#ALT phallo

[vvossy]

Transmasc Summer 🐋🐚 Sims4 CC Masterpost

Top surgery - RFF Phalloplasty - Hysterectomy

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I've wanted phalloplasty scars in the sims4 for eons now as a few of my OCs (pictured above) have had bottom surgery, but no one had made any yet, so I decided to make my own.

I ended up going all out and also making a set of hysterectomy and top surgery scars to match the style of my phalloplasty scars.

This is my first ever cc!! So if anyone has tips or tricks or really useful tutorials pls send them over I'm very fresh to all this.

I've tried to make them all be Maxis Match and Base Game accessible!

Pose Used in the header image 🐚࣪ 𓈒

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Top Surgery Scars

Base game Compatible

Masculine Frame Only

Teen - Elder

21 swatches ( 7 top surgery types ((Double Incision, Inverted T, Keyhole, Periareola, Fishmouth, Lollipop)) with 3 transparencies each )

Can be found in the scar category ( front torso + right arm )

Free + No ads download

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Hysterectomy Scars

Base game Compatible

Both Frames

Teen - Elder

21 swatches ( 7 hysterectomy types ((5 laparoscopic + 2 open surgery)) with 3 transparencies each)

Can be found in the scar category ( fem frame in front torso + masc frame in left arm )

Free + No ads download

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RFF Phalloplasty Scars

Base game Compatible

Both Frames

Young adult - Elder

6 swatches ( left and right arm with 3 transparencies each )

Can be found in the scar category ( front torso + back torso )

Free + No ads download

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Reupload (To here or any other sites, reblogging is welcomed though!!)

Put behind a paywall

Steal/claim the cc as yours

[vvussyboy]

Picture it: Me, mid to late thirties, has ADHD. I'm discharged from the hospital. My body is finally complete. I finally get to live a with-dick existence. I’m in a wheelchair heading for my ride home. I’m wearing this shirt. Every nurse wears a different expression. I’m happy.

[matoitech]

i have a usual appointment w my endocrinologist today so im gonna see if he knows if ohsu takes our insurance and he can refer me for a consult w them too..

[danielpowell]

Initially headcanoned that this was a compression sleeve (since I use those) but then I was like... wait, hold on, actually-

[seitans-fingers]

Having a bad dysphoria week (because it’s been bad mental health week in general) & the Penis Yearning™ is soooo intense. I should make an electrolysis appointment. I’m nervous about it. I don’t want to lose the hair on my arm. I don’t want a big ostentatious arm scar. I’m a self conscious person. I’m insecure about so many aspects of my appearance already, despite being pretty normatively hot (just short). I don’t need another thing to obsess over. What if I got single tube ALT and skipped UL. My thighs can be hairless and scarred, that’s fine. I wish I could just be ok about this.

[garfunklecrabdinner]

Sims 4 Phalloplasty Scar Pack!

I had originally created phallo scars (back then limited to RFF and ALT) for personal use in 2023, but i knew eventually i wanted to upload them since there is so little custom content for trans sims & simmers.

I decided to redraw them aswell as adding more types of phallo scars since ive educated myself a lot more on the process of phalloplasty since i first made them. Ive also thrown in edits of some basegame tattoo sleeves for fun, since ive seen a lot of people have tattooed graft sites.

And incase youre wondering, the tat *does* transfer if you have wicked whims installed.

dl is SFS, no adfly

dl

[ahhscheisse]

Hey kids! My mind has been set - I’ll be getting phallo the second I can. Hopefully alt phallo - the one I REALLY want.

So! In honor of my mind going from fear of the unknown to determination and excitement - here’s some silly stickers for my phallo and meta having/wanting friends, inspired by that shirt that went hard on that one site. You might know the one.

Any who - handmade stickers are up on our Etsy and the rest of the products on redbubble. All the links are in my bio. Kinda embarrassing!

