University of Washington. She is an assistant professor at the Alpert Medical School of Brown University. Chest surgery is sometimes performed as an outpatient procedure but some patients may require one night stay in the hospital. 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. A laryngologist performs voice feminization surgery. When you visit the site, Dotdash Meredith and its partners may store or retrieve information on your browser, mostly in the form of cookies. The mental health professional will review your gender identity and dysphoria and help you determine how the surgery fits into your overall treatment plan. (2014). This usually requires that you use lots of pillows or a soft foam wedge behind your head when sleeping. Read on to find out why you might pay more or less, and whether the cost is really worth it. Deschamps-Brely J. American Society of Plastic Surgeons. Dr. Totonchi is also an Associate Professor at Case Western Reserve Universitys School of Medicine. The selection of procedures is customized for each person based on their aesthetic goals. 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. Lynn's Facial Feminization Surgery discusses her surgery with him in some detail, and is also a good grounding in what FFS involves and what can and can't be done. Facial feminization for cisgender women with masculine-looking faces. BMI requirements are determined by your surgeon. We do not endorse non-Cleveland Clinic products or services. Do not wear makeup, hairspray, nail polish, or deodorant. We recognize that you have many options when it comes to your cosmetic or plastic surgery needs. Nonverbal communication, such as eye contact, gestures, articulation and pausing. University of California, Sam Francisco. FFS procedures can reshape the forehead, brows, nose, cheeks and jaw as well as minimize the appearance of an Adams apple (tracheal shave). 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. Avoid bending over or lifting anything heavier than 20 lbs for two weeks after your surgery. Brow lift: The brow lift/forehead lift gives the most dramatic FFS results. (2021). You may experience some throat pain or discomfort. This procedure is often done in conjunction with chin reshaping. Pain and discomfort: Most people experience some discomfort for four or five days after surgery, but this should begin to ease, allowing you to gradually return to normal activities. 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. Case Rep Surg. Facial feminisation surgery can involve a combination of all or some of the below cosmetic procedures. The procedure can involve cutting or reshaping the bones as well as the cartilage. The Transgender Surgery Program has a special rate for our patients with the hotel. Dr. Totonchi knows your goals are extremely important and will listen and help you understand how these can be accomplished. Please make sure that you have a driver for any postoperative visit that is within 2-4 weeks of your surgery. Some procedures are performed as outpatient procedures while others require an inpatient stay. Warning: You do not have JavaScript enabled. The most common features that FFS addresses are the hairline, forehead, nose and jaw. Demonstrated understanding of surgery and the implications of this irreversible step. With the traditional "open" approach, a surgeon makes a large incision to perform the operation. Facial Feminization Surgery: A Review of 220 Consecutive Patients. Forehead contouring (frontal bossing): Forehead contouring involves shaving down the frontal bone and altering its pronounced shape. The procedure takes one to two hours and may not require admission to the hospital. The incisions for an eyelid lift can either be hidden in the crease of the eyelid or placed behind it to minimize visible incisions. 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. Facial feminization surgery (FFS) describes a group of procedures that are performed to feminize the face. 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. Furthermore, not all healthcare providers may offer them. Get useful, helpful and relevant health + wellness information. Once your provider removes your stitches, you may be able to return to work or light activities. Using a highly individualized approach, the plastic surgery team works with the patient to develop a plan that best meets the individuals needs and preferences. ), and place an intravenous (IV) line into a vein in your arm. Soft foods and nutritional shakes may be easier to manage. 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 specifics of recovery from facial feminization surgery depend on the procedures used and whether all the procedures are done at once or the surgery is performed in stages. Sometimes voice feminization surgery doesnt produce the results you want. 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. He lectures nationally and internationally on these topics. Cheek augmentation helps to round out the face giving it a feminine appearance. Comprehensive care for transgender patients involves a wide spectrum of services, ranging from routine medical visits to the physical transition process. Some people who undergo this procedure experience side effects, most of which resolve in about a week, such as: To shape the facial contours, the surgeon may recommend a procedure to remove a small amount of fat from one part of the body and use it to add volume and smooth out hollowed or sunken areas. 