Business Details
21 Years
experience
Expert Gender Affirming Surgery in Durham, NC
Since 2005, our practice has specialized in gender-affirming surgical care, guided by the highest standards of excellence and compassion. As a board-certified plastic and reconstructive surgeon with over 17 years of experience, I have dedicated my career to helping transgender and non-binary individuals achieve physical alignment with their true identities. Our team adheres strictly to the World Professional Association for Transgender Health (WPATH) Standards of Care, ensuring every patient receives comprehensive, evidence-based treatment tailored to their unique needs. We offer a full spectrum of procedures including genital reconstruction, breast augmentation, facial feminization, and chest masculinization, all performed in world-class facilities at North Carolina Specialty Hospital and Duke Regional Hospital.Located in Durhama city recognized for its LGBTQ+ inclusivityour practice provides a safe, judgment-free environment where patients from across the country feel respected and supported throughout their transformative journeys. With specialized expertise in both surgical techniques and post-operative care protocols, we prioritize long-term patient satisfaction through meticulous attention to anatomical detail, functional outcomes, and emotional well-being.
Services
Gender Affirming Surgery
Breast Augmentation
Facial Feminization
FTM Top Surgery
Vaginoplasty
Orchiectomy
Scrotal Skin Reduction
Details
- Year established: 2005
Highlights and features
- 17+ years specializing in gender-affirming surgical techniques
- Strict adherence to WPATH Standards of Care
- Board-certified plastic surgeon with dual residency training
- Comprehensive pre- and post-operative support protocols
- LGBTQ+-inclusive environment at Duke-affiliated facilities
Associations and certifications
- American Board of Plastic Surgery
- American Society of Plastic Surgeons
What people say
Compassionate care
Life-changing results
Welcoming environment
Professional support
Expertise
Services
Gender Affirming Surgery
Specialized surgical procedures aligning physical characteristics with gender identity. Our practice offers comprehensive options including genital reconstruction, chest masculinization, and facial feminization. Each treatment plan follows WPATH guidelines, ensuring anatomical precision and functional outcomes while maintaining nerve sensitivity and natural aesthetics through advanced techniques like tissue inversion and dual-plane implant placement.
Vaginoplasty
Penile inversion vaginoplasty creates fully sensate neovagina using penile and scrotal tissue. The procedure preserves blood supply and nerve endings for sensation while constructing clitoral structures and labia. Patients receive detailed post-operative dilation protocols to maintain vaginal dimensions, with lifelong maintenance requirements explained during consultation at our Durham facility.
Facial Feminization
Customizable facial contouring to achieve feminine features through tracheal shave, forehead bossing reduction, rhinoplasty, and soft tissue augmentation. These procedures address gender markers like Adam's apple prominence and brow ridge structure, creating natural transitions in facial proportions while preserving vocal function and soft tissue integrity.
FTM Top Surgery
Bilateral mastectomy with chest contouring to create masculine pectoral profiles. Our technique focuses on minimal visible scarring through strategic incision placement along pectoral muscle shadows. Nipple grafts are resized and repositioned for natural appearance, with personalized recovery plans including compression garment use and activity restrictions.
Breast Augmentation
Silicone or saline implant placement tailored to transgender patients' unique anatomical needs. The procedure addresses pectoral muscle structure differences and creates natural breast proportions through dual-plane coverage and inframammary incisions. Special attention is given to achieving youthful breast slope and volume distribution matching cisgender female patterns.
People
Keelee MacPhee, M.D
Plastic & Reconstructive Surgeon
Board-certified plastic surgeon with 17+ years of experience specializing in gender-affirming procedures. Completed residencies at University of Florida and UNC School of Medicine. Member of American Society of Plastic Surgeons. Performs surgeries at Duke Regional Hospital since 2005, focusing on technical excellence and patient-centered care.
Questions
What gender-affirming procedures do you specialize in?
We offer vaginoplasty, facial feminization, FTM top surgery, breast augmentation, orchiectomy, and scrotal skin reduction. All procedures follow WPATH Standards of Care with personalized surgical planning.
How does the consultation process work?
Initial consultations discuss surgical options, expected outcomes, and recovery requirements. We explain technical details like tissue preservation, nerve sensitivity maintenance, and post-operative protocols for each procedure.
What post-operative care is required?
Patients receive specific instructions including vaginal dilation schedules, compression garment use, and activity restrictions. Our team provides recovery timelines, scar management guidance, and follow-up appointment schedules.
Are financing options available?
We recommend contacting your insurance provider about coverage possibilities. While we don't offer direct financing, we can provide detailed procedure documentation for potential third-party financing applications.
What makes your practice unique?
Our combination of WPATH-guided care, Duke hospital affiliations, and 17+ years of specialized experience creates an optimal environment for safe, effective gender-affirming surgical outcomes in supportive Durham setting.
