University of Washington. The cost of the hotel stay is out-of-pocket, as insurance does not cover this expense for your surgery. 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. Be prepared to communicate nonverbally with text messages or notes. Your surgeon may use a laryngoscope to access your voice box. 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. 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. Several surgical techniques are available to change the length, tightness or size of your voice box. 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. Talk to your healthcare provider or your psychologist before the procedure so you know what to expect. Furthermore, not all healthcare providers may offer them. There are no hidden costs in our treatment prices. RealSelf Tip: The average cost of FFS for cisgender . Nonverbal communication, such as eye contact, gestures, articulation and pausing. Thank you, {{form.email}}, for signing up. Blog . The brow lift procedure moves the eyebrows to a higher set position on the forehead, giving a softer, wide eyed, feminine appearance. 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. Dr. Totonchi is also an Associate Professor at Case Western Reserve Universitys School of Medicine. Facial Feminization Surgery (FFS). American Society of Anesthesiologists. With facial feminization surgery, there are several different surgical procedures a person may undergo. You may find it painful to chew solid food for a few days. Surgery changes the folds so they vibrate differently and make higher sounds when you speak. We recognize that you have many options when it comes to your cosmetic or plastic surgery needs. 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. Copy of your most recent primary care medical records. University of California, Sam Francisco. Just look for the RealSelf Verified badge. In facial masculinization, the nose and chin are augmented and widened to create a more masculine appearance. Typically, you will need to cover the incisions with gauze and rewrap your head with bandages. From there, you will walk on your own into the operating room or be wheeled on a gurney. They control the pitch of your voice. Feminizing the Face: Combination of Frontal Bone Reduction and Reduction Rhinoplasty. Do not eat or drink anything after midnight on the eve of your surgery. Few hospitals are equipped to provide such care. To optimize your wound healing and surgical results, it's important to follow post-operative instructions carefully. UpToDate. Patient Checklist for Vaginoplasty & Phalloplasty/Metoidioplasty. Facial Feminization Surgery: What are the risks of facial feminization surgery? The selection of procedures is customized for each person based on their aesthetic goals. Advertising on our site helps support our mission. Facial feminization surgery may be part of the treatment approach for a person who desires a more feminine facial appearance. Brandstetter K, Kleinberger A, Shih C, Bell J. Kaiser Permanente. 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. Embracing diversity and inclusion, the Center for Transgender and Gender Expansive Health provides affirming, objective, person-centered care to improve health and enhance wellness; educates interdisciplinary health care professionals to provide culturally competent, evidence-based care; informs the public on transgender health issues; and advances medical knowledge by conducting biomedical research. Call and make your consultation appointment with Dr. Totonchi to discuss your FFS needs, call office at 216-778-2262. New masking guidelines are in effect starting April 24. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event, (https://www.plasticsurgery.org/reconstructive-procedures/facial-feminization-surgery). More people (about 14%) choose to have nonsurgical voice feminization therapy instead. Facial feminization surgery is performed by a plastic surgeon who has training in craniomaxillofacial and soft tissue surgery. 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. Lauren Schlanger, MD, is a board-certified primary care physician. Dr. McClung is a board-certified urologist in Columbus, Ohio who specializes in gender-affirming Vaginoplasty. We take quality and safety seriously. 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. Upper lip lift/Lip augmentation: The upper lip lift is generally done in combination with the rhinoplasty procedure. What is facial feminization surgery (FFS)? Bruises, including black eyes, may take four to six weeks to clear up. 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. Many people who are transitioning from male to female consider this an important step in their transition process. Plast Reconstr Surg 2016 Feb;137(2):438-448.doi:10.1097/01.prs.0000475754.71333.f6. Recovery After Facial Feminization Surgery. 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. 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. 