Staying in the hospital: Your procedure may be performed in a hospital or outpatient center. Surgical manipulation of the bone and soft tissues of the face create a feminine appearance. This video follows my entire experience with FFS (facial feminization surgery) from beginning to end in chronological order. Postoperative appointments: There will be several postoperative appointments after your surgery depending on what type of surgery you have. Facial feminization surgery may be part of the treatment approach for a person who desires a more feminine facial appearance. Vaginoplasty surgery involves creation of the vulva (outer female genital structures) with or without a vaginal canal. All patients are fully assessed for their safety prior to surgery. Preparing for Facial Feminization Surgery: Timing. University of California, Sam Francisco. We're happy to complete FMLA and STD paperwork if applicable. FFS can include hairline lowering, jaw reduction, rhinoplasty (nose reshaping), eyelid surgery, face or neck lift, and other facial changes. The most common features that FFS addresses are the hairline, forehead, nose and jaw. Living in gender role full time for minimum of 12 consecutive months. As with all surgeries there are risks involved with being under general anaesthetic. 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. 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. Stable mental health, sufficiently self-aware, and successfully managing identified issues with depression. Each patient is different and your expectations and desired results will be discussed fully in your consultation. Browseour articlesto find trusted information on training, nutrition, getting back to good health and much more. Each patient is different and your expectations and desired results will be discussed fully in your consultation. Even fewer hospitals offer surgical care for patients wishing to undergo gender affirmation surgery. You may consider this surgery if you're a transgender woman (transitioning from male to female). The procedure changes the length, tightness or size of your vocal cords. 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. Phalloplasty/metoidioplasty - 2 letters must be obtained. 2018 Dec; 18(12): 39. Upper lip lift/Lip augmentation: The upper lip lift is generally done in combination with the rhinoplasty procedure. But some procedures require incisions (cuts) on the outside of your throat. The Transgender Surgery Program has a special rate for our patients with the hotel. Facial Feminization Surgery Cleveland - FFS Surgeon Cost - Dr. Ali Totonchi Don't submerge your incisions sites underwater (e.g., when taking a bath or swimming) for three to four weeks. 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. Last reviewed by a Cleveland Clinic medical professional on 06/08/2021. Insurance Coverage: This procedure is very specialized and often not covered by insurance plans. Dont have realistic expectations about the results. If you are concerned about scarring, contact your surgeon. Voice feminization surgery is a procedure to increase the pitch of your voice. Denver Health. Vaginoplasty (female genital reconstructive surgery) - 2letters must be obtained. Incision sites may also vary with certain procedures. Genioplasty: Transgender genioplasty is performed to transform a wider, flatter, longer, and more squared masculine chin to a narrower, shorter, more rounded female chin. Products & Services Book: Mayo Clinic Family Health Book, 5th Edition They control the pitch of your voice. Gender Affirming Surgical Services | Cleveland Clinic Cleveland Plastic Surgery - Best Cosmetic Surgeon Cleveland 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. They may recommend certain ointments or treatments to address them sooner than later. However, the cost can range from $1,847 to $62,000, depending on a few key factors. It might involve one surgery or a series of procedures. Sometimes voice feminization surgery doesnt produce the results you want. 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. Here are some basics for recovery after facial surgery: Bruising and swelling: These are common side effects after facial plastic surgery. 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. With the traditional "open" approach, a surgeon makes a large incision to perform the operation. The chin plays a crucial role in the proportions and balance of facial features. Demonstrated the capacity to make a fully informed decision and consent for treatment and the ability to comply with medical instruction. We recognize that you have many options when it comes to your cosmetic or plastic surgery needs. The price you see is the price you pay. University of California, San Francisco. Dr. Amir Dorafshar. To optimize your wound healing and surgical results, it's important to follow post-operative instructions carefully. 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. We recognize that you have many options when it comes to your cosmetic or plastic surgery needs. Waltham, MA: UpToDate, Coleman E, Bockting W, Botzer M, et al. Voice feminization surgery is a procedure to raise the pitch of your voice or make it sound higher. Patients must have a support person to bring them home from the hospital. Forehead lengthening is a procedure, which elongates the forehead, increasing the distance between the brow ridge and hairline. We are happy to share a list of qualified hair removal providers as well as qualified mental health providers upon request. Before facial feminization surgery, your healthcare provider will perform a thorough personal assessment. 