10 Facial Feminization Surgery doctors in Cleveland, OH Hair removal completed, free of regrowth. 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. Please make sure that you have a driver for any postoperative visit that is within 2-4 weeks of your surgery. There are no hidden costs in our treatment prices. This procedure involves making features more prominent and hence more masculine in appearance. 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. These changes address the gendered differences in facial structure that occur due to testosterone exposure during various phases of development. 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. Forehead contouring (frontal bossing): Forehead contouring involves shaving down the frontal bone and altering its pronounced shape. Facial feminization surgery (FFS) involves a comprehensive set of procedures to make your face appear more feminine. Your diet instructions may also vary depending on whether you had any procedures performed in or around your lips, mouth, or jaw. 2012;13(4):165-232. doi:10.1080/15532739.2011.700873. With IPS Transformation we offer a variety of high quality, indivi. You may need to sign one or more consent forms at this time. Facial feminisation surgery can involve a combination of all or some of the below cosmetic procedures. FFS is ideal for trans women and non-transgender women who want a more feminine facial appearance. 10 Facial Feminization Surgery doctors in Cleveland, OH CareCredit credit card can help finance cosmetic surgery, minimally invasive procedures, dermatology expenses and more. We take quality and safety seriously. Your surgeon will probably give you the OK to shower around 48 hours after your operation. We recognize that you have many options when it comes to your cosmetic or plastic surgery needs. Your surgical team will review these with you as you get closer to surgery. Warning: You do not have JavaScript enabled. This means you probably wont have to stay overnight in the hospital or surgery center. To optimize your wound healing and surgical results, it's important to follow post-operative instructions carefully. 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. doi:10.1080/15265161.2018.1531159, Salgado CJ, AlQattan H, Nugent A, et al. Nonverbal communication, such as eye contact, gestures, articulation and pausing. A nurse will administer medications, as needed, to ease your symptoms. Facial Feminization Considerations for the Transgender Patient The surgeon shaves away some of the cartilage from the front of the larynx to make it smaller and less prominent. Brow lift: The brow lift/forehead lift gives the most dramatic FFS results. Typically, you will need to cover the incisions with gauze and rewrap your head with bandages. 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. Rhinoplasty: Rhinoplasty can be a key element in transgender facial feminization. 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. Too much pitch increase (voice is unnaturally high). What are the masculine features that you would most like to soften and make more feminine? In the case of patients with more narrow mandible angles, jaw implants are used to create a more defined jaw structure. A tracheal shaving procedure involves reduction of the thyroid cartilage to reduce the size of the Adams apple. Facial Feminization Surgery: What to Expect and Post-Operative Care. 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. Genital hair removal must be completed for surgery. You may experience some throat pain or discomfort. 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.) Out-of-pocket costs will also be discussed at this visit. You might wear compression wraps around your forehead or jaw to reduce inflammation. If it is not, you will receive information about payment plans at the time of your consultation. They control the pitch of your voice. Voice feminization surgery raises the pitch of your voice, making it sound higher. If you are concerned about scarring, contact your surgeon. Chest surgery (breast augmentation, masculinizing mastectomy) - 1 letter must be obtained. Any specific claims or permanence length of results vary for each patient and are not guaranteed. ), and place an intravenous (IV) line into a vein in your arm. Cleveland Plastic Surgery - Best Cosmetic Surgeon Cleveland Facial feminization surgery has a wide range of recovery time depending on the combination of procedures that are chosen. We do not endorse non-Cleveland Clinic products or services. Facial feminization surgery (FFS) is a procedure to make your face appear more feminine instead of masculine. doi:10.1001/jamafacial.2016.1572, Pittman TA, Economides JM. For genital surgery, a written psychological assessment from at least two Qualified Behavioral Health Providers experienced in treating Gender Dysphoria*, who have independently assessed the individual, is required. Surgery changes the length, size or tightness of your vocal cords. Once all criteria have been met, we will be happy to schedule a formal surgical consultation. Facial feminization surgery is different for everyone. The precise steps of your surgery will depend on the type of procedure(s) you are having. If you haven't already, you may also consider finding a facial feminization support group. Denver Health. 