What Is Gender Dysphoria? What are the masculine features that you would most like to soften and make more feminine? Facial feminisation surgery can involve a combination of all or some of the below cosmetic procedures. That said, general risks of this surgery include: The purpose of facial feminization surgery is to change masculine facial features into feminine ones. RealSelf Tip: The average cost of FFS for cisgender . 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. With the traditional "open" approach, a surgeon makes a large incision to perform the operation. When you awaken from surgery, there will be a drain in place; this will likely come out before you are released to go home. However, after the sutures are removed, you face will still need weeks to continue to healing process until the final result is fully visible. 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. Please check with your insurance provider to make sure that it is covered. The incisions for an eyelid lift can either be hidden in the crease of the eyelid or placed behind it to minimize visible incisions. Limited time savings on the Hair Restoration Package, click here to learn more. 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. Your consultation can be scheduled once 50% of hair removal is completed. 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. The procedure changes the length, tightness or size of your vocal cords. Incision sites may also vary with certain procedures. 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. Plastic and Reconstructive Surgery: Facial Feminization. We do not endorse non-Cleveland Clinic products or services. (2021). Just look for the RealSelf Verified badge. Facial Feminization Surgery - American Society of Plastic Surgeons Dr. Amir Dorafshar. At the end of the procedure, the incision will be closed with sutures that do not need to be removed. 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. ), and place an intravenous (IV) line into a vein in your arm. The surgeon shaves away some of the cartilage from the front of the larynx to make it smaller and less prominent. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7024865/). 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. 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). If you experience symptoms ofdepressionor anxiety before or after surgery, be sure to talk with your healthcare provider, therapist, or other mental health professional. Determine what it is that you like or dislike about your look. Transgender women may choose FFS to affirm their gender. Verywell Health's content is for informational and educational purposes only. He welcomes patients in his hospital base and private practice offices. 2021. This procedure includes removal of breast tissue with masculinizing chest contouring and nipple grafting in some cases. Have a health condition that makes surgery dangerous. At this appointment, your surgeon will check your incision sites, remove any non-dissolvable stitches, and monitor you for complications. Voice feminization surgery raises the pitch of your voice, making it sound higher. 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. The procedure can involve cutting or reshaping the bones as well as the cartilage. 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. Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. If it is not, you will receive information about payment plans at the time of your consultation. Each patient is different and your expectations and desired results will be discussed fully in your consultation. When bathing or showering, be sure to use unscented soap, and never allow the water to directly spray the surgical area. Bruises, including black eyes, may take four to six weeks to clear up. 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. 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. Since you will be changing into a hospital gown upon arrival, wear loose-fitting clothes on the day of your surgery. However, it can take months for you to see the full results of the procedure. This procedure reshapes the jaw line, increases facial width, and creates an angular, more masculine jaw line. Surgery will be carried out under general anaesthetic and can typically range from around 4 to 8 hours depending on the procedures. In addition to treating patients with cosmetic procedures like breast augmentation, breast lift, tummy tuck, liposuction, facelift, rhinoplasty, eyelid surgery or other non-surgical cosmetic surgery procedures at his Cleveland practice, Dr. Totonchi is also well known for his treatment and care of children with issues ranging from facial deformities to cleft palates. Anna's Place - Trans: Facial Feminisation Surgery DOI: 10.1001/jamafacial.2016.1572 Capitn L, et al. Few hospitals are equipped to provide such care. Whatever your reason for undergoing facial feminization surgery, be sure to get recommendations for an experienced board-certified plastic surgeon. Advertising on our site helps support our mission. The most important thing to us is getting you fit and healthy with our network of fitness experts and cutting-edge facilities. Your doctor will provide instructions on returning to work and exercise and other tips on whats safe to do and when. 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. 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 is performed as either a single procedure or as multiple staged procedures. Are a transgender woman (male transitioning to female). You might have one surgery or several, including: If you get a comprehensive FFS as a single surgery, it can take eight to nine hours. In addition, staging provides ample time for recovery between operations. Dr. Totonchi offers a variety of leading-edge treatments to help you feel and look younger. Facial feminization surgery is performed in a hospital or surgical center. Generally most patients are in hospital for around 2 to 3 days. Our team follows the World Professional Association for Transgender Health (WPATH) guidelines to ensure patients are appropriate surgical candidates. It's important that you and your surgeon have goals that are aligned and realistic. Ask your healthcare provider when its safe for you to resume therapy. Examples include chin and nose augmentation, cheek augmentation, jaw contouring, and lowering of the eyebrow ridge/forehead lengthening. (415) 353-9500. 