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. Bellinga RJ, Capitn L, Simon D,Tenrio T. Technical and Clinical Considerations for Facial Feminization Surgery With Rhinoplasty and Related Procedures. DOI: 10.1001/jamafacial.2016.1572 Capitn L, et al. 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. was also featured in a documentary (badly) titled "Sex Change" shown by Channel 4 (a terrestrial TV station in the UK). Orchiectomy is performed as an outpatient procedure. Our volume of patients increases each month, and with this growth, we continue to expand our caregiver team to be able to accommodate our patients needs. RealSelf Tip: The average cost of FFS for cisgender . 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. Before and after photos on this website are Dr. Totonchis actual patients and all patients have given consent for use of these photos. The surgery is usually done under general anesthesia. 2018; 2018: 1947807.doi:10.1155/2018/1947807, Telang PS. Facial feminization surgery is a series of procedures that can reshape the face and its features to achieve a more feminine appearance. (2021). FFS may be part of an overall plan of gender affirmation, aligning the appearance of the face and body with a persons gender. The Transgender Surgery Program has a special rate for our patients with the hotel. Facial feminization surgery has a wide range of recovery time depending on the combination of procedures that are chosen. You may have temporary restrictions on heavy lifting, vigorous exercise or other activities. Raffaini M, Magri AS, Agostini T. Full Facial Feminization Surgery: Patient Satisfaction Assessment Based on 180 Procedures Involving 33 Consecutive Patients. 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. Anna's Place - Trans: Facial Feminisation Surgery This operation is most commonly performed in transgender women or non-binary people as a type of gender-affirming 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 Please contact our office with any questions. These operations are commonly performed for transgender women (MTF FFS) and can be performed for cisgender women. Cheek augmentation helps to round out the face giving it a feminine appearance. Intonation (adapting the sound of your voice to express emotions). Just look for the RealSelf Verified badge. 2020 Aug; 53(2): 244253. At this time, you may feel pain and nausea. Rates are subject to change each year, but please plan for a minimum of $2,000 for the hotel stay. Our gym members get 20% off physiotherapy. Your provider may use steroid injections or Botox injections after surgery. 19 Facial Feminization Surgery doctors in Ohio, USA | RealSelf Facial Feminization Surgery: Before and After Gallery 10 Facial Feminization Surgery doctors in Cleveland, OH Healthcare providers recommend voice feminization therapy before and after surgery. Preparing for Surgery: Checklist. 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. Facial Plast Surg Clin North Am. 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). Double-check with your surgeon, but taking an over-the-counter herbal product called Arnica may also be recommended to further ease any bruising and swelling on 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. Please make sure that you have a driver for any postoperative visit that is within 2-4 weeks of your surgery. Do not eat or drink anything after midnight on the eve of your surgery. 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. Since facial feminization surgery is sometimes performed in stages, you may begin preparing for the next procedure soon after recovering from the first one. Your surgical team will review these with you as you get closer to surgery. Looking for a non-invasive treatment to help reduce the signs of aging? 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. Dr. Totonchi is a Board-Certified Plastic Surgeon from the American Board of Plastic Surgery, he is proudly serving Cleveland, and its east and west side suburbs in Westlake and Lyndhurst. 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. 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. He offers Facial Feminization and Masculinization Surgery as part of the Gender Affirmation Surgery Program at Rush university Medical Center. These help treat vocal cord scarring or dysphonia. If you are staying overnight, you will be moved to a hospital room once you are fully awake. The most important thing to us is getting you fit and healthy with our network of fitness experts and cutting-edge facilities. When bathing or showering, be sure to use unscented soap, and never allow the water to directly spray the surgical area. The tracheal shave procedure performed alone does not have any downtime. This procedure reshapes the jaw line, increases facial width, and creates an angular, more masculine jaw line. drtotonchi.com. What Is Gender Dysphoria? Get useful, helpful and relevant health + wellness information. 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. (415) 353-9500. Advertising on our site helps support our mission. The placement and size of the implant will depend on the individual patients facial anatomy. 