However, it can take months for you to see the full results of the procedure. Each patient is different and your expectations and desired results will be discussed fully in your consultation. If you are staying overnight in the hospital, be sure to pack the following items in your bag or suitcase: Avoid smoking or tobacco use four to twelve weeks before surgery. Each patient is different and your expectations and desired results will be discussed fully in your consultation. Males tend to have wider and longer foreheads than females. What is facial feminization surgery (FFS)? - Paul Mittermiller, MD In older patients, the eyelids may also be lifted to open the eyes and achieve a more feminine look. The Transgender Surgery Program has a special rate for our patients with the hotel. Determine what it is that you like or dislike about your look. During your consultation, your plastic surgeon will review your goals and expectations, the recommended procedures, and all potential risks involved. Posts Tagged. 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. Your vocal cords (also called vocal folds) are bands of soft tissue in your larynx (voice box). Your complete postoperative recovery will be about 6-8 weeks but this varies with each individual. July 2020. 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. As with all surgeries there are risks involved with being under general anaesthetic. Living in gender role full time for minimum of 12 consecutive months. 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. Dr. Amir Dorafshar. 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. Case 1 Looking for a non-invasive treatment to help reduce the signs of aging? The procedure is done through a 3cm incision along the scrotum. This procedure is often done in conjunction with chin reshaping. (415) 353-9500. Standards of Care for the Health of Transsexual, Transgender, and Gender-Nonconforming People, Version 7.International Journal of Transgenderism. This procedure involves enlargement of the breasts with an implant. Your doctor will provide instructions on returning to work and exercise and other tips on whats safe to do and when. About. Be prepared to communicate nonverbally with text messages or notes. Our prices are all-inclusive. Your healthcare provider will tell you when you can gradually start using your voice again, as well as when you can resume voice therapy. University of Utah Health. Brubaker L, ed. Forehead contouring typically removes this ridge and softens the appearance of the forehead and facial features. Not enough pitch increase (voice is still too low). All patients are fully assessed for their safety prior to surgery. Risks of facial feminization surgery include: Face feminization surgery can help give you the physical appearance of the gender you identify with. Two letters of support from qualified mental health providers dated within the past 12 months. Facial Feminization Surgery is a critical part of a transition timetable for a transgender patient who has decided to live full time as female. There are no hidden costs in our treatment prices. Lauren Schlanger, MD, is a board-certified primary care physician. Surgery changes the folds so they vibrate differently and make higher sounds when you speak. The Ethics of Gatekeeping in Transgender Health, Feminizing the Face: Combination of Frontal Bone Reduction and Reduction Rhinoplasty, Facial Feminization Surgery: A Review of 220 Consecutive Patients, Standards of Care for the Health of Transsexual, Transgender, and Gender-Nonconforming People, Version 7, Transgender Medical Clearance Sample Letter. 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. Voice feminization surgery raises the pitch of your voice, making it sound higher. Comprehensive care for transgender patients involves a wide spectrum of services, ranging from routine medical visits to the physical transition process. They may recommend certain ointments or treatments to address them sooner than later. Resonance (how you pass air through your vocal folds to control the intensity of your voice). The chin plays a crucial role in the proportions and balance of facial features. She is an assistant professor at the Alpert Medical School of Brown University. They cannot be smokers or be excessively overweight, and they must be medically optimized for surgery if they have medical comorbidities. 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. Once all criteria have been met, we will be happy to schedule a formal surgical consultation. They will ask you about your goals for surgery and explain what you can expect during your recovery after the procedure. 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. Nicotine/nicotine-related product free (minimum 3 months). 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). The Ethics of Gatekeeping in Transgender Health. Your provider may use steroid injections or Botox injections after surgery. There are many techniques used to perform facial feminization surgery, and many factors should be taken into consideration when choosing which . Read on to find out why you might pay more or less, and whether the cost is really worth it. While not all patients require this procedure, it can be helpful in achieving a more harmonious profile with the use of cheek implants. You may go home with a surgical drain. Warning: You do not have JavaScript enabled. Insurance Coverage: This procedure is covered by many insurance plans when criteria has been met. You may consider this surgery if youre a transgender woman (transitioning from male to female). Waltham, MA: UpToDate, Coleman E, Bockting W, Botzer M, et al. While the surgery takes place, you will be asleep under general anesthesia. Transgender women may choose to have voice change surgery as part of their male-to-female (MTF) transition. Our body contouring procedures can create a slimmer, sexier physique to help you look and feel your best. Sometimes voice feminization surgery doesnt produce the results you want. 