Masada Private Hospital
Part of Ramsay Health Care

The team at Masada Private Hospital are passionate about the positive impacts reconstructive surgery can have on people’s lives.

Masada Private Hospital is proud to work with leading plastic and reconstructive Specialised surgeons, Mr Alan Breidahl, Mr Andrew IvesMr Cheng Lo, Mr Gideon Belcher and Mr Stephen Kleid, each whom provide high-quality, comprehensive and compassionate care for those seeking trans surgery.

Why Masada?

Our exceptional nursing and support team and world class equipment makes our hospital a place where our surgeons can provide top quality patient care.

Masada Private Hospital’s philosophy is to provide a range of services to support the needs of every community member. Everyone is entitled to the highest level of respect. Our hospital offers a comfortable, welcoming, and discreet place for you to receive quality health care.

For more information about our Hospital contact us.

Surgical options at Masada

 

Trans Feminine Genital Reconstructive Surgery

This category of surgeries are performed to create female genitalia.  

A vaginoplasty, which takes about 3-4 hours to perform, involves using the skin of the penis to create a lining of the perineum (opening to the vagina), and the lining of the vagina. Scrotal skin, if required, is used to line the top part of the vaginal cavity.

The testicles are removed. The head of the penis is used to create the neo-clitoris, so that most patients can retain the ability to have an orgasm post operatively.

Length of stay and recovery time

The usual length of stay is around 5-6 nights depending on which surgery you had. Dressings are removed on day 3.

If you are interstate, you will need to plan to stay in Melbourne for around 14-18 days in total.

Total recovery time can take up to 12 weeks, however most patients are able to resume work after 6 to 8 weeks or so, depending on your occupation and the surgery you have had.

 

Similar to a vaginoplasty, the labiaplasty involves the creation of a vaginal dimple instead of a neovagina. The final result looks the same as a vaginoplasty however patients do not have to dilate since they have no cavity.

Length of stay and recovery time

The usual length of stay is around 5-6 nights depending on which surgery you had. Dressings are removed on day 3.

If you are interstate, you will need to plan to stay in Melbourne for around 14-18 days in total.

Total recovery time can take up to 12 weeks, however most patients are able to resume work after 6 to 8 weeks or so, depending on your occupation and the surgery you have had.

 

 

An orchiectomy is a procedure that removes the testes. This procedure can be used to stop the production of testosterone or sperm, affirm gender or remove the need to taken an anti-androgen.

Length of stay and recovery time

You will either stay overnight or be discharged on the same day – this will vary depending on your surgeon.

Recovery can take from 2 to 8 weeks. You won’t be able to do any strenuous activity, lift heavy objects or drive for at least a few weeks.

The specific instructions for your recovery will vary from surgeon to surgeon and depending on where and what specific surgical techniques are used.

 

 

Trans Masculine Genital Reconstructive Surgery

This category of surgeries are performed to create male genitalia.

A phalloplasty is a surgical procedure where a penis is created from existing tissue, this could be leg or forearm or elsewhere from the body. A phalloplasty is a multi-staged surgery that may include a variety of different procedures, including creation of the penis, lengthening the urethra to allow for standing urination, creating the tip (glans) of the penis, creation of the scrotum, removal of the vagina, uterus and ovaries and placing erectile and testicular implants.

These surgeries may be broken down into as many as three to four stages, with a period of several months to a year between each stage.

Please note, each staged surgical plan is unique to each patient and may or may not include some/all of the above procedures.

Length of stay and recovery time

You may stay in hospital up to 2 weeks after each surgery with ongoing outpatient assessment once you’ve discharged. Healing from phalloplasty can take time so it’s vital to plan time to rest and recover for approximately 5-6 weeks. Please speak to your specialist about recovery times relevant to you.

 

Chest Reconstructive Surgery

The purpose of this surgery is to create a more masculine or androgenous chest. This includes contouring of the chest wall, removal of breast tissue and skin excess, reduction and repositioning of the nipple areolar complex, minimalization of chest wall scars and obliteration of the inframammary fold.

Length of stay and recovery time 

The usual length of stay in hospital is one night however this will differ from surgeon to surgeon. You will need to rest for about two weeks, with no heavy lifting or strenuous exercise for approximately 6 weeks.

The purpose of this surgery is to increase breast size to create a feminine chest. This procedure is likely to include breast implants.

Length of stay and recovery time

Recovery from breast implants may take between 4-6 weeks, or several weeks longer depending on the surgical procedure. Often the surgery is conducted as a day procedure however this is dependent on your chosen surgeon.

Your surgeon may advise you to not do any strenuous activity or heavy lifting for the first 3 weeks, and wear compressing clothing, sports bras or specially designed garments, for the first month. You will wear dressings until you meet your surgeon for a check-up.

Facial Surgery

Facial surgery is the name for a range of surgeries that can be used to alter the appearance of the face and neck.

Plastic and reconstructive surgeons specialising in facial reconstruction are available at Masada Private Hospital. These surgeons can support patients with facial feminisation and masculinisation.

  • Brow Lift (Browplasty)
  • Cheek Enhancement
  • Forehead reduction (and hairline lowering)
  • Lip lift and reshaping
  • Scalp Advancement

Length of stay and recovery time

The length of stay and recovery time will depend on the type of surgery you undergo. Please consult your specialist for personalised information.