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. The surgeon shaves away some of the cartilage from the front of the larynx to make it smaller and less prominent. How Much Does Facial Feminization Surgery Cost? | RealSelf Facial Feminization Considerations for the Transgender Patient A surgical procedure called a chondrolaryngoplasty, or tracheal shave, can reduce the size of an Adams apple and create a smoother neck profile. Your vocal cords (also called vocal folds) are bands of soft tissue in your larynx (voice box). (415) 353-9500. 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. 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. Please contact our office with any questions. Facial feminization surgery is different for everyone. They vibrate when you take in air. The procedure is often performed laparoscopically using three 5mm incisions on the lower abdomen. The process depends on the facial features you choose to change. Get useful, helpful and relevant health + wellness information. 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. Facial Feminization Surgery Before & After Pictures - RealSelf Financing & Support for Gender Confirmation Surgery Avoid driving until you are off all pain medication and your surgeon gives you the OK. Identifying risks for potential complications. The precise steps of your surgery will depend on the type of procedure(s) you are having. Facial surgery with him (in theatre - and they showed a great deal!) Waltham, MA: UpToDate, Coleman E, Bockting W, Botzer M, et al. Nicotine/nicotine-related product free (minimum 3 months). RealSelf Verified doctors complete our multistep verification process and meet rigorous requirements to become our most trusted plastic surgeons and cosmetic procedure providers. Facial Feminization Surgery Photos Browse Facial Feminization Surgery before & after photos shared by doctors on RealSelf. 10 Facial Feminization Surgery doctors in Cleveland, OH Insurance Dr. Angela Rodriguez San Francisco, California Facial feminisation surgery can involve a combination of all or some of the below cosmetic procedures. For a better experience, please enable JavaScript. Most people continue voice feminization therapy after surgery. Vocal Feminization for Transgender Women: Current Strategies and Patient Perspectives. The incisions for an eyelid lift can either be hidden in the crease of the eyelid or placed behind it to minimize visible incisions. 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 mental health professional will review your gender identity and dysphoria and help you determine how the surgery fits into your overall treatment plan. You will be advised to rest for a couple of days. Dr. Dorafshar's research is focused on gender . 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). 2018 Dec; 18(12): 39. Find a Surgeon for Gender Affirming Surgery - TransHealthCare The combination of these procedures, however, does not increase the recovery time. Some of these procedures are listed below: Male-to-female brow reshaping Male-to-female facelifts Male-to-female rhinoplasty (nose reshaping) Male-to-female eyelid surgery What is facial feminization surgery (FFS)? - Paul Mittermiller, MD 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. Use our list of health topics to reach your destination faster. This procedure involves enlargement of the breasts with an implant. Insurance Coverage:This procedure is sometimes covered by insurance plans when criteria has been met. 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. Incision sites may also vary with certain procedures. In addition to plastic surgery, facial feminization procedures include nonsurgical treatments such as cosmetic fillers, botulinum toxin, fat grafting and liposuction. You may need to sign one or more consent forms at this time. Each patient is different and your expectations and desired results will be discussed fully in your consultation. Preparing for Surgery: Checklist. Facial feminization surgery (FFS) encompasses a series of surgical interventions designed to make your face appear more feminine. Technical and clinical considerations for facial feminization surgery with rhinoplasty and related procedures. Find out more. The most important thing to us is getting you fit and healthy with our network of fitness experts and cutting-edge facilities. Photo time lapse compilation at . Warning: You do not have JavaScript enabled. With the endoscopic approach, smaller incisions and special, pliable instruments are used to perform the procedure. 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. Doing two surgeries gives your face more time to heal between surgeries and allows more flexibility for patients. FFS is ideal for trans women and non-transgender women who want a more feminine facial appearance. 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. 2019 May;27(2):191-197.doi:10.1016/j.fsc.2018.12.002. They can help you prepare emotionally. Dysphonia (difficulty speaking), such as voice breaks or tremors. 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. Your complete postoperative recovery will be about 6-8 weeks but this varies with each individual. 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. 