FFS may be part of an overall plan of gender affirmation, aligning the appearance of the face and body with a persons gender. Surgical manipulation of the bone and soft tissues of the face create a feminine appearance. This IV will be used for administering fluids and medications during and after surgery. However, after the sutures are removed, you face will still need weeks to continue to healing process until the final result is fully visible. Limited time savings on the Hair Restoration Package, click here to learn more. Please contact our office with any questions. Postoperative appointments: There will be several postoperative appointments after your surgery depending on what type of surgery you have. Be prepared to communicate nonverbally with text messages or notes. Dr. Dorafshar's research is focused on gender . Cheek augmentation: Cheek augmentation can be achieved with fat grafting and/or implants. Upper lip lift/Lip augmentation: The upper lip lift is generally done in combination with the rhinoplasty procedure. By Elizabeth Boskey, PhD Furthermore, not all healthcare providers may offer them. Learn more about cleft lip and palate surgery, ear reconstruction (otoplasty), giant congenital nevus (GCN) and other craniofacial procedures from leading specialist Dr. Totonchi. Companion to accompany you for postoperative stay. Who might need facial gender surgery? We are happy to share a list of qualified hair removal providers as well as qualified mental health providers upon request. What is facial feminization surgery (FFS)? (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7024865/). Since facial feminization surgery is sometimes performed in stages, you may begin preparing for the next procedure soon after recovering from the first one. New masking guidelines are in effect starting April 24. Facial Feminizations Mastectomies Vaginoplasty Breast Augmentations This procedure involves enlargement of the breasts with an implant. Male hysterectomy/vaginectomy - 2 letters must be obtained. Various techniques may be used to perform this procedure, and they are surgeon and patient dependent. Facial Feminization Surgery: Everything You Need to Know. Identifying risks for potential complications. 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. At your consultation, Dr. Totonchi will meet with you and discuss your aesthetic goals openly and honestly, and explain what is possible and attainable for you. However, the cost can range from $1,847 to $62,000, depending on a few key factors. Voice feminization surgery raises the pitch of your voice, making it sound higher. Other common post-operative instructions may include: You can expect to see your surgeon for your first follow-up visit around one to two weeks after surgery. Avoid exercise or other strenuous activities for at least four weeks after your surgery. Facial feminization surgery (FFS) involves several surgeries that can be done to feminize the facial features. Orchiectomy is performed as an outpatient procedure. 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. Please check with your insurance provider to make sure that it is covered. That said, if you are seeking facial feminization surgery as a component of your gender transition, your surgeon may recommend that you receive clearance from a qualified mental health professional. Transgender women may choose FFS to affirm their gender. Free of any non-prescribed substances including marijuana (minimum 3 months). 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. Instead, a staged approach, based on your priorities, is recommended. These operations are commonly performed for transgender women (MTF FFS) and can be performed for cisgender women. Blog . Your voice box will need several weeks to heal after voice feminization surgery. Plastic and Reconstructive Surgery: Facial Feminization. In addition to treating patients with cosmetic procedures like breast augmentation, breast lift, tummy tuck, liposuction, facelift, rhinoplasty, eyelid surgery or other non-surgical cosmetic surgery procedures at his Cleveland practice, Dr. Totonchi is also well known for his treatment and care of children with issues ranging from facial deformities to cleft palates. That said, the physical and emotional challenges that go along with surgery are very real. Embracing diversity and inclusion, the Center for Transgender and Gender Expansive Health provides affirming, objective, person-centered care to improve health and enhance wellness; educates interdisciplinary health care professionals to provide culturally competent, evidence-based care; informs the public on transgender health issues; and advances medical knowledge by conducting biomedical research. The World Professional Association for Transgender Health promotes the highest standards of health care for individuals through the articulation of Standards of Care (SOC) for the Health of Transsexual, Transgender, and Gender Nonconforming People. Surgery will be carried out under general anaesthetic and can typically range from around 4 to 8 hours depending on the procedures. American Society of Anesthesiologists. Surgery changes the length, size or tightness of your vocal cords. Last reviewed by a Cleveland Clinic medical professional on 09/06/2021. Posts Tagged. Call and make your consultation appointment with Dr. Totonchi to discuss your FFS needs, call office at 216-778-2262. Generally most patients are in hospital for around 2 to 3 days. You will notice a difference in service and care the moment you visit our office. She is an assistant professor at the Alpert Medical School of Brown University. Elizabeth Boskey, PhD, MPH, CHES, is a social worker, adjunct lecturer, and expert writer in the field of sexually transmitted diseases. 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. They vibrate when you take in air. However, it can take months for you to see the full results of the procedure. Demonstrated the capacity to make a fully informed decision and consent for treatment and the ability to comply with medical instruction. If you are concerned about scarring, contact your surgeon. Get useful, helpful and relevant health + wellness information. When multiple surgeries are desired, the surgeon will plan a staged approach. We do not endorse non-Cleveland Clinic products or services. Additionally, the forehead and brow ridge are reshaped to create a softer contour with feminine highlights. Facial feminization surgery might be done as a step in the process of treating discomfort due to a difference in gender identity and sex assigned at birth (gender dysphoria). 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. 