This procedure reshapes the jaw line, increases facial width, and creates an angular, more masculine jaw line. Cheek augmentation helps to round out the face giving it a feminine appearance. At the end of the procedure, the incision will be closed with sutures that do not need to be removed. Please make sure that you have a driver for any postoperative visit that is within 2-4 weeks of your surgery. In addition to adjusting the pitch of your voice, a speech-language pathologist helps you feminize: About 1% of transgender women have voice feminization surgery. Your surgical team will review these with you as you get closer to surgery. Remember, too, that not everyone has the same understanding of femininity, so be sure to review how your surgical plan aligns with your expectations with your surgeon carefully. 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. You may go home with a surgical drain. Many people do voice feminization therapy before surgery. Voice feminization surgery raises the pitch of your voice, making it sound higher. Bruises, including black eyes, may take four to six weeks to clear up. For genital surgery, a written psychological assessment from at least two Qualified Behavioral Health Providers experienced in treating Gender Dysphoria*, who have independently assessed the individual, is required. Facial Feminizations Mastectomies Vaginoplasty Breast Augmentations This procedure involves enlargement of the breasts with an implant. These operations are commonly performed for transgender women (MTF FFS) and can be performed for cisgender women. 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. Please check with your insurance provider to make sure that it is covered. Risks of facial feminization surgery include: Face feminization surgery can help give you the physical appearance of the gender you identify with. Preparing for Facial Feminization Surgery: Timing. Various techniques may be used to perform this procedure, and they are surgeon and patient dependent. University of California, Sam Francisco. The SOC are based on the best available science and expert professional consensus. SUPPORT Patreon: https://www.patreon.com/jessiege. The assessment must document that an individual meets all of the following criteria: o Persistent, well-documented Gender Dysphoria 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. Rates are subject to change each year, but please plan for a minimum of $2,000 for the hotel stay, however, depending upon your personalized plan, the overall cost may be higher. After surgery, you may go home or to a hotel (if you are out of town), or your surgeon may have you stay overnight in the hospital. It is important to follow the doctors advice for the weeks following a tracheal shave. Revealing My Post-Facial Feminization Surgery Face! - YouTube The highest standards of clinical care in state-of-the-art facilities, with Consultant-led treatment, spotlessly clean rooms, and a team of dedicated and experienced nurses. Cost of Postoperative Stay: As part of your recovery, you will be staying at the Intercontinental Hotel, which is attached to the Cleveland Clinic Main Campus. Cost of Postoperative Stay:As part of your recovery, you will be staying at the Intercontinental Hotel, which is attached to the Cleveland Clinic Main Campus. If you are being discharged that day, it will likely be a few hours after the procedure. Your diet instructions may also vary depending on whether you had any procedures performed in or around your lips, mouth, or jaw. By undergoing facial feminization surgery, a person may experience one or more of the following benefits: If you are considering facial feminization surgery, your first step will be to schedule a consultation with a plastic surgeon who specializes in this type of surgery. More about Facial Feminization Surgery Narrow *Treatment results may vary *The member who uploaded this photo has read and agreed to the RealSelf Photo Rules He welcomes patients in his hospital base and private practice offices. Genioplasty: Transgender genioplasty is performed to transform a wider, flatter, longer, and more squared masculine chin to a narrower, shorter, more rounded female chin. Surgical manipulation of the bone and soft tissues of the face create a feminine appearance. University of Washington. By Elizabeth Boskey, PhD For example, a transgender woman or non-binary individual who feels uncomfortable or distressed with the gendered structure of their face may desire several procedures, including a forehead reduction, rhinoplasty, tracheal shave, chin and jaw reduction, and fat grafting. The process depends on the facial features you choose to change. With facial feminization surgery, there are several different surgical procedures