Our expert physicians and surgeons provide a full range of dermatologic, reconstructive and aesthetic treatments options at Cleveland Clinic. Demonstrated understanding of surgery and the implications of this irreversible step. A surgical nurse will review your medication list, record yourvitals(heart rate, blood pressure, etc. Our gym members get 20% off physiotherapy. For example, a forehead reduction may be performed using an open or endoscopic approach. Voice feminization surgery is a procedure to raise the pitch of your voice or make it sound higher. Voice Feminization Surgery - Cleveland Clinic Some surgeons recommend splitting the procedures into two surgeries, separated by seven to 10 days or longer. We recognize that you have many options when it comes to your cosmetic or plastic surgery needs. My entire FFS (facial feminization surgery) journey. Before - YouTube Facial Feminization Surgery (FFS). Not enough pitch increase (voice is still too low). Facial Feminization Surgery - Cleveland Clinic How Much Does Facial Feminization Surgery Cost? | RealSelf Facial Feminization Surgery: What to Expect and Post-Operative Care. CareCredit credit card can help finance cosmetic surgery, minimally invasive procedures, dermatology expenses and more. However, after the sutures are removed, you face will still need weeks to continue to healing process until the final result is fully visible. The incision is closed with sutures (stitches). Undergoing this procedure will not interfere with the possibility of having future vaginoplasty. A cartilage graft is used to change the size and shape of the nose. Doing a physical exam, including lab tests. 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. 2012;13(4):165-232. doi:10.1080/15532739.2011.700873. Before the first consultation, the surgeon may schedule photographs,X-raysand a 3DCT scanthat shows your facial bones and soft tissue. 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. 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. Many people do voice feminization therapy before surgery. 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. Instead, a staged approach, based on your priorities, is recommended. Facial feminization surgery is performed as either a single procedure or as multiple staged procedures. 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. The procedure takes one to two hours and may not require admission to the hospital. In addition to plastic surgery, facial feminization procedures include nonsurgical treatments such as cosmetic fillers, botulinum toxin, fat grafting and liposuction. August 2018. The operations usually consist of multiple procedures including those listed below . Dysphonia (difficulty speaking), such as voice breaks or tremors. Insurance Coverage: This procedure is very specialized and often not covered by insurance plans. 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. Facial feminization surgery (FFS) includes a series of plastic and craniofacial surgical procedures designed to feminize the face. The surgeon may simply shave or grind down the bony ridge or cut a piece of existing bone (osteotomy) and replace it with a bone graft with a smoother surface. I just had facial feminization surgery. Avoid bending over or lifting anything heavier than 20 lbs for two weeks after your surgery. Raffaini M, Magri AS, Agostini T. Full Facial Feminization Surgery: Patient Satisfaction Assessment Based on 180 Procedures Involving 33 Consecutive Patients. You might wear compression wraps around your forehead or jaw to reduce inflammation. so we should talk about it, and I need to discuss how I feel. Transgender patients transitioning from male to female and non-binary. Get useful, helpful and relevant health + wellness information. 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. Since your face contains lots of blood vessels, it easily swells and bruises, and this can be quite dramatic after your surgery. Specific risks and complications will be discussed in detail at your consultation. 9500 Euclid Ave. 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. Feminizing the Face: Combination of Frontal Bone Reduction and Reduction Rhinoplasty. Cleveland Plastic Surgery - Best Cosmetic Surgeon Cleveland University of California, San Francisco. 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. Facial feminization surgery may be part of the treatment approach for a person who desires a more feminine facial appearance. Patient Checklist for Vaginoplasty & Phalloplasty/Metoidioplasty. You will likely be given anopioidto start, followed byTylenol (acetaminophen)alone. If you are concerned about scarring, contact your surgeon. 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. Most people need several weeks or months to fully recover from FFS. Surgery changes the folds so they vibrate differently and make higher sounds when you speak. 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. 