Dr. Charles Garramone
BOARD CERTIFIED PLASTIC & RECONSTRUCTIVE SURGEON
Aesthetic Plastic Surgery Institute, PA
Sunrise, FL | (888) 986-7362

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  OFFICE LOCATION:

  Aesthetic Plastic
  Surgery Institute, PA

  Dr. Charles Garramone

  12651 W. Sunrise Blvd.
  Suite 102
  Sunrise, FL 33323


  MAIN OFFICE:

  Toll-Free (888) 986-7362

  (954) P L A S T I C

  (954) 752-7842







FTM Top Surgery ® (Female To Male Transgender Chest Surgery)
ManSculpture ® (Body Masculinization)

Requirements for Transgender Surgery FTM Top Surgery ® (Female To Male Transgender Chest Surgery) and ManSculpture ®

Standards of Care referenced from "Standards of Care for the Health of Transsexual,Transgender, and Gender Nonconforming People, Seventh Version" previously known as "The Harry Benjamin International Gender Dysphoria Association". Dr. Garramone is an active professional member of the World Professional Association for Transgender Health.

According to the DSM-IV classification, patients, depending on their age, those with a strong and persistent crossgender identification and a persistent discomfort with their sex or a sense of inappropriateness in the gender role of that sex were to be diagnosed as Gender Identity Disorder (GID) of Childhood, Adolescence, or Adulthood.

Simply put, a person feels as though their phenotypical appearance (outside appearance) does not match their psychological sense of being. For example, a male to female Transgender (MTF) Patient may look like a man on the outside, but feel as though they are truly a female psycholgically; or vice versa for female to male (FTM) Transgender Patients. This is what has been designated "Transexualism" per medical nomenclature and has three specific criteria:

  • The desire to live and be accepted as a member of the opposite sex, usually accompanied by the wish to make his or her body as congruent as possible with the preferred sex through surgery and hormone treatment;
  • The transsexual identity has been present persistently for at least two years;
  • The disorder is not a symptom of another mental disorder or a chromosomal abnormality.

    The Transgender Patient has usually known or felt this difference for most of their lives, and first experienced their discomfort with their genetically determined gender at a very early age. Most Transgender Patients only come to understand their feelings and sense of identity during their adolescent and young adult lives. At this point some do not seek medical help, but others choose to undergo extensive therapy, hormone replacement, and surgical correction of the body appearance. Only recently has the acceptance of surgical modification of the body, to make the patient appear more like their self-identified gender, become more understood by our society. It still remains a "taboo" to many, but for those of us in the Medical Community who deal with the Transgender Patient on a regular basis, it is a life altering and life saving endeavor.

    Sex Reassignment is Effective and Medically Indicated in Severe GID. In persons diagnosed with transsexualism or profound GID, sex reassignment surgery, along with hormone therapy and real-life experience, is a treatment that has proven to be effective. Such a therapeutic regimen, when prescribed or recommended by qualified practitioners, is medically indicated and medically necessary. Sex reassignment is not "experimental," "investigational," "elective," "cosmetic," or optional in any meaningful sense. It constitutes very effective and appropriate treatment for transsexualism or profound GID.

    For female-to-male patients, a chest masculinization procedure is usually the first surgery performed for success in gender presentation as a man; and for some patients it is the only surgery undertaken. When the amount of breast tissue removed requires skin removal, a scar will result and the patient should be so informed. Female-to-male patients may have surgery at the same time they begin hormones.


    Dr. Garramone's Office Policies for Transgender Surgery Patients

  • All transgender patients are required to have a letter from their Gender Therapist, Psychiatrist, Primary Care Physician, or Psychologist stating "Transgender Surgery is the next step in their treatment for Gender Identity Disorder or Gender Transition", and "they are psychologically ready for this next step in their therapy". This is a WPATH guideline for standards of care. Be careful of surgeons not requiring a letter within the WPATH guidelines.
  • FTM (female to male) patients are NOT required to be on any hormone therapy.
  • All transgender patients 35 years of age and older, must have a normal baseline mammogram prior to surgery. A prescription for a mammogram will be provided to you from our office.
  • All transgender patients must undergo medical clearance by their primary care physician prior to surgery.
  • All transgender patients must be at least 18 years of age or older prior to having FTM Top Surgery ® (Female To Male Transgender Chest Surgery) or ManSculpture ® surgery.

    Insurance Coverage for Transgender Surgery Patients

    Our office does not accept insurance of any kind for FTM Top Surgery ® (Female To Male Transgender Chest Surgery) and ManSculpture ® .

    Most insurance companies do not have written policies regarding coverage for transgender surgery, and for those insurance companies that state they do provide coverage for Transgender Surgery, it is only on very select plans or on a limited basis. This still does not guarantee payment to the surgeon for services provided. We are not contracted through any insurance company to specifically provide Transgender Surgery and therefore do not accept insurance coverage for payments of any Transgender Surgery.

    All FTM Top Surgery ® (Female To Male Transgender Chest Surgery) and ManSculpture ® surgery fees must be paid in full two weeks prior to the surgery date according to our current fee schedule.

    We will not speak with your insurance company, we will not request precertification, confirm benefits, or submit any claims to your insurance company for any procedures performed, either before or after surgery. Any attempt to submit a precertification, confirmation of benefits, or claim on our behalf without our prior knowledge is considered insurance fraud and is illegal in the United States, and we will assist the insurance company with all investigations into the fraudulent claim.

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