On the other hand, a cisgender woman with a receding hairline may only desire a hairline advancement procedure. 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. 2018; 2018: 1947807.doi:10.1155/2018/1947807, Telang PS. Be prepared to communicate nonverbally with text messages or notes. The recovery time remains 2-3 weeks. Whatever your reason for undergoing facial feminization surgery, be sure to get recommendations for an experienced board-certified plastic surgeon. Once you are scheduled for facial feminization surgery, your surgeon will give you instructions on how to prepare. This operation is most commonly performed in transgender women or non-binary people as a type of gender-affirming surgery. The surgeon can perform a nose-reshaping operation called arhinoplasty(sometimes called a nose job) to reduce the width and shape of the nose. Surgery changes the length, size or tightness of your vocal cords. Facial pain and tightness after surgery will vary in severity based on the procedures you underwent. As with all surgeries there are risks involved with being under general anaesthetic. Insurance Dr. Angela Rodriguez San Francisco, California With IPS Transformation we offer a variety of high quality, indivi. There are many techniques used to perform facial feminization surgery, and many factors should be taken into consideration when choosing which . They can help you prepare emotionally. You may find it painful to chew solid food for a few days. Talk to your healthcare provider or your psychologist before the procedure so you know what to expect. This procedure reshapes the jaw line, increases facial width, and creates an angular, more masculine jaw line. Am J Bioeth. Your complete postoperative recovery will be about 6-8 weeks but this varies with each individual. Preparing for Surgery: Checklist. Vaccines & Boosters | Testing | Visitor Guidelines | Coronavirus. Voice feminization surgery is a procedure to raise the pitch of your voice or make it sound higher. Hair removal completed, free of regrowth. 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. 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). 2017 May; 19(3): 175181. We recognize that you have many options when it comes to your cosmetic or plastic surgery needs. CareCredit credit card can help finance cosmetic surgery, minimally invasive procedures, dermatology expenses and more. The techniques can help transgender women transition physically to their self-affirmed gender. 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. Transgender patients transitioning from male to female and non-binary. Denver Health. 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 Your healthcare provider will tell you when you can gradually start using your voice again, as well as when you can resume voice therapy. 2018 Dec; 18(12): 39. Patients who have met these criteria are deemed appropriate surgical candidates. Over the last several years, we have been actively expanding the surgical services Cleveland Clinic offers to gender and sex-minority patients. Your voice box will need several weeks to heal after voice feminization surgery. 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. 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. Here are some basics for recovery after facial surgery: Bruising and swelling: These are common side effects after facial plastic surgery. They control the pitch of your voice. Embracing diversity and inclusion, the Center for Transgender and Gender Expansive Health provides affirming, objective, person-centered care to improve health and enhance wellness; educates interdisciplinary health care professionals to provide culturally competent, evidence-based care; informs the public on transgender health issues; and advances medical knowledge by conducting biomedical research. Just look for the RealSelf Verified badge. 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. From there, you will walk on your own into the operating room or be wheeled on a gurney. 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. Warning: You do not have JavaScript enabled. We recognize that you have many options when it comes to your cosmetic or plastic surgery needs. ), and place an intravenous (IV) line into a vein in your arm. In facial masculinization, the nose and chin are augmented and widened to create a more masculine appearance. The chin plays a crucial role in the proportions and balance of facial features. University of Utah Health. 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 decide to proceed with surgery, various tests will be recommended for medical and anesthesia clearance. Vocal Feminization for Transgender Women: Current Strategies and Patient Perspectives. You will have to clean the inside of your mouth with a prescription mouthwash for a few weeks after surgery. 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. University of California, Sam Francisco. This will vary greatly from patient to patient and the surgeries being undertaken but typically you will need around 3 weeks off work. If you are staying overnight, you will be moved to a hospital room once you are fully awake. 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. Additionally, the forehead and brow ridge are reshaped to create a softer contour with feminine highlights. 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. Facial feminization surgery (FFS) describes a group of procedures that are performed to feminize the face. 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. But some procedures require incisions (cuts) on the outside of your throat. 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. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7458845/). Waltham, MA: UpToDate, Coleman E, Bockting W, Botzer M, et al. Facial Feminization Surgery: A Review of 220 Consecutive Patients. Decreasing the distance between the nose and upper lip gives a more feminine balance to the face. Healthcare providers usually recommend voice feminization therapy before and after surgery. FFS is a combination of complex procedures that transforms every part of your face from masculine to feminine. 