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La Belle Vie Cosmetic Surgery - Dr. Tony Mangubat
La Belle Vie Cosmetic Surgery - Dr. Tony Mangubat
La Belle Vie Cosmetic Surgery - Dr. Tony Mangubat

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GO Medical Program – Now FREE!

Each year, more and more people are crowding into the medical care and surgical sessions. Our new two-day program, GO Medical, features presentations by surgeons as well as professionals with expertise in hormones, electrolysis, body contouring, and other techniques that individuals often seek for relief from gender dysphoria.

Additionally, GO Medical includes the popular Meet the Doctor program, which provides attendees the opportunity to meet privately with surgeons from 6 different clinics for 15 minutes each.

GO Medical is included with all Gender Odyssey Professional and Family registrations or as a stand-alone ticket. Open to all audiences.

Below are the featured sessions for the 2018 Gender Odyssey Seattle Medical Program, in alphabetical order. You can also download the GO Medical Schedule Grid (PDF) here. (Schedule subject to change.)


Affordable Aesthetics to Augment Gender Transition 
Appropriate gender expression—as defined by each individual for themself—isn’t a frill. It can even be a matter of personal safety. Yet definitive surgeries such as facial feminization can cost a fortune, and are rarely covered by insurance. This workshop explores some of the aesthetic offerings available in my family practice. While the definition of “affordable” varies considerably, come explore some of the less expensive and less invasive procedures we offer to assist our clients as they transition. We will cover laser and electrolysis hair removal, breast forms, shapewear, Botox and dermal fillers for enhancement of facial features, and cryolipolysis (Coolsculpting) for non-invasive body contouring. We will also discuss topical anesthetics and injectable nerve blocks to help patients experience less pain (some of our clients sleep during genital electrolysis!). Consider this session a “Show and Tell” presentation that will help you answer your clients’ questions. 
Linda Gromko, MD, started working with the transgender community when a woman called to ask: “Does Dr. Gromko treat transgender women?” Dr. Gromko’s answer—”Not yet!”—began two decades of work with the trans community, with patients ranging in age from 5 to 85. Starting as a hospital nurse and nurse practitioner at Planned Parenthood, Dr. Gromko completed her medical training and family practice residency at the University of Washington. She founded Queen Anne Medical Associates PLLC 27 years ago. She wrote Where’s MY Book?’ A Guide for Transgender and Gender Non-Conforming Youth, Their Parents & Everyone Else, and is presently writing a book focusing on transgender adults. 


Buncke Clinic Phalloplasty Surgeon Presentations
Doctors Safa, Watt, Chen, and Lin of the Buncke Clinic will present on the ALT and RFF phalloplasty techniques, followed by a Q&A session.   focused on ALT and RFF surgery with micro and urology power points w talk.
Mang Chen, MD, graduated magna cum laude and Phi Beta Kappa from UC San Diego. He obtained his medical degree from the University of Pittsburgh and was awarded the Behan Prize in surgery. He remained there for his general surgery and urology training, and subsequently completed a urologic reconstruction fellowship. He returned to Pittsburgh as an assistant professor of reconstructive urology. He now lives in California and specializes in genitourinary surgeries for transmasculine individuals.
Dr.  Bauback Safa is an internationally renowned reconstructive microsurgeon and hand surgeon at the Buncke Clinic, widely considered to be the birthplace of microsurgery. He graduated from the University of Virginia as an Echols Scholar and then obtained his MD from the Stanford University School of Medicine. Dr. Safa and his team have performed over 240 phalloplasties over the past 4 years, representing one of the largest experiences in the world. In keeping with the tradition of Harry Buncke, he continues to train the next generation of microsurgeons at the Buncke Clinic.
Dr. Andrew Watt joined the Buncke Clinic in 2012 and has been performing microvascular transgender surgery since that time. He and his team have performed over 240 microvascular phalloplasty operations. His practice is highly varied, ranging from treatment of complex bone and soft tissue injuries to cosmetic reconstructions.
Walter Lin, MD, is a plastic surgeon specializing in reconstructive surgery.  After graduating with honors from the Massachusetts Institute of Technology, he earned his medical degree at Harvard Medical School.  From there, he completed his residency in Plastic and Reconstructive Surgery at the University of California, San Francisco (UCSF).  He trained for an additional year of fellowship in hand, microvascular, and transgender surgery at The Buncke Clinic in San Francisco, and subsequently joined their practice. 


