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Furthermore, not all healthcare providers may offer them. Find a Surgeon for Gender Affirming Surgery - TransHealthCare Talk to your healthcare provider or your psychologist before the procedure so you know what to expect. SUPPORT Patreon: https://www.patreon.com/jessiege. Nonverbal communication, such as eye contact, gestures, articulation and pausing. 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. Demonstrated understanding of surgery and the implications of this irreversible step. Facial Feminization Surgery (FFS). Facial feminisation surgery can involve a combination of all or some of the below cosmetic procedures. Voice feminization surgery is a procedure to raise the pitch of your voice or make it sound higher. 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 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. 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. Facial Feminization Surgery under Insurance: The University - LWW (2014). 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. If it is not, you will receive information about payment plans at the time of your consultation. In addition to plastic surgery, facial feminization procedures include nonsurgical treatments such as cosmetic fillers, botulinum toxin, fat grafting and liposuction. Your surgical team will review these with you as you get closer to surgery. Parts of this website will not display or function properly. The process depends on the facial features you choose to change. These operations are commonly performed for transgender women (MTF FFS) and can be performed for cisgender women. Facial Feminization Surgery: Everything You Need to Know. FFS is ideal for trans women and non-transgender women who want a more feminine facial appearance. Sometimes voice feminization surgery doesnt produce the results you want. Vaginoplasty (female genital reconstructive surgery) - 2letters must be obtained. Please make sure that you have a driver for any postoperative visit that is within 2-4 weeks of your surgery. 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. These images help the surgeon plan your surgeries and provide a baseline for evaluating results after your procedures are finished. FFS can change your hairline, forehead, nose, jaw and other parts of your face. 2020. ), and place an intravenous (IV) line into a vein in your arm. Call and make your consultation appointment with Dr. Totonchi to discuss your FFS needs, call office at 216-778-2262. Facial Feminization Surgery: What are the risks of facial feminization surgery? 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. Genioplasty: Transgender genioplasty is performed to transform a wider, flatter, longer, and more squared masculine chin to a narrower, shorter, more rounded female chin. The Adams apple is an area of cartilage around the larynx (voice box) that tends to be larger in people assigned male at birth. Our team follows the World Professional Association for Transgender Health (WPATH) guidelines to ensure patients are appropriate surgical candidates. 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. It might involve one surgery or a series of procedures. This is typically only needed if you are undergoing surgery as a gender-affirming operation. You may find it painful to chew solid food for a few days. Risks of facial feminization surgery include: Face feminization surgery can help give you the physical appearance of the gender you identify with. Insurance Coverage: This procedure is very specialized and often not covered by insurance plans. 9500 Euclid Ave. That said, the physical and emotional challenges that go along with surgery are very real. To ease discomfort, take your pain medication exactly as prescribed. Facial Feminization Surgery Cleveland - FFS Surgeon Cost - Dr. Ali Totonchi Free of any non-prescribed substances including marijuana (minimum 3 months). The Transgender Surgery Program has a special rate for our patients with the hotel. New masking guidelines are in effect starting April 24. In preparation for facial feminization surgery of the jaw and chin, the surgeon may request an evaluation by a dentist or orthodontist to ensure your teeth and jaw bones are healthy and that you do not have any infected teeth, cavities or third molars (wisdom teeth) that have not yet emerged or been extracted. For a better experience, please enable JavaScript. 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. Insurance Dr. Angela Rodriguez San Francisco, California He welcomes patients in his hospital base and private practice offices. Before the first consultation, the surgeon may schedule photographs,X-raysand a 3DCT scanthat shows your facial bones and soft tissue. To optimize your wound healing and surgical results, it's important to follow post-operative instructions carefully. 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. 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. 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. Staying in the hospital: Your procedure may be performed in a hospital or outpatient center. 2021. In facial feminization surgery, our skilled surgeons bring our suite of face contouring procedures to bear with the goal of making the transgender woman appear more feminine. Intonation (adapting the sound of your voice to express emotions). Orchiectomy (surgical removal of the testes) - 2 letters must be obtained. Each patient is different and your expectations and desired results will be discussed fully in your consultation. All patients are fully assessed for their safety prior to surgery. Meta. Two letters of support from qualified mental health providers dated within the past 12 months. 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. Facial feminization surgery is performed by a plastic surgeon who has training in craniomaxillofacial and soft tissue surgery. Ask your healthcare provider when its safe for you to resume therapy. Facial feminization surgery is performed in a hospital or surgical center. drtotonchi.com. 