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. Facial Feminization Surgery: What You Should Know - Healthline Facial Feminization Surgery - Cleveland Clinic Few hospitals are equipped to provide such care. Advertising on our site helps support our mission. American Psychiatric Association. The most important thing to us is getting you fit and healthy with our network of fitness experts and cutting-edge facilities. Since you will be changing into a hospital gown upon arrival, wear loose-fitting clothes on the day of your surgery. He is also one of the few plastic surgeons in the area who performs surgical treatment of migraine headaches and also facial feminization surgery. BMI requirements are determined by your surgeon. 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. For patients having forehead and hairline contouring, the brow can be lifted through the same incision made in the scalp. Masculine foreheads have a heavy bony ridge above the eyes, just below the eyebrows. 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. 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. Patients must have a support person to stay with them during their hospital and hotel stay. Whatever your reason for undergoing facial feminization surgery, be sure to get recommendations for an experienced board-certified plastic surgeon. 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. Stable mental health, sufficiently self-aware, and successfully managing identified issues with depression. Case Rep Surg. Am J Bioeth. BMI requirements are determined by your surgeon. 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. 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. Plastic and Reconstructive Surgery: Facial Feminization. After surgery, you may feel more confident and secure in your gender expression. FFS addressed your forehead prominence (frontal bossing), hairline, eye socket shape, nose, cheeks, temples, lips, chin . In addition, staging provides ample time for recovery between operations. Your complete postoperative recovery will be about 6-8 weeks but this varies with each individual. Voice feminization surgery is a procedure to raise the pitch of your voice or make it sound higher. Forehead reconstruction requires an incision that goes across your head from ear to ear. At your consultation, Dr. Totonchi will meet with you and discuss your aesthetic goals openly and honestly, and explain what is possible and attainable for you. 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. 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. It is important to follow the doctors advice for the weeks following a tracheal shave. Call and make your consultation appointment with Dr. Totonchi to discuss your FFS needs, call office at 216-778-2262. Minimize sun exposure and always wear sunscreen. Transgender patients transitioning from male to female and non-binary. 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. Blog . Orchiectomy is performed as an outpatient procedure. 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 | Dr. Tommy Liu Typically, you will need to cover the incisions with gauze and rewrap your head with bandages. 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. They control the pitch of your voice. American Society of Plastic Surgery. Revealing My Post-Facial Feminization Surgery Face! - YouTube 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. Most facial plastic surgeries involve a day or so in the hospital for observation and to ensure you are healing properly before you are released to go home. It's important that you and your surgeon have goals that are aligned and realistic. 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. Your surgeon will bandage the surgical area with a special compressive dressing around your jaw, which will remain in place for a few weeks after surgery. See ourCQC ratings. We recognize that you have many options when it comes to your cosmetic or plastic surgery needs. Sort by doctors that use CareCredit 11.1 mi Ali Totonchi, MD Board Certified Plastic Surgeon 57 reviews 29017 Cedar Rd., Lyndhurst, Ohio Virtual consultations accepted It is strongly suggested that all prospective clients perform their own independent research regarding Totonchi Plastic Surgery and our qualifications. 2023 Dotdash Media, Inc. All rights reserved. 