FFS may be part of an overall plan of gender affirmation, aligning the appearance of the face and body with a persons gender. Voice feminization surgery is a procedure to increase the pitch of your voice. Case 1 Facial Feminization Considerations for the Transgender Patient This procedure reshapes the jaw line, increases facial width, and creates an angular, more masculine jaw line. Dubov A, Fraenkel L. Facial Feminization Surgery. Youll have gauze or bandages over your incisions for several days. 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. 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.) If you experience symptoms ofdepressionor anxiety before or after surgery, be sure to talk with your healthcare provider, therapist, or other mental health professional. This means you probably wont have to stay overnight in the hospital or surgery center. A surgical procedure called a chondrolaryngoplasty, or tracheal shave, can reduce the size of an Adams apple and create a smoother neck profile. Surgical manipulation of the bone and soft tissues of the face create a feminine appearance. 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. 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. We will equal any comparable price. It is strongly suggested that all prospective clients perform their own independent research regarding Totonchi Plastic Surgery and our qualifications. Hair removal completed, free of regrowth. Bruises, including black eyes, may take four to six weeks to clear up. Ask your surgeon about how to re-dress your incisions after washing them and applying ointment. Surgery will be carried out under general anaesthetic and can typically range from around 4 to 8 hours depending on the procedures. All of this information helps your surgeon plan your treatment. Facial feminization surgery has a wide range of recovery time depending on the combination of procedures that are chosen. Sort by doctors that use CareCredit Ali Totonchi, MD Board Certified Plastic Surgeon 59 reviews Virtual consultations accepted 17 yrs experience 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. She is an assistant professor at the Alpert Medical School of Brown University. He welcomes patients in his hospital base and private practice offices. 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. 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. Here, you will change into a hospital gown. 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. The procedures can also be appropriate for cisgender women who desire more feminine facial features or gender nonbinary people seeking a more feminine facial appearance. Although. Policy. You may need a second surgery to achieve your target pitch. To access the larynx, the surgeon makes an incision in your neck. Spread the cost of your treatment with a 6, 10 or 12 month 0% personal medical loan. 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. Facial Feminization Surgery: A Review of 220 Consecutive Patients. Your provider may use steroid injections or Botox injections after surgery. This usually requires that you use lots of pillows or a soft foam wedge behind your head when sleeping. Insurance Coverage: This procedure is covered by many insurance plans when criteria has been met. A rhinoplasty can also shape the bridge and the tip of the nose to give them a more delicate appearance. He lectures nationally and internationally on these topics. Please contact our office with any questions. Patients must have a support person to stay with them during their hospital and hotel stay. Take two to three weeks off from work (this may vary based on the procedures you had and your occupation). Denver Health. Were happy to complete FMLA and STD paperwork if applicable. You may consider this surgery if youre a transgender woman (transitioning from male to female). Facial feminisation surgery can involve a combination of all or some of the below cosmetic procedures. Patients who have met these criteria are deemed appropriate surgical candidates. Please make sure that you have a driver for any postoperative visit that is within 2-4 weeks of your surgery. This therapy helps you adapt to the changes in your voice. 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 Parts of this website will not display or function properly. The selection of procedures is customized for each person based on their aesthetic goals. New masking guidelines are in effect starting April 24. Call and make your consultation appointment with Dr. Totonchi to discuss your FFS needs, call office at 216-778-2262. 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. Hysterectomy is often performed as an outpatient procedure, but some patients may require one night stay in the hospital. Facial Feminization Surgery Photos Browse Facial Feminization Surgery before & after photos shared by doctors on RealSelf. With the traditional "open" approach, a surgeon makes a large incision to perform the operation. They vibrate when you take in air. Lauren Schlanger, MD, is a board-certified primary care physician. He has now performed over 200 feminizing bottom surgeries and his practice is fully dedicated to providing gender-affirming surgical care. If it is not, you will receive information about payment plans at the time of your consultation. Facial feminization surgery is a series of procedures that can reshape the face and its features to achieve a more feminine appearance. IPS Transformation | Facial Feminization Surgery - YouTube Before and after photos on this website are Dr. Totonchis actual patients and all patients have given consent for use of these photos. 