a person may undergo. From there, you will probably see your surgeon at these time frames after surgery: Call your healthcare provider right away if you experience: Depending on the number and types of procedures you underwent, the final results of your surgery make take up to six to nine months to appear, and scars can take up to a year to heal. This type of healthcare provider specializes in surgery for the voice box and throat. A surgical nurse will review your medication list, record yourvitals(heart rate, blood pressure, etc. IPS Transformation | Facial Feminization Surgery - YouTube You will be advised to rest for a couple of days. Copy of your most recent primary care medical records. Typically, with female-to-male transitioning, hormone therapy is the most effective way to change secondary sex characteristics and achieve a more masculine facial appearance. He has now performed over 200 feminizing bottom surgeries and his practice is fully dedicated to providing gender-affirming surgical care. Facial Feminization Considerations for the Transgender Patient Masculine foreheads have a heavy bony ridge above the eyes, just below the eyebrows. Browseour articlesto find trusted information on training, nutrition, getting back to good health and much more. The nasal tip is generally adjusted to give a upward feminine appearance rather than the typical male downward nasal appearance. They cannot be smokers or be excessively overweight, and they must be medically optimized for surgery if they have medical comorbidities. Plast Reconstr Surg 2016 Feb;137(2):438-448.doi:10.1097/01.prs.0000475754.71333.f6. Staying in the hospital: Your procedure may be performed in a hospital or outpatient center. Feminizing the Face: Combination of Frontal Bone Reduction and Reduction Rhinoplasty. The surgery is usually done under general anesthesia. In extreme cases, a tissue expansion is used to achieve the desired effect. In older patients, the eyelids may also be lifted to open the eyes and achieve a more feminine look. The precise steps of your surgery will depend on the type of procedure(s) you are having. Facial Feminization Surgery under Insurance: The University - LWW FFS usually does not happen in one operation. Dr. Totonchi is also an Associate Professor at Case Western Reserve Universitys School of Medicine. We recognize that you have many options when it comes to your cosmetic or plastic surgery needs. FFS can change your hairline, forehead, nose, jaw and other parts of your face. 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. Nicotine/nicotine-related product free (minimum 3 months). Our surgical providers at Cleveland Clinic offer a wide range of gender-affirming procedures, including: See before and after photos of patients who have undergone gender-affirming surgeries, including breast augmentations, facial feminizations, mastectomies and vaginoplasty. Facial Feminization Surgery (FFS) | Johns Hopkins Medicine Policy. 2012;13(4):165-232. doi:10.1080/15532739.2011.700873. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Brow lift: The brow lift/forehead lift gives the most dramatic FFS results. An Adams apple that is still prominent after the procedure, Removal of too much cartilage, which can damage the vocal cords. Waltham, MA: UpToDate, Coleman E, Bockting W, Botzer M, et al. The procedure is often performed laparoscopically using three 5mm incisions on the lower abdomen. JAMA Facial Plast Surg. Masculine facial features tend to be square and sharp. Generally speaking, the recovery time is approximately 2-3 weeks when involving one of these procedures or a combination of these: forehead contouring, hairline advancement, brow lift, rhinoplasty or genioplasty. ), and place an intravenous (IV) line into a vein in your arm. Depending on your priorities, the plan you agree on with your surgeon may include one or more of the following procedures: Shaping the forehead and hairline can create a more oval or heart shape to the face. A variety of techniques can be employed for the chin, which includes the use of a chin implant, osteotomy (cutting and shaping of the chin bone), or fat graft. The total cost will vary depending upon the procedure and the number of stages needed. Upon arrival at the hospital or surgical center, you will be led into a small pre-operative/holding room. 2019 May;27(2):191-197.doi:10.1016/j.fsc.2018.12.002. Most patients first begin working with a therapist before and after starting hormones. This is typically only needed if you are undergoing surgery as a gender-affirming operation. This procedure is often done in conjunction with chin reshaping. He has extensive training and experience in facelift, rhinoplasty body, and breast surgery. Find out more. Facial Feminization