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. These images help the surgeon plan your surgeries and provide a baseline for evaluating results after your procedures are finished. Posts Tagged. Every person's gender journey is different. Your diet instructions may also vary depending on whether you had any procedures performed in or around your lips, mouth, or jaw. 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. Demonstrated the capacity to make a fully informed decision and consent for treatment and the ability to comply with medical instruction. 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. (415) 353-9500. These techniques are tailored to fit the goals of each individual. That said, general risks of this surgery include: The purpose of facial feminization surgery is to change masculine facial features into feminine ones. American Society of Anesthesiologists. Elizabeth Boskey, PhD, MPH, CHES, is a social worker, adjunct lecturer, and expert writer in the field of sexually transmitted diseases. Feminizing the Face: Combination of Frontal Bone Reduction and Reduction Rhinoplasty. Any non-disclosure could result in your surgery being cancelled. Patients who have met these criteria are deemed appropriate surgical candidates. Insurance Coverage:This procedure is sometimes covered by insurance plans when criteria has been met. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event, (https://alahns.org/wp-content/uploads/CLC/56-Transgender-surgery.pdf), (https://leader.pubs.asha.org/doi/10.1044/leader.FTR2.24022019.54). He will assist you in choosing the best surgical plan to attain your desired outcome. 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. 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. Facial feminization surgery is performed in a hospital or surgical center. IPS Transformation | Facial Feminization Surgery - YouTube A surgical procedure called a chondrolaryngoplasty, or tracheal shave, can reduce the size of an Adams apple and create a smoother neck profile. Few hospitals are equipped to provide such care. While the surgery takes place, you will be asleep under general anesthesia. 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. PDF Gender Dysphoria Treatment - UHCprovider.com was also featured in a documentary (badly) titled "Sex Change" shown by Channel 4 (a terrestrial TV station in the UK). Patients must have a support person to stay with them during their hospital and hotel stay. Even with a documented diagnosis of gender dysphoria, facial feminization surgery is not consistently covered by insurance. The surgery is usually done under general anesthesia. Cutting and reformatting the scalp can lower the hairline and give it a more feminine or nonbinary look. When showering, wash your incision sites very gently with warm water and soap and pat the skin dry with a clean towel. About. When you awaken from surgery, there will be a drain in place; this will likely come out before you are released to go home. The brow lift procedure moves the eyebrows to a higher set position on the forehead, giving a softer, wide eyed, feminine appearance. With facial feminization surgery, there are several different surgical procedures a person may undergo. For more information about the program or to make an appointment, please contact the Transgender Surgery Program at 216.445.6308. Hairline advancement (scalp advancement): Scalp advancement is a procedure done to move the hairline forward, decreasing the prominence of the forehead. 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. 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. *Your results may vary. Your vocal cords (also called vocal folds) are bands of soft tissue in your larynx (voice box). For people in whom hormone therapy is not enough to achieve desired gender-affirming changes to the face, surgery can help. The nasal tip is generally adjusted to give a upward feminine appearance rather than the typical male downward nasal appearance. To access the larynx, the surgeon makes an incision in your neck. You may consider this surgery if youre a transgender woman (transitioning from male to female). Policy. Once all criteria have been met, we will be happy to schedule a formal surgical consultation. They control the pitch of your voice. RealSelf Tip: The average cost of FFS for cisgender . We recognize that you have many options when it comes to your cosmetic or plastic surgery needs. Your voice box will need several weeks to heal after voice feminization surgery. While some individuals may feel that facial feminization surgery is necessary to feel affirmed in their gender, others may not. Facial surgery with him (in theatre - and they showed a great deal!) The techniques can help transgender women transition physically to their self-affirmed gender. It is the patients responsibility to disclose all medical and surgical history to the consultant or specialist nurses. Products & Services Book: Mayo Clinic Family Health Book, 5th Edition Minimize sun exposure and always wear sunscreen. Generally, female noses tend to be smaller, less prominent, and slightly pointed. This operation is most commonly performed in transgender women or non-binary people as a type of gender-affirming surgery. 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. 