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. During your consultation, your plastic surgeon will review your goals and expectations, the recommended procedures, and all potential risks involved. We take quality and safety seriously. Doing a physical exam, including lab tests. The most important thing to us is getting you fit and healthy with our network of fitness experts and cutting-edge facilities. X-rays or CT scans take pictures of the bones and soft tissues of your face and skull. They vibrate when you take in air. Healthcare providers recommend voice feminization therapy before and after surgery. Posts Tagged. What are the masculine features that you would most like to soften and make more feminine? The Latest in Non-Invasive and Minimally Invasive Face & Body Contouring. 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. Dr. Totonchi is also an Associate Professor at Case Western Reserve Universitys School of Medicine. Please be sure to inform your surgeon of all the drugs you take, including prescription and over-the-counter medications, herbal products, dietary supplements, vitamins, and recreational drugs. University of Utah Health. Many people who are transitioning from male to female consider this an important step in their transition process. An Adams apple that is still prominent after the procedure, Removal of too much cartilage, which can damage the vocal cords. Revealing My Post-Facial Feminization Surgery Face! - YouTube Your consultation can be scheduled once 50% of hair removal is completed. Cleveland, Ohio 44195, Director of Transgender Surgical Services; Program Director, Transgender Surgery & Medicine Fellowship, Emeritus Chair & Section Head of Cosmetic Surgery, Director of Plastic Surgery Research & Co-Director of Craniofacial Program, Facial Plastic and Reconstructive Surgeon, 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event. He lectures nationally and internationally on these topics. Voice feminization surgery is a procedure to increase the pitch of your voice. With IPS Transformation we offer a variety of high quality, indivi. Cleveland Clinic is a non-profit academic medical center. But some procedures require incisions (cuts) on the outside of your throat. Many people do voice feminization therapy before surgery. Limited time savings on the Hair Restoration Package, click here to learn more. The average cost of facial feminization surgery (FFS) is $34,372, according to 217 reviews from RealSelf members. You may need a second surgery to achieve your target pitch. Spread the cost of your treatment with a 6, 10 or 12 month 0% personal medical loan. 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. 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. This type of healthcare provider specializes in surgery for the voice box and 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. 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. A surgical procedure called a chondrolaryngoplasty, or tracheal shave, can reduce the size of an Adams apple and create a smoother neck profile. You will be advised to rest for a couple of days. What is facial feminization surgery (FFS)? - Paul Mittermiller, MD Cleveland Clinic Main Campus It is strongly suggested that all prospective clients perform their own independent research regarding Totonchi Plastic Surgery and our qualifications. 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. FFS@totonchiplasticsurgery (@facialfeminization) - Instagram 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). The procedure takes one to two hours and may not require admission to the hospital. For people in whom hormone therapy is not enough to achieve desired gender-affirming changes to the face, surgery can help. 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. Copy of your most recent primary care medical records. Facial Feminization Surgery - Cleveland Clinic Living in gender role full time for minimum of 12 consecutive months. If you experience symptoms ofdepressionor anxiety before or after surgery, be sure to talk with your healthcare provider, therapist, or other mental health professional. Soft foods and nutritional shakes may be easier to manage. 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. 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. Insurance Coverage: This procedure is covered by many insurance plans when criteria has been met. Are a transgender woman (male transitioning to female). Comprehensive care for transgender patients involves a wide spectrum of services, ranging from routine medical visits to the physical transition process. 2 The surgery may also be performed in cisgender women who desire a more feminine face or facial feature (e.g., a lower hairline). August 2018. 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. What is facial feminization surgery (FFS)? More people (about 14%) choose to have nonsurgical voice feminization therapy instead. Pain and discomfort: Most people experience some discomfort for four or five days after surgery, but this should begin to ease, allowing you to gradually return to normal activities. Orchiectomy is performed as an outpatient procedure. Facial feminization surgery has a wide range of recovery time depending on the combination of procedures that are chosen. During your consultation your Consultant will be able to advise you in detail about your personal recovery. 