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 He has now performed over 200 feminizing bottom surgeries and his practice is fully dedicated to providing gender-affirming surgical care. During your consultation your Consultant will be able to advise you in detail about your personal recovery. All patients are fully assessed for their safety prior to surgery. 2 The surgery may also be performed in cisgender women who desire a more feminine face or facial feature (e.g., a lower hairline). Soft foods and nutritional shakes may be easier to manage. The procedure is done through a 3cm incision along the scrotum. *Exceptions made for adolescents seeking masculinizing chest surgery; decisions made on a case-by-case basis. 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. It helps drain blood and fluid to prevent swelling. 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. To ease discomfort, take your pain medication exactly as prescribed. Please check with your insurance provider to make sure that it is covered. Do not shave or use hair-removal processes such as waxing until your doctor clears you to resume these practices. Facial Feminization Surgery Cleveland, Ohio. Male hysterectomy/vaginectomy - 2 letters must be obtained. Your provider also makes sure youre in good physical health by: You might also have imaging scans before facial feminization surgery. 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 Generally most patients are in hospital for around 2 to 3 days. Elizabeth Boskey, PhD, MPH, CHES, is a social worker, adjunct lecturer, and expert writer in the field of sexually transmitted diseases. We will equal any comparable price. Use our list of health topics to reach your destination faster. Sometimes voice feminization surgery doesnt produce the results you want. Your healthcare provider will tell you when you can gradually start using your voice again, as well as when you can resume voice therapy. Facial Feminization Surgery FFS Insurance Coverage You may consider this surgery if you're a transgender woman (transitioning from male to female). Postoperative appointments: There will be several postoperative appointments after your surgery depending on what type of surgery you have. There will be several postoperative appointments after your surgery depending on what type of surgery you have. The selection of procedures is customized for each person based on their aesthetic goals. Insurance Coverage: This procedure is very specialized and often not covered by insurance plans. On the other hand, a cisgender woman with a receding hairline may only desire a hairline advancement procedure. While not all patients require this procedure, it can be helpful in achieving a more harmonious profile with the use of cheek implants. Elizabeth Boskey, PhD, MPH, CHES, is a social worker, adjunct lecturer, and expert writer in the field of sexually transmitted diseases. FFS is typically sought by the transgender population but can be performed for anyone seeking to soften their facial features. 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. Talk to your healthcare provider or your psychologist before the procedure so you know what to expect. Lauren Schlanger, MD, is a board-certified primary care physician. 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. Facial Feminization Procedures Facial feminization surgery (FFS) involves several surgeries that can be done to feminize the facial features. 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 Plast Surg Clin North Am. Contraindications to facial feminization (which are surgeon dependent) may include: The risks associated with facial feminization surgery depend on the specific procedure being performed. 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. Its important to have realistic expectations about the results of voice feminization surgery. They control the pitch of your voice. Transgender Surgery Ohio - Affordable Facial Feminization Surgery Your surgeon will also take photographs of your face during this visit. 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. 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. The process depends on the facial features you choose to change. Breast augmentation is often performed as an outpatient procedure but some patients may require one night stay in the hospital. Policy. Staying in the hospital: Your procedure may be performed in a hospital or outpatient center. Tracheal shave is one of the simplest surgeries done to obtain feminine features and can be performed under local anesthetic. Orchiectomy is a procedure done to remove the testes which alleviates genital dysphoria in some patients and eliminates the need for androgen (testosterone) suppression and optimize the effects of estrogen. Over the last several years, we have been actively expanding the surgical services Cleveland Clinic offers to gender and sex-minority patients. Rates are subject to change each year, but please plan for a minimum of $2,000 for the hotel stay, however, depending upon your personalized plan, the overall cost may be higher. 