2021. To access the larynx, the surgeon makes an incision in your neck. The most common features that FFS addresses are the hairline, forehead, nose and jaw. Many people who have the procedure consider it an important part of their transition process. Surgical manipulation of the bone and soft tissues of the face create a feminine appearance. Before facial feminization surgery, your healthcare provider will perform a thorough personal assessment. Kaiser Permanente. These changes address the gendered differences in facial structure that occur due to testosterone exposure during various phases of development. The procedure is often performed laparoscopically using three 5mm incisions on the lower abdomen. Thank you, {{form.email}}, for signing up. Do not shave or use hair-removal processes such as waxing until your doctor clears you to resume these practices. Plast Reconstr Surg 2016 Feb;137(2):438-448.doi:10.1097/01.prs.0000475754.71333.f6. 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. 10 Facial Feminization Surgery doctors in Cleveland, OH Find a Surgeon for Gender Affirming Surgery - TransHealthCare Please make sure that you have a driver for any postoperative visit that is within 2-4 weeks of your surgery. It might involve one surgery or a series of procedures. When icing, be sure to stick to these tips: Your surgeon may also ask that you keep your head elevated for at least two weeks after your surgery. Facial Feminization Surgery FFS Insurance Coverage Transgender Medical Clearance Sample Letter. JAMA Facial Plast Surg. Dr. Totonchi is not liable for any actions or decisions that may have been taken as a result of information provided on this website. Are a transgender woman (male transitioning to female). Your provider also makes sure youre in good physical health by: You might also have imaging scans before facial feminization surgery. Voice Feminization Surgery - Cleveland Clinic New masking guidelines are in effect starting April 24. PDF Gender Dysphoria Treatment - UHCprovider.com Doing two surgeries gives your face more time to heal between surgeries and allows more flexibility for patients. (2014). 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. 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. Patients may opt to have a zero depth vaginoplasty procedure which involves creation of the outer genitals (labia, clitoral hood, urethral opening) only without a vagina. *Your results may vary. To optimize your wound healing and surgical results, it's important to follow post-operative instructions carefully. This type of healthcare provider specializes in surgery to change or enhance your physical appearance. 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. FFS is typically sought by the transgender population but can be performed for anyone seeking to soften their facial features. Any non-disclosure could result in your surgery being cancelled. Facial feminization surgery is a series of procedures that can reshape the face and its features to achieve a more feminine appearance. The SOC are based on the best available science and expert professional consensus. With facial feminization surgery, there are several different surgical procedures a person may undergo. This procedure includes removal of breast tissue with masculinizing chest contouring and nipple grafting in some cases. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event, (https://www.plasticsurgery.org/reconstructive-procedures/facial-feminization-surgery). This will vary greatly from patient to patient and the surgeries being undertaken but typically you will need around 3 weeks off work. Cleveland Clinic is a non-profit academic medical center. All information on this site is intended for general purposes and is in no way a substitute for professional medical advice. Facial feminization surgery (FFS) describes a group of procedures that are performed to feminize the face. Cleveland Plastic Surgery - Best Cosmetic Surgeon Cleveland Many people who are transitioning from male to female consider this an important step in their transition process. Facial Feminization Surgery: Everything You Need to Know - Verywell Health Facial feminization surgery has a wide range of recovery time depending on the combination of procedures that are chosen. Upon arrival at the hospital or surgical center, you will be led into a small pre-operative/holding room. Denver Health. Recovery After Facial Feminization Surgery. Policy. University of California, Sam Francisco. Genital hair removal must be completed for surgery. Vaccines & Boosters | Testing | Visitor Guidelines | Coronavirus. FFS can change your hairline, forehead, nose, jaw and other parts of your face. If you are staying overnight, you will be moved to a hospital room once you are fully awake. All information on this site is intended for general purposes and is in no way a substitute for professional medical advice. 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. 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 IV will be used for administering fluids and medications during and after surgery. The surgery is usually done under general anesthesia. drtotonchi.com. 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. 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. Facial feminization surgery is performed by a plastic surgeon who has training in craniomaxillofacial and soft tissue surgery. FFS can change your hairline, forehead, nose, jaw and other parts of your face. Facial Feminization Procedures Facial feminization surgery (FFS) involves several surgeries that can be done to feminize the facial features. Facial feminization surgery (FFS) encompasses a series of surgical interventions designed to make your face appear more feminine. Products & Services Book: Mayo Clinic Family Health Book, 5th Edition
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