the nose with access via the nostrils. However, there are some cases where an “open rhinoplasty” is preferred in order to provide greater surgical access. In these cases, an incision is discreetly placed on the strip of skin which separates the two nostrils; we also recommend nose tip refinement or bulbous nose correction without bone reshaping.

Forehead / Brow Bone Contouring

This procedure reduces the prominence of the supraorbital rim using the most common bone burring method. In men, the eyebrows are usually set lower than those of a woman. It is for this reason that many Facial Feminization patients undergo a brow lift, sometimes called a forehead lift, in order to raise the eyebrows to a more feminine level.

When performed reconstruction, this approach is more invasive but may be recommended in some cases. It involves the removal and remodeling of a portion of the forehead bone structure which is then put back in place. This bone reshaping method is not only recommended for feminization but it is also suitable for those men and women who are born with largely protruding brow bone structure. The degree of reduction will depend on the patient’s anticipated end-result.

Cheekbone Contouring

With this procedure the zygomatic bones are being manipulated to restructure and reposition the protruding parts to narrow the middle part of the face to achieve a soft and feminine face profile that is appropriately proportional with the other parts of the face.

We can also recommend a cheek implant for those patients in which the cheekbone is flat, and we want to achieve a more prominent and feminine facial look. This procedure is intended to provide more volume and projection to the cheekbone and the area underneath the cheek bone to provide elegance to the mid-face area.

Jaw and Chin Contouring

This procedure is suitable for both men and women who wish to achieve a narrower and a “V” shape face. Dr. Mendez’s technique is a one-line reduction carried out through an intra-oral approach so it does not create any incision or scar on the face.

Trachea Shave

This is also called “Adam’s apple reduction” and “Chondrolaryngoplasty” and it aims to reduce the size of the thyroid cartilage to achieve a feminine neck area.

Chin Implant

Dr. Mendez performs chin implant surgery to enhance the projection of chin in order to attain a more proportionate upper and lower facial structure. This procedure can be done intra-orally either under local anesthesia for standalone procedure or general anesthesia if done together with jaw / chin contouring surgery or complete facial feminization.

Hairline Advancement

The hairline is undoubtedly an area where the difference between the sexes is quite noticeable. Genetically born males typically have higher hairlines than do genetically born females. In addition, it is common for the male hairline to recede, especially in the areas just above the temples.

The hair advancement surgery is performed by an incision in the hair implantation area and the hairline is advanced towards the eyebrow. The incision will be concealed in the hairline for better aesthetic results. We can also perform Follicular Unit Extraction (FUE) Hair Transplant for our patients with substantial male pattern baldness.

Chin & Jaw Shaping

The main goal for jaw surgery is to achieve the V shape of the face. The male jaw is a square area which provides a masculine and dominant face pattern; eliminating this area and bringing it into a V shape will provide a successful facial feminization. We usually recommend the chin implant in this surgery to enhance the V shape into a more feminine look.

Lip Lift & Filler

Dr. Mendez performs a lip lift in order to reduce the distance between the bottom of the nose and the top lip. An incision is made under the nose and a portion of skin is removed in order to raise the lip up and shorten the area, to provide a more feminine look.

Yes, absolutely! Our doctors are available for private consultations via WhatsApp (up to 15–20 minutes per patient, Please see schedule and instructions on how to join).

IMPORTANT: All patients will also have a private consultation with our doctors one day before surgery.

Schedule Your Private Consultation Today!

We encourage you to be extremely detailed. FFS is highly individualized. During your consultation with our surgeons, bring reference photos and be highly specific about your goals for bone contouring (forehead, jaw, and chin). Our surgical team favors a natural, harmonious approach, but if you desire more aggressive contouring, this must be clearly communicated and agreed upon during your pre-op planning.

Facial Feminization Surgery (FFS)
Before & After

"My experience was top of the line from the first contact, to the surgery and my recovery!" - Sandy (USA)
5/5

Finance 100% of your surgery + Plus all travel costs! 

Click here to apply Today!