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. Since your face contains lots of blood vessels, it easily swells and bruises, and this can be quite dramatic after your surgery. Various techniques may be used to perform this procedure, and they are surgeon and patient dependent. Please make sure that you have a driver for any postoperative visit that is within 2-4 weeks of your surgery. The mental health professional will review your gender identity and dysphoria and help you determine how the surgery fits into your overall treatment plan. Reviewing your current medications and any allergies you may have. Sort by doctors that use CareCredit Ali Totonchi, MD Board Certified Plastic Surgeon 59 reviews Virtual consultations accepted 17 yrs experience How Much Does Facial Feminization Surgery Cost? | RealSelf That said, general risks of this surgery include: The purpose of facial feminization surgery is to change masculine facial features into feminine ones. Forehead contouring typically removes this ridge and softens the appearance of the forehead and facial features. 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. Each patient is different and your expectations and desired results will be discussed fully in your consultation. Even with a documented diagnosis of gender dysphoria, facial feminization surgery is not consistently covered by insurance. Youll have gauze or bandages over your incisions for several days. Since you will be changing into a hospital gown upon arrival, wear loose-fitting clothes on the day of your surgery. Furthermore, not all healthcare providers may offer them. 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. 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. It is strongly suggested that all prospective clients perform their own independent research regarding Totonchi Plastic Surgery and our qualifications. 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. The male nose, like the masculine chin, is typically longer, wider, and larger than the female nose which is generally shorter, narrower, and smaller in relation to female features. 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. It's important that you and your surgeon have goals that are aligned and realistic. Among the various gender-affirming procedures, facial feminization surgery (FFS) is arguably the most commonly denied surgery, as insurance companies often deem the involved procedures as cosmetic and not medically necessary. The assessment must document that an individual meets all of the following criteria: o Persistent, well-documented Gender Dysphoria The average cost of facial feminization surgery (FFS) is $34,372, according to 217 reviews from RealSelf members. Vocal Feminization for Transgender Women: Current Strategies and Patient Perspectives. 2021. 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. Facial Feminization Surgery - American Society of Plastic Surgeons Depending on the specific procedure being performed, there may be more than one approach that a surgeon can use. The incision is closed with sutures (stitches). Voice feminization surgery is a procedure to raise the pitch of your voice or make it sound higher. In terms of restarting estrogen therapy (if this applies to you), confirm with your healthcare provider, but patients can usually restart within two to three days after surgery. Nicotine/nicotine-related product free (minimum 3 months). If you are staying overnight, you will be moved to a hospital room once you are fully awake. When adding the rhinoplasty procedure, nasal splints and stents are kept in placed for 2 weeks before removal. FFS procedures can reshape the forehead, brows, nose, cheeks and jaw as well as minimize the appearance of an Adams apple (tracheal shave). Facial Feminization Surgery Before & After Pictures - RealSelf Feminizing the Face: Combination of Frontal Bone Reduction and Reduction Rhinoplasty. The recovery time remains 2-3 weeks. Dr. Totonchi is not liable for any actions or decisions that may have been taken as a result of information provided on this website. University of Utah Health. Facial Feminization Surgery under Insurance: The University - LWW Cutting and reformatting the scalp can lower the hairline and give it a more feminine or nonbinary look. 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. Last reviewed by a Cleveland Clinic medical professional on 06/08/2021. The nasal tip is generally adjusted to give a upward feminine appearance rather than the typical male downward nasal appearance. Facial Feminization Surgery: Before and After Gallery Transgender women may choose to have voice change surgery as part of their male-to-female (MTF) transition. The incisions for an eyelid lift can either be hidden in the crease of the eyelid or placed behind it to minimize visible incisions. Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. The most important thing to us is getting you fit and healthy with our network of fitness experts and cutting-edge facilities. X-rays or CT scans take pictures of the bones and soft tissues of your face and skull. Some procedures are performed as outpatient procedures while others require an inpatient stay. Dr. Dorafshar is a highly distinguished plastic and reconstructive surgeon who specializes in gender-affirming facial surgery. 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. Standards of Care for the Health of Transsexual, Transgender, and Gender-Nonconforming People, Version 7.International Journal of Transgenderism. 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. 