A passing voice is one of the most common problems encountered by virtually everyone on the transgender continuum, especially male to female trans people.
Many of us have given up out of frustration because we believe we can’t develop a passable feminine voice.
Crane trained in, believe the standard of care in phalloplasty utilizes donor sites from either the radial forearm (RF), the back (musculocutaneous latissimus dorsi – MLD), or the outside of the thigh (anterolateral thigh – ALT).
These flaps heal well with good sensation due to robust blood supply and innervation. Crane is also a microsurgeon, so he mainly performs “free flap” phalloplasty.
Free flaps, such as the radial forearm, MLD (musculocutaneous latissimus dorsi flap from the back), and ALT (anterior lateral thigh flap, free or pedicled) require meticulous dissection of arteries, veins, and nerves.
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