[concretepuppy]

how did you decide what size to get? was there a range? (also is it thick? for uhhh research purposes)

you dont really get to choose size because it’s limited by how long your donor artery & nerves are. you can always ask for smaller than whatever your body’s maximum is, but you can’t ask for bigger. and unfortunately there’s no way for them to know how long your donor artery & nerves are until you’re in the OR. for RFF phallo, average length is 4”-5.5”, with 6” being uncommon but not like ultra rare, and anything 6.5”+ is considered rare. i requested as large as my body would allow and ended up with a penis that is 5.5” long and 6” circumference and Dr. Berli said i was a textbook RFF case.

yes, it’s thick. phalloplasty penises are almost always thicker than average. this is because they have to take ALL of the subcutaneous fat from the donor area, they can’t only take a portion of it, so all the fat from your donor site becomes your penis. this is why most people arent ALT candidates—thighs generally have a lot of fat and unless you’re like, a cyclist, runner, body builder etc who has very low body fat %, you end up with a penis that is too large for the blood supply and is generally too large for penetrative sex. even people who are ALT candidates sometimes end up with a penis that is too large for penetration and needs to be debulked by having some of the fat excised. the erectile implant also adds some girth when flaccid, as well as some length when it’s inflated

[vvossy]

Quick sneak peak of the thumbnails for the sims4 scar cc I'm currently working on!! I will have everything ready to release by the end of the week :D

[stephenbyerley]

personal post i guess, image of bandaged postop leg w drains under cut so be warned

thinking abt how i am fucking proud to be a transsexual, and a faggot, and a radical, and a kinda-crazy fucked-up freak. and i wouldnt change any of those things or give up my life being surrounded by the people it is surrounded by for the WORLD, but if i was none of those things……how different would my life be? like, the choices i have made and would make again take me towards a different world i could have feasibly accessed in some realities. idk. i’m high and super tired and i just had stage 1 delayed alt phallo so im recovering from surgery. just wanted to get this all out. check out m’legy tho

[matoitech]

obv i draw post op guys a lot (still want to contribute 2 that and gotta Represent 4 myself) but i mostly draw ocs nowadays rather than fanart. i think most of the time i see post op trans men characters theyre usually ocs of ours cuz ppl r older or not involved in like fanarting rly. im pretty detahced from Fandom stuff nowadays but still its always been super rare 2 see and i think a big part of it is just cuz of whose involved in those spaces lol typically skewing younger, and/or dare i say more bigoted and stereotyped. also a lot of the ppl who take a m/m couple and make one of them cis and one of them trans tend 2 b cis cuz trans ppl in those spaces typically make t4t stuff lol or at least have some self awareness. cis ppl dont think trans ppl can and do fuck each other

[okay-sky]

whoa how cool that you’ve had phallo!!! is that something you’d be more open to talking about on here, for other curious transmascs? no pressure!

hello hello! yes i had phallo last may (may 2023) and my husband had phallo in november (november 2023), and i would be plenty happy to talk about it here! feel free to send me asks (or a dm if you want to get more personal questions answered) and i will answer them to the best of my ability and comfort level :3 i will share the broad strokes of my husband's experience too, but not the more personal details, just for comparison's sake.

details about the general overture of my phallo operation and experience below the cut. there is some semi-graphic discussion of surgery and genitalia just as a warning.

we both had delayed ALT (anterolateral thigh) phalloplasty with dr crane in austin TX, so we used a skin graft from our thigh instead of forearm for it. delayed ALT allowed us to get ALT despite having a good deal of fat on our thighs, and it was a relatively new technique our surgeon was offering when we first had our consultations but now it's his preferred way to do ALT.

