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. Various techniques may be used to perform this procedure, and they are surgeon and patient dependent. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7458845/). While you are considering facial feminization surgery, make a plan for yourself. Forehead reconstruction requires an incision that goes across your head from ear to ear. To optimize your wound healing and surgical results, it's important to follow post-operative instructions carefully. FFS is typically sought by the transgender population but can be performed for anyone seeking to soften their facial features. Few hospitals are equipped to provide such care. We work with you and your insurance provider to get you the treatment you need quickly, Forehead contorting, brow lift, hairline advance, Stop smoking 8 weeks prior to surgery, including vaping and recreational drugs, Patients are not required to stop any hormone treatment before undergoing surgery. Tracheal shave is one of the simplest surgeries done to obtain feminine features and can be performed under local anesthetic. They can help you prepare emotionally. Cheek augmentation helps to round out the face giving it a feminine appearance. In addition, staging provides ample time for recovery between operations. Our prices are all-inclusive. I just had facial feminization surgery. The goal of FFS is to 1) treat gender dysphoria, 2) eliminate misgendering, and 3) help you love the way you look. 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. These techniques are tailored to fit the goals of each individual. 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. New masking guidelines are in effect starting April 24. They cannot be smokers or be excessively overweight, and they must be medically optimized for surgery if they have medical comorbidities. Males tend to have wider and longer foreheads than females. 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. He welcomes patients in his hospital base and private practice offices. We recognize that you have many options when it comes to your cosmetic or plastic surgery needs. 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. Plastic and Reconstructive Surgery: Facial Feminization. Breast augmentation is often performed as an outpatient procedure but some patients may require one night stay in the hospital. 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. 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.) Looking for a non-invasive treatment to help reduce the signs of aging? Our gym members get 20% off physiotherapy. Scarring inside your voice box or on the outside of your throat. The most important thing to us is getting you fit and healthy with our network of fitness experts and cutting-edge facilities. Out-of-pocket costs will also be discussed at this visit. You can find out more about our use, change your default settings, and withdraw your consent at any time with effect for the future by visiting Cookies Settings, which can also be found in the footer of the site. Spread the cost of your treatment with a 6, 10 or 12 month 0% personal medical loan. That said, whether you are recovering from one or multiple procedures, you can generally expect swelling, pain, and tightness. Facial feminization surgery (FFS) includes a series of plastic and craniofacial surgical procedures designed to feminize the face. If you are being discharged that day, it will likely be a few hours after the procedure. 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. Demonstrated the capacity to make a fully informed decision and consent for treatment and the ability to comply with medical instruction. Patients who have met these criteria are deemed appropriate surgical candidates. Don't submerge your incisions sites underwater (e.g., when taking a bath or swimming) for three to four weeks. The surgery softens these features, creating a face that is more oval-shaped. 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. A cartilage graft is used to change the size and shape of the nose. Dr. Totonchi is not liable for any actions or decisions that may have been taken as a result of information provided on this website. During your consultation, your plastic surgeon will review your goals and expectations, the recommended procedures, and all potential risks involved. doi:10.1001/jamafacial.2016.1572, Pittman TA, Economides JM. However, the cost can range from $1,847 to $62,000, depending on a few key factors. Patients must have a support person to stay with them during their hospital and hotel stay. Most patients first begin working with a therapist before and after starting hormones. Photo time lapse compilation at . Browseour articlesto find trusted information on training, nutrition, getting back to good health and much more. Youll have gauze or bandages over your incisions for several days. In the case of patients with more narrow mandible angles, jaw implants are used to create a more defined jaw structure. The operations usually consist of multiple procedures including those listed below . It helps drain blood and fluid to prevent swelling. (415) 353-9500. It is strongly suggested that all prospective clients perform their own independent research regarding Totonchi Plastic Surgery and our qualifications. The surgeon shaves away some of the cartilage from the front of the larynx to make it smaller and less prominent. Standards of Care for the Health of Transsexual, Transgender, and Gender-Nonconforming People, Version 7.International Journal of Transgenderism. 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. FFS can include hairline lowering, jaw reduction, rhinoplasty (nose reshaping), eyelid surgery, face or neck lift, and other facial changes. 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. If you are considering any bone-related procedure (e.g., forehead or jaw), you will need to get X-rays or a computed tomography (CT) scan of your facial bones. Dr. Totonchi knows your goals are extremely important and will listen and help you understand how these can be accomplished. Facial feminization surgery has a wide range of recovery time depending on the combination of procedures that are chosen. This will vary greatly from patient to patient and the surgeries being undertaken but typically you will need around 3 weeks off work. Preparing for Facial Feminization Surgery: Timing. 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. The cost of the hotel stay is out-of-pocket, as insurance does not cover this expense for your surgery. 2023 Dotdash Media, Inc. All rights reserved. In older patients, the eyelids may also be lifted to open the eyes and achieve a more feminine look. A surgical procedure called a chondrolaryngoplasty, or tracheal shave, can reduce the size of an Adams apple and create a smoother neck profile. Too much pitch increase (voice is unnaturally high). Depending on surgeon preference and/or if you are trying to obtain insurance coverage, you may also need to see a mental health professional for a letter of referral. Plast Reconstr Surg 2016 Feb;137(2):438-448.doi:10.1097/01.prs.0000475754.71333.f6. Rates are subject to change each year, but please plan for a minimum of $2,000 for the hotel stay. American Society of Plastic Surgery. American Society of Anesthesiologists. RealSelf Tip: The average cost of FFS for cisgender . 