Your surgeon may use a laryngoscope to access your voice box. When you awaken from surgery, there will be a drain in place; this will likely come out before you are released to go home. Your diet instructions may also vary depending on whether you had any procedures performed in or around your lips, mouth, or jaw. The recovery time remains 2-3 weeks. Few hospitals are equipped to provide such care. These may be staged over time or performed during the same surgery, depending on surgeon discretion and patient goals/preferences. By Elizabeth Boskey, PhD A drain is a thin, plastic tube that the surgeon places under your skin. 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. Facial feminization surgery, or FFS, is a series of plastic surgery procedures designed to create a more feminine appearance of the face for patients undergoing gender affirmation treatment. Staying in the hospital: Your procedure may be performed in a hospital or outpatient center. Hair removal completed, free of regrowth. 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. Administering cosmetic fillers may take an hour or less, while complex facial surgery may take several hours. During your consultation your Consultant will be able to advise you in detail about your personal recovery. Lauren Schlanger, MD, is a board-certified primary care physician. Surgical manipulation of the bone and soft tissues of the face create a feminine appearance. Denver Health. Bruises, including black eyes, may take four to six weeks to clear up. 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. Facial Feminization Surgery Before & After Pictures - RealSelf (415) 353-9500. Most people need several weeks or months to fully recover from FFS. 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. Call and make your consultation appointment with Dr. Totonchi to discuss your FFS needs, call office at 216-778-2262. The total cost will vary depending upon the procedure and the number of stages needed. A surgeon can reconstruct the forehead by thoroughly measuring the existing bone structure and carefully working around the frontal sinuses behind the bone of your forehead. Ohio Facial Feminization Surgery 19 Facial Feminization Surgery doctors in Ohio, USA CareCredit credit card can help finance cosmetic surgery, minimally invasive procedures, dermatology expenses and more. Do not shave or use hair-removal processes such as waxing until your doctor clears you to resume these practices. Facial feminization surgery (FFS) involves several surgeries that can be done to feminize the facial features. Cheek augmentation helps to round out the face giving it a feminine appearance. Two weeks prior to surgery, you might be advised to stop taking certain blood-thinning medications, likenon-steroidal anti-inflammatory drugs (NSAIDs). Any specific claims or permanence length of results vary for each patient and are not guaranteed. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7024865/). The goal of FFS is to 1) treat gender dysphoria, 2) eliminate misgendering, and 3) help you love the way you look. Males tend to have wider and longer foreheads than females. During your consultation, your plastic surgeon will review your goals and expectations, the recommended procedures, and all potential risks involved. Am J Bioeth. Facial feminization surgery (FFS) changes features on your face so they appear more feminine and less masculine. Your surgeon will also take photographs of your face during this visit. Every person's gender journey is different. FFS may be part of an overall plan of gender affirmation, aligning the appearance of the face and body with a persons gender. That said, the physical and emotional challenges that go along with surgery are very real. Sometimes voice feminization surgery doesnt produce the results you want. Since estrogen increases your risk of blood clots, your surgeon will ask you to stop estrogen therapy (if applicable) for a designated period of time before surgery. You will be advised to rest for a couple of days. FFS addressed your forehead prominence (frontal bossing), hairline, eye socket shape, nose, cheeks, temples, lips, chin . Out of state residents: You may want to include your pre-operative day as well as the days you will be in the hospital in your hotel reservation if you are traveling from afar; this will allow a safe and comfortable place for you to perform your peri-operative preparations as well as provide your guest with a place to stay nearby while you are in the hospital. Dr. Totonchi is not liable for any actions or decisions that may have been taken as a result of information provided on this website. What Is Gender Dysphoria? Blog . 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. Facial Feminization Surgery Photos Browse Facial Feminization Surgery before & after photos shared by doctors on RealSelf. Gender Affirming Surgical Services | Cleveland Clinic Voice feminization surgery raises the pitch of your voice, making it sound higher. This procedure includes removal of breast tissue with masculinizing chest contouring and nipple grafting in some cases. Transgender patients have facial feminisation surgery to soften and feminise features such as their jaw, cheeks, forehead and nose. Dr. Totonchi is also an Associate Professor at Case Western Reserve Universitys School of Medicine. Case 1 University of Washington. As a professor, Dr. Totonchi understands the importance of education and he will take time to answer all of your questions, and present you with the best plan possible for your procedure, giving you full confidence as you move forward with your decision. Facial Feminization Surgery: What are the risks of facial feminization surgery? Make sure you bring your driver's license, insurance card, and a list of your medications. was also featured in a documentary (badly) titled "Sex Change" shown by Channel 4 (a terrestrial TV station in the UK). Decreasing the distance between the nose and upper lip gives a more feminine balance to the face. Learn more about cleft lip and palate surgery, ear reconstruction (otoplasty), giant congenital nevus (GCN) and other craniofacial procedures from leading specialist Dr. Totonchi. Free of any non-prescribed substances including marijuana (minimum 3 months). 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). He has also given relief to many patients who have suffered from migraine headaches with an innovative technique that has been developed by Dr. Bahman Guyuron. To optimize your wound healing and surgical results, it's important to follow post-operative instructions carefully. 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. The Latest in Non-Invasive and Minimally Invasive Face & Body Contouring. 