At this time, you may feel pain and nausea. 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. Your complete postoperative recovery will be about 6-8 weeks but this varies with each individual. Identifying risks for potential complications. 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. Most people need several weeks or months to fully recover from FFS. In older patients, the eyelids may also be lifted to open the eyes and achieve a more feminine look. 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. Youll have gauze or bandages over your incisions for several days. They cannot be smokers or be excessively overweight, and they must be medically optimized for surgery if they have medical comorbidities. was also featured in a documentary (badly) titled "Sex Change" shown by Channel 4 (a terrestrial TV station in the UK). 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. He welcomes patients in his hospital base and private practice offices. 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. 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 Voice feminization surgery raises the pitch of your voice, making it sound higher. See ourCQC ratings. 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. 2018; 2018: 1947807.doi:10.1155/2018/1947807, Telang PS. SUPPORT Patreon: https://www.patreon.com/jessiege. While some individuals may feel that facial feminization surgery is necessary to feel affirmed in their gender, others may not. The incisions for an eyelid lift can either be hidden in the crease of the eyelid or placed behind it to minimize visible incisions. If you haven't already, you may also consider finding a facial feminization support group. 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. Whatever your reason for undergoing facial feminization surgery, be sure to get recommendations for an experienced board-certified plastic surgeon. 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. (415) 353-9500. While you are considering facial feminization surgery, make a plan for yourself. About. Surgical manipulation of the bone and soft tissues of the face create a feminine appearance. Find out more. Before the first consultation, the surgeon may schedule photographs,X-raysand a 3DCT scanthat shows your facial bones and soft tissue. 2021. Facial surgery with him (in theatre - and they showed a great deal!) RealSelf Verified doctors complete our multistep verification process and meet rigorous requirements to become our most trusted plastic surgeons and cosmetic procedure providers. This procedure is often done in conjunction with chin reshaping. You may go home with a surgical drain. doi:10.1001/jamafacial.2016.1572, Pittman TA, Economides JM. Plastic and Reconstructive Surgery: Facial Feminization. FFS is a combination of complex procedures that transforms every part of your face from masculine to feminine. We're happy to complete FMLA and STD paperwork if applicable. 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. All patients are fully assessed for their safety prior to surgery. Genital hair removal must be completed for surgery. 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.) For instance, with the forehead reduction, a surgeon may utilize a hairline approach (the incision is made over the front of the hairline) or a coronal approach (the incision is made across the top of the head). After surgery, you may go home or to a hotel (if you are out of town), or your surgeon may have you stay overnight in the hospital. The brow lift can be used in combination with the scalp advancement procedure to give a more youthful feminine aesthetic outcome. Hysterectomy is often performed as an outpatient procedure, but some patients may require one night stay in the hospital. Technical and Clinical Considerations for Facial Feminization Surgery With Rhinoplasty and Related Procedures, Preparing for Facial Feminization Surgery: Timing, Plastic and Reconstructive Surgery: Facial Feminization, Facial Feminization Surgery: What to Expect and Post-Operative Care, Recovery After Facial Feminization Surgery, Full Facial Feminization Surgery: Patient Satisfaction Assessment Based on 180 Procedures Involving 33 Consecutive Patients, Insufficient social support to move through the surgical process, No confirmed diagnosis of gender dysphoria (if applicable), Inability to provide informed consent of surgery, Infection and problems with wound healing, Nerve damage and subsequent numbness after surgery, Infected titanium plates/screws that may require removal, A reduction in gender dysphoria (if applicable), An improvement in self-esteem and quality of life, Wide-collar, zip-up, or button-up shirt to wear when leaving the hospital, Small personal or comfort items (e.g., cell phone and charger), Apply the ice to your face for no longer than 20 minutes within an hour-long period. Facial Feminization Surgery: A Review of 220 Consecutive Patients. 2018 Dec; 18(12): 39. Have a health condition that makes surgery dangerous. It is performed as an outpatient procedure. The cost of the hotel stay is out-of-pocket, as insurance does not cover this expense for your surgery. Even fewer hospitals offer surgical care for patients wishing to undergo gender affirmation surgery. Avoid hot beverages for one or two weeks or until your incisions heal. Our providers specialize in head and neck surgery and oncology; facial plastic and reconstructive surgery; comprehensive otolaryngology; laryngology; otology, neurotology and lateral skull base disorders; pediatric otolaryngology; rhinology, sinus and skull base surgery; surgical sleep; dentistry and oral and maxillofacial surgery; and allied hearing, speech and balance services. 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. Additionally, the forehead and brow ridge are reshaped to create a softer contour with feminine highlights. Last reviewed by a Cleveland Clinic medical professional on 09/06/2021. We take quality and safety seriously. Sort by doctors that use CareCredit Ali Totonchi, MD Board Certified Plastic Surgeon 59 reviews Virtual consultations accepted 17 yrs experience Meta. Surgery will be carried out under general anaesthetic and can typically range from around 4 to 8 hours depending on the procedures. 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 Hairline advancement (scalp advancement): Scalp advancement is a procedure done to move the hairline forward, decreasing the prominence of the forehead. The procedure takes one to two hours and may not require admission to the hospital. FFS is typically sought by the transgender population but can be performed for anyone seeking to soften their facial features. 2017 May; 19(3): 175181. 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. Hair removal completed, free of regrowth. Once your provider removes your stitches, you may be able to return to work or light activities. First clinical follow-up: This usually occurs within five days of surgery, and will be scheduled before you leave. Facial feminisation surgery can involve a combination of all or some of the below cosmetic procedures. Technical and clinical considerations for facial feminization surgery with rhinoplasty and related procedures. What Is Gender Dysphoria? Your surgeon will probably give you the OK to shower around 48 hours after your operation. Dr. McClung is a board-certified urologist in Columbus, Ohio who specializes in gender-affirming Vaginoplasty. But some procedures require incisions (cuts) on the outside of your throat. 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. We do not endorse non-Cleveland Clinic products or services. For more information about the program or to make an appointment, please contact the Transgender Surgery Program at 216.445.6308. You will be advised to rest for a couple of days. 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. A small incision is made under the nose to lift the upper lip and decrease the distance between the nose and the upper lip. Insurance Coverage:This procedure is sometimes covered by insurance plans when criteria has been met. Every person's gender journey is different. There are no time limits on your aftercare. Facial feminization is a desire expressed by certain individuals who identify beyond the gender binary seeking to align their physical appearance and the gender with which they identify. Vaginoplasty surgery involves creation of the vulva (outer female genital structures) with or without a vaginal canal.

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