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. This means you probably wont have to stay overnight in the hospital or surgery center. Forehead contouring typically removes this ridge and softens the appearance of the forehead and facial features. At the end of the procedure, the incision will be closed with sutures that do not need to be removed. Many people do voice feminization therapy before surgery. Elizabeth Boskey, PhD, MPH, CHES, is a social worker, adjunct lecturer, and expert writer in the field of sexually transmitted diseases. The most common features that FFS addresses are the hairline, forehead, nose and jaw. This is a thin, lighted tube that goes into your mouth and reaches back to your larynx. For people in whom hormone therapy is not enough to achieve desired gender-affirming changes to the face, surgery can help. Each patient is different and your expectations and desired results will be discussed fully in your consultation. Patients who have met these criteria are deemed appropriate surgical candidates. The techniques can help transgender women transition physically to their self-affirmed gender. Facial feminization surgery (FFS) changes features on your face so they appear more feminine and less masculine. This type of healthcare provider specializes in surgery for the voice box and throat. That said, the physical and emotional challenges that go along with surgery are very real. Depending on the specific procedure or procedures being performed, the operation time for facial feminization ranges from 90 minutes to several hours or longer. When bathing or showering, be sure to use unscented soap, and never allow the water to directly spray the surgical area. If you decide to proceed with surgery, various tests will be recommended for medical and anesthesia clearance. Since your face contains lots of blood vessels, it easily swells and bruises, and this can be quite dramatic after your surgery. Make sure you bring your driver's license, insurance card, and a list of your medications. The SOC are based on the best available science and expert professional consensus. The brow may be elevated to give the eyes a feminine appearance. University of Utah Health. Depending on the specific procedure being performed, there may be more than one approach that a surgeon can use. They will ask you about your goals for surgery and explain what you can expect during your recovery after the procedure. Demonstrated the capacity to make a fully informed decision and consent for treatment and the ability to comply with medical instruction. Advertising on our site helps support our mission. Soft foods and nutritional shakes may be easier to manage. FFS can change your hairline, forehead, nose, jaw and other parts of your face. During your consultation, your plastic surgeon will review your goals and expectations, the recommended procedures, and all potential risks involved. Facial Feminization Surgery Cleveland, Ohio. Facial Feminization Surgery - A Complete Guide to FFS - DESCHAMPS-BRALY Doing a physical exam, including lab tests. With the traditional "open" approach, a surgeon makes a large incision to perform the operation. Over the last several years, we have been actively expanding the surgical services Cleveland Clinic offers to gender and sex-minority patients. 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. Out-of-pocket costs will also be discussed at this visit. Remember, too, that not everyone has the same understanding of femininity, so be sure to review how your surgical plan aligns with your expectations with your surgeon carefully. In extreme cases, a tissue expansion is used to achieve the desired effect. Generally, female noses tend to be smaller, less prominent, and slightly pointed. For people in whom hormone therapy is not enough to achieve desired gender-affirming changes to theface, surgery can help. Transgender women may choose FFS to affirm their gender. Healthcare providers recommend voice feminization therapy before and after surgery. American Society of Plastic Surgery. Orchiectomy (surgical removal of the testes) - 2 letters must be obtained. 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. 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). Genioplasty: Transgender genioplasty is performed to transform a wider, flatter, longer, and more squared masculine chin to a narrower, shorter, more rounded female chin. A laryngologist performs voice feminization surgery. Your surgeon andanesthesiologistwill come to greet you and review the operation with you. It may be uncomfortable to talk, but it is safe to do so if you can. The Transgender Surgery Program has a special rate for our patients with the hotel. Before the first consultation, the surgeon may schedule photographs,X-raysand a 3DCT scanthat shows your facial bones and soft tissue. 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. In older patients, the eyelids may also be lifted to open the eyes and achieve a more feminine look. This will vary greatly from patient to patient and the surgeries being undertaken but typically you will need around 3 weeks off work.

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