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. Our prices are all-inclusive. Since facial feminization surgery is sometimes performed in stages, you may begin preparing for the next procedure soon after recovering from the first one. The Transgender Surgery Program has a special rate for our patients with the hotel. Minimize sun exposure and always wear sunscreen. University of California, San Francisco. 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.) Our team follows the World Professional Association for Transgender Health (WPATH) guidelines to ensure patients are appropriate surgical candidates. Elizabeth Boskey, PhD, MPH, CHES, is a social worker, adjunct lecturer, and expert writer in the field of sexually transmitted diseases. Case Rep Surg. (415) 353-9500. Last reviewed by a Cleveland Clinic medical professional on 09/06/2021. You may experience some throat pain or discomfort. Find out more. To minimize swelling (which peaks two to three days after the operation), your surgeon will probably advise you to ice your face. Avoid exercise or other strenuous activities for at least four weeks after your surgery. Surgery will be carried out under general anaesthetic and can typically range from around 4 to 8 hours depending on the procedures. With the endoscopic approach, smaller incisions and special, pliable instruments are used to perform the procedure. 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). The nasal tip is generally adjusted to give a upward feminine appearance rather than the typical male downward nasal appearance. Insurance Coverage:This procedure is sometimes covered by insurance plans when criteria has been met. This is a thin, lighted tube that goes into your mouth and reaches back to your larynx. Posts Tagged. Dr. Totonchi offers a variety of leading-edge treatments to help you feel and look younger. Typically, with female-to-male transitioning, hormone therapy is the most effective way to change secondary sex characteristics and achieve a more masculine facial appearance. The surgery is usually done under general anesthesia. Few hospitals are equipped to provide such care. 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. JAMA Facial Plast Surg. doi:10.1055/s-0040-1716440, Ferrando CU, Thomas TN. Facial Feminization Surgery: A Review of 220 Consecutive Patients. YOU WILL NOTICE A DIFFERENCE IN SERVICE AND CARE THE MOMENT YOU VISIT OUR OFFICE. Facial Feminization Surgery: Before and After Gallery. Doing two surgeries gives your face more time to heal between surgeries and allows more flexibility for patients. 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. drtotonchi.com. 10 Facial Feminization Surgery doctors in Cleveland, OH CareCredit credit card can help finance cosmetic surgery, minimally invasive procedures, dermatology expenses and more. He has now performed over 200 feminizing bottom surgeries and his practice is fully dedicated to providing gender-affirming surgical care. Various techniques may be used to perform this procedure, and they are surgeon and patient dependent. Dr. McClung is a board-certified urologist in Columbus, Ohio who specializes in gender-affirming Vaginoplasty. Facial Feminization Surgery Photos Browse Facial Feminization Surgery before & after photos shared by doctors on RealSelf. 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. Meta. 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. You may need a second surgery to achieve your target pitch. Take two to three weeks off from work (this may vary based on the procedures you had and your occupation). 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. This procedure involves making features more prominent and hence more masculine in appearance. You will be advised to rest for a couple of days. A laryngologist performs voice feminization surgery. 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. Facial Feminization Surgery is a critical part of a transition timetable for a transgender patient who has decided to live full time as female. 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. This is often because the insurance company may deem the surgery as cosmetic or not medically necessary. When adding the rhinoplasty procedure, nasal splints and stents are kept in placed for 2 weeks before removal. Facial feminization for cisgender women with masculine-looking faces. 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. When you visit the site, Dotdash Meredith and its partners may store or retrieve information on your browser, mostly in the form of cookies. Copy of your most recent primary care medical records. *Your results may vary. You might wear compression wraps around your forehead or jaw to reduce inflammation. It is strongly suggested that all prospective clients perform their own independent research regarding Totonchi Plastic Surgery and our qualifications. Healthcare providers recommend voice feminization therapy before and after surgery. Spread the cost of your treatment with a 6, 10 or 12 month 0% personal medical loan. Vaginoplasty surgery involves creation of the vulva (outer female genital structures) with or without a vaginal canal. Male hysterectomy/vaginectomy - 2 letters must be obtained. Incision sites may also vary with certain procedures. Once your provider removes your stitches, you may be able to return to work or light activities. 2021. We do not endorse non-Cleveland Clinic products or services. What are the masculine features that you would most like to soften and make more feminine? 