Case Rep Surg. Copy of your most recent primary care medical records. New masking guidelines are in effect starting April 24. 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. He welcomes patients in his hospital base and private practice offices. 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 Transgender Surgery Program has a special rate for our patients with the hotel. For patients having forehead and hairline contouring, the brow can be lifted through the same incision made in the scalp. We do not endorse non-Cleveland Clinic products or services. It's important that you and your surgeon have goals that are aligned and realistic. 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. Please make sure that you have a driver for any postoperative visit that is within 2-4 weeks of your surgery. You will have to clean the inside of your mouth with a prescription mouthwash for a few weeks after surgery. The brow lift procedure moves the eyebrows to a higher set position on the forehead, giving a softer, wide eyed, feminine appearance. 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. University of California, Sam Francisco. Blog . A cartilage graft is used to change the size and shape of the nose. These help treat vocal cord scarring or dysphonia. (2021). JAMA Facial Plast Surg. Be prepared to communicate nonverbally with text messages or notes. During your consultation your Consultant will be able to advise you in detail about your personal recovery. 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. Sort by doctors that use CareCredit Ali Totonchi, MD Board Certified Plastic Surgeon 59 reviews Virtual consultations accepted 17 yrs experience For example, a forehead reduction may be performed using an open or endoscopic approach. (415) 353-9500. With facial feminization surgery, there are several different surgical procedures a person may undergo. 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. Sort by doctors that use CareCredit 11.1 mi Ali Totonchi, MD Board Certified Plastic Surgeon 57 reviews 29017 Cedar Rd., Lyndhurst, Ohio Virtual consultations accepted Facial Feminization Surgery (FFS). Technical and clinical considerations for facial feminization surgery with rhinoplasty and related procedures. It is performed as an outpatient procedure. Since your face contains lots of blood vessels, it easily swells and bruises, and this can be quite dramatic after your surgery. He has also given relief to many patients who have suffered from migraine headaches with an innovative technique that has been developed and pioneered by Dr. Bahman Guyuron. Photo time lapse compilation at . Every person's gender journey is different. The surgery softens these features, creating a face that is more oval-shaped. Forehead lengthening is a procedure, which elongates the forehead, increasing the distance between the brow ridge and hairline. Facial Feminizations Mastectomies Vaginoplasty Breast Augmentations This procedure involves enlargement of the breasts with an implant. We do not endorse non-Cleveland Clinic products or services. When showering, wash your incision sites very gently with warm water and soap and pat the skin dry with a clean towel. 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. YOU WILL NOTICE A DIFFERENCE IN SERVICE AND CARE THE MOMENT YOU VISIT OUR OFFICE. Here are some basics for recovery after facial surgery: Bruising and swelling: These are common side effects after facial plastic surgery. Hysterectomy is often performed as an outpatient procedure, but some patients may require one night stay in the hospital. The use of modern technologies allows new options in the treatment of complex situations. Staying in the hospital: Your procedure may be performed in a hospital or outpatient center. 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. 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. Surgery changes the length, size or tightness of your vocal cords. Facial feminization surgery has a wide range of recovery time depending on the combination of procedures that are chosen. By Elizabeth Boskey, PhD 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. Transgender women may choose the surgery as part gender confirmation process. The procedure is used to decrease the distance between the hairline and the eyebrows giving a more youthful, feminine appearance. You might wear compression wraps around your forehead or jaw to reduce inflammation. It is the patients responsibility to disclose all medical and surgical history to the consultant or specialist nurses. Cleveland Clinic is a non-profit academic medical center. Your doctor will provide instructions on returning to work and exercise and other tips on whats safe to do and when. The nasal tip is generally adjusted to give a upward feminine appearance rather than the typical male downward nasal appearance. Warning: You do not have JavaScript enabled. Identifying risks for potential complications. See ourCQC ratings. The mental health professional will review your gender identity and dysphoria and help you determine how the surgery fits into your overall treatment plan. Postoperative appointments: There will be several postoperative appointments after your surgery depending on what type of surgery you have. Before and after photos on this website are Dr. Totonchis actual patients and all patients have given consent for use of these photos. 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. Insurance Dr. Angela Rodriguez San Francisco, California Brow lift: The brow lift/forehead lift gives the most dramatic FFS results. Forehead contouring (frontal bossing): Forehead contouring involves shaving down the frontal bone and altering its pronounced shape. All patients are fully assessed for their safety prior to surgery. If you decide to proceed with surgery, various tests will be recommended for medical and anesthesia clearance. RealSelf Verified doctors complete our multistep verification process and meet rigorous requirements to become our most trusted plastic surgeons and cosmetic procedure providers. At the end of the procedure, the incision will be closed with sutures that do not need to be removed. Instead, a staged approach, based on your priorities, is recommended. Patients must have a support person to stay with them during their hospital and hotel stay. Even fewer hospitals offer surgical care for patients wishing to undergo gender affirmation surgery. 