What to Expect at Your First Consultation for Nonsurgical Phalloplasty
So you've been thinking about it. Maybe for a while. You've done some research, seen some before-and-afters, and now you're considering taking the next step — booking a consultation.

What to Expect at Your First Consultation for Nonsurgical
Phalloplasty
By Avanti Derma - Dr. Luis Casavantes
So you've been thinking about it. Maybe for a while. You've done some research, seen some before-and-afters, and now you're considering taking the next step — booking a consultation.
That first appointment can feel intimidating. You might not know what questions to ask, what the doctor will want to know, or what happens after you walk through the door. This guide breaks it all down — simply, honestly, and without the medical jargon.
First Things First: A Consultation Is Not a Commitment
Booking a consultation does not mean you're committing to anything. It's simply a conversation — a chance for you to ask questions and for the medical team to understand your goals.
You are in full control at every step.
Before you arrive or start your online consultation
A little preparation goes a long way. Here's what to think about beforehand:
Your goals — What are you hoping to achieve? More girth? Better proportions? A
confidence boost?
Your concerns — What worries you most? Pain? Recovery time? Permanence?
Your medical history — Be ready to share any medications, allergies, or past
procedures
Your questions — Write them down. It's easy to forget in the moment
There are no wrong answers and no embarrassing questions. The medical team has heard it all.
When you meet the doctor (in person or online)
Expect a calm, private, professional environment. These consultations are handled with full discretion — from the waiting room to the exam room.
You will typically:
Have submitted your Online Consultation Form
If in person:
• Fill out a brief intake form covering your health history not documented on your
online consultation form.
• Be greeted by a patient coordinator or nurse before seeing the physician
• Have plenty of time — this is not a rushed appointment
The Conversation with the Doctor
This is the heart of the consultation. The physician will:
Ask about your goals and expectations
Review your medical history and any relevant health conditions
Ask about your experience with previous procedures, if any
Discuss your motivations — not to judge, but to make sure the treatment aligns with
what you're truly looking for
Be honest. The more the doctor understands about your goals and concerns, the better the recommendation will be.
The Physical Assessment
A brief physical evaluation is a standard and necessary part of the process. This allows the physician to:
Assess your anatomy and skin characteristics
Determine how much volume may be appropriate
Identify the best filler option for your specific case
Plan a realistic, customized approach
This is done professionally and respectfully. It is a medical evaluation — nothing more.
What the Doctor Will Discuss with You
After the assessment, expect a clear, honest conversation covering:
Filler options — HA, Ellansé™, or PMMA, and which suits your goals and timeline
Expected results — realistic outcomes based on your anatomy
Number of sessions — most patients benefit from a staged approach over time
Recovery and downtime — what to expect in the days after a procedure
Risks and limitations — every procedure has them, and a good doctor will be upfront
Cost and scheduling — transparent pricing, no pressure
Psychological Screening: Why It's Part of the Process
At Avanti Derma, every patient undergoes a brief psychological screening. This might feel unexpected — but it's a sign of a responsible practice.
The goal is simple:
To make sure your expectations are realistic
To confirm that this procedure aligns with your wellbeing — not just your wish list
To protect you from an outcome that may not bring the satisfaction you're hoping for
This is not about judging you. It's about making sure you're truly a good candidate — for your own benefit.
Questions Worth Asking at Your Consultation
Don't leave without getting answers to these:
How many of these procedures have you performed?
What filler do you recommend for me, and why?
What does a staged approach look like in my case?
What are the most common complications, and how do you handle them?
What does aftercare look like?
Can I see before-and-after photos from real patients?
A confident, experienced physician will welcome every one of these questions.
After the Consultation
You are never pressured to book on the spot. After your appointment you will typically receive:
A written summary of the recommended treatment plan
Pricing information
Time to think it over and ask any follow-up questions
Most patients leave feeling more informed and less anxious than when they arrived —
regardless of whether they move forward.
The Bottom Line
Your first consultation is simply a conversation between you and a qualified medical team. It's private, judgment-free, and designed entirely around your comfort and clarity. The goal is not to sell you something. The goal is to help you make the best decision for yourself — whatever that turns out to be.
Ready to Take the First Step?
Schedule your consultation with Avanti Derma today. Our team is here to answer your
questions, understand your goals, and guide you — at whatever pace feels right for you.
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