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. You might wear compression wraps around your forehead or jaw to reduce inflammation. Verywell Health's content is for informational and educational purposes only. Facial Feminisation Surgery | Nuffield Health Facial feminization surgery (FFS) changes features on your face so they appear more feminine and less masculine. In addition, staging provides ample time for recovery between operations. *Exceptions made for adolescents seeking masculinizing chest surgery; decisions made on a case-by-case basis. 2023 Dotdash Media, Inc. All rights reserved. Before the first consultation, the surgeon may schedule photographs,X-raysand a 3DCT scanthat shows your facial bones and soft tissue. Rates are subject to change each year, but please plan for a minimum of $2,000 for the hotel stay. Surgery changes the length, size or tightness of your vocal cords. The surgeon shaves away some of the cartilage from the front of the larynx to make it smaller and less prominent. Out-of-pocket costs will also be discussed at this visit. FFS usually does not happen in one operation. The cost of the hotel stay is out-of-pocket, as insurance does not cover this expense for your surgery. 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. Free of any non-prescribed substances including marijuana (minimum 3 months). These operations are commonly performed for transgender women (MTF FFS) and can be performed for cisgender women. Find out more. They may recommend certain ointments or treatments to address them sooner than later. Transgender patients have facial feminisation surgery to soften and feminise features such as their jaw, cheeks, forehead and nose. The procedure requires an inpatient stay in the hospital and if a full-depth vaginoplasty is performed, there is a required stay at a nearby hotel. Your complete postoperative recovery will be about 6-8 weeks but this varies with each individual. 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. With the endoscopic approach, smaller incisions and special, pliable instruments are used to perform the procedure. For people in whom hormone therapy is not enough to achieve desired gender-affirming changes to theface, surgery can help. Your healthcare provider will probably take out the nonabsorbable stitches a week after your surgery, or they may place absorbable stitches that don't need to be removed. Our prices are all-inclusive. A narrow chin can be augmented using a combination of techniques, which include bone shaving and/or osteotomy. The price you see is the price you pay. Get useful, helpful and relevant health + wellness information. Make sure you bring your driver's license, insurance card, and a list of your medications. The goal of FFS is to 1) treat gender dysphoria, 2) eliminate misgendering, and 3) help you love the way you look. Various techniques may be used to perform this procedure, and they are surgeon and patient dependent. Anna's Place - Trans: Facial Feminisation Surgery This procedure reshapes the jaw line, increases facial width, and creates an angular, more masculine jaw line. Hormone therapy for 12 consecutive months unless medically contraindicated or if there isdocumentation in the medical record explaining why hormone therapy isnot part of the transition journey. 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). You may find it painful to chew solid food for a few days. 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). If you decide to proceed with surgery, various tests will be recommended for medical and anesthesia clearance. The male nose, like the masculine chin, is typically longer, wider, and larger than the female nose which is generally shorter, narrower, and smaller in relation to female features. 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. That said, the physical and emotional challenges that go along with surgery are very real. Have disorders that require androgen (male sex hormone) therapy as treatment. Your consultation can be scheduled once 50% of hair removal is completed. The most important thing to us is getting you fit and healthy with our network of fitness experts and cutting-edge facilities. Kaiser Permanente. Call and make your consultation appointment with Dr. Totonchi to discuss your FFS needs, call office at 216-778-2262. When icing, be sure to stick to these tips: Your surgeon may also ask that you keep your head elevated for at least two weeks after your surgery. Talk to your healthcare provider or your psychologist before the procedure so you know what to expect. 2012;13(4):165-232. doi:10.1080/15532739.2011.700873. Transgender patients transitioning from male to female and non-binary. 2021. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event, (https://www.plasticsurgery.org/reconstructive-procedures/facial-feminization-surgery). Are a transgender woman (male transitioning to female). 2021. The entire of scope of jaw contouring procedures are done from incisions made inside the mouth. As with all surgeries there are risks involved with being under general anaesthetic. It might involve one surgery or a series of procedures. Facial Feminization Surgery: Everything You Need to Know - Verywell Health We're happy to complete FMLA and STD paperwork if applicable. How long it takes: This depends on what you are having done. Cheek augmentation: Cheek augmentation can be achieved with fat grafting and/or implants. Photo time lapse compilation at . Since your face contains lots of blood vessels, it easily swells and bruises, and this can be quite dramatic after your surgery. Please check with your insurance provider to make sure that it is covered. 