Surgery is a critical part of a transition timetable for a transgender patient who has decided to live full time as female. Contraindications to facial feminization (which are surgeon dependent) may include: The risks associated with facial feminization surgery depend on the specific procedure being performed. Facial feminization surgery is a series of procedures that can reshape the face and its features to achieve a more feminine appearance. You will have to clean the inside of your mouth with a prescription mouthwash for a few weeks after surgery. The incision is closed with sutures (stitches). We require that patients live full time as their self-affirmed gender for more than one year, that they have undergone cross-sex hormone therapy for at least one year, and that they have letters of support for surgical transition from two mental health professionals who are well-versed in transgender patient care. Incision sites may also vary with certain procedures. When showering, wash your incision sites very gently with warm water and soap and pat the skin dry with a clean towel. We do not endorse non-Cleveland Clinic products or services. It is performed as an outpatient procedure. Facial feminization surgery is different for everyone. Male hysterectomy/vaginectomy - 2 letters must be obtained. Our providers specialize in head and neck surgery and oncology; facial plastic and reconstructive surgery; comprehensive otolaryngology; laryngology; otology, neurotology and lateral skull base disorders; pediatric otolaryngology; rhinology, sinus and skull base surgery; surgical sleep; dentistry and oral and maxillofacial surgery; and allied hearing, speech and balance services. Doing two surgeries gives your face more time to heal between surgeries and allows more flexibility for patients. Deschamps-Brely J. American Society of Plastic Surgeons. Facial feminization surgery (FFS) involves a comprehensive set of procedures to make your face appear more feminine. They may recommend certain ointments or treatments to address them sooner than later. The course of recovery for the different procedures can vary, and it can be influenced by your general state of health and your self-care after surgery. It is strongly suggested that all prospective clients perform their own independent research regarding Totonchi Plastic Surgery and our qualifications. Hairline advancement (scalp advancement): Scalp advancement is a procedure done to move the hairline forward, decreasing the prominence of the forehead. Last reviewed by a Cleveland Clinic medical professional on 06/08/2021. Tracheal shave is one of the simplest surgeries done to obtain feminine features and can be performed under local anesthetic. This will vary greatly from patient to patient and the surgeries being undertaken but typically you will need around 3 weeks off work. See ourCQC ratings. This procedure includes removal of breast tissue with masculinizing chest contouring and nipple grafting in some cases. A cartilage graft is used to change the size and shape of the nose. The Ethics of Gatekeeping in Transgender Health. Were happy to complete FMLA and STD paperwork if applicable. Facial Feminization Surgery (FFS) Facial Feminization Surgery Transgender Rhinoplasty Spa at Zeeba Clinic Evoke & Evolve Treatments Morpheus8 Treatment RF Non-Surgical Facial & Body Contouring Order ZO Skin Care Online Botox Injections Juvederm Ultra Laser Resurfacing Chemical Peels (PRP) Treatment Photo Gallery Face Facelift You may need to sign one or more consent forms at this time. Depending on the specific procedure being performed, there may be more than one approach that a surgeon can use. Need help eliminating stubborn pockets of fat or loose, excess skin? Information on Estrogen Hormone Therapy. Demonstrated understanding of surgery and the implications of this irreversible step. We do not endorse non-Cleveland Clinic products or services. Facial Feminization Surgery - A Complete Guide to FFS - DESCHAMPS-BRALY *Your results may vary. Surgery will be carried out under general anaesthetic and can typically range from around 4 to 8 hours depending on the procedures. Your surgeon will likely ask that you avoid any facial treatments (for example, electrolysis or chemical peels) two weeks before your surgery date. Generally, female noses tend to be smaller, less prominent, and slightly pointed. Sort by doctors that use CareCredit 11.1 mi Ali Totonchi, MD Board Certified Plastic Surgeon 57 reviews 29017 Cedar Rd., Lyndhurst, Ohio Virtual consultations accepted Verywell Health's content is for informational and educational purposes only. Dr. Amir Dorafshar. Swelling, warmth, or foul-smelling drainage from the incision site(s).
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