X-rays or CT scans take pictures of the bones and soft tissues of your face and skull. These changes address the gendered differences in facial structure that occur due to testosterone exposure during various phases of development. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event, (https://www.plasticsurgery.org/reconstructive-procedures/facial-feminization-surgery). Orchiectomy (surgical removal of the testes) - 2 letters must be obtained. Last reviewed by a Cleveland Clinic medical professional on 06/08/2021. Your doctor will provide instructions on returning to work and exercise and other tips on whats safe to do and when. Am J Bioeth. Facial Feminization Surgery Cleveland, Ohio. Copy of your most recent primary care medical records. Feminizing the Face: Combination of Frontal Bone Reduction and Reduction Rhinoplasty. The procedure is often performed laparoscopically using three 5mm incisions on the lower abdomen. Many people who have the procedure consider it an important part of their transition process. Additionally, the forehead and brow ridge are reshaped to create a softer contour with feminine highlights. Facial Feminization Surgery: What to Expect and Post-Operative Care. You may not be a good candidate for FFS if you: A plastic surgeon specializing in surgery of the face, head and neck performs facial feminization surgery. Most people continue voice feminization therapy after surgery. Orchiectomy is performed as an outpatient procedure. Living in gender role full time for minimum of 12 consecutive months. Insurance Dr. Angela Rodriguez San Francisco, California Whether you want to minimize signs of aging or improve a life-long aesthetic concern, Dr. Totonchi offers both surgical and non-surgical facial procedures to help you achieve your desired look. 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 (FFS) involves several surgeries that can be done to feminize the facial features. Voice feminization surgery includes the following steps: Depending on the type of surgery you have, your surgeon does the following: Voice feminization surgery is usually an outpatient procedure. Cheek augmentation: Cheek augmentation can be achieved with fat grafting and/or implants. 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. Get useful, helpful and relevant health + wellness information. Comprehensive care for transgender patients involves a wide spectrum of services, ranging from routine medical visits to the physical transition process. Dr. Totonchi knows your goals are extremely important and will listen and help you understand how these can be accomplished. These may be staged over time or performed during the same surgery, depending on surgeon discretion and patient goals/preferences. Letters of referral from aqualified mental professional (depending on the surgery, 1 or 2 letters may be required). This procedure includes removal of breast tissue with masculinizing chest contouring and nipple grafting in some cases. We are happy to share a list of qualified hair removal providers as well as qualified mental health providers upon request. Ask your surgeon about how to re-dress your incisions after washing them and applying ointment. 2021. We recognize that you have many options when it comes to your cosmetic or plastic surgery needs. Take two to three weeks off from work (this may vary based on the procedures you had and your occupation). 2019 May;27(2):191-197.doi:10.1016/j.fsc.2018.12.002. Not enough pitch increase (voice is still too low). The total cost will vary depending upon the procedure and the number of stages needed. JAMA Facial Plast Surg. Case 1 Even though transgender or non-binary patients undergoing breast augmentation ("top surgery") or vaginoplasty ("bottom surgery") need to meet certain criteria set forth by the World Professional Association for Transgender Health (WPATH) before being approved for surgery, there are no specific criteria for patients undergoing a facial feminization procedure. Facial Feminisation Surgery | Nuffield Health 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. 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. To access the larynx, the surgeon makes an incision in your neck. Males tend to have wider and longer foreheads than females. Anna's Place - Trans: Facial Feminisation Surgery Even fewer hospitals offer surgical care for patients wishing to undergo gender affirmation surgery. University of California, San Francisco. 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. Sort by doctors that use CareCredit Ali Totonchi, MD Board Certified Plastic Surgeon 59 reviews Virtual consultations accepted 17 yrs experience Facial feminisation surgery can involve a combination of all or some of the below cosmetic procedures. The recovery time remains 2-3 weeks. 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 Any specific claims or permanence length of results vary for each patient and are not guaranteed. Rates are subject to change each year, but please plan for a minimum of $2,000 for the hotel stay. Forehead reconstruction requires an incision that goes across your head from ear to ear. Facial feminization surgery - Mayo Clinic 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. Breast augmentation is often performed as an outpatient procedure but some patients may require one night stay in the hospital. If you are concerned about scarring, contact your surgeon. Forehead contouring typically removes this ridge and softens the appearance of the forehead and facial features. In the case of patients with more narrow mandible angles, jaw implants are used to create a more defined jaw structure. 