2020 Aug; 53(2): 244253. The most common features that FFS addresses are the hairline, forehead, nose and jaw. Facial Feminization Procedures Facial feminization surgery (FFS) involves several surgeries that can be done to feminize the facial features. Signs of symptoms of infection, including increased redness, pain, drainage or swelling. 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. Avoid bending over or lifting anything heavier than 20 lbs for two weeks after your surgery. The brow lift can be used in combination with the scalp advancement procedure to give a more youthful feminine aesthetic outcome. CareCredit credit card can help finance cosmetic surgery, minimally invasive procedures, dermatology expenses and more. On the other hand, a cisgender woman with a receding hairline may only desire a hairline advancement procedure. Any specific claims or permanence length of results vary for each patient and are not guaranteed. See ourCQC ratings. After surgery, you may feel more confident and secure in your gender expression. Insurance Coverage: This procedure is very specialized and often not covered by insurance plans. 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. PDF Gender Dysphoria Treatment - UHCprovider.com Patients who have met these criteria are deemed appropriate surgical candidates. Your provider also makes sure youre in good physical health by: You might also have imaging scans before facial feminization surgery. Your vocal cords (also called vocal folds) are bands of soft tissue in your larynx (voice box). These operations are commonly performed for transgender women (MTF FFS) and can be performed for cisgender women. Facial feminization surgery (FFS) is a procedure to make your face appear more feminine instead of masculine. When you visit the site, Dotdash Meredith and its partners may store or retrieve information on your browser, mostly in the form of cookies. Facial Feminization Surgery - Cleveland Clinic Our prices are all-inclusive. Facial Feminization Surgery: Before and After Gallery. 2012;13(4):165-232. doi:10.1080/15532739.2011.700873. 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. He lectures nationally and internationally on these topics. These changes address the gendered differences in facial structure that occur due to testosterone exposure during various phases of development. Facial Feminization Surgery Before & After Pictures - RealSelf 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. For example, a transgender woman or non-binary individual who feels uncomfortable or distressed with the gendered structure of their face may desire several procedures, including a forehead reduction, rhinoplasty, tracheal shave, chin and jaw reduction, and fat grafting. Facial feminization surgery is different for everyone. Your provider may use steroid injections or Botox injections after surgery. From there, you will walk on your own into the operating room or be wheeled on a gurney. Get useful, helpful and relevant health + wellness information. In extreme cases, a tissue expansion is used to achieve the desired effect. Cookies collect information about your preferences and your devices and are used to make the site work as you expect it to, to understand how you interact with the site, and to show advertisements that are targeted to your interests. Decreasing the distance between the nose and upper lip gives a more feminine balance to the face. Cutting and reformatting the scalp can lower the hairline and give it a more feminine or nonbinary look. 9500 Euclid Ave. Vocal Feminization for Transgender Women: Current Strategies and Patient Perspectives. 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. Nicotine/nicotine-related product free (minimum 3 months). Staying in the hospital: Your procedure may be performed in a hospital or outpatient center. Advertising on our site helps support our mission. Facial Feminization Surgery under Insurance: The University - LWW However, facial masculinization surgery (FMS) is gaining popularity. They control the pitch of your voice. 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. You may need a second surgery to achieve your target pitch. Many people who have the procedure consider it an important part of their transition process. Some surgeons recommend splitting the procedures into two surgeries, separated by seven to 10 days or longer. Facial feminization surgery is a series of procedures that can reshape the face and its features to achieve a more feminine appearance. This IV will be used for administering fluids and medications during and after surgery. 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. Use our list of health topics to reach your destination faster. More people (about 14%) choose to have nonsurgical voice feminization therapy instead. Orchiectomy is performed as an outpatient procedure. Lauren Schlanger, MD, is a board-certified primary care physician. Facial feminization surgery (FFS) involves several surgeries that can be done to feminize the facial features. 2019 May;27(2):191-197.doi:10.1016/j.fsc.2018.12.002. 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. FFS can change your hairline, forehead, nose, jaw and other parts of your face. Facial feminization surgery - Mayo Clinic Undergoing this procedure will not interfere with the possibility of having future vaginoplasty. Hysterectomy is often performed as an outpatient procedure, but some patients may require one night stay in the hospital. Voice feminization surgery is a procedure to raise the pitch of your voice or make it sound higher. 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. The procedure takes one to two hours and may not require admission to the hospital. FFS procedures can reshape the forehead, brows, nose, cheeks and jaw as well as minimize the appearance of an Adams apple (tracheal shave). Thank you, {{form.email}}, for signing up. FFS can change your hairline, forehead, nose, jaw and other parts of your face. Facial Feminization Surgery: Everything You Need to Know.
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