Scrotoplasty and testicular implants
Building a scrotum from labial tissue and placing implants when the tissues are ready. Usually part of meta or phallo, not a surprise add-on.
A stage with its own healing, even when it shares a calendar
Scrotoplasty constructs a scrotal sac, typically from labia majora, so testicular implants have a place to sit. Implants are often delayed until swelling is down and the skin has some give. Putting large implants into a fresh reconstruction is how they extrude.
This page exists because patients deserve to see the stage named, not buried inside a phalloplasty brochure. It is almost always planned with metoidioplasty or phalloplasty. Standalone scrotoplasty is uncommon and only makes sense in specific revisions.
Dr. Maurice Garcia plans this work; your surgical card is confirmed before the date. Insurance typically treats scrotoplasty and implants as components of medically necessary bottom surgery. Authorization language should list them so they are not denied as "cosmetic implants" at the last minute. We write the request that way.
The usual sequence
Labial scrotal construction
Repositioning and shaping labial tissue into a sac, with attention to the raphe and how it will sit in clothing.
Testicular implants (often staged)
Sized to the pocket you have, not to a catalogue. Placed when the skin can hold them.
Revision of pocket or position
If an implant rides high, low, or uncomfortable, we correct it as its own short procedure.
Coordination with urethral work
Catheters, swelling, and implant pockets compete for the same small field. Staging is medicine, not delay for its own sake.
What to expect.
Map against meta or phallo
Which stage includes the sac, which includes implants, and how long between them.
First reconstruction
Scrotal shaping with the parent operation. Implants only if the tissues honestly allow it.
Implant stage
A shorter return to the operating room. You will know the implant size in advance.
Frequently asked questions
Why aren't implants always placed the first day?
Swelling and tight skin make extrusion more likely. A second short stage is ordinary care, not a complication.
Will insurance call implants cosmetic?
They might if the request is vague. We describe them as part of genital reconstruction. You can help by using that language with your plan too.
Can scrotoplasty be done without meta or phallo?
Rarely, and only with a clear reconstructive reason. For most patients it is a component of those operations.
Ask how scrotoplasty fits your bottom-surgery plan
We will show you the stages, including the implant date.