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. Some of these procedures are listed below: Male-to-female brow reshaping Male-to-female facelifts Male-to-female rhinoplasty (nose reshaping) Male-to-female eyelid surgery To ease discomfort, take your pain medication exactly as prescribed. Get useful, helpful and relevant health + wellness information. Nonverbal communication, such as eye contact, gestures, articulation and pausing. Most patients first begin working with a therapist before and after starting hormones. Facial feminization surgery is a series of procedures that can reshape the face and its features to achieve a more feminine appearance. Ask your healthcare provider when its safe for you to resume therapy. They will ask you about your goals for surgery and explain what you can expect during your recovery after the procedure. About. Several surgical techniques are available to change the length, tightness or size of your voice box. Any non-disclosure could result in your surgery being cancelled. Dysphonia (difficulty speaking), such as voice breaks or tremors. 2023 Dotdash Media, Inc. All rights reserved. Deschamps-Brely J. American Society of Plastic Surgeons. That said, whether you are recovering from one or multiple procedures, you can generally expect swelling, pain, and tightness. It is strongly suggested that all prospective clients perform their own independent research regarding Totonchi Plastic Surgery and our qualifications. What Is Gender Dysphoria? That said, general risks of this surgery include: The purpose of facial feminization surgery is to change masculine facial features into feminine ones. Last reviewed by a Cleveland Clinic medical professional on 09/06/2021. Cutting and reformatting the scalp can lower the hairline and give it a more feminine or nonbinary look. Dubov A, Fraenkel L. Facial Feminization Surgery. 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. 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. Your provider also makes sure youre in good physical health by: You might also have imaging scans before facial feminization surgery. Depending on the specific procedure being performed, there may be more than one approach that a surgeon can use. Before and after photos on this website are Dr. Totonchis actual patients and all patients have given consent for use of these photos. 322 Followers, 6 Following, 11 Posts - See Instagram photos and videos from FFS@totonchiplasticsurgery (@facialfeminization) 322 Followers, 6 Following, 11 Posts - See Instagram photos and videos from FFS@totonchiplasticsurgery (@facialfeminization) . We recognize that you have many options when it comes to your cosmetic or plastic surgery needs. Dr. Totonchi offers a variety of leading-edge treatments to help you feel and look younger. 2 The surgery may also be performed in cisgender women who desire a more feminine face or facial feature (e.g., a lower hairline). Have disorders that require androgen (male sex hormone) therapy as treatment. Genioplasty: Transgender genioplasty is performed to transform a wider, flatter, longer, and more squared masculine chin to a narrower, shorter, more rounded female chin. Facial Feminization Surgery: Everything You Need to Know. Facial feminisation surgery can involve a combination of all or some of the below cosmetic procedures. Facial Feminization Surgery (FFS). If you haven't already, you may also consider finding a facial feminization support group. Facial Feminization Surgery: Before and After Gallery. Information on Estrogen Hormone Therapy. For the first few days after surgery, you may need to avoid talking, laughing, singing or coughing. Facial Feminization Surgery (FFS). Few hospitals are equipped to provide such care. However, facial masculinization surgery (FMS) is gaining popularity. Read our, Estrogen for Transgender and Transfeminine People, Eyelid Surgery: Everything You Need to Know, Tympanoplasty Surgery: Everything You Need to Know, Trapeziectomy: Everything You Need to Know, Bunion Surgery: Everything You Need to Know, What to Know About Big Toe Bone Spur Surgery (Cheilectomy), Quintuple Bypass Surgery: Everything You Need to Know, Amblyopia Surgery: Everything You Need to Know, Sinus Surgery: Everything You Need to Know, Capsulectomy Surgery: Everything You Need to Know, Breast Reduction vs. Top Surgery: Uses, Benefits, Side Effects, and More, Facial feminization for cisgender women with masculine-looking faces, Facial Feminization Surgery. Your vocal cords (also called vocal folds) are bands of soft tissue in your larynx (voice box). Even with a documented diagnosis of gender dysphoria, facial feminization surgery is not consistently covered by insurance. Avoid hot beverages for one or two weeks or until your incisions heal. 