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. *Exceptions made for adolescents seeking masculinizing chest surgery; decisions made on a case-by-case basis. Facial feminization surgery has a wide range of recovery time depending on the combination of procedures that are chosen. Some of the most popular procedures performed by Dr. Totonchi include: Tracheal Shave: A tracheal shave reduces the size of the Adams apple to achieve a smoother, more elongated appearance of the neck. The procedure may include reducing the prominence of the bony ridge above your eyes and reshaping the hairline. MTF Orchiectomy Surgeons for Transgender Patients - MTFsurgery.net This is often because the insurance company may deem the surgery as cosmetic or not medically necessary. Dr. Dorafshar is a highly distinguished plastic and reconstructive surgeon who specializes in gender-affirming facial surgery. 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. Place a cloth between the ice pack (frozen peas or crushed ice in a zipper bag also works) on your skin. While not all patients require this procedure, it can be helpful in achieving a more harmonious profile with the use of cheek implants. Facial pain and tightness after surgery will vary in severity based on the procedures you underwent. (2021). All patients are fully assessed for their safety prior to surgery. Here, you will change into a hospital gown. Forehead contouring typically removes this ridge and softens the appearance of the forehead and facial features. The nasal tip is generally adjusted to give a upward feminine appearance rather than the typical male downward nasal appearance. Facial feminization surgery is a series of procedures that can reshape the face and its features to achieve a more feminine appearance. Please contact our office with any questions. During your consultation, your plastic surgeon will review your goals and expectations, the recommended procedures, and all potential risks involved. American Society of Plastic Surgery. Even with a documented diagnosis of gender dysphoria, facial feminization surgery is not consistently covered by insurance. 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.) Get useful, helpful and relevant health + wellness information. 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. Sometimes voice feminization surgery doesnt produce the results you want. 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. Facial feminization surgery - Mayo Clinic 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. New masking guidelines are in effect starting April 24. Facial surgery with him (in theatre - and they showed a great deal!) PDF Gender Dysphoria Treatment - UHCprovider.com Two weeks prior to surgery, you might be advised to stop taking certain blood-thinning medications, likenon-steroidal anti-inflammatory drugs (NSAIDs). In addition, while there are guidelines that exist for the specific timing of facial feminization surgery, your surgeon may recommend that you delay any procedures until you have been on estrogen therapy for at least a year (if applicable). Hairline advancement (scalp advancement): Scalp advancement is a procedure done to move the hairline forward, decreasing the prominence of the forehead. He welcomes patients in his hospital base and private practice offices. He lectures nationally and internationally on these topics. Patients who have met these criteria are deemed appropriate surgical candidates. Genioplasty: Transgender genioplasty is performed to transform a wider, flatter, longer, and more squared masculine chin to a narrower, shorter, more rounded female chin. 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. (415) 353-9500. *Your results may vary. Soft foods and nutritional shakes may be easier to manage. Genital hair removal must be completed for surgery. When bathing or showering, be sure to use unscented soap, and never allow the water to directly spray the surgical area. 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. Plastic and Reconstructive Surgery: Facial Feminization. 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. 2020. Transgender women may choose FFS to affirm their gender. Cleveland Clinic Main Campus Do not wear makeup, hairspray, nail polish, or deodorant. DOI: 10.1001/jamafacial.2016.1572 Capitn L, et al. 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. RealSelf Verified doctors complete our multistep verification process and meet rigorous requirements to become our most trusted plastic surgeons and cosmetic procedure providers. Forehead reconstruction requires an incision that goes across your head from ear to ear. Recovery from the procedure takes about one month. To minimize swelling (which peaks two to three days after the operation), your surgeon will probably advise you to ice your face. Bellinga RJ, Capitn L, Simon D,Tenrio T. Technical and Clinical Considerations for Facial Feminization Surgery With Rhinoplasty and Related Procedures. These images help the surgeon plan your surgeries and provide a baseline for evaluating results after your procedures are finished. Letters of referral from aqualified mental professional (depending on the surgery, 1 or 2 letters may be required). You may have temporary restrictions on heavy lifting, vigorous exercise or other activities. 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. Your healthcare provider will tell you when you can gradually start using your voice again, as well as when you can resume voice therapy. 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. Case Rep Surg. 