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 FFS usually does not happen in one operation. While the surgery takes place, you will be asleep under general anesthesia. Recovery After Facial Feminization Surgery. That said, whether you are recovering from one or multiple procedures, you can generally expect swelling, pain, and tightness. Your surgical team will review these with you as you get closer to surgery. Recovery from the procedure takes about one month. While some individuals may feel that facial feminization surgery is necessary to feel affirmed in their gender, others may not. In addition, staging provides ample time for recovery between operations. 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. He offers Facial Feminization and Masculinization Surgery as part of the Gender Affirmation Surgery Program at Rush university Medical Center. Examples include chin and nose augmentation, cheek augmentation, jaw contouring, and lowering of the eyebrow ridge/forehead lengthening. Parts of this website will not display or function properly. UpToDate. The surgeon may simply shave or grind down the bony ridge or cut a piece of existing bone (osteotomy) and replace it with a bone graft with a smoother surface. Some procedures are performed as outpatient procedures while others require an inpatient stay. 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. Don't submerge your incisions sites underwater (e.g., when taking a bath or swimming) for three to four weeks. However, facial masculinization surgery (FMS) is gaining popularity. Demonstrated understanding of surgery and the implications of this irreversible step. The procedure may include reducing the prominence of the bony ridge above your eyes and reshaping the hairline. Cleveland Clinic is a non-profit academic medical center. Surgery changes the folds so they vibrate differently and make higher sounds when you speak. Some surgeons recommend splitting the procedures into two surgeries, separated by seven to 10 days or longer. Facial feminization surgery (FFS) involves a comprehensive set of procedures to make your face appear more feminine. When you awaken from surgery, there will be a drain in place; this will likely come out before you are released to go home. American Society of Anesthesiologists. Facial Feminization Surgery (FFS). Breast augmentation is often performed as an outpatient procedure but some patients may require one night stay in the hospital. 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. Facial feminization surgery is a series of procedures that can reshape the face and its features to achieve a more feminine appearance. 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. With facial feminization surgery, there are several different surgical procedures a person may undergo. Facial surgery with him (in theatre - and they showed a great deal!) Facial feminization surgery may be part of the treatment approach for a person who desires a more feminine facial appearance. Your provider may use steroid injections or Botox injections after surgery. At the end of the procedure, the incision will be closed with sutures that do not need to be removed. Plastic and Reconstructive Surgery: Facial Feminization. The average cost of facial feminization surgery (FFS) is $34,372, according to 217 reviews from RealSelf members. Raffaini M, Magri AS, Agostini T. Full Facial Feminization Surgery: Patient Satisfaction Assessment Based on 180 Procedures Involving 33 Consecutive Patients. Facial feminization surgery has a wide range of recovery time depending on the combination of procedures that are chosen. July 2020. The goal of FFS is to 1) treat gender dysphoria, 2) eliminate misgendering, and 3) help you love the way you look. The surgeon shaves away some of the cartilage from the front of the larynx to make it smaller and less prominent. Products & Services Book: Mayo Clinic Family Health Book, 5th Edition Dr. Dorafshar's research is focused on gender . Ask your surgeon about how to re-dress your incisions after washing them and applying ointment. 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 incision is closed with sutures (stitches). They vibrate when you take in air. Every person's gender journey is different. Dr. Totonchi is not liable for any actions or decisions that may have been taken as a result of information provided on this website. A narrow chin can be augmented using a combination of techniques, which include bone shaving and/or osteotomy. Signs of symptoms of infection, including increased redness, pain, drainage or swelling. This is done by stretching the skin of the forehead and utilizing laser hair removal in order to eliminate the previous hairline move it further up on the scalp. 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. The price you see is the price you pay. The total cost will vary depending upon the procedure and the number of stages needed. All information on this site is intended for general purposes and is in no way a substitute for professional medical advice. Males tend to have wider and longer foreheads than females. It's important that you and your surgeon have goals that are aligned and realistic. 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. Insurance Coverage: This procedure is covered by many insurance plans when criteria has been met. While you are considering facial feminization surgery, make a plan for yourself. Companion to accompany you for postoperative stay. See ourCQC ratings. Who might need facial gender surgery? It is performed as an outpatient procedure. What Is Gender Dysphoria? Relationship with a mental health care provider who will see you 4-6 weeks after your surgery. FFS is ideal for trans women and non-transgender women who want a more feminine facial appearance. Facial feminization surgery is performed in a hospital or surgical center. A surgical procedure called a chondrolaryngoplasty, or tracheal shave, can reduce the size of an Adams apple and create a smoother neck profile. Swelling, warmth, or foul-smelling drainage from the incision site(s). Facial Feminizations Mastectomies Vaginoplasty Breast Augmentations This procedure involves enlargement of the breasts with an implant. Those looking to soften and feminise their facial features such as their jaw, cheeks, forehead and nose. Orchiectomy (surgical removal of the testes) - 2 letters must be obtained. Dr. Totonchi is also an Associate Professor at Case Western Reserve Universitys School of Medicine. All patients are fully assessed for their safety prior to surgery. Our gym members get 20% off physiotherapy. Facial Feminization Surgery (FFS). Please check with your insurance provider to make sure that it is covered. We will equal any comparable price. X-rays or CT scans take pictures of the bones and soft tissues of your face and skull. The process depends on the facial features you choose to change. Phalloplasty/metoidioplasty - 2 letters must be obtained. He is also one of the few plastic surgeons in the area who performs surgical treatment of migraine headaches and also facial feminization surgery. FFS can reshape bone, cartilage and soft tissue of the face. 