Toby Meltzer
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Toby R. Meltzer (born September 19, 1957) is an American
plastic Plastics are a wide range of synthetic or semi-synthetic materials that use polymers as a main ingredient. Their plasticity makes it possible for plastics to be moulded, extruded or pressed into solid objects of various shapes. This adaptab ...
and
reconstructive surgeon Reconstructive surgery is surgery performed to restore normal appearance and function to body parts malformed by a disease or medical condition. Description Reconstructive surgery is a term with training, clinical, and reimbursement implicat ...
. Meltzer specializes in
sex reassignment surgery male-to-female Sex reassignment surgery for male-to-female transgender women or transfeminine non-binary people describes a variety of surgical procedures that alter the body to provide physical traits more comfortable and affirming to an individual's gender i ...
,
sex reassignment surgery female-to-male Sex reassignment surgery for female-to-male transgender people includes a variety of surgical procedures that alter anatomical traits to provide physical traits more comfortable to the trans man's male identity and functioning. Often used to ...
, and
facial feminization surgery Facial feminization surgery (FFS) is a set of reconstructive surgical procedures that alter typically male facial features to bring them closer in shape and size to typical female facial features. FFS can include various bony and soft tissue proced ...
. In the 1990s, Meltzer pioneered the neovaginal construction technique that increased the ability of the neoclitoris to feel sensations. According to his website, Meltzer performs 2-4 vaginoplasties a week, and that he has performed over 3000 male and female sexual reassignment ( SRS) surgeries. Joan Roughgarden called Meltzer one of the leading surgeons in this specialized field. He practices in
Scottsdale, Arizona , settlement_type = City , named_for = Winfield Scott , image_skyline = , image_seal = Seal of Scottsdale (Arizona).svg , image_blank_emblem = City of Scottsdale Script Logo.svg , nick ...
.


Education and early practice

Meltzer is a graduate of the
Louisiana State University Louisiana State University (officially Louisiana State University and Agricultural and Mechanical College, commonly referred to as LSU) is a public land-grant research university in Baton Rouge, Louisiana. The university was founded in 1860 nea ...
school of medicine, where he completed a residency in
general surgery General surgery is a surgical specialty that focuses on alimentary canal and abdominal contents including the esophagus, stomach, small intestine, large intestine, liver, pancreas, gallbladder, appendix and bile ducts, and often the thyroid ...
. He completed his
plastic surgery Plastic surgery is a surgical specialty involving the restoration, reconstruction or alteration of the human body. It can be divided into two main categories: reconstructive surgery and cosmetic surgery. Reconstructive surgery includes craniofa ...
residency at the
University of Michigan , mottoeng = "Arts, Knowledge, Truth" , former_names = Catholepistemiad, or University of Michigania (1817–1821) , budget = $10.3 billion (2021) , endowment = $17 billion (2021)As o ...
. Meltzer then began his practice, while working as a clinical professor of plastic surgery at
Oregon Health Sciences University Oregon Health & Science University (OHSU) is a public research university focusing primarily on health sciences with a main campus, including two hospitals, in Portland, Oregon. The institution was founded in 1887 as the University of Oregon Medi ...
(OHSU). There he specialized in general surgery, plastic surgery, and completed a fellowship in surgery for treatment of severe
burn A burn is an injury to skin, or other tissues, caused by heat, cold, electricity, chemicals, friction, or ultraviolet radiation (like sunburn). Most burns are due to heat from hot liquids (called scalding), solids, or fire. Burns occur mainl ...
injuries. Working with the chief of Plastic and Reconstructive Surgery Division at OHSU, he began training in SRS surgical techniques. Meltzer researched and interviewed
pediatric Pediatrics ( also spelled ''paediatrics'' or ''pædiatrics'') is the branch of medicine that involves the medical care of infants, children, adolescents, and young adults. In the United Kingdom, paediatrics covers many of their youth until the ...
urologist Urology (from Greek οὖρον ''ouron'' "urine" and ''-logia'' "study of"), also known as genitourinary surgery, is the branch of medicine that focuses on surgical and medical diseases of the urinary-tract system and the reproductive organ ...
s with experience treating children born with
ambiguous genitalia Intersex people are individuals born with any of several sex characteristics including chromosome patterns, gonads, or genitals that, according to the Office of the United Nations High Commissioner for Human Rights, "do not fit typical bina ...
, and surgeons already performing
vaginoplasty Vaginoplasty is any surgical procedure that results in the construction or reconstruction of the vagina. It is a type of genitoplasty. Pelvic organ prolapse is often treated with one or more surgeries to repair the vagina. Sometimes a vaginoplas ...
surgeries such as the late
Stanley Biber Stanley H. Biber (May 4, 1923 – January 16, 2006) was an American physician who was a pioneer in sex reassignment surgery, performing thousands of procedures during his long career.Fox, Margalit (21 January 2006)Stanley H. Biber, 82, Surgeon Am ...
. In 1993 he began performing vaginoplasty surgeries, which eventually became a large part of his practice. In 1996, he opened his own private practice in Portland, Oregon. In 2003, he relocated his practice to Scottsdale, Arizona, in 2003 becoming the first doctor in that state to specialize in gender reconstruction surgery. Meltzer was forced to relocate to Scottsdale after a conservative physicians consortium, Symphony Healthcare, purchased
Eastmoreland Hospital Eastmoreland Hospital was a 100-bed medical center in Portland, Oregon, United States. Closed in January 2004 along with sister hospital Woodland Park,Jaquiss, NigelDoctors Inc.''Willamette Week'', October 19, 2005 the facility was purchased by ...
. Meltzer was reportedly forced out due to Symphony's hefty price increase, that some claim was a ruse due to the conservative corporation's objections to sexual reassignment surgery. According to reports, Meltzer's surgeries accounted for 50 percent of the hospital's revenue. Symphony Healthcare filed for Chapter 11 bankruptcy protection less than two years later.