Cross Hormone Considerations
This session will provide a brief overview, system by system, of the desired and undesired effects of hormone therapy. We will also examine lab markers and medications that can be affected by hormone administration. This is a lecture presentation with time allotted for Q&A.
Kevin Hatfield, MD, is a family doctor at The Polyclinic’s downtown Seattle satellite. He joined The Polyclinic in 2002 and has taken care of trans* patients since 1999. He sees a large number of gender-questioning/variant children and adolescents. Dr. Hatfield is an advocate for individualized patient care and helping patients make informed decisions regarding their health and well-being.


Face and Body Transitioning
Has feminizing your face to a softer more feminine appearance ever crossed your mind? Better yet, how about getting that body shape you’ve always wanted? Larger breasts, tighter waist, and a more rounded heart-shaped butt? If these thoughts ever crossed your mind and you’re ready to transition, then this workshop will provide insight on not only feminizing your face, but also pays attention to details of creating a whole-body transformation into a more feminine you! Dr. Beck’s philosophy of feminizing will be shared, photos will be reviewed, and techniques will be addressed. He will also be addressing surgical options for female to male top surgery. Looking forward to seeing you there!!
A California native, Dr. Joel Beck graduated magna cum laude with a degree in biochemistry from California Polytechnic State University (San Luis Obispo). He attended the University of California Irvine School of Medicine; was a resident in general surgery at the University of California Davis (East Bay), and served two fellowships: one in burn surgery research at University of California, San Diego and the other in craniofacial-plastic surgery at the University of Mississippi. 


Facial Feminization, Breast Augmentation and Body Contouring
PowerPoint presentation showing surgical results, discussion of the different procedures available and risks. Q&A to follow.
Dr. Ellie Ley is a plastic and reconstructive surgeon, board certified by the American Board of Plastic Surgery. She left private practice to join the office of Dr. Toby Meltzer in December of 2015. She has had extensive training and has a true passion for working with the community, performing GCS and other plastic surgery procedures. She graduated from Universidad Autonoma de Guadalajara and New York Medical College, and completed a residency in general surgery at the University of Arizona, and fellowships in craniofacial/pediatric surgery, hand and microsurgery, and plastic and reconstructive surgery.


Fertility Issues for Youth and Adults: Puberty Blockers, Hormones, and Decision-Making through the Lens of Family-Building Options
In our practices, more trans individuals are coming to us with the desire to have their own biological children. For those who have not had gonadectomy, this is a reality: transgender women are contributing their sperm and transgender men are getting pregnant and giving birth. This session will explore current and future options for transgender youth making choices about puberty blockers and hormone replacement therapy. We focus on the process of making decisions about the timing of medical interventions from the perspective of future fertility, considering the viewpoints of youth and parents or guardians who will be giving legal consent for interventions, as well as considerations for older transgender individuals.
Jen Hastings, MD, assistant clinical professor at the UCSF Department of Family and Community Medicine and founding director of the Transgender Health Care Program at Planned Parenthood Mar Monte, is actively involved in supporting transgender services around the country. Jen works closely with the Santa Cruz Transgender Therapist Team and is involved in the integration of behavioral health, primary care, mindfulness, and medicine. Jen is a member of the medical advisory board of the UCSF Center of Excellence for Transgender Health which works to increase medical access and understanding about the gender journey.


FTM Hysterectomy Options
There are several types of hysterectomy that can be performed. In this session, We’ll explain why some choices are better than others as well as discuss what the surgery entails, what risks are involved, and what the recovery process is like.
Burt Webb, MD, started his practice in Scottsdale, AZ, after attending Stanford and Tulane Universities. Shortly thereafter in 2002, he started performing vaginectomies and hysterectomies on trans patients. He has enjoyed the experience so much that a significant part of his practice is devoted to helping trans patients both surgically and with the hormone management aspect of their health.


Getting It Covered: Health Insurance
Transgender and gender-expansive adults face many difficult questions as they map out their transition and determine what types of transition-related care to seek, if any. At no time is this more clear than when it comes to medical decisions about physical transition. Once tough decisions have been made, another challenge becomes apparent: paying for the medical services being sought. This session will explore the intricate and evolving landscape of insurance coverage for gender-related medical services. With the Affordable Care Act on the chopping block, growing awareness of the needs of transgender and gender-expansive patients, and multiple treatment options, providers must be knowledgeable about what their clients and patients can expect to encounter as they seek to cover the costs of their transition-related care.