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. The brow may be elevated to give the eyes a feminine appearance. This is done by stretching the skin of the forehead and utilizing laser hair removal in order to eliminate the previous hairline move it further up on the scalp. FFS is ideal for trans women and non-transgender women who want a more feminine facial appearance. Upon arrival at the hospital or surgical center, you will be led into a small pre-operative/holding room. Surgery will be carried out under general anaesthetic and can typically range from around 4 to 8 hours depending on the procedures. Doing two surgeries gives your face more time to heal between surgeries and allows more flexibility for patients. 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. Living in gender role full time for minimum of 12 consecutive months. Voice feminization surgery is a procedure to raise the pitch of your voice or make it sound higher. Lauren Schlanger, MD, is a board-certified primary care physician. The Latest in Non-Invasive and Minimally Invasive Face & Body Contouring. There will be several postoperative appointments after your surgery depending on what type of surgery you have. This type of healthcare provider specializes in surgery for the voice box and throat. 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. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. The recovery time remains 2-3 weeks. Facial pain and tightness after surgery will vary in severity based on the procedures you underwent. Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Facial Feminization Surgery - A Complete Guide to FFS - DESCHAMPS-BRALY 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. It helps drain blood and fluid to prevent swelling. He has extensive training and experience in facelift, rhinoplasty body, and breast surgery. In FMS, the cheeks can be made more angular and prominent in order to mimic a masculine facial bone structure. Dr. Dorafshar is a highly distinguished plastic and reconstructive surgeon who specializes in gender-affirming facial surgery. If you have decided to pursue surgery, be sure to reach out to friends and loved ones who can provide support for you during this time. Dr. McClung is a board-certified urologist in Columbus, Ohio who specializes in gender-affirming Vaginoplasty. Gender Confirmation Surgery Toledo, Ohio & Michigan | Artisan Cosmetic Dr. Totonchi is not liable for any actions or decisions that may have been taken as a result of information provided on this website. But some procedures require incisions (cuts) on the outside of your throat. If it is not, you will receive information about payment plans at the time of your consultation. 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. Most patients first begin working with a therapist before and after starting hormones. FFS is a combination of complex procedures that transforms every part of your face from masculine to feminine. Facial feminization surgery is a series of procedures that can reshape the face and its features to achieve a more feminine appearance. New masking guidelines are in effect starting April 24. However, the cost can range from $1,847 to $62,000, depending on a few key factors. Once you are scheduled for facial feminization surgery, your surgeon will give you instructions on how to prepare. What is facial feminization surgery (FFS)? - Paul Mittermiller, MD Most people need several weeks or months to fully recover from FFS. When adding the rhinoplasty procedure, nasal splints and stents are kept in placed for 2 weeks before removal. Facial feminization surgery is performed as either a single procedure or as multiple staged procedures. Am J Bioeth. Facial feminization surgery - Mayo Clinic 10 Facial Feminization Surgery doctors in Cleveland, OH CareCredit credit card can help finance cosmetic surgery, minimally invasive procedures, dermatology expenses and more. Undergoing this procedure will not interfere with the possibility of having future vaginoplasty. 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. Tracheal shave is one of the simplest surgeries done to obtain feminine features and can be performed under local anesthetic. Your provider also makes sure youre in good physical health by: You might also have imaging scans before facial feminization surgery. If you are being discharged that day, it will likely be a few hours after the procedure. The procedure is done through a 3cm incision along the scrotum. Limited time savings on the Hair Restoration Package, click here to learn more. Risks of facial feminization surgery include: Face feminization surgery can help give you the physical appearance of the gender you identify with. 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. Two letters of support from qualified mental health providers dated within the past 12 months. Dysphonia (difficulty speaking), such as voice breaks or tremors. Facial Feminization Surgery: What are the risks of facial feminization surgery? 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.
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