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. They vibrate when you take in air. Your diet instructions may also vary depending on whether you had any procedures performed in or around your lips, mouth, or jaw. 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. 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. Our body contouring procedures can create a slimmer, sexier physique to help you look and feel your best. Facial Feminization Surgery (FFS) | Johns Hopkins Medicine Last reviewed by a Cleveland Clinic medical professional on 06/08/2021. Your goals are extremely important and Dr. Totonchi will help you understand how your goals can be accomplished with the proper expectations for the cosmetic or other surgical procedure you are seeking. In FMS, the cheeks can be made more angular and prominent in order to mimic a masculine facial bone structure. Doing a physical exam, including lab tests. Since you will be changing into a hospital gown upon arrival, wear loose-fitting clothes on the day of your surgery. that meets WPATH Guidelines: WPATH Guidelines for Gender Affirming Surgeries. Incision sites may also vary with certain procedures. Facial surgery with him (in theatre - and they showed a great deal!) Generally, female noses tend to be smaller, less prominent, and slightly pointed. Your provider also makes sure youre in good physical health by: You might also have imaging scans before facial feminization surgery. Your consultation can be scheduled once 50% of hair removal is completed. Insurance Coverage: This procedure is covered by many insurance plans when criteria has been met. Males tend to have wider and longer foreheads than females. Reviewed November 2020. The procedure takes one to two hours and may not require admission to the hospital. Please check with your insurance provider to make sure that it is covered. Our prices are all-inclusive. Facial feminization surgery is performed by a plastic surgeon who has training in craniomaxillofacial and soft tissue surgery. drtotonchi.com. Dont have realistic expectations about the results. The procedure is used to decrease the distance between the hairline and the eyebrows giving a more youthful, feminine appearance. Each patient is different and your expectations and desired results will be discussed fully in your consultation. Facial Feminization Surgery: What are the risks of facial feminization surgery? July 2020. 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. Insurance Coverage: This procedure is very specialized and often not covered by insurance plans. 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. American Psychiatric Association. A tracheal shave is done through a small incision on the anterior neck which Dr Totonchi uses to shave down the tracheal cartilage. Soft foods and nutritional shakes may be easier to manage. 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. You may consider this surgery if you're a transgender woman (transitioning from male to female). The doctor may recommend a soft or liquid diet until you can swallow food comfortably. What are the masculine features that you would most like to soften and make more feminine? 9500 Euclid Ave. Recovery from the procedure takes about one month. 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. Facial feminization surgery is performed as either a single procedure or as multiple staged procedures. From there, you will walk on your own into the operating room or be wheeled on a gurney. Avoid exercise or other strenuous activities for at least four weeks after your surgery. Your complete postoperative recovery will be about 6-8 weeks but this varies with each individual. Over the last several years, we have been actively expanding the surgical services Cleveland Clinic offers to gender and sex-minority patients. Facial Feminization Surgery Cleveland - FFS Surgeon Cost - Dr. Ali Totonchi Browseour articlesto find trusted information on training, nutrition, getting back to good health and much more. Facial pain and tightness after surgery will vary in severity based on the procedures you underwent. 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. He has extensive training and experience in facelift, rhinoplasty body, and breast surgery. 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. Since estrogen increases your risk of blood clots, your surgeon will ask you to stop estrogen therapy (if applicable) for a designated period of time before surgery. The surgeon will attempt to minimize the appearance of the scar by placing it in a less obvious area or within the natural skin folds of the neck. FFS is ideal for trans women and non-transgender women who want a more feminine facial appearance. This operation is most commonly performed in transgender women or non-binary people as a type of gender-affirming surgery. This IV will be used for administering fluids and medications during and after surgery. The procedure can involve cutting or reshaping the bones as well as the cartilage. The tracheal shave procedure performed alone does not have any downtime. 