Alexander Chen works at the National Center for Lesbian Rights, where he advances trans rights through litigation and policy advocacy. He graduated from Oxford University and Harvard Law School, where he was the first openly trans Harvard Law Review editor, and worked at the DOJ, ACLU, and National Center for Transgender Equality. He clerked on the Ninth Circuit and S.D. Cal. In 2018, Alexander was listed in Forbes 30 Under 30 in Law and Policy.
Asaf Orr joined NCLR in February 2012 as a staff attorney working on issues related to families and youth. In July 2015, he was named NCLR’s Transgender Youth Project Staff Attorney. As part of that project, Asaf engages in litigation, public policy, and informal advocacy to safeguard the right of transgender and gender-expansive youth to be affirmed and supported for who they are.


How to Choose the Correct Surgeon!
Renowned Seattle plastic surgeon and author Javad Sajan explains in detail the importance of knowing how to choose the right surgeon for your procedure and tips for doing so.
Dr. Javad Sajan is a leading Seattle plastic surgeon focused exclusively on cosmetic and reconstructive procedures relating to the face and body. A committed doctor with over a thousand satisfied patients around the globe, Dr. Sajan has cultivated a delicate surgical method that is technically advanced, artistically driven and, most importantly, guided by each client’s unique desires. It’s an individualized approach that allows him to balance the precise features his patients want with the subtle and long-lasting results for which he is known. 


Lower Surgery (FTM) Show and Tell
A facilitated discussion where post-op guys can share their results with pre-op guys. Session will begin with general Q&A, parents and providers are welcome. Second half will be restricted to FTM/trans masculine folks seeking lower surgery or those who have had lower surgery only. Minors must have signed parental waiver to attend.
Logan Berrian is a registered nurse with extensive experience as a clinical nurse case manager. He has been leading the phalloplasty program at the Buncke Clinic since last summer, and provides care coordination and clinical post-operative support for our patients.


MTF Surgical Procedures
Dr. Satterwhite will be discussing vaginoplasty, facial feminization, breast augmentation, and body contouring for MTF patients.
Thomas Satterwhite, MD, obtained his bachelor’s degree (Human Biology with Honors) and medical degree at Stanford University in Palo Alto, CA. He remained at Stanford Hospital to complete his residency in plastic surgery, a highly regarded training program. His expertise in facial surgery was further refined with the completion of a craniofacial fellowship in Miami, FL, under the tutelage of Dr. S. Anthony Wolfe, a world-renowned craniofacial surgeon.


Optimizing Options in Gender Confirmation Surgery for MTFs and FTMs
This program is designed to help participants gain knowledge of Dr. Bowers’ current MTF and FTM techniques. She will familiarize participants with her procedures, as well as show examples of recent outcomes.
Marci Bowers, MD, is acknowledged as a pioneer in the field of genital reassignment surgery and is the first woman worldwide to hold a personal transgender history while performing over 2000 transgender surgeries.


Parenting While Trans: Exploring Options and Experiences in Fertility, Pregnancy, and Infant Feeding
Becoming a parent is a transformation of identity, not separate from but fully fused with one’s gender identity and expression.  Learn about options for fertility and family building from a gender inclusive, trans-centered perspective. Topics will include considerations for timing of gender transition in relation to pregnancy; gamete preservation prior to hormonal transition; and options for infant feeding. Psychosocial issues such as intersections of gender identity/expression with parenthood, trans-masculine pregnancy, and trans-feminine motherhood will be discussed.  This workshop is appropriate for mental health and medical providers as well as families with youth who are thinking about reproductive options. There will be ample time for discussion and Q&A following the presentation.
Kristin Kali, LM, CPM, is a midwife, teacher, writer, speaker, trainer, and consultant specializing in LGBTQ family building and gender inclusivity, as well as an authoritative resource on LGBTQ healthcare during conception and pregnancy, functional approaches to fertility, and midwifery model preconception care. 
Kristin is the owner of MAIA Midwifery and Fertility Services, internationally renowned for LGBTQ family building expertise and midwifery model preconception care. In addition to providing preconception care via telemedicine to families across the globe, Kristin provides midwifery care, home insemination, classes and support groups in Seattle, WA, as well as teaching in the San Francisco Bay Area.


Pelvic Health and Rehabilitation
This session introduces the participant to the basics of pelvic rehabilitation through physical therapy applications for common pelvic dysfunctions. Pelvic health includes bowel, bladder, and sexual health as well as recovery from any pain related to the pelvis (genitals, tailbone, buttocks, lower abdomen, etc.). The goal of this presentation is to increase awareness of options for recovery of pelvic health. Pre- and post-surgical pelvic recovery will also be discussed.
Holly Tanner
is a physical therapist and massage practitioner and owner of Flow Rehabilitation in Seattle, Washington. Her primary clinical focus is pelvic rehabilitation that includes bowel, bladder, sexual health, and any type of pelvic pain.