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. doi:10.1001/jamafacial.2016.1572, Pittman TA, Economides JM. The chin plays a crucial role in the proportions and balance of facial features. Voice feminization surgery raises the pitch of your voice, making it sound higher. Your provider may use steroid injections or Botox injections after surgery. If you experience symptoms ofdepressionor anxiety before or after surgery, be sure to talk with your healthcare provider, therapist, or other mental health professional. University of Washington. Learn more about cleft lip and palate surgery, ear reconstruction (otoplasty), giant congenital nevus (GCN) and other craniofacial procedures from leading specialist Dr. Totonchi. For zero-depth procedures patients should expect to be in Cleveland for 3-4 days after the surgery and for a full-depth procedure, 7-10 days after surgery. Incision sites may also vary with certain procedures. Here, you will change into a hospital gown. For a better experience, please enable JavaScript. Transportation After Surgery: You must have a family member, friend or caregiver drive you home from surgery as medical transportation cannot be used upon hospital discharge. American Psychiatric Association. The selection of procedures is customized for each person based on their aesthetic goals. 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. This procedure is often done in conjunction with chin reshaping. In facial masculinization, the nose and chin are augmented and widened to create a more masculine appearance. Verywell Health's content is for informational and educational purposes only. Facial Feminization Surgery Before & After Pictures - RealSelf 2020. We work with you and your insurance provider to get you the treatment you need quickly, Forehead contorting, brow lift, hairline advance, Stop smoking 8 weeks prior to surgery, including vaping and recreational drugs, Patients are not required to stop any hormone treatment before undergoing surgery. To minimize swelling (which peaks two to three days after the operation), your surgeon will probably advise you to ice your face. 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. Once you are scheduled for facial feminization surgery, your surgeon will give you instructions on how to prepare. An Adams apple that is still prominent after the procedure, Removal of too much cartilage, which can damage the vocal cords. BMI requirements are determined by your surgeon. Limited time savings on the Hair Restoration Package, click here to learn more. Vocal Feminization for Transgender Women: Current Strategies and Patient Perspectives. Please make sure that you have a driver for any postoperative visit that is within 2-4 weeks of your surgery. The SOC are based on the best available science and expert professional consensus. These procedures include but are not limited to: rhinoplasty, forehead contouring, jaw angle reduction, chin width reduction, lowering the hairline, hair transplantation, cheek augmentation, lip augmentation and upper lip shortening. FFS is ideal for trans women and non-transgender women who want a more feminine facial appearance. When showering, wash your incision sites very gently with warm water and soap and pat the skin dry with a clean towel. All information on this site is intended for general purposes and is in no way a substitute for professional medical advice. The operations usually consist of multiple procedures including those listed below . 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. Before and after photos on this website are Dr. Totonchis actual patients and all patients have given consent for use of these photos. Chest surgery is sometimes performed as an outpatient procedure but some patients may require one night stay in the hospital. However, after the sutures are removed, you face will still need weeks to continue to healing process until the final result is fully visible. Dr. Totonchi is not liable for any actions or decisions that may have been taken as a result of information provided on this website. 2023 Totonchi Plastic Surgery | Website designed & developed by Ceatus Media Group, LLC*Disclaimer: The photos, results, and testimonials on this website are not intended to represent the results that all patients will experience. Facial feminization surgery is performed in a hospital or surgical center. 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. Brubaker L, ed. Facial Feminization Considerations for the Transgender Patient The Transgender Surgery Program has a special rate for our patients with the hotel. 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. There are many techniques used to perform facial feminization surgery, and many factors should be taken into consideration when choosing which . With IPS Transformation we offer a variety of high quality, indivi. 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. To optimize your wound healing and surgical results, it's important to follow post-operative instructions carefully. Chest surgery (breast augmentation, masculinizing mastectomy) - 1 letter must be obtained. Risks of facial feminization surgery include: Face feminization surgery can help give you the physical appearance of the gender you identify with. 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. 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.

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