Your surgeon will also take photographs of your face during this visit. To optimize your wound healing and surgical results, it's important to follow post-operative instructions carefully. Kaiser Permanente. This is typically only needed if you are undergoing surgery as a gender-affirming operation. The brow lift procedure moves the eyebrows to a higher set position on the forehead, giving a softer, wide eyed, feminine appearance. The combination of these procedures, however, does not increase the recovery time. This "in-between" timeline is highly variable, though, and is determined based on a number of factors including surgeon discretion, procedure healing times, and patient preference. July 2020. The assessment must document that an individual meets all of the following criteria: o Persistent, well-documented Gender Dysphoria Youll have gauze or bandages over your incisions for several days. The procedure is often performed laparoscopically using three 5mm incisions on the lower abdomen. In preparation for facial feminization surgery of the jaw and chin, the surgeon may request an evaluation by a dentist or orthodontist to ensure your teeth and jaw bones are healthy and that you do not have any infected teeth, cavities or third molars (wisdom teeth) that have not yet emerged or been extracted. This procedure includes removal of the uterus and cervix as well as the fallopian tubes and ovaries in those patients who do not desire future fertility. Your doctor will provide instructions on returning to work and exercise and other tips on whats safe to do and when. Contact your healthcare provider right away if you experience any of these complications after your surgery: Facial feminization surgery (FFS) is a procedure to make your face appear more feminine instead of masculine. Don't submerge your incisions sites underwater (e.g., when taking a bath or swimming) for three to four weeks. We're happy to complete FMLA and STD paperwork if applicable. Your vocal cords (also called vocal folds) are bands of soft tissue in your larynx (voice box). Your surgeon will bandage the surgical area with a special compressive dressing around your jaw, which will remain in place for a few weeks after surgery. The goal of FFS is to 1) treat gender dysphoria, 2) eliminate misgendering, and 3) help you love the way you look. Facial feminization surgery is performed in a hospital or surgical center. The surgery is usually done under general anesthesia. Facial Feminization Surgery FFS Insurance Coverage For people in whom hormone therapy is not enough to achieve desired gender-affirming changes to theface, surgery can help. That said, the physical and emotional challenges that go along with surgery are very real. Before and after photos on this website are Dr. Totonchis actual patients and all patients have given consent for use of these photos. ), and place an intravenous (IV) line into a vein in your arm. Facial Feminization Procedures Facial feminization surgery (FFS) involves several surgeries that can be done to feminize the facial features. Have disorders that require androgen (male sex hormone) therapy as treatment. A drain is a thin, plastic tube that the surgeon places under your skin. A speech-language pathologist works with you on: Your speech-language pathologist also makes sure you dont have any existing voice disorders that could prevent a successful surgery. 2018 Dec; 18(12): 39. Call and make your consultation appointment with Dr. Totonchi to discuss your FFS needs, call office at 216-778-2262. Facial feminization surgery is most commonly performed as a treatment for gender dysphoria, which is when an individual experiences significant distress related to a strong desire to be of another gender. They may recommend certain ointments or treatments to address them sooner than later. Here, you will change into a hospital gown. Decreasing the distance between the nose and upper lip gives a more feminine balance to the face. Those looking to soften and feminise their facial features such as their jaw, cheeks, forehead and nose. What is facial feminization surgery (FFS)? Sometimes voice feminization surgery doesnt produce the results you want. American Society of Plastic Surgery. University of Utah Health. With IPS Transformation we offer a variety of high quality, indivi. Gender Affirming Surgery: Before and After Photos - Cleveland Clinic Contraindications to facial feminization (which are surgeon dependent) may include: The risks associated with facial feminization surgery depend on the specific procedure being performed. The Transgender Surgery Program has a special rate for our patients with the hotel. Advertising on our site helps support our mission. It is important to follow the doctors advice for the weeks following a tracheal shave. Transgender patients have facial feminisation surgery to soften and feminise features such as their jaw, cheeks, forehead and nose. Rhinoplasty: Rhinoplasty can be a key element in transgender facial feminization. Cheek augmentation helps to round out the face giving it a feminine appearance. Facial feminization surgery is performed as either a single procedure or as multiple staged procedures. If you decide to proceed with surgery, various tests will be recommended for medical and anesthesia clearance. You may need to sign one or more consent forms at this time. MTF Orchiectomy Surgeons for Transgender Patients - MTFsurgery.net All patients are fully assessed for their safety prior to surgery. Facial Feminization Surgery: A Review of 220 Consecutive Patients. Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. American Society of Anesthesiologists. Patients who have met these criteria are deemed appropriate surgical candidates. Facial feminization is a set of cosmetic procedures done to soften typical male facial features and provide more classically feminine features to the face and neck. Brandstetter K, Kleinberger A, Shih C, Bell J. Kaiser Permanente. Depending on surgeon preference and/or if you are trying to obtain insurance coverage, you may also need to see a mental health professional for a letter of referral. Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. Nuffield Health looks after your health and wellbeing in ways that go beyond getting you fit and getting you back on your feet, that's what makes us specialists in you. It's important that you and your surgeon have goals that are aligned and realistic. Case Rep Surg. Photo time lapse compilation at . Most people can go home the same day as their procedure. Facial feminization surgery has a wide range of recovery time depending on the combination of procedures that are chosen. These may be staged over time or performed during the same surgery, depending on surgeon discretion and patient goals/preferences. At Another Johns Hopkins Member Hospital: The Center for Transgender and Gender Expansive Health Team at Johns Hopkins, More about the Center for Transgender and Gender Expansive Health, Center for Transgender and Gender Expansive Health. Specific risks and complications will be discussed in detail at your consultation. Your complete postoperative recovery will be about 6-8 weeks but this varies with each individual. In certain cases, it may be performed underlocal anesthesiawith intravenous sedation (the area being operated on is numbed and you are put into a light sleep). If you haven't already, you may also consider finding a facial feminization support group. 2021. Spread the cost of your treatment with a 6, 10 or 12 month 0% personal medical loan. Facial Feminization Surgery Cleveland - FFS Surgeon Cost - Dr. Ali Totonchi FFS is typically sought by the transgender population but can be performed for anyone seeking to soften their facial features. These images help the surgeon plan your surgeries and provide a baseline for evaluating results after your procedures are finished. 2023 Dotdash Media, Inc. All rights reserved. Facial Feminization Surgery: Before and After Gallery Cleveland Plastic Surgery - Best Cosmetic Surgeon Cleveland Talk to your healthcare provider or your psychologist before the procedure so you know what to expect. Information on Estrogen Hormone Therapy. The surgeon will attempt to minimize the appearance of the scar by placing it in a less obvious area or within the natural skin folds of the neck. Orchiectomy is a procedure done to remove the testes which alleviates genital dysphoria in some patients and eliminates the need for androgen (testosterone) suppression and optimize the effects of estrogen. Transgender Surgery Ohio - Affordable Facial Feminization Surgery Have a mental health disorder that impairs your ability to make appropriate personal decisions. Before the first consultation, the surgeon may schedule photographs,X-raysand a 3DCT scanthat shows your facial bones and soft tissue. Surgery will be carried out under general anaesthetic and can typically range from around 4 to 8 hours depending on the procedures. Patients must have a support person to bring them home from the hospital. Elizabeth Boskey, PhD, MPH, CHES, is a social worker, adjunct lecturer, and expert writer in the field of sexually transmitted diseases. Facial Feminization Surgery - Cleveland Clinic We do not endorse non-Cleveland Clinic products or services. If you are considering any bone-related procedure (e.g., forehead or jaw), you will need to get X-rays or a computed tomography (CT) scan of your facial bones. Please make sure that you have a driver for any postoperative visit that is within 2-4 weeks of your surgery. He will assist you in choosing the best surgical plan to attain your desired outcome. Financing & Support for Gender Confirmation Surgery Dont have realistic expectations about the results. The mental health professional will review your gender identity and dysphoria and help you determine how the surgery fits into your overall treatment plan. You