Preparing for Lower Surgery: A Timeline from Contemplation to the OR
An RN will lead this presentation reviewing what is needed to get from point A through point C in the lower-surgery journey. The session will cover insurance, accommodations, packing and supplies, and what to do when you get to the hospital, and include lots of time for Q&A!
Logan Berrian is a registered nurse with extensive experience as a clinical nurse case manager. He has been leading the phalloplasty program at the Buncke Clinic since last summer, and provides care coordination and clinical post-operative support for our patients.


Surgical Options for FTM Patients
Dr. Safir will be discussing phalloplasty, metoidioplasty, penile implant placement, and testicular implant placement. Dr. Satterwhite will also be discussing top surgery.
Michael H. Safir, MD, is a diplomate of the American Board of Urology in female pelvic medicine and reconstructive surgery. He completed both his bachelor’s and medical degrees and a urology residency at Northwestern University and received an award as the senior resident “who best exemplified academic excellence, special leadership skills and compassion for patients.” He was selected to complete two separate year-long fellowships in male (UCSF) and female (UCLA) genito-urinary reconstructive surgery with mentors Dr. Jack McAninch and Dr. Shlomo Raz. Dr. Safir has served as section chief of reconstructive urology at New York Medical College and as a clinical instructor in urology at both UCLA and UCSF. He is one of a handful of urologists in the world with individual fellowship training and experience in both male and female genital reconstruction. Dr. Safir will perform all aspects of bottom surgery for the trans community after his intensive fellowship training at Brownstein & Crane Surgical Services.
Thomas Satterwhite, MD, obtained his bachelor’s degree (Human Biology with Honors) and medical degree at Stanford University in Palo Alto, CA. He remained at Stanford Hospital to complete his residency in plastic surgery, a highly regarded training program. His expertise in facial surgery was further refined with the completion of a craniofacial fellowship in Miami, FL, under the tutelage of Dr. S. Anthony Wolfe, a world-renowned craniofacial surgeon.


Top Surgery: FTM and MTF Artistic Considerations
We want to promote a deeper understanding of masculine and feminine facial and body features. Many of these concepts are derived from artistic training. Understanding these concepts will aid in helping individuals find the true expression of themselves, locating an understanding surgeon, and determining the most effective procedure(s) to relieve their dysphoria.
Dr. Tony Mangubat, a native of Seattle, is a graduate of the University of Washington Medical School, studied surgery at the University of Kentucky and trained in cosmetic surgery with Dr. Richard C. Webster, a legend in the field of cosmetic surgery. He performs a full spectrum of cosmetic procedures including many trans-procedures. He lectures worldwide on body sculpting procedures and is a leader amongst his peers. He has served on several Academy boards. Dr. Mangubat’s work with the Transgender community is well known to be caring and sensitive to each individual. His full resume: LaBelleVieCosmetic.com 


Top Surgery for Trans Femme/Trans Masc  at the Trans Clinic
A review of top surgery offerings by Dr. Walter Lin. 
Walter Lin, MD,is a plastic surgeon specializing in reconstructive surgery.  After graduating with honors from the Massachusetts Institute of Technology, he earned his medical degree at Harvard Medical School.  From there, he completed his residency in Plastic and Reconstructive Surgery at the University of California, San Francisco (UCSF).  He trained for an additional year of fellowship in hand, microvascular, and transgender surgery at The Buncke Clinic in San Francisco, and subsequently joined their practice.


Trans Surgery: Considerations and Care for Female to Male Procedures
We’ll discuss pre- and post-operative care for FTM patients as well as present an overview of the different procedure types. We will discuss complications and how to handle them as well as share tips for what we have learned over the years.
Dr. Ellie Ley is a plastic and reconstructive surgeon, board certified by the American Board of Plastic Surgery. She left private practice to join the office of Dr. Toby Meltzer in December of 2015. She has had extensive training and has a true passion for working with the community, performing GCS and other plastic surgery procedures. She graduated from Universidad Autonoma de Guadalajara and New York Medical College, and completed a residency in general surgery at the University of Arizona, and fellowships in craniofacial/pediatric surgery, hand and microsurgery, and plastic and reconstructive surgery.