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. Soft foods and nutritional shakes may be easier to manage. If you are staying overnight in the hospital, be sure to pack the following items in your bag or suitcase: Avoid smoking or tobacco use four to twelve weeks before surgery. To ease discomfort, take your pain medication exactly as prescribed. While facial feminization surgery has many potential benefits, the decision to proceed with it requires careful thought and preparation, especially given the surgery's psychological and social implications. Facial Feminization Surgery: Before and After Gallery. Not enough pitch increase (voice is still too low). The price you see is the price you pay. Lesbian, Gay, Bisexual and Transgender Health Care, World Professional Association for Transgender Health (WPATH) guidelines, Learn more about requirements for specific gender-affirming procedures, View before and after photos of masculinizing chest surgery (mastectomy), View before and after photos of breast augmentation surgery, View before and after photos of vaginoplasty surgery, View before and after photos of facial feminization procedures, World Professional Association for Transgender Health, Transgender Health & Gender Affirming Medical Services. 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. Most patients can resume a normal diet after surgery; although, your surgeon may have you stick to soft foods (e.g., yogurt or scrambled eggs) in the beginning. All patients are fully assessed for their safety prior to surgery. Recovery from the procedure takes about one month. 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. Surgery changes the length, size or tightness of your vocal cords. 2017 May; 19(3): 175181. 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. Verywell Health's content is for informational and educational purposes only. The selection of procedures is customized for each person based on their aesthetic goals. Facial feminisation surgery can involve a combination of all or some of the below cosmetic procedures. Your consultation can be scheduled once 50% of hair removal is completed. UpToDate. The Ethics of Gatekeeping in Transgender Health, Feminizing the Face: Combination of Frontal Bone Reduction and Reduction Rhinoplasty, Facial Feminization Surgery: A Review of 220 Consecutive Patients, Standards of Care for the Health of Transsexual, Transgender, and Gender-Nonconforming People, Version 7, Transgender Medical Clearance Sample Letter. Doing two surgeries gives your face more time to heal between surgeries and allows more flexibility for patients. When you awaken from surgery, there will be a drain in place; this will likely come out before you are released to go home. Before and after photos on this website are Dr. Totonchis actual patients and all patients have given consent for use of these photos. As with all surgeries there are risks involved with being under general anaesthetic. More people (about 14%) choose to have nonsurgical voice feminization therapy instead. Most people continue voice feminization therapy after surgery. Any specific claims or permanence length of results vary for each patient and are not guaranteed. These help treat vocal cord scarring or dysphonia. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event, (https://www.plasticsurgery.org/reconstructive-procedures/facial-feminization-surgery). Just look for the RealSelf Verified badge. YOU WILL NOTICE A DIFFERENCE IN SERVICE AND CARE THE MOMENT YOU VISIT OUR OFFICE. Most facial plastic surgeries involve a day or so in the hospital for observation and to ensure you are healing properly before you are released to go home. The procedure is often performed laparoscopically using three 5mm incisions on the lower abdomen. While you are considering facial feminization surgery, make a plan for yourself. Find out if you benefit from a discounted membership. This usually requires that you use lots of pillows or a soft foam wedge behind your head when sleeping. 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. University of Washington. A tracheal shave is done through a small incision on the anterior neck which Dr Totonchi uses to shave down the tracheal cartilage. In terms of restarting estrogen therapy (if this applies to you), confirm with your healthcare provider, but patients can usually restart within two to three days after surgery. The Latest in Non-Invasive and Minimally Invasive Face & Body Contouring. Specific risks and complications will be discussed in detail at your consultation. Forehead contouring typically removes this ridge and softens the appearance of the forehead and facial features. Are a transgender woman (male transitioning to female). Determine what it is that you like or dislike about your look. The doctor may recommend a soft or liquid diet until you can swallow food comfortably. Reviewing your current medications and any allergies you may have. Policy. Bandages and dressings: Do not remove tape, gauze, drains, splints or compression dressings: The doctor will take off these items and examine the surgical area at your first clinical appointment after your procedure. To access the larynx, the surgeon makes an incision in your neck. 2021. *Exceptions made for adolescents seeking masculinizing chest surgery; decisions made on a case-by-case basis. RealSelf Verified doctors complete our multistep verification process and meet rigorous requirements to become our most trusted plastic surgeons and cosmetic procedure providers. For trans patients, gender confirmation surgery might include removing breast tissue and reconstructing the chest, facial masculinization surgery (FMS) to make their facial features appear more masculine, removing and reconstructing the external genitalia, and removing internal reproductive organs. 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. The Cleveland Clinic Transgender Surgery Program has also partnered with several community mental health practices and program in our area and our coordinator will be happy to provide you with a provider or practice referral should you need one outside of Cleveland Clinic. Many people do voice feminization therapy before surgery. 2020. He has also given relief to many patients who have suffered from migraine headaches with an innovative technique that has been developed and pioneered by Dr. Bahman Guyuron. This procedure reshapes the jaw line, increases facial width, and creates an angular, more masculine jaw line. Hair removal completed, free of regrowth. Here are some basics for recovery after facial surgery: Bruising and swelling: These are common side effects after facial plastic surgery. Cleveland Clinic is a non-profit academic medical center. Every person's gender journey is different. I just had facial feminization surgery. Were happy to complete FMLA and STD paperwork if applicable. Research suggests that patients who have undergone facial feminization surgery are generally pleased with their results. Sometimes voice feminization surgery doesnt produce the results you want. For the first few days after surgery, you may need to avoid talking, laughing, singing or coughing. Insurance Coverage: This procedure is very specialized and often not covered by insurance plans. Forehead reconstruction requires an incision that goes across your head from ear to ear. doi:10.1055/s-0040-1716440, Ferrando CU, Thomas TN. During your consultation your Consultant will be able to advise you in detail about your personal recovery. Patient Checklist for Vaginoplasty & Phalloplasty/Metoidioplasty.
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