Once your provider removes your stitches, you may be able to return to work or light activities. 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. 10 Facial Feminization Surgery doctors in Cleveland, OH CareCredit credit card can help finance cosmetic surgery, minimally invasive procedures, dermatology expenses and more. 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. UpToDate. Meta. This video follows my entire experience with FFS (facial feminization surgery) from beginning to end in chronological order. Elizabeth Boskey, PhD, MPH, CHES, is a social worker, adjunct lecturer, and expert writer in the field of sexually transmitted diseases. Facial feminization surgery (FFS) involves a comprehensive set of procedures to make your face appear more feminine. Surgery changes the length, size or tightness of your vocal cords. Our gym members get 20% off physiotherapy. Here are some basics for recovery after facial surgery: Bruising and swelling: These are common side effects after facial plastic surgery. Facial Feminization Procedures Facial feminization surgery (FFS) involves several surgeries that can be done to feminize the facial features. Preparing for Facial Feminization Surgery: Timing. The World Professional Association for Transgender Health promotes the highest standards of health care for individuals through the articulation of Standards of Care (SOC) for the Health of Transsexual, Transgender, and Gender Nonconforming People. Determine what it is that you like or dislike about your look. 2 The surgery may also be performed in cisgender women who desire a more feminine face or facial feature (e.g., a lower hairline). Not enough pitch increase (voice is still too low). Be prepared to communicate nonverbally with text messages or notes. Blog . Double-check with your surgeon, but taking an over-the-counter herbal product called Arnica may also be recommended to further ease any bruising and swelling on your face. FFS addressed your forehead prominence (frontal bossing), hairline, eye socket shape, nose, cheeks, temples, lips, chin . Facial feminization surgery is a series of procedures that can reshape the face and its features to achieve a more feminine appearance. Facial Feminization Surgery: A Review of 220 Consecutive Patients. Insurance Coverage:This procedure is sometimes covered by insurance plans when criteria has been met. Depending on your priorities, the plan you agree on with your surgeon may include one or more of the following procedures: Shaping the forehead and hairline can create a more oval or heart shape to the face. The Latest in Non-Invasive and Minimally Invasive Face & Body Contouring. At this appointment, your surgeon will check your incision sites, remove any non-dissolvable stitches, and monitor you for complications. 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. Dysphonia (difficulty speaking), such as voice breaks or tremors. The incisions for an eyelid lift can either be hidden in the crease of the eyelid or placed behind it to minimize visible incisions. It is strongly suggested that all prospective clients perform their own independent research regarding Totonchi Plastic Surgery and our qualifications. Get useful, helpful and relevant health + wellness information. The recovery time remains 2-3 weeks. 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 procedure takes one to two hours and may not require admission to the hospital. 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. You may go home with a surgical drain. To minimize swelling (which peaks two to three days after the operation), your surgeon will probably advise you to ice your face. The goal of FFS is to 1) treat gender dysphoria, 2) eliminate misgendering, and 3) help you love the way you look. Your surgeon will probably give you the OK to shower around 48 hours after your operation. Products & Services Book: Mayo Clinic Family Health Book, 5th Edition Your surgeon may use a laryngoscope to access your voice box. 2018; 2018: 1947807.doi:10.1155/2018/1947807, Telang PS. These operations are commonly performed for transgender women (MTF FFS) and can be performed for cisgender women. 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. *Exceptions made for adolescents seeking masculinizing chest surgery; decisions made on a case-by-case basis. SUPPORT Patreon: https://www.patreon.com/jessiege. If you haven't already, you may also consider finding a facial feminization support group. Hair removal completed, free of regrowth. These help treat vocal cord scarring or dysphonia. These may be staged over time or performed during the same surgery, depending on surgeon discretion and patient goals/preferences. Many people who are transitioning from male to female consider this an important step in their transition process. By Elizabeth Boskey, PhD Ask your healthcare provider when its safe for you to resume therapy. 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. Facial Feminization Surgery: What are the risks of facial feminization surgery? Once all criteria have been met, we will be happy to schedule a formal surgical consultation. It is strongly suggested that all prospective clients perform their own independent research regarding Totonchi Plastic Surgery and our qualifications. The average cost of facial feminization surgery (FFS) is $34,372, according to 217 reviews from RealSelf members. Breast augmentation is often performed as an outpatient procedure but some patients may require one night stay in the hospital. We do not endorse non-Cleveland Clinic products or services. You may experience some throat pain or discomfort. 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. Avoid bending over or lifting anything heavier than 20 lbs for two weeks after your surgery. Facial feminization surgery has a wide range of recovery time depending on the combination of procedures that are chosen. What are the masculine features that you would most like to soften and make more feminine? For example, a transgender woman or non-binary individual who feels uncomfortable or distressed with the gendered structure of their face may desire several procedures, including a forehead reduction, rhinoplasty, tracheal shave, chin and jaw reduction, and fat grafting. Dr. McClung is a board-certified urologist in Columbus, Ohio who specializes in gender-affirming Vaginoplasty. The procedure can involve cutting or reshaping the bones as well as the cartilage. 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. Looking for a non-invasive treatment to help reduce the signs of aging? For a better experience, please enable JavaScript. 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. Insurance Coverage: This procedure is very specialized and often not covered by insurance plans. 