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. Facial Feminization Surgery: What are the risks of facial feminization surgery? A tracheal shaving procedure involves reduction of the thyroid cartilage to reduce the size of the Adams apple. Our body contouring procedures can create a slimmer, sexier physique to help you look and feel your best. 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. Most patients first begin working with a therapist before and after starting hormones. 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. The surgery may also be performed in cisgender women who desire a more feminine face or facial feature (e.g., a lower hairline). From there, you will probably see your surgeon at these time frames after surgery: Call your healthcare provider right away if you experience: Depending on the number and types of procedures you underwent, the final results of your surgery make take up to six to nine months to appear, and scars can take up to a year to heal. The Latest in Non-Invasive and Minimally Invasive Face & Body Contouring. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7024865/). Any specific claims or permanence length of results vary for each patient and are not guaranteed. The brow may be elevated to give the eyes a feminine appearance. Lauren Schlanger, MD, is a board-certified primary care physician. Do not shave or use hair-removal processes such as waxing until your doctor clears you to resume these practices. Generally most patients are in hospital for around 2 to 3 days. Your complete postoperative recovery will be about 6-8 weeks but this varies with each individual. Have a mental health disorder that impairs your ability to make appropriate personal decisions. You will likely be given anopioidto start, followed byTylenol (acetaminophen)alone. Each patient is different and your expectations and desired results will be discussed fully in your consultation. For people in whom hormone therapy is not enough to achieve desired gender-affirming changes to theface, surgery can help. The use of modern technologies allows new options in the treatment of complex situations. Vaginoplasty (female genital reconstructive surgery) - 2letters must be obtained. Masculine facial features tend to be square and sharp. The procedure takes one to two hours and may not require admission to the hospital. 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. The procedure is used to decrease the distance between the hairline and the eyebrows giving a more youthful, feminine appearance. BMI requirements are determined by your surgeon. Administering cosmetic fillers may take an hour or less, while complex facial surgery may take several hours. You should also arrange to have someone stay with you for the first few days (perhaps up to a week) after surgery to help you with your recovery and other logistics, like household chores, picking up medications from the pharmacy etc. Transgender women may choose the surgery as part gender confirmation process. Genital hair removal must be completed for surgery. The most common features that FFS addresses are the hairline, forehead, nose and jaw. A drain is a thin, plastic tube that the surgeon places under your skin. Scarring inside your voice box or on the outside of your throat. There will be several postoperative appointments after your surgery depending on what type of surgery you have. Facial feminization surgery (FFS) changes features on your face so they appear more feminine and less masculine. Deschamps-Brely J. American Society of Plastic Surgeons. For patients having forehead and hairline contouring, the brow can be lifted through the same incision made in the scalp. This usually requires that you use lots of pillows or a soft foam wedge behind your head when sleeping. Here, you will change into a hospital gown. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. They vibrate when you take in air. However, after the sutures are removed, you face will still need weeks to continue to healing process until the final result is fully visible. Are a transgender woman (male transitioning to female). Surgical manipulation of the bone and soft tissues of the face create a feminine appearance. Our expert physicians and surgeons provide a full range of dermatologic, reconstructive and aesthetic treatments options at Cleveland Clinic. Indian J Plast Surg. However, it can take months for you to see the full results of the procedure. Even though transgender or non-binary patients undergoing breast augmentation ("top surgery") or vaginoplasty ("bottom surgery") need to meet certain criteria set forth by the World Professional Association for Transgender Health (WPATH) before being approved for surgery, there are no specific criteria for patients undergoing a facial feminization procedure. 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 to plastic surgery, facial feminization procedures include nonsurgical treatments such as cosmetic fillers, botulinum toxin, fat grafting and liposuction. Last reviewed by a Cleveland Clinic medical professional on 06/08/2021.

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