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. Last reviewed by a Cleveland Clinic medical professional on 09/06/2021. You may go home with a surgical drain. Typically, you will need to cover the incisions with gauze and rewrap your head with bandages. Posts Tagged. Reviewed November 2020. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7024865/). Learn more about cleft lip and palate surgery, ear reconstruction (otoplasty), giant congenital nevus (GCN) and other craniofacial procedures from leading specialist Dr. Totonchi. The procedure takes one to two hours and may not require admission to the hospital. Dr. Dorafshar's research is focused on gender . Once your provider removes your stitches, you may be able to return to work or light activities. 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. Facial surgery with him (in theatre - and they showed a great deal!) You may have temporary restrictions on heavy lifting, vigorous exercise or other activities. 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. In the case of patients with more narrow mandible angles, jaw implants are used to create a more defined jaw structure. 2019 May;27(2):191-197.doi:10.1016/j.fsc.2018.12.002. Kaiser Permanente. Insurance Coverage: This procedure is very specialized and often not covered by insurance plans. 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. Transgender women may choose FFS to affirm their gender. But some procedures require incisions (cuts) on the outside of your throat. The Transgender Surgery Program has a special rate for our patients with the hotel. For the first few days after surgery, you may need to avoid talking, laughing, singing or coughing. The incision is closed with sutures (stitches). Pain and discomfort: Most people experience some discomfort for four or five days after surgery, but this should begin to ease, allowing you to gradually return to normal activities. 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. 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. Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. The procedure is often performed laparoscopically using three 5mm incisions on the lower abdomen. Males tend to have wider and longer foreheads than females. Facial Feminization Surgery Photos Browse Facial Feminization Surgery before & after photos shared by doctors on RealSelf. Surgery will be carried out under general anaesthetic and can typically range from around 4 to 8 hours depending on the procedures. If you are concerned about scarring, contact your surgeon. Facial feminization surgery may be part of the treatment approach for a person who desires a more feminine facial appearance. doi:10.1055/s-0040-1716440, Ferrando CU, Thomas TN. 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. Even with a documented diagnosis of gender dysphoria, facial feminization surgery is not consistently covered by insurance. The most important thing to us is getting you fit and healthy with our network of fitness experts and cutting-edge facilities. 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. Facial feminization surgery has a wide range of recovery time depending on the combination of procedures that are chosen. 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. This will vary greatly from patient to patient and the surgeries being undertaken but typically you will need around 3 weeks off work. (2014). Signs of symptoms of infection, including increased redness, pain, drainage or swelling. FFS addressed your forehead prominence (frontal bossing), hairline, eye socket shape, nose, cheeks, temples, lips, chin . The techniques can help transgender women transition physically to their self-affirmed gender. Facial feminization surgery, or FFS, is a series of plastic surgery procedures designed to create a more feminine appearance of the face for patients undergoing gender affirmation treatment. When you awaken from surgery, there will be a drain in place; this will likely come out before you are released to go home. Have a health condition that makes surgery dangerous. that meets WPATH Guidelines: WPATH Guidelines for Gender Affirming Surgeries. 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. Hair removal completed, free of regrowth. There are no time limits on your aftercare. FFS may be part of an overall plan of gender affirmation, aligning the appearance of the face and body with a persons gender. A surgical nurse will review your medication list, record yourvitals(heart rate, blood pressure, etc. Minimize sun exposure and always wear sunscreen. Upon arrival at the hospital or surgical center, you will be led into a small pre-operative/holding room. In extreme cases, a tissue expansion is used to achieve the desired effect. You will notice a difference in service and care the moment you visit our office. The procedure may include reducing the prominence of the bony ridge above your eyes and reshaping the hairline. Male hysterectomy/vaginectomy - 2 letters must be obtained. American Society of Anesthesiologists. Furthermore, not all healthcare providers may offer them. Facial feminization surgery (FFS) includes a series of plastic and craniofacial surgical procedures designed to feminize the face. Although. The cost of the hotel stay is out-of-pocket, as insurance does not cover this expense for your surgery. Raffaini M, Magri AS, Agostini T. Full Facial Feminization Surgery: Patient Satisfaction Assessment Based on 180 Procedures Involving 33 Consecutive Patients. Soft foods and nutritional shakes may be easier to manage. Please check with your insurance provider to make sure that it is covered. When multiple surgeries are desired, the surgeon will plan a staged approach. Once you are scheduled for facial feminization surgery, your surgeon will give you instructions on how to prepare. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event, (https://www.plasticsurgery.org/reconstructive-procedures/facial-feminization-surgery). An Adams apple that is still prominent after the procedure, Removal of too much cartilage, which can damage the vocal cords. Find out more. Administering cosmetic fillers may take an hour or less, while complex facial surgery may take several hours. Insurance Coverage: This procedure is covered by many insurance plans when criteria has been met. The Ethics of Gatekeeping in Transgender Health. Generally, female noses tend to be smaller, less prominent, and slightly pointed. Free of any non-prescribed substances including marijuana (minimum 3 months). 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.
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