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. This means you probably wont have to stay overnight in the hospital or surgery center. This therapy helps you adapt to the changes in your voice. Dont have realistic expectations about the results. 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. FFS procedures can reshape the forehead, brows, nose, cheeks and jaw as well as minimize the appearance of an Adams apple (tracheal shave). They may recommend certain ointments or treatments to address them sooner than later. (415) 353-9500. You will likely be given anopioidto start, followed byTylenol (acetaminophen)alone. Place a cloth between the ice pack (frozen peas or crushed ice in a zipper bag also works) on your skin. FFS can change your hairline, forehead, nose, jaw and other parts of your face. This will vary greatly from patient to patient and the surgeries being undertaken but typically you will need around 3 weeks off work. He will assist you in choosing the best surgical plan to attain your desired outcome. 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. It might involve one surgery or a series of procedures. This is often because the insurance company may deem the surgery as cosmetic or not medically necessary. The placement and size of the implant will depend on the individual patients facial anatomy. Every person's gender journey is different. There are no hidden costs in our treatment prices. Preparing for Surgery: Checklist. Masculine foreheads have a heavy bony ridge above the eyes, just below the eyebrows. Vaginoplasty (female genital reconstructive surgery) - 2letters must be obtained. Do not eat or drink anything after midnight on the eve of your surgery. This IV will be used for administering fluids and medications during and after surgery. Since facial feminization surgery is sometimes performed in stages, you may begin preparing for the next procedure soon after recovering from the first one. Demonstrated the capacity to make a fully informed decision and consent for treatment and the ability to comply with medical instruction. He has also given relief to many patients who have suffered from migraine headaches with an innovative technique that has been developed and pioneered by Dr. Bahman Guyuron. Recovery from the procedure takes about one month. Last reviewed by a Cleveland Clinic medical professional on 09/06/2021. They control the pitch of your voice. The process depends on the facial features you choose to change. Companion to accompany you for postoperative stay. The incision is closed with sutures (stitches). This type of healthcare provider specializes in surgery to change or enhance your physical appearance. doi:10.1001/jamafacial.2016.1572, Pittman TA, Economides JM. The procedure may include reducing the prominence of the bony ridge above your eyes and reshaping the hairline. Facial feminisation surgery can involve a combination of all or some of the below cosmetic procedures. These techniques are tailored to fit the goals of each individual. Your provider may use steroid injections or Botox injections after surgery. The course of recovery for the different procedures can vary, and it can be influenced by your general state of health and your self-care after surgery. {{ filterCtrl.yearsExperienceTitle }} yrs exp, Board Certified Oral & Maxillofacial Surgeon. From there, you will walk on your own into the operating room or be wheeled on a gurney. Before and after photos on this website are Dr. Totonchis actual patients and all patients have given consent for use of these photos. The surgery is usually done under general anesthesia. If you are staying overnight, you will be moved to a hospital room once you are fully awake. Facial Feminization Surgery (FFS). Genioplasty: Transgender genioplasty is performed to transform a wider, flatter, longer, and more squared masculine chin to a narrower, shorter, more rounded female chin. 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. After surgery, you may feel more confident and secure in your gender expression. 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. 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. You might have one surgery or several, including: If you get a comprehensive FFS as a single surgery, it can take eight to nine hours. 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. Identifying risks for potential complications. Healthcare providers usually recommend voice feminization therapy before and after surgery. Voice feminization surgery is a procedure to raise the pitch of your voice or make it sound higher. August 2018. The procedure is used to decrease the distance between the hairline and the eyebrows giving a more youthful, feminine appearance. 2017 May; 19(3): 175181. 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). This procedure is often done in conjunction with chin reshaping. For patients who are only having a brow lift, the surgeon can make four or five small, one-centimeter incisions in the hairline or an incision around the brow line. Your surgeon will also take photographs of your face during this visit. Before facial feminization surgery, your healthcare provider will perform a thorough personal assessment. 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. American Psychiatric Association. Please check with your insurance provider to make sure that it is covered. 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. He has now performed over 200 feminizing bottom surgeries and his practice is fully dedicated to providing gender-affirming surgical care. Rates are subject to change each year, but please plan for a minimum of $2,000 for the hotel stay, however, depending upon your personalized plan, the overall cost may be higher. Out-of-pocket costs will also be discussed at this visit. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event, (https://www.plasticsurgery.org/reconstructive-procedures/facial-feminization-surgery). Chest surgery (breast augmentation, masculinizing mastectomy) - 1 letter must be obtained. A tracheal shave is done through a small incision on the anterior neck which Dr Totonchi uses to shave down the tracheal cartilage. They can help you prepare emotionally. 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 Feminizations Mastectomies Vaginoplasty Breast Augmentations This procedure involves enlargement of the breasts with an implant. Risks of voice feminization surgery include: The major benefit of voice feminization surgery is that you can achieve a pitch that more closely matches your gender identity. Vaccines & Boosters | Testing | Visitor Guidelines | Coronavirus. 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. RealSelf Tip: The average cost of FFS for cisgender . We take quality and safety seriously. Transgender women may choose the surgery as part gender confirmation process.

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