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305-204-9598

Miami, FL

Abdominal Phalloplasty (Abdophallo)

Introduction to Abdominal Phalloplasty

Our abdominal phalloplasty is a gender-affirming procedure we offer our clients at Gallagher Plastic Surgery to create a realistic, natural-looking penis.

Dr. Sidhbh Gallagher performs abdominal phalloplasty in Miami, combining her surgical expertise with a compassionate understanding of each patient’s goals. This procedure not only creates a new penis but also reshapes the torso for a flatter, more masculine appearance. The result is both functional and aesthetically balanced, giving her patients a sense of confidence and comfort in their own bodies.

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What is an Abdominal Phalloplasty?

In our practice, the most common type of phalloplasty patients opt for is abdominal phalloplasty. This is where tissue from the lower abdomen is used to create the new penis as a “local flap,” meaning the tissue doesn’t have to come off the body and go back on like in a free flap. This makes it a much less complex procedure.

Dr. Gallagher can perform a masculinizing tummy tuck on the remaining abdominal tissue. The size of the penis will depend on the amount of tissue available. In many patients, we can get up to 5-6 inches. Abdophallo has distinct advantages and disadvantages as follows.ws

What Are the Benefits of an Abdominal Phalloplasty?

Dr. Gallagher, a blonde woman with long curly hair, is seated at a desk in her office with a large window overlooking a cityscape. She is smiling and looking off to the side while holding documents and a pen.
  • The major “win” with abdophallo is the “donor site” or where we take the penis from. This is the lower abdomen, where, in most folks, there is extra to spare. Not only will this mean we won’t have bad scarring or need to take an additional skin graft from elsewhere, but we will also masculinize the torso with a masculinizing tummy tuck.
  • This can be performed as an outpatient procedure, which means we can avoid expensive hospital stays, making this surgery more accessible for individuals without insurance coverage. This is, in fact, the most affordable type of Phalloplasty.
  • The aesthetics of the new penis itself are usually good, as it is a good color match to the surrounding skin.
  • The recovery from this procedure is faster than that of many other techniques and is often comparable to the recovery from a tummy tuck. Most individuals return to work in 3-4 weeks and resume exercise in 8 weeks.

What Are the Disadvantages of an Abdominal Phalloplasty?

The abdophallo does not have a nerve we can connect to provide sexual sensation to the new penis. Most patients will regain sensation in the penis; however, we leave the anatomy intact below to provide sexual sensation.

It is essential to note that we do not currently offer urethral lengthening or “stand to pee” procedures; however, we can refer you to a urologist in Miami for this procedure. The patient’s urinary anatomy is left alone at the first stage of this surgery with us, so no catheters are usually needed.

Testicular implants, glansplast, and scrotoplasty, as well as an implant for erection, can be done as possible to do at later surgeries also.

Who Are the Best Candidates For an Abdominal Phalloplasty?

Dr. Gallagher, a blonde woman in a white lab coat over a grey dress, is seated and smiling warmly while speaking and gesturing with her hands to a patient in a light blue patterned hospital gown. They are in a well-lit exam room next to a wall with a pink and blue abstract painting.

Ideal candidates are individuals with sufficient lower abdominal tissue for flap creation who want to combine phallus creation with torso masculinization.

Abdominal phalloplasty is particularly suited for individuals who prefer a shorter, simpler procedure with a faster recovery, or for patients who do not require urethral lengthening or a sensate penis at this stage.

Dr. Gallagher evaluates each patient’s anatomy and goals to determine if this approach will yield the most natural and affirming result.

What’s the First Step?

Your Abdominal Phalloplasty Journey with Dr. Gallagher

The first step is scheduling a consultation with Dr. Gallagher either in Miami or virtually. During this visit, she will discuss your goals, review your medical history, and assess your abdominal tissue and overall anatomy. She will then explain what can be achieved with abdominal phalloplasty, which additional procedures may be staged later, and what to expect during recovery.

Patients traveling from outside Miami will receive guidance on travel, accommodations, and post-operative care to ensure a smooth process. Detailed pre-surgery instructions will help prepare you physically and mentally for your procedure.

What to Expect on the Day of Abdominal Phalloplasty Surgery

After anesthesia is administered, Dr. Gallagher carefully creates the abdominal flap and sculpts it into the penis. Liposuction may be used to contour the remaining abdominal tissue, enhancing the masculine appearance of the torso.

A masculinizing tummy tuck is performed simultaneously, excess skin and fat are removed, and the abdominal wall may be tightened for a firmer, flatter appearance. 

Incisions are then closed, and you will head to your recovery room.

Abdominal Phalloplasty Recovery

Your Guide to Post-Abdominal Phalloplasty Care

Recovery is similar to a tummy tuck. Most patients experience swelling, bruising, and mild discomfort in the first week, which is managed with prescribed medication. Most patients can return to work within three to four weeks, and strenuous activity should be avoided for about eight weeks. While there is no erogenous sensation in the new penis, sensation in the existing genital anatomy is preserved, and patients often report gradual improvement in comfort and mobility as swelling decreases.

This procedure takes approximately 3- 5 hours, and we typically recommend that out-of-town patients stay for 1-2 weeks, depending on their individual recovery needs. This procedure yields the best results in patients with BMIs under 40. Click here to see images in the gallery.

How Much Does an Abdominal Phalloplasty Cost in Miami?

In patients with benefits for gender affirmation surgery, this procedure can be covered by insurance. Our team will discuss this with you.

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Why Choose Dr. Sidhbh Gallagher?