Ear, Nose & Throat Surgery

Ear, Nose and Throat surgeons can cater to specific surgeries to alter the appearance of a person’s nose (Rhinoplasty) or to reduce the prominence of a person’s Adam’s Apple.

Chondrolaryngoplasty, also known as tracheal shave, is a procedure to reduce the prominence of the thyroid cartilage by trimming the cartilage and bone through a small incision on the neck (beneath the chin) to decrease the prominence of the Adam’s Apple. It is a common surgical procedure in the facial feminisation process. The procedure takes about 30 to 60 minutes.

Length of stay and recovery time

For safety, patients will stay in hospital overnight, or at least 8 hours if they have no insurance, to observe for swelling and breathing difficulties.

There are no special post-operative instructions, apart from keeping the dressing dry for 3 days, then you may shower and get it wet.

Rhinoplasty surgery is a procedure whereby a surgeon reshapes and/or straightens your nose to appear more masculine or feminine. In trans nasal surgery or rhinoplasty, your surgeon will strive to create a natural-looking and unique nose.

Length of stay and recovery time

The length of your recovery period after nose surgery will depend on your anatomy, general health and the specifics of your procedure. Whilst it depends on your surgeon, you will usually spend at least one night in hospital. The general rule is that you should allow at least 4-6 weeks for initial recovery following your surgery. Be sure you get adequate rest, good nutrition and don’t smoke.

You’re in good hands

Mr Andrew Ives

Mr Andrew Ives, is highly skilled with extensive experience and a passion for the positive changes that plastic surgery can make in people’s lives. He feels privileged to have such a rewarding career.

With years of experience behind him, Mr Ives provides top class surgical services. He also fully understands the human element that comes with surgery, offering personalised advice to support you to reach your surgical goal.

Mr Ives will take the time to understand your past medical history, general health and journey to date before providing advice on the operations available to you. 

Learn more about Mr Andrew Ives.

Trans surgeries conducted:

  • Trans masculine/non-binary chest reconstructive surgery
  • Trans feminine genital reconstructive surgery - Vaginoplasty, Labiaplasty, Orchidectomy
  • Bilateral breast augmentation

Mr Cheng Lo

Mr Cheng Lo is a fully qualified specialist Plastic & Reconstructive Surgeon, who has achieved the highest standards in surgical training at almost every major tertiary hospital in Melbourne, Victoria. At IRIS Plastic Surgery, he offers a range of services including skin cancer surgery, hand surgery, breast surgery, body contouring and aesthetic surgery.

Learn more about Mr Cheng Lo

Trans surgeries conducted:

  • Chest reconstructive surgery (including top surgery)
  • Perineal reconstructive surgery

Mr Alan Breidahl

Mr Alan Breidahl is a specialist in post-traumatic and cleft lip-associated Rhinoplasty and has over 20 years clinical experience in all areas of Plastic and Cosmetic Surgery, including skin cancer, hand surgery, facial trauma and reconstruction, rhinoplasty, otoplasty, blepharoplasty, face lift, breast augmentation and reduction, liposuction and abdominoplasty procedures.

Learn more about Mr Alan Breidahl.

Surgeries conducted:

  • Facial feminisation surgery
  • Facial masculinisation surgery

Mr Gideon Blecher

Mr Gideon Blecher is an Australian qualified Urologist and Andrologist. As a surgeon who looks after male reproductive and sexual health issues, he has the experience and knowledge to manage complex problems. He has completed several years of overseas fellowship subspeciality training, in both andrology as well as robotic oncology in some of London’s most esteemed hospitals.

Mr Blecher specialises in a variety of areas including erectile dysfunction, penile prosthetic surgery, Peyronie’s disease, genital reconstruction, male infertility, male incontinence, testicular and penile lesions, as well as sexual dysfunction and general urology.

Trans surgeries conducted:

  • Phalloplasty
  • Vaginoplasty, Labiaplasty
  • Orchidectomy

Mr Stephen Kleid

Mr Stephen Kleid is an experienced Ear, Nose and Throat ENT Surgeon (Otolaryngologist) based in Melbourne with a passion for Septo-rhinoplasty, Septoplasty and a strong interest in Rhinoplasty Revision.

Mr Kleid trained at Melbourne University, then completed surgical training at various hospitals including Royal Melbourne, Royal Children’s, The Eye and Ear and St Vincent’s.

Learn more about Mr Stephen Kleid.

Trans surgeries conducted:

  • Rhinoplasty
  • Tracheal Shave – reduction of Adam’s Apple

How to book or refer

A referral from a medical professional is required to have a consultation with a plastic and reconstructive surgeon. Please speak to your GP about a referral to the specialist of your choice.

Assessment prior to Surgery

Assessment and documentation of persistent gender dysphoria by a qualified mental health professional is necessary for initiation of surgical treatments.

Each procedure has a different set of criteria recommended to enable surgery to occur – these criteria are set by the World Professional Association for Transgender Health (WPATH). Further, each surgeon may have a different protocol they follow.

They key criterion are:

  • Persistent, well documented gender dysphoria;
  • Capacity to make a fully informed decision and to consent for treatment
  • Age of majority
  • If significant medical or mental health concerns are present, they must be reasonably well controlled

In some circumstances, hormone therapy is a perquisite.

Monash Health Gender Clinic can assist with these assessments. Alternatively, there are psychiatrists and psychologists who can complete specialist gender-related mental health assessments. Please ask your GP for a referral to your chosen mental health professional.