with delayed ALT, they basically did one operation before starting any of the actual bottom surgery stuff where they cut out 3 of the 4 sides of the graft, and completely separated the full thickness of the graft from the muscle underneath. the flap was only tethered to our body still by the side at the top (up by our groin), the 2 vertical sides and lowest side (right above the knee) were fully severed. then they laid that baby back down and stitched the edges back on. they also performed liposuction to remove a lot of the excess fat from the flap, so until it was relocated to my groin, i had a large dip in my thigh where there was just less fat than before. after that operation was done, i had to wait 6 months before i could have Actual phallo, which gave the flap time to slowly grow its own blood supply without being disconnected entirely from my body. when it finally did get moved to my groin in my 2nd surgery, the blood supply was so well-developed that it pulsed visibly with my heartbeat! the chance of tissue death due to poor blood flow is vastly reduced this way, so it's a win-win: allows heavier guys to get ALT, and improves the odds that your new dick will heal without tissue death.

another thing that was pretty unique about our surgery (not like, "we were the only ones that did this" but more like "a lot of surgeons won't do this bc they aren't comfortable with it, and a lot of guys that are eligible don't do it anyways for personal reasons") is that we had urethral lengthening (which connects our original, natal urethra to the new neo-urethra inside the penis so that we can pee standing up) without a vaginectomy (which is the removal of the vagina). so i basically have a full dick and balls, plus my original hole hiding in the back. this is partly why i had such shit healing issues. unbeknownst to me at the time, i have ehlers-danlos syndrome, which is a connective tissue disorder that means i don't heal very well from injuries and especially from tears in my skin. by the time my sutures had dissolved, my body still hadn't even partly closed up my incisions, so i had a lot of just open wounds that should have already been healed if my body wasn't healing so slowly due to EDS. my husband, meanwhile, had the exact same operations as i did, but does not have healing issues and had no complications at all. lucky bastard. the chance of the connection between new urethra and natal urethra not healing right on the first go-around is higher if you do not have a vaginectomy, since the natal urethra is so close to the edge of the vaginal opening. they also like to use the tissue of the labia minora to help strengthen the urethral connection, which is obviously not an option if you still have your labia minora and vag.

i still haven't had glansplasty, but i'm planning to have that sometime next year when any lingering swelling has gone down and my dick has settled into the shape and flaccidity that i can expect to have forever. neither of us currently has any intentions to get an internal erectile device either, just because they do add future maintenance like replacements and the possibility of pump failure (not to mention my body would probably freak the fuck out if i tried to have another major surgery lol)

i have talked a bit more extensively about my phallo journey on reddit, the phallo community at r/phallo is an ENORMOUSLY helpful resource and are all-around just a bunch of great guys. you can find photos of post-op guys, some of which are many years post-op, and some guys even post videos of the pump inflating and deflating, urination, the movement of their dick, etc. if this is something you are interested in pursuing and want to get a better idea of what a phallo dick ACTUALLY looks like (without the terf-y fear mongering that you usually see around phallo), i would highly recommend checking out r/phallo and sorting by top of all time. usually pics and vids of fully healed dicks get the most upvotes so they float to the top.

again feel free to ask me any specific questions you might have, or dm me!

[bisexualamy]

Transition Update #64: Phallo Consults Omnibus

This post contains (sometimes frank) discussions of: surgery, medical appointments, weight loss, sex and dysphoria.

Just at the top here: I will not be publicly disclosing my surgeon or surgery center. Unfortunately, trans surgeries are more and more becoming public targets and I don't want to jeopardize my surgeon or my hospital further. If you're interested in pursuing phalloplasty and want that information, please DM me.

I'm having stage one phallo one week from today on October 10th! I'm incredibly excited and nervous and a bit scared, but I know with full confidence that this is the right decision for me and that, on the other side of this, I'm going to be so much happier and less dysphoric.

I had four phallo consults leading up to surgery, which is higher than average. There were a few specific factors in my case that necessitated this many consults. I'm going to summarize them all here since a lot of info overlapped consults. Please take my experience as a helpful guide but not a prescriptive experience. These things really vary based on your chosen method and your surgeon.