Surgical practice

During the 1990s, during his practice in
Portland Portland most commonly refers to: * Portland, Oregon, the largest city in the state of Oregon, in the Pacific Northwest region of the United States * Portland, Maine, the largest city in the state of Maine, in the New England region of the northeas ...
Meltzer developed a
vaginoplasty Vaginoplasty is any surgical procedure that results in the construction or reconstruction of the vagina. It is a type of genitoplasty. Pelvic organ prolapse is often treated with one or more surgeries to repair the vagina. Sometimes a vaginoplas ...
technique. Meltzer's demeanor and surgical skills gained him respect in the transgender community as he was considered having surpassed the veteran
Stanley Biber Stanley H. Biber (May 4, 1923 – January 16, 2006) was an American physician who was a pioneer in sex reassignment surgery, performing thousands of procedures during his long career.Fox, Margalit (21 January 2006)Stanley H. Biber, 82, Surgeon Am ...
in terms of referrals. He is also one of just a few surgeons in the U.S. who performs metiodioplasty procedures to create male genitalia for FTM trans men. In the late 1990s, Meltzer performed many cricothyroid approximation surgeries. This procedure attempts to raise vocal pitch by surgically modifying the
cricoid The cricoid cartilage , or simply cricoid (from the Greek ''krikoeides'' meaning "ring-shaped") or cricoid ring, is the only complete ring of cartilage around the trachea. It forms the back part of the voice box and functions as an attachment sit ...
and
thyroid The thyroid, or thyroid gland, is an endocrine gland in vertebrates. In humans it is in the neck and consists of two connected lobes. The lower two thirds of the lobes are connected by a thin band of tissue called the thyroid isthmus. The thy ...
cartilage Cartilage is a resilient and smooth type of connective tissue. In tetrapods, it covers and protects the ends of long bones at the joints as articular cartilage, and is a structural component of many body parts including the rib cage, the neck an ...
structures. The intent of the procedure is to raise the vocal pitch of patients unable to do so through voice training. Improved voice training methods (which often produce better results than the surgery) and the inherent risks of vocal surgery have largely eliminated the demand for cricothyroid approximation. According to his website, Meltzer performs
facial feminization surgery Facial feminization surgery (FFS) is a set of reconstructive surgical procedures that alter typically male facial features to bring them closer in shape and size to typical female facial features. FFS can include various bony and soft tissue proced ...
(FFS),Toby Meltzer, MD, P
''Toby Meltzer, MD, PC: Procedures MTF''
/ref> and is available to provide: mandibular angle osteotomy, genioplasty, cranioplasty, scalp advancement, trachea reduction, and other feminizing procedures. Also aspects of his practice are: reconstruction of severed limbs, scar revision surgeries, and more familiar plastic surgical procedures such as breast augmentation.


References


External links

* – Surgery office website

- Collection of surgery results, description of processes and photos {{DEFAULTSORT:Meltzer, Toby 1957 births Living people American plastic surgeons Louisiana State University alumni Surgeons specializing in transgender medicine Oregon Health & Science University faculty University of Michigan alumni