For example, a forehead reduction may be performed using an open or endoscopic approach. Each patient is different and your expectations and desired results will be discussed fully in your consultation. Whether you are staying overnight in the hospital or not, be sure to arrange for a loved one or friend to drive you home once discharged. MTF Orchiectomy Surgeons for Transgender Patients - MTFsurgery.net Determine what it is that you like or dislike about your look. Insurance Coverage: This procedure is covered by many insurance plans when criteria has been met. doi:10.1001/jamafacial.2016.1572, Pittman TA, Economides JM. Have a mental health disorder that impairs your ability to make appropriate personal decisions. Facial feminization surgery (FFS) involves several surgeries that can be done to feminize the facial features. 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. The assessment must document that an individual meets all of the following criteria: o Persistent, well-documented Gender Dysphoria The procedure can involve cutting or reshaping the bones as well as the cartilage. There are many techniques used to perform facial feminization surgery, and many factors should be taken into consideration when choosing which . Facial Plast Surg Clin North Am. They vibrate when you take in air. Facial Feminization Surgery - Cleveland Clinic 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. Have a health condition that makes surgery dangerous. The entire of scope of jaw contouring procedures are done from incisions made inside the mouth. 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 may go home with a surgical drain. Our gym members get 20% off physiotherapy. The procedure may include reducing the prominence of the bony ridge above your eyes and reshaping the hairline. 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. Before the first consultation, the surgeon may schedule photographs,X-raysand a 3DCT scanthat shows your facial bones and soft tissue. It may be uncomfortable to talk, but it is safe to do so if you can. Forehead contouring (frontal bossing): Forehead contouring involves shaving down the frontal bone and altering its pronounced shape. The procedure changes the length, tightness or size of your vocal cords. The procedures can also be appropriate for cisgender women who desire more feminine facial features or gender nonbinary people seeking a more feminine facial appearance. Since your face contains lots of blood vessels, it easily swells and bruises, and this can be quite dramatic after your surgery. Most people need several weeks or months to fully recover from FFS. Facial feminization for cisgender women with masculine-looking faces. IPS Transformation | Facial Feminization Surgery - YouTube These images help the surgeon plan your surgeries and provide a baseline for evaluating results after your procedures are finished. This IV will be used for administering fluids and medications during and after surgery. Facial feminization surgery is performed as either a single procedure or as multiple staged procedures. A variety of techniques can be employed for the chin, which includes the use of a chin implant, osteotomy (cutting and shaping of the chin bone), or fat graft. Don't submerge your incisions sites underwater (e.g., when taking a bath or swimming) for three to four weeks. Forehead lengthening is a procedure, which elongates the forehead, increasing the distance between the brow ridge and hairline. Are a transgender woman (male transitioning to female). American Psychiatric Association. 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. Staging surgery is safer than attempting to perform too many procedures at the same time, which can keep you under anesthesia for a prolonged period. Cleveland Clinic requires that all patients seeking the following gender affirming surgical services, must obtain a letter from a licensed mental health professional (counselor, social worker, etc.) Demonstrated understanding of surgery and the implications of this irreversible step. If it is not, you will receive information about payment plans at the time of your consultation. You might wear compression wraps around your forehead or jaw to reduce inflammation. For a better experience, please enable JavaScript. When bathing or showering, be sure to use unscented soap, and never allow the water to directly spray the surgical area. Please be sure to inform your surgeon of all the drugs you take, including prescription and over-the-counter medications, herbal products, dietary supplements, vitamins, and recreational drugs. Facial Feminization Surgery: What You Should Know - Healthline This procedure includes removal of breast tissue with masculinizing chest contouring and nipple grafting in some cases. This is typically only needed if you are undergoing surgery as a gender-affirming operation. 2017 May; 19(3): 175181. If it is not, you will receive information about payment plans at the time of your consultation. Facial Feminization Surgery FFS Insurance Coverage There are different approaches to voice feminization surgery, including: You may choose to have voice feminization surgery if you: Many people choose to have voice feminization therapy before and after surgery. Our team follows the World Professional Association for Transgender Health (WPATH) guidelines to ensure patients are appropriate surgical candidates. A tracheal shave is done through a small incision on the anterior neck which Dr Totonchi uses to shave down the tracheal cartilage. Some procedures are performed as outpatient procedures while others require an inpatient stay. 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. Learn more about cleft lip and palate surgery, ear reconstruction (otoplasty), giant congenital nevus (GCN) and other craniofacial procedures from leading specialist Dr. Totonchi. 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. Depending on the specific procedure or procedures being performed, the operation time for facial feminization ranges from 90 minutes to several hours or longer. 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. 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. ), and place an intravenous (IV) line into a vein in your arm. In the case of patients with more narrow mandible angles, jaw implants are used to create a more defined jaw structure. The placement and size of the implant will depend on the individual patients facial anatomy. Facial feminization surgery (FFS) is a procedure to make your face appear more feminine instead of masculine. Vaginoplasty (female genital reconstructive surgery) - 2letters must be obtained. Do not shave or use hair-removal processes such as waxing until your doctor clears you to resume these practices. The brow may be elevated to give the eyes a feminine appearance. That said, general risks of this surgery include: The purpose of facial feminization surgery is to change masculine facial features into feminine ones. All information on this site is intended for general purposes and is in no way a substitute for professional medical advice. That said, here is a general breakdown of what you can expect during surgery: After surgery, you will be taken to a recovery area where you will slowly wake up from anesthesia. Doing two surgeries gives your face more time to heal between surgeries and allows more flexibility for patients. *Exceptions made for adolescents seeking masculinizing chest surgery; decisions made on a case-by-case basis. FFS is a combination of complex procedures that transforms every part of your face from masculine to feminine. Kaiser Permanente. 