Trans Surgery: Considerations and Care for Male to Female Procedures
This session includes before-and-after photos; a discussion of surgical options; preparations for surgery; when and why electrolysis is needed; and pre- and post-operative care for patients undergoing male-to-female GCS, with a focus on what the provider/patient needs to know. The presentation will also cover possible complications—what to look for and how to treat—and conclude with a question and answer period.
Dr. Ellie Ley is a plastic and reconstructive surgeon, board certified by the American Board of Plastic Surgery. She left private practice to join the office of Dr. Toby Meltzer in December of 2015. She has had extensive training and has a true passion for working with the community, performing GCS and other plastic surgery procedures. She graduated from Universidad Autonoma de Guadalajara and New York Medical College, and completed a residency in general surgery at the University of Arizona, and fellowships in craniofacial/pediatric surgery, hand and microsurgery, and plastic and reconstructive surgery.


Urethral Stricture after Phalloplasty: Incidence, Prevention, and Repair Strategies
Radial forearm free flap phalloplasty is the current standard of care for FTM gender confirmation surgery. This procedure is associated with as high as a 51% rate of urethral stricture, which falls only to 23-35% among the most experienced surgeons. While some modifications have been proposed to combat this high complication rate, it still remains as a major lasting source of morbidity. Patient and physician knowledge regarding the high burden and poor treatment options for urethral stricture after phalloplasty is incomplete, and patient acceptance of this reality is crucial to the honest understanding of the potential complications of this increasingly common but extremely complex surgery.
Dr. Richard Santucci spent the last 18 years as one of the nation’s premier academic reconstructive urologists and is now devoting his surgical talents to the challenges of transgender surgery.  Before coming to us, he was director of the Center for Urologic Reconstruction™ and a full clinical professor at the Michigan State College of Osteopathic Medicine (MSCOM). Dr. Santucci is the author of more than 100 scientific articles and has served on the editorial boards of more than 12 journals. Dr. Santucci’s Fellowship training in Reconstructive Urology is highly prized, and he trained both Dr. Curtis Crane and Dr. Mang Chen (and a dozen other surgeons) in the craft of urologic reconstruction.  “I am proud and humble to be able to work with the most experienced and advanced transgender surgery group in the country.  I am committed to using what I’ve learned to lend a hand to the very brave TG community.” 


Vaginoplasty 101 
A presentation regarding the basic overview of vaginoplasty for trans feminine people seeking lower surgery/gender-affirming genital surgery. 
Dr. Melissa Poh, MD is a plastic surgery specialist in Los Angeles, CA. She graduated from Georgetown University and specializes in plastic surgery and general surgery.


Vaginoplasty: The Ins & Outs
In this session discussing MTF gender-affirming surgery, Dr. Wittenberg will walk women through preoperative requirements, the steps of the surgery, postoperative recovery, possible complications in recovery, and how to treat and follow up on these if they occur.
Heidi Wittenberg, MD, obtained her bachelor’s degree in genetics at the University of California, Berkeley, a master’s degree in applied physiology, and graduated from the Chicago Medical School. She completed her residency at Johns Hopkins. She is board certified in female pelvic medicine and reconstructive surgery and further studied gender-affirmation surgery.


Vaginectomies: What’s New
Vaginectocmies have been performed for many years but only recently have they been able to be performed successfully by many people around the world. Looking at these various techniques is one goal. The other is to decide if this surgery does decrease the risk of complications.
Burt Webb, MD, started his practice in Scottsdale, AZ, after attending Stanford and Tulane Universities. Shortly thereafter in 2002, he started performing vaginectomies and hysterectomies on trans patients. He has enjoyed the experience so much that much of his practice is devoted toward helping trans patients both surgically and with the hormone management aspect of their health.


We Need To Talk: Transmasculine Top Surgery and Uncommonly Discussed Post-operative Hurdles
It’s time that we begin having the hard conversations around transmasculine top surgery and some post-operative “hurdles” that can arise.  Board-certified plastic surgeon Dr. Scott Mosser of the Gender Confirmation Center of San Francisco will talk with the audience about what post-operative depression can look like, the “Post-mastectomy Pain Syndrome,” and revisions, in addition to other challenging subjects uncommonly discussed. Dr. Mosser will also be sharing anonymous case studies in hopes of providing validation to the trans and gender-expansive community in addition to creating a cohesive platform for all voices and identities.
Board-certified plastic surgeon Scott W. Mosser, MD, began his career in medicine as a Fulbright Scholar to Ecuador, where he spent a year investigating the Ecuadorian healthcare system. He is a graduate of Baylor College of Medicine (Houston, TX) and Case Western Reserve University (Cleveland, OH), where he completed his internship and six years of comprehensive general and plastic surgery training. This was followed by a year-long fellowship dedicated to cosmetic surgery, during which time he perfected his techniques in facial and body cosmetic surgery.