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. 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 Plast Surg Clin North Am. 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. University of Washington. While some individuals may feel that facial feminization surgery is necessary to feel affirmed in their gender, others may not. 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. Once you are scheduled for facial feminization surgery, your surgeon will give you instructions on how to prepare. This procedure includes removal of breast tissue with masculinizing chest contouring and nipple grafting in some cases. If you have decided to pursue surgery, be sure to reach out to friends and loved ones who can provide support for you during this time. The specifics of recovery from facial feminization surgery depend on the procedures used and whether all the procedures are done at once or the surgery is performed in stages. Many people who have the procedure consider it an important part of their transition process. Even with a documented diagnosis of gender dysphoria, facial feminization surgery is not consistently covered by insurance. Transgender Surgery Ohio - Affordable Facial Feminization Surgery Waltham, MA: UpToDate, Coleman E, Bockting W, Botzer M, et al. Two weeks prior to surgery, you might be advised to stop taking certain blood-thinning medications, likenon-steroidal anti-inflammatory drugs (NSAIDs). For people in whom hormone therapy is not enough to achieve desired gender-affirming changes to the face, surgery can help. That said, here is a general breakdown of what you can expect during surgery: After surgery, you will be taken to a recovery area where you will slowly wake up from anesthesia. Out-of-pocket costs will also be discussed at this visit. The Ethics of Gatekeeping in Transgender Health. Read our, Estrogen for Transgender and Transfeminine People, Eyelid Surgery: Everything You Need to Know, Tympanoplasty Surgery: Everything You Need to Know, Trapeziectomy: Everything You Need to Know, Bunion Surgery: Everything You Need to Know, What to Know About Big Toe Bone Spur Surgery (Cheilectomy), Quintuple Bypass Surgery: Everything You Need to Know, Amblyopia Surgery: Everything You Need to Know, Sinus Surgery: Everything You Need to Know, Capsulectomy Surgery: Everything You Need to Know, Breast Reduction vs. Top Surgery: Uses, Benefits, Side Effects, and More, Facial feminization for cisgender women with masculine-looking faces, Facial Feminization 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. Avoid driving until you are off all pain medication and your surgeon gives you the OK. The cost of the hotel stay is out-of-pocket, as insurance does not cover this expense for your surgery. Transgender women may choose to have voice change surgery as part of their male-to-female (MTF) transition. An Adams apple that is still prominent after the procedure, Removal of too much cartilage, which can damage the vocal cords. To optimize your wound healing and surgical results, it's important to follow post-operative instructions carefully. The most important thing to us is getting you fit and healthy with our network of fitness experts and cutting-edge facilities. 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. Verywell Health's content is for informational and educational purposes only. Orchiectomy (surgical removal of the testes) - 2 letters must be obtained. Determine what it is that you like or dislike about your look. This type of healthcare provider specializes in surgery to change or enhance your physical appearance. The total cost will vary depending upon the procedure and the number of stages needed. Voice feminization surgery includes the following steps: Depending on the type of surgery you have, your surgeon does the following: Voice feminization surgery is usually an outpatient procedure. Anna's Place - Trans: Facial Feminisation Surgery FFS usually does not happen in one operation. Several surgical techniques are available to change the length, tightness or size of your voice box. Copy of your most recent primary care medical records. When adding the rhinoplasty procedure, nasal splints and stents are kept in placed for 2 weeks before removal. The combination of these procedures, however, does not increase the recovery time. You will be advised to rest for a couple of days. We recognize that you have many options when it comes to your cosmetic or plastic surgery needs. However, facial masculinization surgery (FMS) is gaining popularity. 2021. The Transgender Surgery Program has a special rate for our patients with the hotel. Facial Feminization Surgery is a critical part of a transition timetable for a transgender patient who has decided to live full time as female. 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. At this time, you may feel pain and nausea. Additionally, the forehead and brow ridge are reshaped to create a softer contour with feminine highlights. 