Looking to connect with our past patients who received a similar surgery at Mexico Transgender Center?
Ask us to join our friendly WhatsApp group TODAY!
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Body Feminization Surgery by Dr. Carlos Mendez

Body Contouring & Feminization

Liposuction

Liposuction slims and reshapes specific areas of the body by removing excess fat deposits and improving your body contours and proportion. We also offer 360-degree high-def liposuction with Vaser and J-Plasma, a technique that yields the most dramatic results for body feminization. So, if you are seeking that hour-glass body shape, ask us today about the 360-degree high-def liposuction package. Rib narrowing surgery is also available for those seeking to make their waist more narrow and feminine!

RibXcar

Getting that narrow feminine waist has never been this affordable! RibXcar is an advanced form of rib remodeling designed to enhance your natural waistline by reshaping specific ribs—without the need for removing full ribs. Depending on your goals, we can target 2, 4, 6, or even 8 ribs to create a more contoured, feminine shape. Here’s what makes it different from traditional rib removal:
  • Minimally invasive: Instead of removing ribs for a smaller waist, the technique modifies their shape for a more natural result.
  • Tiny, nearly invisible scars: The procedure uses a pinhole incision, making it discreet and easy to hide.
  • Faster recovery: Less trauma to your body means a smoother healing process.
Many patients choose RibXcar as a standalone procedure, but it can also be the perfect add-on to a tummy tuck or 360-degree Lipo for an even more dramatic transformation.

Tummy Tuck

Tummy tuck surgery, also known as abdominoplasty, removes excess fat and skin and, in most cases, restores weakened or separated muscles creating an abdominal profile that is smoother and firmer.

Breast Augmentation via Implants

Breast augmentation is the surgical placement of breast implants to increase fullness and improve symmetry of the breasts.

Fat Transfer

Also known as fat grafting or fat injection. A fat grafting procedure transfers fat from areas in which you have excess fat, such as the outer thighs, and injects it into areas that may be lacking in volume, such as your face, hands, breasts or buttocks. This safe, long-lasting, well-tolerated procedure produces natural-looking results. Every year, thousands of people undergo successful fat grafting and are pleased with the results.

Brazilian Butt Lift (BBL)

The brazilian butt lift (BBL) is a type of butt augmentation procedure which results in youthful, prominent, perky buttocks and a more sensual body profile. The surgical procedure uses your own fat, so it is the most natural way to augment your buttocks. Over the last few years, the buttocks have received more press coverage than ever before. People of all ages and body types are having the Brazilian Butt Lift procedure.

Buttocks (Gluteal) & Hip Implants

For those with insufficient fat deposits to qualify for brazilian butt lift (BBL), we offer anatomical gluteal implants, as well as hip implants. Unlike with BBL, where fat can eventually start moving around your body due to natural internal processes, implants produce beautiful permanent results.
A $60 USD non-refundable consultation fee applies. This fee will be deducted from your final surgery cost, making your consultation FREE! Payments are securely processed via PayPal, (*** NOTE: PayPal account is NOT required ***), pay securely using your credit or debit card.

Plastic and reconstructive surgery does carry some risk, like with any surgical intervention. Body feminization procedures are considered safe when performed by a Board Certified plastic surgeon. We operate at CHG Hospitales, a fully equipped and fully staffed private hospital. Rest assured that you are in good hands and that your safety is our top priority.

Brazilian Butt Lift (BBL) requires a patient to have sufficient fat deposits to be harvested and transferred into buttocks area. About 40% of harvested fat will be lost during purification process, therefore many patients may end up with not enough fat to be injected into buttocks area. For these patients, we recommend gluteal implants that will provide permanent and beautiful results. Our doctors will evaluate each specific case and make appropriate recommendations.

Recovery time will vary by procedure, from 1-2 weeks for breast augmentation to up to 2 months for gluteal implants and fat transfer.

Yes, absolutely! Our doctors are available for private consultations via WhatsApp (up to 15-20 minutes per patient, Please see schedule and instructions on how to join).

IMPORTANT: All patients will also have a private consultation with our doctors one day before surgery.

Schedule Your Private Consultation Today!

"I can't believe my results! Dr. Mendez has vastly surpassed my expectations - Monica Sanchez"
5/5

360-degree liposuction with J-Plasma + Vaser & Butt implants

SPECIAL COMBO OFFERS ARE AVAILABLE - ASK US TODAY!

Finance 100% of your surgery + Plus all travel costs! 

Click here to apply Today!

Looking to connect with our past patients who received a similar surgery at Mexico Transgender Center?
Ask us to join our friendly WhatsApp group TODAY!
Read more