There are no time limits on your aftercare. Resonance (how you pass air through your vocal folds to control the intensity of your voice). They control the pitch of your voice. The procedure is often performed laparoscopically using three 5mm incisions on the lower abdomen. 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. On the other hand, a cisgender woman with a receding hairline may only desire a hairline advancement procedure. 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. Insurance Coverage:This procedure is sometimes covered by insurance plans when criteria has been met. 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. 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. Vaccines & Boosters | Testing | Visitor Guidelines | Coronavirus. Dr. Totonchi is not liable for any actions or decisions that may have been taken as a result of information provided on this website. To minimize swelling (which peaks two to three days after the operation), your surgeon will probably advise you to ice your face. 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. Waltham, MA: UpToDate, Coleman E, Bockting W, Botzer M, et al. By Elizabeth Boskey, PhD Lesbian, Gay, Bisexual and Transgender Health Care, World Professional Association for Transgender Health (WPATH) guidelines, Learn more about requirements for specific gender-affirming procedures, View before and after photos of masculinizing chest surgery (mastectomy), View before and after photos of breast augmentation surgery, View before and after photos of vaginoplasty surgery, View before and after photos of facial feminization procedures, World Professional Association for Transgender Health, Transgender Health & Gender Affirming Medical Services. Voice feminization surgery is a procedure to raise the pitch of your voice or make it sound higher. Dr. Totonchi is not liable for any actions or decisions that may have been taken as a result of information provided on this website. Many people who are transitioning from male to female consider this an important step in their transition process. Kaiser Permanente. To optimize your wound healing and surgical results, it's important to follow post-operative instructions carefully. 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. Some surgeons recommend splitting the procedures into two surgeries, separated by seven to 10 days or longer. The process depends on the facial features you choose to change. Vocal Feminization for Transgender Women: Current Strategies and Patient Perspectives. The assessment must document that an individual meets all of the following criteria: o Persistent, well-documented Gender Dysphoria Plastic and Reconstructive Surgery: Facial Feminization. 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. 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. Call and make your consultation appointment with Dr. Totonchi to discuss your FFS needs, call office at 216-778-2262. SUPPORT Patreon: https://www.patreon.com/jessiege. What are the masculine features that you would most like to soften and make more feminine? Depending on the specific procedure being performed, there may be more than one approach that a surgeon can use. For patients having forehead and hairline contouring, the brow can be lifted through the same incision made in the scalp. A surgical procedure called a chondrolaryngoplasty, or tracheal shave, can reduce the size of an Adams apple and create a smoother neck profile. Facial feminization surgery (FFS) is a procedure to make your face appear more feminine instead of masculine. Avoid exercise or other strenuous activities for at least four weeks after your surgery. These help treat vocal cord scarring or dysphonia. 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. 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. Comprehensive care for transgender patients involves a wide spectrum of services, ranging from routine medical visits to the physical transition process. Minimize sun exposure and always wear sunscreen. 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 consultation can be scheduled once 50% of hair removal is completed. Facial Plast Surg Clin North Am. Your provider may use steroid injections or Botox injections after surgery. Contact your healthcare provider right away if you experience any of these complications after your surgery: Facial feminization surgery (FFS) is a procedure to make your face appear more feminine instead of masculine. FFS is typically sought by the transgender population but can be performed for anyone seeking to soften their facial features. FFS addressed your forehead prominence (frontal bossing), hairline, eye socket shape, nose, cheeks, temples, lips, chin . From there, you will walk on your own into the operating room or be wheeled on a gurney. Cleveland Clinic is a non-profit academic medical center. The most common features that FFS addresses are the hairline, forehead, nose and jaw. Lauren Schlanger, MD, is a board-certified primary care physician. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. While the surgery takes place, you will be asleep under general anesthesia. It may be uncomfortable to talk, but it is safe to do so if you can. While not all patients require this procedure, it can be helpful in achieving a more harmonious profile with the use of cheek implants. Many people do voice feminization therapy before surgery. Facial pain and tightness after surgery will vary in severity based on the procedures you underwent. Preparing for Surgery: Checklist. He has now performed over 200 feminizing bottom surgeries and his practice is fully dedicated to providing gender-affirming surgical care. BMI requirements are determined by your surgeon. The surgery may also be performed in cisgender women who desire a more feminine face or facial feature (e.g., a lower hairline). In extreme cases, a tissue expansion is used to achieve the desired effect. *Your results may vary. Please check with your insurance provider to make sure that it is covered. 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. 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. 2021. Doing two surgeries gives your face more time to heal between surgeries and allows more flexibility for patients. 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. He lectures nationally and internationally on these topics. Patients must have a support person to stay with them during their hospital and hotel stay. 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. Youll have gauze or bandages over your incisions for several days. Do not wear makeup, hairspray, nail polish, or deodorant. Recovery After Facial Feminization Surgery. Healthcare providers recommend voice feminization therapy before and after surgery. Before facial feminization surgery, your healthcare provider will perform a thorough personal assessment. Just look for the RealSelf Verified badge. 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. 9500 Euclid Ave. 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. 