FFS is ideal for trans women and non-transgender women who want a more feminine facial appearance. Facial feminisation surgery can involve a combination of all or some of the below cosmetic procedures. You may be prescribed an oral antibiotic or an antibiotic ointment to apply to your incision sites, once or multiple times a day for the first week after surgery. 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. Facial feminization surgery (FFS) changes features on your face so they appear more feminine and less masculine. Please make sure that you have a driver for any postoperative visit that is within 2-4 weeks of your surgery. Tracheal shave is one of the simplest surgeries done to obtain feminine features and can be performed under local anesthetic. Scarring inside your voice box or on the outside of your throat. The procedure can involve cutting or reshaping the bones as well as the cartilage. 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. During your consultation, your plastic surgeon will review your goals and expectations, the recommended procedures, and all potential risks involved. The incision is closed with sutures (stitches). There are no time limits on your aftercare. Case Rep Surg. Dr. Amir Dorafshar. The surgeon can perform a nose-reshaping operation called arhinoplasty(sometimes called a nose job) to reduce the width and shape of the nose. Orchiectomy is performed as an outpatient procedure. 9500 Euclid Ave. Since you will be changing into a hospital gown upon arrival, wear loose-fitting clothes on the day of your surgery. These help treat vocal cord scarring or dysphonia. We recognize that you have many options when it comes to your cosmetic or plastic surgery needs. Since your face contains lots of blood vessels, it easily swells and bruises, and this can be quite dramatic after your surgery. See ourCQC ratings. Your provider may use steroid injections or Botox injections after surgery. Typically, you will need to cover the incisions with gauze and rewrap your head with bandages. 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. With IPS Transformation we offer a variety of high quality, indivi. FFS addressed your forehead prominence (frontal bossing), hairline, eye socket shape, nose, cheeks, temples, lips, chin . Undergoing this procedure will not interfere with the possibility of having future vaginoplasty. 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 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. She is an assistant professor at the Alpert Medical School of Brown University. There are many techniques used to perform facial feminization surgery, and many factors should be taken into consideration when choosing which . Cleveland Clinic Main Campus Although. Swelling, warmth, or foul-smelling drainage from the incision site(s). Two letters of support from qualified mental health providers dated within the past 12 months. Free of any non-prescribed substances including marijuana (minimum 3 months). But some procedures require incisions (cuts) on the outside of your throat. FFS usually does not happen in one operation. ), and place an intravenous (IV) line into a vein in your arm. Do not shave or use hair-removal processes such as waxing until your doctor clears you to resume these practices. All of this information helps your surgeon plan your treatment. Once you are scheduled for facial feminization surgery, your surgeon will give you instructions on how to prepare. To minimize swelling (which peaks two to three days after the operation), your surgeon will probably advise you to ice your face. Stable mental health, sufficiently self-aware, and successfully managing identified issues with depression. Dr. Totonchi is not liable for any actions or decisions that may have been taken as a result of information provided on this website. Facial Feminization Surgery (FFS). These operations are commonly performed for transgender women (MTF FFS) and can be performed for cisgender women. You may need to sign one or more consent forms at this time. The Adams apple is an area of cartilage around the larynx (voice box) that tends to be larger in people assigned male at birth. The use of modern technologies allows new options in the treatment of complex situations. 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. Facial Feminization Surgery Photos Browse Facial Feminization Surgery before & after photos shared by doctors on RealSelf. 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. Minimize sun exposure and always wear sunscreen. Before and after photos on this website are Dr. Totonchis actual patients and all patients have given consent for use of these photos. 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. Once your provider removes your stitches, you may be able to return to work or light activities. You may go home with a surgical drain. Place a cloth between the ice pack (frozen peas or crushed ice in a zipper bag also works) on your skin. 2020. In addition, staging provides ample time for recovery between operations. It is important to follow the doctors advice for the weeks following a tracheal shave. Some surgeons recommend splitting the procedures into two surgeries, separated by seven to 10 days or longer. Denver Health. Forehead contouring (frontal bossing): Forehead contouring involves shaving down the frontal bone and altering its pronounced shape. Vaginoplasty (female genital reconstructive surgery) - 2letters must be obtained. 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. Waltham, MA: UpToDate, Coleman E, Bockting W, Botzer M, et al. 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. 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. Patients who have met these criteria are deemed appropriate surgical candidates. When you awaken from surgery, there will be a drain in place; this will likely come out before you are released to go home. The surgeon shaves away some of the cartilage from the front of the larynx to make it smaller and less prominent. 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. BMI requirements are determined by your surgeon. UpToDate. 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. 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. Several surgical techniques are available to change the length, tightness or size of your voice box. 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. Avoid driving until you are off all pain medication and your surgeon gives you the OK. It may be uncomfortable to talk, but it is safe to do so if you can. Youll have gauze or bandages over your incisions for several days. Were happy to complete FMLA and STD paperwork if applicable. Transgender women may choose to have voice change surgery as part of their male-to-female (MTF) transition. Facial feminization surgery is performed as either a single procedure or as multiple staged procedures. Surgery changes the folds so they vibrate differently and make higher sounds when you speak. Ask your surgeon about how to re-dress your incisions after washing them and applying ointment. 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. What Is Gender Dysphoria? Relationship with a mental health care provider who will see you 4-6 weeks after your surgery. Insurance Dr. Angela Rodriguez San Francisco, California 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. Looking for a non-invasive treatment to help reduce the signs of aging? 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. Any specific claims or permanence length of results vary for each patient and are not guaranteed. At the end of the procedure, the incision will be closed with sutures that do not need to be removed. 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. Among the various gender-affirming procedures, facial feminization surgery (FFS) is arguably the most commonly denied surgery, as insurance companies often deem the involved procedures as cosmetic and not medically necessary. 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. Are a transgender woman (male transitioning to female). It helps drain blood and fluid to prevent swelling. (2014). The recovery time remains 2-3 weeks. 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. You will notice a difference in service and care the moment you visit our office. 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. Advertising on our site helps support our mission. As a professor, Dr. Totonchi understands the importance of education and he will take time to answer all of your questions, and present you with the best plan possible for your procedure, giving you full confidence as you move forward with your decision. The incisions for an eyelid lift can either be hidden in the crease of the eyelid or placed behind it to minimize visible incisions. 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. FFS is typically sought by the transgender population but can be performed for anyone seeking to soften their facial features. Hysterectomy is often performed as an outpatient procedure, but some patients may require one night stay in the hospital. doi:10.1080/15265161.2018.1531159, Salgado CJ, AlQattan H, Nugent A, et al. As a professor, Dr. Totonchi understands the importance of education and he will take time to answer all of your questions, and present you with the best plan possible for your procedure, giving you full confidence as you move forward with your decision. Nuffield Health looks after your health and wellbeing in ways that go beyond getting you fit and getting you back on your feet, that's what makes us specialists in you. 2 The surgery may also be performed in cisgender women who desire a more feminine face or facial feature (e.g., a lower hairline). Instead, a staged approach, based on your priorities, is recommended. Cutting and reformatting the scalp can lower the hairline and give it a more feminine or nonbinary look. Out-of-pocket costs will also be discussed at this visit. For people in whom hormone therapy is not enough to achieve desired gender-affirming changes to the face, surgery can help. The most important thing to us is getting you fit and healthy with our network of fitness experts and cutting-edge facilities. FFS may be part of an overall plan of gender affirmation, aligning the appearance of the face and body with a persons gender. Verywell Health's content is for informational and educational purposes only. Our expert physicians and surgeons provide a full range of dermatologic, reconstructive and aesthetic treatments options at Cleveland Clinic. 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.
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