I'm also going to be frankly discussing my personal pros and cons about aspects of phalloplasty. This is the only disclaimer I'm going to give: these are my personal opinions based on my own dysphoria, health, body, and surgical needs. I am, in no way, casting judgement or degrading other people's phallo decisions. Just because I opted not to do something, doesn't mean I look down on those who do.

I talked a bit about my first consult here. I began the bottom surgery process back in August of 2022. I had to pass a lot of mental and physical health screenings (hospital policy) and preemptively get all of my insurance letters. This is to streamline the process going forward, since this is a multi-stage surgery. The hospital is taking care of arguing with my insurance for me. My insurance covers gender affirming care if you jump through all of the hoops, but they usually try to nickle and dime me on aspects of the procedure regardless. I'm really happy I don't have to deal with that personally.

I went into the consult process knowing my list of priorities for the surgery. They were, in order of importance: ability to have penetrative sex, retaining sexual sensation, aesthetics, and ability to pee standing up. While I personally don't care much about the last one, my surgeon and I ultimately decided to attempt UL once, using all best practices to mitigate complication, but agreed not to do revision surgeries if UL had significant complications. My surgeon told me that UL is easily reversible (a brief surgery taking less than an hr) and since this isn't a priority for me, it's not worth getting stuck in a revolving door of revision surgeries to fix it.

I also went into this procedure knowing I didn't want to do RFF, but knowing little else about other phallo methods. Financially, I couldn't wait to complete physical therapy to get full mobility of one of my hands back. My hands are my living. I later learned that I'm not a good candidate for RFF anyway, because I have poor circulation in my hands and forearms. My surgeon told me I was not a candidate for ALT, because the skin on my thighs is too thick, and as a result the circumference of the phallus would be unworkable. They told me that I'd have to lose an unhealthy amount of wait to qualify and we decided against it.

Ultimately, I decided to go with abdominal phalloplasty. Abdo appealed to me for a few reasons: it's compatible with erectile devices and t dick burial, it's not a free flap and therefore it lowers my chances of graft rejection or graft complications, and it would not require microsurgery. My surgeon also told me that my body type lent itself to abdo anyway. My surgeon warned me that it's unrealistic to expect sensation in the lower half of the phallus at all, and that they don't guarantee sensation at all. However, my surgeon did tell me that studies the hospital has done show that there's a greater chance of regaining sensation in the top half of the phallus, and that many post-op patients experience significant psychosomatic sensation through the whole phallus.

While this was a little disappointing, it was ultimately a nonissue. Right now, having sex is incredibly dysphoric for me, to the point where I cannot find it enjoyable. I'm not choosing between having full sensation sex and partial sensation sex. I'm choosing between not having sex at all and being able to have sex.

I did have to lose about 20lbs to qualify (again, due to the circumference issue). This was difficult for me as someone in ED recovery for binge-restrict cycles. I frequently talked about the weight loss process in therapy to try and come at it from a healthier angle. What made it additionally tough was that the weight loss was mainly aesthetic: I needed to lose it so my phallus would be an average proportion. The safest way I was able to do this was: pivoting to a mostly vegetarian diet and committing to my existing strength training regimen, two things I wanted to do anyway. I did have to calorie track, which can be a trigger for me, so some months I couldn't. Ultimately, I lost 15lbs and need to lose the other 5lbs by stage 2.

The rest of my consults were follow ups on my general health and weight loss. It's highly recommended that you get in the best physical shape you can before a surgery as intense as phallo, since it can help with the recovery process. I'm definitely in good physical shape, though several recent life stressors and personal tragedies have made that more difficult. I'm trying to be generous with myself on this front and admit that this was really the best I could do.

I also had to do laser on my graft site which was mostly painful and annoying but obviously worth it. Logistics for this were a headache that's no one's fault but my surgical center. It's not worth getting into because so many of the factors are unique to me personally and my phallo timing.