should also arrange to have someone stay with you for the first few days (perhaps up to a week) after surgery to help you with your recovery and other logistics, like household chores, picking up medications from the pharmacy etc. The procedure takes one to two hours and may not require admission to the hospital. Your surgeon will likely ask that you avoid any facial treatments (for example, electrolysis or chemical peels) two weeks before your surgery date. What are the masculine features that you would most like to soften and make more feminine? You can find out more about our use, change your default settings, and withdraw your consent at any time with effect for the future by visiting Cookies Settings, which can also be found in the footer of the site. He has extensive training and experience in facelift, rhinoplasty body, and breast surgery. Since facial feminization surgery is sometimes performed in stages, you may begin preparing for the next procedure soon after recovering from the first one. The surgery softens these features, creating a face that is more oval-shaped. Cleveland Clinic requires that all patients seeking the following gender affirming surgical services, must obtain a letter from a licensed mental health professional (counselor, social worker, etc.) The techniques can help transgender women transition physically to their self-affirmed gender. doi:10.1080/15265161.2018.1531159, Salgado CJ, AlQattan H, Nugent A, et al. Its important to have realistic expectations about the results of voice feminization surgery. Thank you, {{form.email}}, for signing up. The chin plays a crucial role in the proportions and balance of facial features. (2021). FFS is a combination of complex procedures that transforms every part of your face from masculine to feminine. Private Practice: Zeeba Office at Lyndhurst 440-461-7999Hospital Practice: Cleveland & Westlake 216-778-2262, Private Practice: Zeeba Office at Lyndhurst 440-461-7999 Hospital Practice: Cleveland & Westlake 216-778-2262. Companion to accompany you for postoperative stay. Too much pitch increase (voice is unnaturally high). Surgery changes the length, size or tightness of your vocal cords. For instance, with the forehead reduction, a surgeon may utilize a hairline approach (the incision is made over the front of the hairline) or a coronal approach (the incision is made across the top of the head). The most important thing to us is getting you fit and healthy with our network of fitness experts and cutting-edge facilities. This procedure involves making features more prominent and hence more masculine in appearance. University of Washington. In FMS, the cheeks can be made more angular and prominent in order to mimic a masculine facial bone structure. drtotonchi.com. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Technical and Clinical Considerations for Facial Feminization Surgery With Rhinoplasty and Related Procedures, Preparing for Facial Feminization Surgery: Timing, Plastic and Reconstructive Surgery: Facial Feminization, Facial Feminization Surgery: What to Expect and Post-Operative Care, Recovery After Facial Feminization Surgery, Full Facial Feminization Surgery: Patient Satisfaction Assessment Based on 180 Procedures Involving 33 Consecutive Patients, Insufficient social support to move through the surgical process, No confirmed diagnosis of gender dysphoria (if applicable), Inability to provide informed consent of surgery, Infection and problems with wound healing, Nerve damage and subsequent numbness after surgery, Infected titanium plates/screws that may require removal, A reduction in gender dysphoria (if applicable), An improvement in self-esteem and quality of life, Wide-collar, zip-up, or button-up shirt to wear when leaving the hospital, Small personal or comfort items (e.g., cell phone and charger), Apply the ice to your face for no longer than 20 minutes within an hour-long period. Voice feminization surgery is a procedure to raise the pitch of your voice or make it sound higher. Dr. Totonchi offers a variety of leading-edge treatments to help you feel and look younger. Your surgeon may use a laryngoscope to access your voice box. For patients who are only having a brow lift, the surgeon can make four or five small, one-centimeter incisions in the hairline or an incision around the brow line. Breast augmentation is often performed as an outpatient procedure but some patients may require one night stay in the hospital. The surgery may also be performed in cisgender women who desire a more feminine face or facial feature (e.g., a lower hairline). You might have one surgery or several, including: If you get a comprehensive FFS as a single surgery, it can take eight to nine hours. If you experience symptoms ofdepressionor anxiety before or after surgery, be sure to talk with your healthcare provider, therapist, or other mental health professional.
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