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. That said, general risks of this surgery include: The purpose of facial feminization surgery is to change masculine facial features into feminine ones. A surgical procedure called a chondrolaryngoplasty, or tracheal shave, can reduce the size of an Adams apple and create a smoother neck profile. Information on Estrogen Hormone Therapy. Many people who are transitioning from male to female consider this an important step in their transition process. From there, you will walk on your own into the operating room or be wheeled on a gurney. Facial Feminization Surgery: What to Expect and Post-Operative Care. The incisions for an eyelid lift can either be hidden in the crease of the eyelid or placed behind it to minimize visible incisions. Upon arrival at the hospital or surgical center, you will be led into a small pre-operative/holding room. The procedure can involve cutting or reshaping the bones as well as the cartilage. 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. Demonstrated understanding of surgery and the implications of this irreversible step. Facial feminisation surgery can involve a combination of all or some of the below cosmetic procedures. RealSelf Verified doctors complete our multistep verification process and meet rigorous requirements to become our most trusted plastic surgeons and cosmetic procedure providers. Facial Feminization Surgery under Insurance: The University - LWW Make sure you bring your driver's license, insurance card, and a list of your medications. July 2020. The brow lift can be used in combination with the scalp advancement procedure to give a more youthful feminine aesthetic outcome. Examples include chin and nose augmentation, cheek augmentation, jaw contouring, and lowering of the eyebrow ridge/forehead lengthening. When adding the rhinoplasty procedure, nasal splints and stents are kept in placed for 2 weeks before removal. Your doctor will provide instructions on returning to work and exercise and other tips on whats safe to do and when. Nonverbal communication, such as eye contact, gestures, articulation and pausing. Patients who have met these criteria are deemed appropriate surgical candidates. 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. Avoid driving until you are off all pain medication and your surgeon gives you the OK. Please check with your insurance provider to make sure that it is covered. IPS Transformation | Facial Feminization Surgery - YouTube Cleveland Clinic is a non-profit academic medical center. Most people need several weeks or months to fully recover from FFS. 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. Elizabeth Boskey, PhD, MPH, CHES, is a social worker, adjunct lecturer, and expert writer in the field of sexually transmitted diseases. She is an assistant professor at the Alpert Medical School of Brown University. There are no time limits on your aftercare. New masking guidelines are in effect starting April 24. Spread the cost of your treatment with a 6, 10 or 12 month 0% personal medical loan. You will notice a difference in service and care the moment you visit our office. They cannot be smokers or be excessively overweight, and they must be medically optimized for surgery if they have medical comorbidities. Ask your healthcare provider when its safe for you to resume therapy. Learn more about cleft lip and palate surgery, ear reconstruction (otoplasty), giant congenital nevus (GCN) and other craniofacial procedures from leading specialist Dr. Totonchi. Transgender surgery: Male to female. Insurance Dr. Angela Rodriguez San Francisco, California 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. August 2018. Free of any non-prescribed substances including marijuana (minimum 3 months). 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). Once your provider removes your stitches, you may be able to return to work or light activities. 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. Facial feminization surgery (FFS) involves a comprehensive set of procedures to make your face appear more feminine. Many people who have the procedure consider it an important part of their transition process. 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. 2012;13(4):165-232. doi:10.1080/15532739.2011.700873. You may experience some throat pain or discomfort. 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. Your voice box will need several weeks to heal after voice feminization surgery. Your surgeon may also measure your face, take photographs and assess your skin quality. The Latest in Non-Invasive and Minimally Invasive Face & Body Contouring. 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. If you are planning to undergo facial feminization surgery, it's reasonable to ask your surgeon about the specific techniques or approaches they will use. These may be staged over time or performed during the same surgery, depending on surgeon discretion and patient goals/preferences. Brow lift: The brow lift/forehead lift gives the most dramatic FFS results. Generally, female noses tend to be smaller, less prominent, and slightly pointed. You will likely be given anopioidto start, followed byTylenol (acetaminophen)alone. FFS is typically sought by the transgender population but can be performed for anyone seeking to soften their facial features. Dr. Dorafshar's research is focused on gender . What are the masculine features that you would most like to soften and make more feminine?
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