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. If you decide to proceed with surgery, various tests will be recommended for medical and anesthesia clearance. July 2020. BMI requirements are determined by your surgeon. Once your provider removes your stitches, you may be able to return to work or light activities. The average cost of facial feminization surgery (FFS) is $34,372, according to 217 reviews from RealSelf members. You may need to sign one or more consent forms at this time. FFS is typically sought by the transgender population but can be performed for anyone seeking to soften their facial features. Voice feminization surgery is a procedure to increase the pitch of your voice. Spread the cost of your treatment with a 6, 10 or 12 month 0% personal medical loan. Here are some basics for recovery after facial surgery: Bruising and swelling: These are common side effects after facial plastic surgery. Resonance (how you pass air through your vocal folds to control the intensity of your voice). In older patients, the eyelids may also be lifted to open the eyes and achieve a more feminine look. UpToDate. Cutting and reformatting the scalp can lower the hairline and give it a more feminine or nonbinary look. Though the procedures are largely safe, it is important tocall your doctor right away if you develop a fever, severe pain or other signs of infection, or if you have any other concerns. Cleveland Clinic Main Campus The incisions used to insert cheek implants or fat grafting are made through the mouth so there is no evident scar on the surface of the face. Relationship with a mental health care provider who will see you 4-6 weeks after your surgery. American Society of Plastic Surgery. Facial Feminization Surgery: A Review of 220 Consecutive Patients. 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 Companion to accompany you for postoperative stay. In addition to treating patients with cosmetic procedures like facelift,rhinoplasty,eyelid surgery, breast augmentation,breast lift,tummy tuck,liposuction, facial feminization, or other non-surgical cosmetic surgeryprocedures at his Cleveland practice, Dr. Totonchi is also known for his treatment and care of children with issues ranging from facial deformities to cleft palates. The procedure takes one to two hours and may not require admission to the hospital. SUPPORT Patreon: https://www.patreon.com/jessiege. An Adams apple that is still prominent after the procedure, Removal of too much cartilage, which can damage the vocal cords. 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. 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. DOI: 10.1001/jamafacial.2016.1572 Capitn L, et al. Facial feminization surgery is performed as either a single procedure or as multiple staged procedures. He will assist you in choosing the best surgical plan to attain your desired outcome. Forehead lengthening is a procedure, which elongates the forehead, increasing the distance between the brow ridge and hairline. Facial Feminization Surgery (FFS) | Johns Hopkins Medicine 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. Any non-disclosure could result in your surgery being cancelled. 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. 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. The surgeon may use this method to shape various areas of the face and may include a silicone implant to sculpt the cheeks into a rounder, more feminine shape. Among the various gender-affirming procedures, facial feminization surgery (FFS) is arguably the most commonly denied surgery, as insurance companies often deem the involved procedures as cosmetic and not medically necessary. What is facial feminization surgery (FFS)? - Paul Mittermiller, MD 2020. Some surgeons recommend splitting the procedures into two surgeries, separated by seven to 10 days or longer. Many people do voice feminization therapy before surgery. Vaginoplasty (female genital reconstructive surgery) - 2letters must be obtained. 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. 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. 19 Facial Feminization Surgery doctors in Ohio, USA | RealSelf Just look for the RealSelf Verified badge. 2018 Dec; 18(12): 39. Cheek augmentation: Cheek augmentation can be achieved with fat grafting and/or implants. FFS can reshape bone, cartilage and soft tissue of the face. Forehead reconstruction requires an incision that goes across your head from ear to ear. Cookies collect information about your preferences and your devices and are used to make the site work as you expect it to, to understand how you interact with the site, and to show advertisements that are targeted to your interests. Plast Reconstr Surg 2016 Feb;137(2):438-448.doi:10.1097/01.prs.0000475754.71333.f6. FFS can change your hairline, forehead, nose, jaw and other parts of your face. Your complete postoperative recovery will be about 6-8 weeks but this varies with each individual. The chin plays a crucial role in the proportions and balance of facial features. At this appointment, your surgeon will check your incision sites, remove any non-dissolvable stitches, and monitor you for complications. FFS@totonchiplasticsurgery (@facialfeminization) - Instagram Get useful, helpful and relevant health + wellness information. He has extensive training and experience in facelift, rhinoplasty body, and breast surgery. *Exceptions made for adolescents seeking masculinizing chest surgery; decisions made on a case-by-case basis. that meets WPATH Guidelines: WPATH Guidelines for Gender Affirming Surgeries. Avoid bending over or lifting anything heavier than 20 lbs for two weeks after your surgery. Procedures that fall within the scope of facial feminization surgery include: Keep in mind that not everyone interested in facial feminization surgery necessarily desires all of the above procedures. Masculine foreheads have a heavy bony ridge above the eyes, just below the eyebrows. Facial Feminization Surgery Cleveland - FFS Surgeon Cost - Dr. Ali Totonchi On the other hand, a cisgender woman with a receding hairline may only desire a hairline advancement procedure. FFS is ideal for trans women and non-transgender women who want a more feminine facial appearance. Voice feminization surgery is a procedure to raise the pitch of your voice or make it sound higher. You may need a second surgery to achieve your target pitch. This is a thin, lighted tube that goes into your mouth and reaches back to your larynx. Your surgeon andanesthesiologistwill come to greet you and review the operation with you. A narrow chin can be augmented using a combination of techniques, which include bone shaving and/or osteotomy. A small incision is made under the nose to lift the upper lip and decrease the distance between the nose and the upper lip. Typically, you will need to cover the incisions with gauze and rewrap your head with bandages. Instead, a staged approach, based on your priorities, is recommended. Facial feminization surgery has a wide range of recovery time depending on the combination of procedures that are chosen. If you haven't already, you may also consider finding a facial feminization support group. 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. They may recommend certain ointments or treatments to address them sooner than later. 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. 2020 Aug; 53(2): 244253. Elizabeth Boskey, PhD, MPH, CHES, is a social worker, adjunct lecturer, and expert writer in the field of sexually transmitted diseases.
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