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. What Is Gender Dysphoria? The cost of the hotel stay is out-of-pocket, as insurance does not cover this expense for your 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. Am J Bioeth. Its important to have realistic expectations about the results of voice feminization surgery. Patients who have met these criteria are deemed appropriate surgical candidates. There will be several postoperative appointments after your surgery depending on what type of surgery you have. You may go home with a surgical drain. Two weeks prior to surgery, you might be advised to stop taking certain blood-thinning medications, likenon-steroidal anti-inflammatory drugs (NSAIDs). Preparing for Facial Feminization Surgery: Timing. The Transgender Surgery Program has a special rate for our patients with the hotel. They will ask you about your goals for surgery and explain what you can expect during your recovery after the procedure. Transgender women may choose to have voice change surgery as part of their male-to-female (MTF) transition. The assessment must document that an individual meets all of the following criteria: o Persistent, well-documented Gender Dysphoria 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. Too much pitch increase (voice is unnaturally high). 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). Relationship with a mental health care provider who will see you 4-6 weeks after your surgery. Elizabeth Boskey, PhD, MPH, CHES, is a social worker, adjunct lecturer, and expert writer in the field of sexually transmitted diseases. Who might need facial gender surgery? Dr. Totonchi knows your goals are extremely important and will listen and help you understand how these can be accomplished. That said, if you are seeking facial feminization surgery as a component of your gender transition, your surgeon may recommend that you receive clearance from a qualified mental health professional. Dr. Dorafshar's research is focused on gender . The procedure may include reducing the prominence of the bony ridge above your eyes and reshaping the hairline. FFS is typically sought by the transgender population but can be performed for anyone seeking to soften their facial features. Forehead lengthening is a procedure, which elongates the forehead, increasing the distance between the brow ridge and hairline. Any non-disclosure could result in your surgery being cancelled. Bruises, including black eyes, may take four to six weeks to clear up. Male hysterectomy/vaginectomy - 2 letters must be obtained. Cleveland Plastic Surgery - Best Cosmetic Surgeon Cleveland From there, you will walk on your own into the operating room or be wheeled on a gurney. The procedure requires an inpatient stay in the hospital and if a full-depth vaginoplasty is performed, there is a required stay at a nearby hotel. Research suggests that patients who have undergone facial feminization surgery are generally pleased with their results. 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. Facial Feminization Surgery: What You Should Know - Healthline Upon arrival at the hospital or surgical center, you will be led into a small pre-operative/holding room. Dysphonia (difficulty speaking), such as voice breaks or tremors. First clinical follow-up: This usually occurs within five days of surgery, and will be scheduled before you leave. In extreme cases, a tissue expansion is used to achieve the desired effect. Facial feminization surgery, or FFS, is a series of plastic surgery procedures designed to create a more feminine appearance of the face for patients undergoing gender affirmation treatment. Instead, a staged approach, based on your priorities, is recommended. Surgery will be carried out under general anaesthetic and can typically range from around 4 to 8 hours depending on the procedures. Voice feminization surgery raises the pitch of your voice, making it sound higher. Before and after photos on this website are Dr. Totonchis actual patients and all patients have given consent for use of these photos. At this time, you may feel pain and nausea. A nurse will administer medications, as needed, to ease your symptoms. Plastic and Reconstructive Surgery: Facial Feminization. They may recommend certain ointments or treatments to address them sooner than later. For patients having forehead and hairline contouring, the brow can be lifted through the same incision made in the scalp. Facial Feminization Surgery | Dr. Tommy Liu 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. PDF Gender Dysphoria Treatment - UHCprovider.com In the case of patients with more narrow mandible angles, jaw implants are used to create a more defined jaw structure. They cannot be smokers or be excessively overweight, and they must be medically optimized for surgery if they have medical comorbidities. 2020 Aug; 53(2): 244253. 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). Raffaini M, Magri AS, Agostini T. Full Facial Feminization Surgery: Patient Satisfaction Assessment Based on 180 Procedures Involving 33 Consecutive Patients. Advertising on our site helps support our mission. Your surgeon will likely ask that you avoid any facial treatments (for example, electrolysis or chemical peels) two weeks before your surgery date. Kaiser Permanente. Several surgical techniques are available to change the length, tightness or size of your voice box. FFS can include hairline lowering, jaw reduction, rhinoplasty (nose reshaping), eyelid surgery, face or neck lift, and other facial changes. Avoid driving until you are off all pain medication and your surgeon gives you the OK. Surgery changes the length, size or tightness of your vocal cords. For genital surgery, a written psychological assessment from at least two Qualified Behavioral Health Providers experienced in treating Gender Dysphoria*, who have independently assessed the individual, is required. Please make sure that you have a driver for any postoperative visit that is within 2-4 weeks of your surgery. There are many techniques used to perform facial feminization surgery, and many factors should be taken into consideration when choosing which . Deschamps-Brely J. American Society of Plastic Surgeons. Over the last several years, we have been actively expanding the surgical services Cleveland Clinic offers to gender and sex-minority patients.

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