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. Facial feminization surgery (FFS) changes features on your face so they appear more feminine and less masculine. Copy of your most recent primary care medical records. Warning: You do not have JavaScript enabled. Every person's gender journey is different. Standards of Care for the Health of Transsexual, Transgender, and Gender-Nonconforming People, Version 7.International Journal of Transgenderism. Males tend to have wider and longer foreheads than females. Administering cosmetic fillers may take an hour or less, while complex facial surgery may take several hours. 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. 2023 Dotdash Media, Inc. All rights reserved. doi:10.1055/s-0040-1716440, Ferrando CU, Thomas TN. Call and make your consultation appointment with Dr. Totonchi to discuss your FFS needs, call office at 216-778-2262. Cleveland Clinic Main Campus FFS usually does not happen in one operation. Upon arrival at the hospital or surgical center, you will be led into a small pre-operative/holding room. During your consultation, your plastic surgeon will review your goals and expectations, the recommended procedures, and all potential risks involved. Facial Feminization Surgery (FFS) | Johns Hopkins Medicine Waltham, MA: UpToDate, Coleman E, Bockting W, Botzer M, et al. Most people continue voice feminization therapy after surgery. Please check with your insurance provider to make sure that it is covered. It helps drain blood and fluid to prevent swelling. You may consider this surgery if you're a transgender woman (transitioning from male to female). Facial feminization surgery may be part of the treatment approach for a person who desires a more feminine facial appearance. Hair removal completed, free of regrowth. Patients may opt to have a zero depth vaginoplasty procedure which involves creation of the outer genitals (labia, clitoral hood, urethral opening) only without a vagina. Make sure you bring your driver's license, insurance card, and a list of your medications. 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. Advertising on our site helps support our mission. 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. 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. Facial feminization surgery has a wide range of recovery time depending on the combination of procedures that are chosen. The procedure is used to decrease the distance between the hairline and the eyebrows giving a more youthful, feminine appearance. Information on Estrogen Hormone Therapy. In addition, staging provides ample time for recovery between operations. Please make sure that you have a driver for any postoperative visit that is within 2-4 weeks of your surgery. Facial Feminization Surgery: A Review of 220 Consecutive Patients. 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. The use of modern technologies allows new options in the treatment of complex situations. DOI: 10.1001/jamafacial.2016.1572 Capitn L, et al. At this appointment, your surgeon will check your incision sites, remove any non-dissolvable stitches, and monitor you for complications. Find out more. 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. Resonance (how you pass air through your vocal folds to control the intensity of your voice). The price you see is the price you pay. Gender Confirmation Surgery Toledo, Ohio & Michigan | Artisan Cosmetic Genioplasty: Transgender genioplasty is performed to transform a wider, flatter, longer, and more squared masculine chin to a narrower, shorter, more rounded female chin. 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 Facial Feminization Surgery (FFS). Cutting and reformatting the scalp can lower the hairline and give it a more feminine or nonbinary look. When you awaken from surgery, there will be a drain in place; this will likely come out before you are released to go home. Facial Feminization Surgery Before & After Pictures - RealSelf 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. To minimize swelling (which peaks two to three days after the operation), your surgeon will probably advise you to ice your face. Surgery changes the folds so they vibrate differently and make higher sounds when you speak. He lectures nationally and internationally on these topics. 10 Facial Feminization Surgery doctors in Cleveland, OH CareCredit credit card can help finance cosmetic surgery, minimally invasive procedures, dermatology expenses and more. Signs of symptoms of infection, including increased redness, pain, drainage or swelling. Hairline advancement (scalp advancement): Scalp advancement is a procedure done to move the hairline forward, decreasing the prominence of the forehead. 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. As with all surgeries there are risks involved with being under general anaesthetic. 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. drtotonchi.com. Advertising on our site helps support our mission. Dr. Totonchi knows your goals are extremely important and will listen and help you understand how these can be accomplished. What is facial feminization surgery (FFS)? Decreasing the distance between the nose and upper lip gives a more feminine balance to the face. Gender Affirming Surgery: Before and After Photos - Cleveland Clinic Some surgeons recommend splitting the procedures into two surgeries, separated by seven to 10 days or longer. The most important thing to us is getting you fit and healthy with our network of fitness experts and cutting-edge facilities. University of Utah Health. Before and after photos on this website are Dr. Totonchis actual patients and all patients have given consent for use of these photos. With the traditional "open" approach, a surgeon makes a large incision to perform the operation. Your voice box will need several weeks to heal after voice feminization surgery. Transgender patients have facial feminisation surgery to soften and feminise features such as their jaw, cheeks, forehead and nose. Generally, female noses tend to be smaller, less prominent, and slightly pointed. You may need a second surgery to achieve your target pitch. The process depends on the facial features you choose to change. Surgery will be carried out under general anaesthetic and can typically range from around 4 to 8 hours depending on the procedures. Once you are scheduled for facial feminization surgery, your surgeon will give you instructions on how to prepare. 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. 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. 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. 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. Dr. Totonchi offers a variety of leading-edge treatments to help you feel and look younger. The average cost of facial feminization surgery (FFS) is $34,372, according to 217 reviews from RealSelf members. FFS addressed your forehead prominence (frontal bossing), hairline, eye socket shape, nose, cheeks, temples, lips, chin . {{ filterCtrl.yearsExperienceTitle }} yrs exp, Board Certified Oral & Maxillofacial Surgeon. Please contact our office with any questions. 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.
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