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. Recovery from the procedure takes about one month. Too much pitch increase (voice is unnaturally high). Decreasing the distance between the nose and upper lip gives a more feminine balance to the face. 2017 May; 19(3): 175181. 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. (2021). 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. Your diet instructions may also vary depending on whether you had any procedures performed in or around your lips, mouth, or jaw. Dubov A, Fraenkel L. Facial Feminization Surgery. Spread the cost of your treatment with a 6, 10 or 12 month 0% personal medical loan. Various techniques may be used to perform this procedure, and they are surgeon and patient dependent. 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. He has extensive training and experience in facelift, rhinoplasty body, and breast surgery. Most people need several weeks or months to fully recover from FFS. Many people do voice feminization therapy before surgery. Your complete postoperative recovery will be about 6-8 weeks but this varies with each individual. A small incision is made under the nose to lift the upper lip and decrease the distance between the nose and the upper lip. The procedure can involve cutting or reshaping the bones as well as the cartilage. 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. A surgical nurse will review your medication list, record yourvitals(heart rate, blood pressure, etc. 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. BMI requirements are determined by your surgeon. While not all patients require this procedure, it can be helpful in achieving a more harmonious profile with the use of cheek implants. Dr. Dorafshar is a highly distinguished plastic and reconstructive surgeon who specializes in gender-affirming facial surgery. drtotonchi.com. Transgender patients transitioning from male to female and non-binary. Males tend to have wider and longer foreheads than females. doi:10.1055/s-0040-1716440, Ferrando CU, Thomas TN. Risks of facial feminization surgery include: Face feminization surgery can help give you the physical appearance of the gender you identify with. Technical and clinical considerations for facial feminization surgery with rhinoplasty and related procedures. 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. Use our list of health topics to reach your destination faster. Don't submerge your incisions sites underwater (e.g., when taking a bath or swimming) for three to four weeks. Voice feminization surgery is a procedure to raise the pitch of your voice or make it sound higher. 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). Healthcare providers usually recommend voice feminization therapy before and after surgery. Your doctor will provide instructions on returning to work and exercise and other tips on whats safe to do and when. Companion to accompany you for postoperative stay. The Latest in Non-Invasive and Minimally Invasive Face & Body Contouring. DOI: 10.1001/jamafacial.2016.1572 Capitn L, et al. Talk to your healthcare provider or your psychologist before the procedure so you know what to expect. Voice feminization surgery raises the pitch of your voice, making it sound higher. 322 Followers, 6 Following, 11 Posts - See Instagram photos and videos from FFS@totonchiplasticsurgery (@facialfeminization) 322 Followers, 6 Following, 11 Posts - See Instagram photos and videos from FFS@totonchiplasticsurgery (@facialfeminization) . He offers Facial Feminization and Masculinization Surgery as part of the Gender Affirmation Surgery Program at Rush university Medical Center. The average cost of facial feminization surgery (FFS) is $34,372, according to 217 reviews from RealSelf members. Transgender surgery: Male to female. When showering, wash your incision sites very gently with warm water and soap and pat the skin dry with a clean towel. Do not wear makeup, hairspray, nail polish, or deodorant. Over the last several years, we have been actively expanding the surgical services Cleveland Clinic offers to gender and sex-minority patients. You will have to clean the inside of your mouth with a prescription mouthwash for a few weeks after surgery. A laryngologist performs voice feminization surgery. We recognize that you have many options when it comes to your cosmetic or plastic surgery needs. 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. Facial feminization surgery is performed as either a single procedure or as multiple staged procedures. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. 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). In addition, staging provides ample time for recovery between operations. CareCredit credit card can help finance cosmetic surgery, minimally invasive procedures, dermatology expenses and more. 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. Reviewed November 2020. I just had facial feminization surgery. Thank you, {{form.email}}, for signing up. They vibrate when you take in air. Facial Feminization Surgery Photos Browse Facial Feminization Surgery before & after photos shared by doctors on RealSelf. If you are being discharged that day, it will likely be a few hours after the procedure. 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 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). 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. 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. He has now performed over 200 feminizing bottom surgeries and his practice is fully dedicated to providing gender-affirming surgical care. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7458845/). The assessment must document that an individual meets all of the following criteria: o Persistent, well-documented Gender Dysphoria In extreme cases, a tissue expansion is used to achieve the desired effect. doi:10.1001/jamafacial.2016.1572, Pittman TA, Economides JM. 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. The procedure may include reducing the prominence of the bony ridge above your eyes and reshaping the hairline. Those looking to soften and feminise their facial features such as their jaw, cheeks, forehead and nose. Copy of your most recent primary care medical records. Find out more. Denver Health. Insurance Coverage: This procedure is covered by many insurance plans when criteria has been met. Facial feminization surgery is performed by a plastic surgeon who has training in craniomaxillofacial and soft tissue surgery. We're happy to complete FMLA and STD paperwork if applicable. 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. If you experience symptoms ofdepressionor anxiety before or after surgery, be sure to talk with your healthcare provider, therapist, or other mental health professional. The overall goal of the SOC is to provide clinical guidance for health professionals to assist transsexual, transgender, and gender nonconforming people with safe and effective pathways to achieving lasting personal comfort with their gendered selves, in order to maximize their overall health, psychological well-being, and self-fulfillment. 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. This type of healthcare provider specializes in surgery for the voice box and throat. Facial feminization surgery (FFS) encompasses a series of surgical interventions designed to make your face appear more feminine. Facial Feminization Surgery (FFS). 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 selection of procedures is customized for each person based on their aesthetic goals. 