Dr. Sidhbh Gallagher is a double board-certified plastic surgeon in Miami, FL, with extensive experience in gender-affirming procedures. She is a member of the Aesthetic Society and the American Society of Plastic Surgeons (ASPS), reflecting her commitment to safe, ethical, and affirming care.

Dr. Gallagher’s expertise in abdominal phalloplasty and body contouring ensures patients receive highly individualized care. She prioritizes natural aesthetics, functional outcomes, and a smooth recovery. Her patients benefit from her careful attention to detail, experience with complex procedures, and compassionate approach to gender-affirming care.

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Abdominal Phalloplasty FAQ’S

See what our Patients Say

Patient Reviews

  • Dr. Gallagher, wearing a surgical cap and mask, is shown from the back of the head and shoulder, dressed in a blue surgical gown, looking down toward a bright operating area.

    I had an amazing experience with Dr.Gallagher and her team, the whole experience from the procedure (top surgery) to the post-op care has been fantastic. Dr.Gallagher was able to address any concerns I had with my chest before the procedure and made me feel comfortable the whole way through, and then the attentiveness post-op is all the better.

    Alfio Oliveira (Jay)

  • Dr. Gallagher (left), in a white lab coat, and a blonde patient (right), in a blue patterned hospital gown, smile and look up at the camera. The patient is holding up a peace sign with one hand. A piece of art with the colors of the transgender flag is visible on the wall behind them.

    Thank you so much Dr. Gallagher for your amazing work! I appreciated the great support from your team at the surgical centre and your office. Everyone was so wonderful! I am extremely happy with my results and had a very positive experience. I had followed Dr. Gallagher for several years on Instagram prior to my surgery, and learned so much from her detailed explanations about various aspects of the surgical procedures, what to expect on the day, recovery, etc. I had complete trust, felt safe, felt listened to. I also appreciate the follow-ups, and answers to all my questions. The support, warmth, care is top notch!

    Gill B.

  • Dr. Suzanne Gallagher, a blonde woman in light green scrubs, stands next to a patient lying on a bed (only the patient's arm is visible) behind a blue curtain in what appears to be a clinical or operating room setting. She is smiling and gesturing with her right hand while her left hand is on her hip.

    Dr. Gallagher and her whole team, from Neasa to Daryl Ann and everyone else in between, are absolutely fantastic, kind hearted, hard working people. Dr. Gallagher truly amazed me and I’m so grateful to have had her on my team.

    I was able to get keyhole top surgery about three weeks ago and I’m loving my results already! I’m muscular and heavier set as well but always had a smaller chest, and I’m so glad Dr. Gallagher was the one who could do this for me.

    Right now I am still experiencing swelling, but I am using compression dressings every day, throughout the day which helps tons! I know that when the swelling subsides months from now, and everything is “back to normal”, I am going to love even more what I see in the mirror because I can finally see me.

    Morgan F.

  • Dr. Gallagher, wearing a surgical cap and mask, is shown from the back of the head and shoulder, dressed in a blue surgical gown, looking down toward a bright operating area.

    So glad I found Dr. Gallagher. I would not have elected to pursue my surgery had I not found a qualified and competent medical provider that I felt I could trust and have confidence in their ability to offer a high-quality, low-risk result. As a result of my initial contacts and consultations with Gallagher Plastic Surgery practice, I was willing to pursue my desired surgery and even travel half-way across the country to their offices. I’m so glad I did. The results are outstanding, more than I even anticipated. This was the 3rd practice I had dealt with and so I was learning what to look for and knew Dr. Gallagher was a good fit. The medical expertise and professionalism are what I based my decision on to proceed. They were calmly confident for a reason. I realized at the surgery event and through to the 3 week post-op checkin the excellence in their personal care (bed side manner). The office and Dr. Gallagher communicated very well. Everything went smoothly and as planned. As nervous as I was about an unnecessary surgery, Dr. Gallagher and her team were able to build enough trust that I was able to receive a very beneficial result.

    Tim F.

  • Dr. Gallagher (left), in a white lab coat, and a blonde patient (right), in a blue patterned hospital gown, smile and look up at the camera. The patient is holding up a peace sign with one hand. A piece of art with the colors of the transgender flag is visible on the wall behind them.

    Dr. Gallagher and her team are the absolute best! She completed my brachioplasty on Tuesday and when I saw the initial results at my post op appointment two days later I literally had tears of joy streaming down my face. My weight loss journey has been a road of many ups and downs, and I was so nervous about whether this surgery could even work for me. Even with the swelling that is normal after brachioplasty, there is an enormous difference, and I am still in disbelief that even this early on, my arms look this great. My husband was even in disbelief, and we’re so excited to see what I’ll look like in two weeks time. Dr. Gallagher is so kind and patient, and walked me through all of the phases of healing/expectations, and was great to call and check in. If you are looking for a highly skilled surgeon that will give you optimal results along with a compassionate approach, it is well worth your time and money to consider a consultation with her. I am forever thankful for her and for her team! This is life changing for me. Thank you, Dr. Gallagher! I appreciate you so much!

    Melissa E.

Schedule Your Consultation

To take the first step toward abdominal phalloplasty, schedule a private consultation with Dr. Gallagher. Her Miami-based team can assist with travel, accommodations, and post-operative planning.

Call (305) 204-9598 to book your appointment and start your journey toward a body that aligns with your identity.

Dr. Gallagher frequently works with patients outside of Miami and the state of Florida. If you are interested in discussing this procedure in a discreet and comfortable setting, you can also schedule a virtual consultation with her to ask any questions you may have and learn more about proceeding with your surgery.

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