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. Transgender women may choose to have voice change surgery as part of their male-to-female (MTF) transition. Rhinoplasty: Rhinoplasty can be a key element in transgender facial feminization. University of Utah Health. Cheek augmentation: Cheek augmentation can be achieved with fat grafting and/or implants. 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. Many people who are transitioning from male to female consider this an important step in their transition process. was also featured in a documentary (badly) titled "Sex Change" shown by Channel 4 (a terrestrial TV station in the UK). Forehead lengthening is a procedure, which elongates the forehead, increasing the distance between the brow ridge and hairline. 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. 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. 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. These operations are commonly performed for transgender women (MTF FFS) and can be performed for cisgender women. 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. While estrogen won't affect your bone structure, it will redistribute facial fat, and this may alter your surgical plan. 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. Feminizing the Face: Combination of Frontal Bone Reduction and Reduction Rhinoplasty. FFS is ideal for trans women and non-transgender women who want a more feminine facial appearance. 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). We are happy to share a list of qualified hair removal providers as well as qualified mental health providers upon request. 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. 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. 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. They will ask you about your goals for surgery and explain what you can expect during your recovery after the procedure. Several procedures can be recommended to revise the contours of the jaw and chin: FFS jaw surgeryrequires making an incision inside the mouth, which will be closed with dissolvable stitches. You may need a second surgery to achieve your target pitch. 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. As with all surgeries there are risks involved with being under general anaesthetic. He is also one of the few plastic surgeons in the area who performs surgical treatment of migraine headaches and also facial feminization surgery. The chin plays a crucial role in the proportions and balance of facial features. It is important to follow the doctors advice for the weeks following a tracheal shave. 9500 Euclid Ave. The techniques can help transgender women transition physically to their self-affirmed gender. Call and make your consultation appointment with Dr. Totonchi to discuss your FFS needs, call office at 216-778-2262. Any non-disclosure could result in your surgery being cancelled. Dont have realistic expectations about the results. Copy of your most recent primary care medical records. Read on to find out why you might pay more or less, and whether the cost is really worth it. 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. Please check with your insurance provider to make sure that it is covered. Facial feminisation surgery can involve a combination of all or some of the below cosmetic procedures. 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. 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. Genital hair removal must be completed for surgery. Hairline advancement (scalp advancement): Scalp advancement is a procedure done to move the hairline forward, decreasing the prominence of the forehead. 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. 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. This type of healthcare provider specializes in surgery for the voice box and throat. With IPS Transformation we offer a variety of high quality, indivi. Vaccines & Boosters | Testing | Visitor Guidelines | Coronavirus. Any specific claims or permanence length of results vary for each patient and are not guaranteed. From there, you will walk on your own into the operating room or be wheeled on a gurney. In certain cases, it may be performed underlocal anesthesiawith intravenous sedation (the area being operated on is numbed and you are put into a light sleep). However, after the sutures are removed, you face will still need weeks to continue to healing process until the final result is fully visible. For zero-depth procedures patients should expect to be in Cleveland for 3-4 days after the surgery and for a full-depth procedure, 7-10 days after surgery. FFS is a combination of complex procedures that transforms every part of your face from masculine to feminine. Blog . FFS can change your hairline, forehead, nose, jaw and other parts of your face. Your consultation can be scheduled once 50% of hair removal is completed. 2020. In terms of restarting estrogen therapy (if this applies to you), confirm with your healthcare provider, but patients can usually restart within two to three days after surgery. 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). Many people do voice feminization therapy before surgery. Intonation (adapting the sound of your voice to express emotions). Not enough pitch increase (voice is still too low). Do not eat or drink anything after midnight on the eve of your surgery. By undergoing facial feminization surgery, a person may experience one or more of the following benefits: If you are considering facial feminization surgery, your first step will be to schedule a consultation with a plastic surgeon who specializes in this type of surgery. A narrow chin can be augmented using a combination of techniques, which include bone shaving and/or osteotomy. 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. 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. University of Washington. At the end of the procedure, the incision will be closed with sutures that do not need to be removed. 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. The combination of these procedures, however, does not increase the recovery time. Since your face contains lots of blood vessels, it easily swells and bruises, and this can be quite dramatic after your surgery. In addition to treating patients with cosmetic procedures like facelift,rhinoplasty,eyelid surgery, breast augmentation,breast lift,tummy tuck,liposuction, facial feminization, or other non-surgical cosmetic surgeryprocedures at his Cleveland practice, Dr. Totonchi is also known for his treatment and care of children with issues ranging from facial deformities to cleft palates.
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