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. Transgender women may choose to have voice change surgery as part of their male-to-female (MTF) transition. 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. During your consultation your Consultant will be able to advise you in detail about your personal recovery. 2023 Dotdash Media, Inc. All rights reserved. Looking for a non-invasive treatment to help reduce the signs of aging? Those looking to soften and feminise their facial features such as their jaw, cheeks, forehead and nose. Facial Feminization Surgery Cleveland - FFS Surgeon Cost - Dr. Ali Totonchi You may go home with a surgical drain. For more information about the program or to make an appointment, please contact the Transgender Surgery Program at 216.445.6308. Upper lip lift/Lip augmentation: The upper lip lift is generally done in combination with the rhinoplasty procedure. 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. Facial Feminization Surgery Cleveland, Ohio. Dr. Dorafshar's research is focused on gender . At this time, you may feel pain and nausea. Surgery will be carried out under general anaesthetic and can typically range from around 4 to 8 hours depending on the procedures. FFS is a combination of complex procedures that transforms every part of your face from masculine to feminine. These help treat vocal cord scarring or dysphonia. 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. 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. Dr. Totonchi is not liable for any actions or decisions that may have been taken as a result of information provided on this website. When you awaken from surgery, there will be a drain in place; this will likely come out before you are released to go home. 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. A laryngologist performs voice feminization surgery. Find out if you benefit from a discounted membership. Facial Feminization Surgery (FFS) | Johns Hopkins Medicine Voice feminization surgery raises the pitch of your voice, making it sound higher. 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. Too much pitch increase (voice is unnaturally high). 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. 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. As with all surgeries there are risks involved with being under general anaesthetic. A tracheal shaving procedure involves reduction of the thyroid cartilage to reduce the size of the Adams apple. Facial Feminization Surgery (FFS) Facial Feminization Surgery Transgender Rhinoplasty Spa at Zeeba Clinic Evoke & Evolve Treatments Morpheus8 Treatment RF Non-Surgical Facial & Body Contouring Order ZO Skin Care Online Botox Injections Juvederm Ultra Laser Resurfacing Chemical Peels (PRP) Treatment Photo Gallery Face Facelift Your complete postoperative recovery will be about 6-8 weeks but this varies with each individual. Masculine facial features tend to be square and sharp. Recovery After Facial Feminization Surgery. Photo time lapse compilation at . The procedure is used to decrease the distance between the hairline and the eyebrows giving a more youthful, feminine appearance. (2014). Facial feminisation surgery can involve a combination of all or some of the below cosmetic procedures. The Ethics of Gatekeeping in Transgender Health, Feminizing the Face: Combination of Frontal Bone Reduction and Reduction Rhinoplasty, Facial Feminization Surgery: A Review of 220 Consecutive Patients, Standards of Care for the Health of Transsexual, Transgender, and Gender-Nonconforming People, Version 7, Transgender Medical Clearance Sample Letter. Chest surgery (breast augmentation, masculinizing mastectomy) - 1 letter must be obtained. Cleveland Clinic is a non-profit academic medical center. Surgery will be carried out under general anaesthetic and can typically range from around 4 to 8 hours depending on the 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. 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. FFS can change your hairline, forehead, nose, jaw and other parts of your face. Demonstrated the capacity to make a fully informed decision and consent for treatment and the ability to comply with medical instruction. You may need to sign one or more consent forms at this time. Vaginoplasty (female genital reconstructive surgery) - 2letters must be obtained. 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. 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. But some procedures require incisions (cuts) on the outside of your throat. Healthcare providers recommend voice feminization therapy before and after surgery. Facial feminization surgery (FFS) describes a group of procedures that are performed to feminize the face. First clinical follow-up: This usually occurs within five days of surgery, and will be scheduled before you leave. Facial Feminization Procedures Facial feminization surgery (FFS) involves several surgeries that can be done to feminize the facial features. You should also arrange to have someone stay with you for the first few days (perhaps up to a week) after surgery to help you with your recovery and other logistics, like household chores, picking up medications from the pharmacy etc.
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