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. When showering, wash your incision sites very gently with warm water and soap and pat the skin dry with a clean towel. The total cost will vary depending upon the procedure and the number of stages needed. 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. Talk to your healthcare provider or your psychologist before the procedure so you know what to expect. Whatever your reason for undergoing facial feminization surgery, be sure to get recommendations for an experienced board-certified plastic surgeon. At the end of the procedure, the incision will be closed with sutures that do not need to be removed. 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 is a procedure to increase the pitch of your voice. While estrogen won't affect your bone structure, it will redistribute facial fat, and this may alter your surgical plan. In addition to plastic surgery, facial feminization procedures include nonsurgical treatments such as cosmetic fillers, botulinum toxin, fat grafting and liposuction. This therapy helps you adapt to the changes in your voice. Transgender women may choose to have voice change surgery as part of their male-to-female (MTF) transition. Elizabeth Boskey, PhD, MPH, CHES, is a social worker, adjunct lecturer, and expert writer in the field of sexually transmitted diseases. 2018 Dec; 18(12): 39. This usually requires that you use lots of pillows or a soft foam wedge behind your head when sleeping. New masking guidelines are in effect starting April 24. Your surgeon may also measure your face, take photographs and assess your skin quality. Soft foods and nutritional shakes may be easier to manage. You may go home with a surgical drain. With IPS Transformation we offer a variety of high quality, indivi. Spread the cost of your treatment with a 6, 10 or 12 month 0% personal medical loan. FFS can change your hairline, forehead, nose, jaw and other parts of your face. 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. Procedures that fall within the scope of facial feminization surgery include: Keep in mind that not everyone interested in facial feminization surgery necessarily desires all of the above procedures. Cleveland Clinic Main Campus Cost of Postoperative Stay: As part of your recovery, you will be staying at the Intercontinental Hotel, which is attached to the Cleveland Clinic Main Campus. The price you see is the price you pay. Orchiectomy (surgical removal of the testes) - 2 letters must be obtained. When multiple surgeries are desired, the surgeon will plan a staged approach. Furthermore, not all healthcare providers may offer them. It is important to follow the doctors advice for the weeks following a tracheal shave. Facial feminization surgery may be part of the treatment approach for a person who desires a more feminine facial appearance. The surgeon shaves away some of the cartilage from the front of the larynx to make it smaller and less prominent. A laryngologist performs voice feminization surgery. Each patient is different and your expectations and desired results will be discussed fully in your consultation. Hairline advancement (scalp advancement): Scalp advancement is a procedure done to move the hairline forward, decreasing the prominence of the forehead. 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. Transgender patients have facial feminisation surgery to soften and feminise features such as their jaw, cheeks, forehead and nose. He has extensive training and experience in facelift, rhinoplasty body, and breast surgery. This IV will be used for administering fluids and medications during and after surgery. Vaginoplasty surgery involves creation of the vulva (outer female genital structures) with or without a vaginal canal. Facial feminization surgery (FFS) describes a group of procedures that are performed to feminize the face. Facial feminization surgery is performed by a plastic surgeon who has training in craniomaxillofacial and soft tissue surgery. You will have to clean the inside of your mouth with a prescription mouthwash for a few weeks after surgery. 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. Most people can go home the same day as their procedure. This will vary greatly from patient to patient and the surgeries being undertaken but typically you will need around 3 weeks off work. We will equal any comparable price. 322 Followers, 6 Following, 11 Posts - See Instagram photos and videos from FFS@totonchiplasticsurgery (@facialfeminization) 322 Followers, 6 Following, 11 Posts - See Instagram photos and videos from FFS@totonchiplasticsurgery (@facialfeminization) . YOU WILL NOTICE A DIFFERENCE IN SERVICE AND CARE THE MOMENT YOU VISIT OUR OFFICE. Your provider also makes sure youre in good physical health by: You might also have imaging scans before facial feminization surgery. 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 may be part of an overall plan of gender affirmation, aligning the appearance of the face and body with a persons gender. They cannot be smokers or be excessively overweight, and they must be medically optimized for surgery if they have medical comorbidities. Bandages and dressings: Do not remove tape, gauze, drains, splints or compression dressings: The doctor will take off these items and examine the surgical area at your first clinical appointment after your procedure. 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. At Another Johns Hopkins Member Hospital: The Center for Transgender and Gender Expansive Health Team at Johns Hopkins, More about the Center for Transgender and Gender Expansive Health, Center for Transgender and Gender Expansive Health. FFS procedures can reshape the forehead, brows, nose, cheeks and jaw as well as minimize the appearance of an Adams apple (tracheal shave). He offers Facial Feminization and Masculinization Surgery as part of the Gender Affirmation Surgery Program at Rush university Medical Center. Looking for a non-invasive treatment to help reduce the signs of aging? This type of healthcare provider specializes in surgery to change or enhance your physical appearance. 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 it is not, you will receive information about payment plans at the time of your consultation. Two weeks prior to surgery, you might be advised to stop taking certain blood-thinning medications, likenon-steroidal anti-inflammatory drugs (NSAIDs). University of Utah Health. 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. doi:10.1080/15265161.2018.1531159, Salgado CJ, AlQattan H, Nugent A, et al. The chin plays a crucial role in the proportions and balance of facial features. 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. Bathing and showering: Avoid showering, and gently sponge bathe instead until you return for your first post-surgery appointment and your doctor says it is OK to resume showering. Upon arrival at the hospital or surgical center, you will be led into a small pre-operative/holding room. He will assist you in choosing the best surgical plan to attain your desired outcome. What Is Gender Dysphoria? 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.
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