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. In facial masculinization, the nose and chin are augmented and widened to create a more masculine appearance. Most people need several weeks or months to fully recover from FFS. Dr. Totonchi is also an Associate Professor at Case Western Reserve Universitys School of Medicine. 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 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. The price you see is the price you pay. Postoperative appointments: There will be several postoperative appointments after your surgery depending on what type of surgery you have. 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. However, it can take months for you to see the full results of the procedure. Your surgeon andanesthesiologistwill come to greet you and review the operation with you. The incision is closed with sutures (stitches). You may need to sign one or more consent forms at this time. Policy. 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. Find a Surgeon for Gender Affirming Surgery - TransHealthCare After surgery, you may feel more confident and secure in your gender expression. You will notice a difference in service and care the moment you visit our office. Before the first consultation, the surgeon may schedule photographs,X-raysand a 3DCT scanthat shows your facial bones and soft tissue. If you haven't already, you may also consider finding a facial feminization support group. However, the cost can range from $1,847 to $62,000, depending on a few key factors. Dr. Totonchi is not liable for any actions or decisions that may have been taken as a result of information provided on this website. The recovery time remains 2-3 weeks. The surgery softens these features, creating a face that is more oval-shaped. Relationship with a mental health care provider who will see you 4-6 weeks after your surgery. The surgery may also be performed in cisgender women who desire a more feminine face or facial feature (e.g., a lower hairline). Get useful, helpful and relevant health + wellness information. 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. Your surgeon will likely ask that you avoid any facial treatments (for example, electrolysis or chemical peels) two weeks before your surgery date. 19 Facial Feminization Surgery doctors in Ohio, USA | RealSelf What is facial feminization surgery (FFS)? 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. Hairline advancement (scalp advancement): Scalp advancement is a procedure done to move the hairline forward, decreasing the prominence of the forehead. Your surgical team will review these with you as you get closer to surgery. Facial Feminization Surgery: A Review of 220 Consecutive Patients. On the other hand, a cisgender woman with a receding hairline may only desire a hairline advancement procedure. Who might need facial gender surgery? CareCredit credit card can help finance cosmetic surgery, minimally invasive procedures, dermatology expenses and more. You may have temporary restrictions on heavy lifting, vigorous exercise or other activities. The surgeon can perform a nose-reshaping operation called arhinoplasty(sometimes called a nose job) to reduce the width and shape of the nose. For a better experience, please enable JavaScript. For the first few days after surgery, you may need to avoid talking, laughing, singing or coughing. Facial Feminization Surgery - A Complete Guide to FFS - DESCHAMPS-BRALY To ease discomfort, take your pain medication exactly as prescribed. Generally most patients are in hospital for around 2 to 3 days. Facial Feminization Surgery under Insurance: The University - LWW Facial Feminization Surgery FFS Insurance Coverage You might wear compression wraps around your forehead or jaw to reduce inflammation. Doing two surgeries gives your face more time to heal between surgeries and allows more flexibility for patients. Brandstetter K, Kleinberger A, Shih C, Bell J. Kaiser Permanente. Find out more. There are many techniques used to perform facial feminization surgery, and many factors should be taken into consideration when choosing which . Any specific claims or permanence length of results vary for each patient and are not guaranteed. A tracheal shaving procedure involves reduction of the thyroid cartilage to reduce the size of the Adams apple. The average cost of facial feminization surgery (FFS) is $34,372, according to 217 reviews from RealSelf members. The use of modern technologies allows new options in the treatment of complex situations. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event, (https://www.plasticsurgery.org/reconstructive-procedures/facial-feminization-surgery). Kaiser Permanente. 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. Instead, a staged approach, based on your priorities, is recommended. 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. Contraindications to facial feminization (which are surgeon dependent) may include: The risks associated with facial feminization surgery depend on the specific procedure being performed. A cartilage graft is used to change the size and shape of the nose. While estrogen won't affect your bone structure, it will redistribute facial fat, and this may alter your surgical plan.
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