I told my surgeon I wanted to go slowly to further lower the risk of complication. My #1 priority here is safety and mitigating the need for revision surgeries. When my phalloplasty is complete, I want it to be done with so I can move on with my life. That being said: we staged my surgery out this way:

Stage 0: hysto and partial vgectomy (done back in January) Stage 1: meta, UL creation, complete vgectomy, "tee up" stage 2 so I can spend as little time on the table as possible Stage 2: take the graft and create the phallus Stage 3: scrotoplasty, glandsplasty, finish UL Stage 4: erectile device, finish scrotoplasty and glandsplasty

Staging out surgery this much is going to take way more time, but lowers my risk of complication. It also allows me to work and pick up limited-term contract work without prolonged interruption. I simply cannot afford to take 6 months of life off from work. I don't have the savings for it.

While that's annoying I think it's ultimately for the better. One thing I do appreciate about this timeline is that with each stage, I get something new that I really want. Overall this process has been mentally exhausting and tough, but it's going to be so worth it, and I'm so excited to finally have something to show for it.

[ukftm]

Is it possible to have liposuction on your thigh to be considered for ALT? Has that ever been looked into?

Hi Anon,

You would have to discuss that with your surgeon, as each surgeon has different requirements which you must follow. ALT phallo has very restrictive requirements and while it is an option in the UK, it still is not Mr Christopher’s teams chosen procedure due to the results it produces and the need for extra surgeries.

So the best thing to do is to talk to your surgeon during your bottom surgery consult and don’t do anything that could have the possibility of causing any issues for you getting the procedure you want.

[bugpuppyart]

The no clothes version of the latest drawing I posted the scars are from phallo :3 yes I do have a dick alt and no I'm not gonna post it ... right now

[seitans-fingers]

I wish I was fine with the idea of having a 3.5” dick! Like, forever! I think small cocks are hot! I would be cool with SOMETIMES having a 3.5” dick. But phallo dicks don’t change size! I want 5” and there’s some wiggle room there — 6” would be so much to handle with skinny jeans but I’d manage, 4.5” would probably look proportionate to my body, 4” would be ok….maybe….but I want a 5”-5.5” penis and I don’t think that’s too much to ask!! In general. From the universe.

What if I just start eroticizing the idea of having a small cock ahead of time. Like. It’s still possible to penetrate with a 3.5” penis. Some people prefer a small penis. I’m dying here. My anxiety and insecurity is totally killing my ability to find this arousing.

I would love to FUCK someone who had a small penis. And by fuck I do specifically mean top. I guess that’s my hang up — one of the things I’m really looking forward to post op is penetrating, and I personally don’t feel very interested in getting fucked by a smaller dick but maybe that’s because I never really have been? I’m sometimes kind of a size queen honestly. Love a thick cock, love to be full. But that’s THICK not LONG. So. I don’t know. The shorter the penis the more you have to find workarounds for certain positions.

But there’s also such a thing as TOO THICK. Ugh!!!! I can’t have a dick twice the size of a coke can!!!!!!

To be clear, the range I’m looking at for RFF for my specific body is like 3.5”-5.5” and thicc ALT cocks can be debulked. I’m not here to spread misinformation or negativity about phalloplasty! It’s a great surgery & I want it very much. I’m just in my feelings about donor sites and what a big high stakes important decision it is! God I hate making decisions.

Is it time to give SPH a try again? Or consider having an enormous fucking cock for a few months while I wait for surgery number 2 or 3 of like 77…..obviously that’s an exaggeration. Obviously!!! But I’m already signing up for guaranteed complications by getting urethral lengthening without vaginectomy — I hate the idea of complicating that process further!

And idk I feel like RFF is just the way I want to go…but I am so invested in having a 5” penis….and I might have to settle for something smaller……it’s literally killing me in a literal and material and tangible way, with a visceral snd nonmetaphorical knife and bullets and rain of fire and lava. UGH is what I’m saying here. Ugh!