2021. 9500 Euclid Ave. In facial feminization surgery, our skilled surgeons bring our suite of face contouring procedures to bear with the goal of making the transgender woman appear more feminine. The Latest in Non-Invasive and Minimally Invasive Face & Body Contouring. She is an assistant professor at the Alpert Medical School of Brown University. You may have temporary restrictions on heavy lifting, vigorous exercise or other activities. Healthcare providers recommend voice feminization therapy before and after surgery. Our team follows the World Professional Association for Transgender Health (WPATH) guidelines to ensure patients are appropriate surgical candidates. For people in whom hormone therapy is not enough to achieve desired gender-affirming changes to theface, surgery can help. 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. Photo time lapse compilation at . Spread the cost of your treatment with a 6, 10 or 12 month 0% personal medical loan. Who might need facial gender surgery? Facial Feminizations Mastectomies Vaginoplasty Breast Augmentations This procedure involves enlargement of the breasts with an implant. Hysterectomy is often performed as an outpatient procedure, but some patients may require one night stay in the hospital. To access the larynx, the surgeon makes an incision in your neck. Case Rep Surg. This usually requires that you use lots of pillows or a soft foam wedge behind your head when sleeping. This is a thin, lighted tube that goes into your mouth and reaches back to your larynx. RealSelf Tip: The average cost of FFS for cisgender . Recovery After Facial Feminization Surgery. Research suggests that patients who have undergone facial feminization surgery are generally pleased with their results. The surgery softens these features, creating a face that is more oval-shaped. Your surgeon may also measure your face, take photographs and assess your skin quality. Before the first consultation, the surgeon may schedule photographs,X-raysand a 3DCT scanthat shows your facial bones and soft tissue. Facial Feminization Surgery: What are the risks of facial feminization surgery? Not enough pitch increase (voice is still too low). It might involve one surgery or a series of procedures. Waltham, MA: UpToDate, Coleman E, Bockting W, Botzer M, et al. Policy. University of California, Sam Francisco. It is strongly suggested that all prospective clients perform their own independent research regarding Totonchi Plastic Surgery and our qualifications. Patients must have a support person to bring them home from the hospital. Facial feminization surgery (FFS) involves several surgeries that can be done to feminize the facial features. Our prices are all-inclusive. CareCredit credit card can help finance cosmetic surgery, minimally invasive procedures, dermatology expenses and more. With facial feminization surgery, there are several different surgical procedures a person may undergo. Incision sites may also vary with certain procedures. 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. Parts of this website will not display or function properly. A rhinoplasty can also shape the bridge and the tip of the nose to give them a more delicate appearance. JAMA Facial Plast Surg. They can help you prepare emotionally. Revealing My Post-Facial Feminization Surgery Face! - YouTube Here, you will change into a hospital gown. Be prepared to communicate nonverbally with text messages or notes. Facial Feminization Surgery (FFS). Patients who have met these criteria are deemed appropriate surgical candidates. Dr. Dorafshar's research is focused on gender . Demonstrated understanding of surgery and the implications of this irreversible step. We are happy to share a list of qualified hair removal providers as well as qualified mental health providers upon request. Our body contouring procedures can create a slimmer, sexier physique to help you look and feel your best. 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). 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. 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. 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. Deschamps-Brely J. American Society of Plastic Surgeons. Get useful, helpful and relevant health + wellness information. A small incision is made under the nose to lift the upper lip and decrease the distance between the nose and the upper lip. If you experience symptoms ofdepressionor anxiety before or after surgery, be sure to talk with your healthcare provider, therapist, or other mental health professional. Just look for the RealSelf Verified badge. Facial feminization surgery is performed as either a single procedure or as multiple staged procedures. Am J Bioeth. Once you are scheduled for facial feminization surgery, your surgeon will give you instructions on how to prepare. Have a health condition that makes surgery dangerous. RealSelf Verified doctors complete our multistep verification process and meet rigorous requirements to become our most trusted plastic surgeons and cosmetic procedure providers. Please contact our office with any questions. 2020 Aug; 53(2): 244253. Thank you, {{form.email}}, for signing up. Why Am I Always The Second Best Friend, 1887 Mexican $500 Coin, Articles F
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