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. 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. Standards of Care for the Health of Transsexual, Transgender, and Gender-Nonconforming People, Version 7.International Journal of Transgenderism. so we should talk about it, and I need to discuss how I feel. There are no time limits on your aftercare. Facial Feminization Surgery: What are the risks of facial feminization surgery? Dont have realistic expectations about the results. This operation is most commonly performed in transgender women or non-binary people as a type of gender-affirming surgery. Orchiectomy is performed as an outpatient procedure. The combination of these procedures, however, does not increase the recovery time. Your surgical team will review these with you as you get closer to surgery. Lauren Schlanger, MD, is a board-certified primary care physician. Free of any non-prescribed substances including marijuana (minimum 3 months). The procedure is often performed laparoscopically using three 5mm incisions on the lower abdomen. Find out if you benefit from a discounted membership. Surgery changes the folds so they vibrate differently and make higher sounds when you speak. These images help the surgeon plan your surgeries and provide a baseline for evaluating results after your procedures are finished. Living in gender role full time for minimum of 12 consecutive months. FFS is a combination of complex procedures that transforms every part of your face from masculine to feminine. Our gym members get 20% off physiotherapy. Looking for a non-invasive treatment to help reduce the signs of aging? 2018; 2018: 1947807.doi:10.1155/2018/1947807, Telang PS. When adding the rhinoplasty procedure, nasal splints and stents are kept in placed for 2 weeks before removal. Please make sure that you have a driver for any postoperative visit that is within 2-4 weeks of your surgery. *Your results may vary. You will likely be given anopioidto start, followed byTylenol (acetaminophen)alone. Facial Feminization Surgery: A Review of 220 Consecutive Patients. With the traditional "open" approach, a surgeon makes a large incision to perform the operation. Your surgeon will probably give you the OK to shower around 48 hours after your operation. 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. Our body contouring procedures can create a slimmer, sexier physique to help you look and feel your best. The mental health professional will review your gender identity and dysphoria and help you determine how the surgery fits into your overall treatment plan. RealSelf Verified doctors complete our multistep verification process and meet rigorous requirements to become our most trusted plastic surgeons and cosmetic procedure providers. Products & Services Book: Mayo Clinic Family Health Book, 5th Edition American Psychiatric Association. We take quality and safety seriously. 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. Please make sure that you have a driver for any postoperative visit that is within 2-4 weeks of your surgery. Forehead contouring typically removes this ridge and softens the appearance of the forehead and facial features. Blog . Upper lip lift/Lip augmentation: The upper lip lift is generally done in combination with the rhinoplasty procedure. Generally most patients are in hospital for around 2 to 3 days. The cost of the hotel stay is out-of-pocket, as insurance does not cover this expense for your surgery. University of Washington. Facial feminization for cisgender women with masculine-looking faces. She is an assistant professor at the Alpert Medical School of Brown University. 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. However, the cost can range from $1,847 to $62,000, depending on a few key factors. How long it takes: This depends on what you are having done. Facial Feminization Surgery is a critical part of a transition timetable for a transgender patient who has decided to live full time as female. Facial Plast Surg Clin North Am. The process depends on the facial features you choose to change. 2021. The brow may be elevated to give the eyes a feminine appearance. Your surgeon will likely ask that you avoid any facial treatments (for example, electrolysis or chemical peels) two weeks before your surgery date. University of California, San Francisco. Cleveland Clinic is a non-profit academic medical center. If it is not, you will receive information about payment plans at the time of your consultation. 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. About. Limited time savings on the Hair Restoration Package, click here to learn more. Transgender women may choose the surgery as part gender confirmation process. Chest surgery is sometimes performed as an outpatient procedure but some patients may require one night stay in the hospital. Ohio Facial Feminization Surgery 19 Facial Feminization Surgery doctors in Ohio, USA CareCredit credit card can help finance cosmetic surgery, minimally invasive procedures, dermatology expenses and more. We will equal any comparable price. Male hysterectomy/vaginectomy - 2 letters must be obtained. 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. 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. 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. 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. Your surgeon may use a laryngoscope to access your voice box. Patients must have a support person to bring them home from the hospital. You may experience some throat pain or discomfort. Have disorders that require androgen (male sex hormone) therapy as treatment. Dr. McClung is a board-certified urologist in Columbus, Ohio who specializes in gender-affirming Vaginoplasty. Elizabeth Boskey, PhD, MPH, CHES, is a social worker, adjunct lecturer, and expert writer in the field of sexually transmitted diseases. BMI requirements are determined by your surgeon. Advertising on our site helps support our mission. August 2018. 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. They control the pitch of your voice. Identifying risks for potential complications. This procedure reshapes the jaw line, increases facial width, and creates an angular, more masculine jaw line. Sometimes voice feminization surgery doesnt produce the results you want. It is performed as an outpatient procedure. 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. 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. Facial feminization surgery is a series of procedures that can reshape the face and its features to achieve a more feminine appearance. Here, you will change into a hospital gown. Vaginoplasty (female genital reconstructive surgery) - 2letters must be obtained. Facial feminization surgery has a wide range of recovery time depending on the combination of procedures that are chosen. 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. FFS may be part of an overall plan of gender affirmation, aligning the appearance of the face and body with a persons gender. 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 Insurance Coverage: This procedure is covered by many insurance plans when criteria has been met. YOU WILL NOTICE A DIFFERENCE IN SERVICE AND CARE THE MOMENT YOU VISIT OUR OFFICE. Browseour articlesto find trusted information on training, nutrition, getting back to good health and much more. A tracheal shave is done through a small incision on the anterior neck which Dr Totonchi uses to shave down the tracheal cartilage. Please check with your insurance provider to make sure that it is covered.
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