Free of any non-prescribed substances including marijuana (minimum 3 months). The incisions for an eyelid lift can either be hidden in the crease of the eyelid or placed behind it to minimize visible incisions. 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. Transportation After Surgery: You must have a family member, friend or caregiver drive you home from surgery as medical transportation cannot be used upon hospital discharge. While estrogen won't affect your bone structure, it will redistribute facial fat, and this may alter your surgical plan. 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. Transgender women may choose to have voice change surgery as part of their male-to-female (MTF) transition. Over the last several years, we have been actively expanding the surgical services Cleveland Clinic offers to gender and sex-minority patients. (2021). UpToDate. 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. Resonance (how you pass air through your vocal folds to control the intensity of your voice). However, it can take months for you to see the full results of the procedure. Avoid hot beverages for one or two weeks or until your incisions heal. 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. The Adams apple is an area of cartilage around the larynx (voice box) that tends to be larger in people assigned male at birth. Facial Feminization Surgery is a critical part of a transition timetable for a transgender patient who has decided to live full time as female. The surgeon may use this method to shape various areas of the face and may include a silicone implant to sculpt the cheeks into a rounder, more feminine shape. Sometimes voice feminization surgery doesnt produce the results you want. A surgeon can reconstruct the forehead by thoroughly measuring the existing bone structure and carefully working around the frontal sinuses behind the bone of your forehead. 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 Instead, a staged approach, based on your priorities, is recommended. He offers Facial Feminization and Masculinization Surgery as part of the Gender Affirmation Surgery Program at Rush university Medical Center. How long it takes: This depends on what you are having done. See ourCQC ratings. Before facial feminization surgery, your healthcare provider will perform a thorough personal assessment. 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. Hair removal completed, free of regrowth. 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. Some of the most popular procedures performed by Dr. Totonchi include: Tracheal Shave: A tracheal shave reduces the size of the Adams apple to achieve a smoother, more elongated appearance of the neck. We work with you and your insurance provider to get you the treatment you need quickly, Forehead contorting, brow lift, hairline advance, Stop smoking 8 weeks prior to surgery, including vaping and recreational drugs, Patients are not required to stop any hormone treatment before undergoing surgery. Vaginoplasty (female genital reconstructive surgery) - 2letters must be obtained. From there, you will walk on your own into the operating room or be wheeled on a gurney. For example, a forehead reduction may be performed using an open or endoscopic approach. 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. Breast augmentation is often performed as an outpatient procedure but some patients may require one night stay in the hospital. BMI requirements are determined by your surgeon. Your provider may use steroid injections or Botox injections after surgery. It is important to follow the doctors advice for the weeks following a tracheal shave. This means you probably wont have to stay overnight in the hospital or surgery center. A variety of techniques can be employed for the chin, which includes the use of a chin implant, osteotomy (cutting and shaping of the chin bone), or fat graft. There are many techniques used to perform facial feminization surgery, and many factors should be taken into consideration when choosing which . The surgeon can perform a nose-reshaping operation called arhinoplasty(sometimes called a nose job) to reduce the width and shape of the nose. A drain is a thin, plastic tube that the surgeon places under your skin. Forehead contouring (frontal bossing): Forehead contouring involves shaving down the frontal bone and altering its pronounced shape. Technical and clinical considerations for facial feminization surgery with rhinoplasty and related procedures. 2020 Aug; 53(2): 244253. Surgery changes the length, size or tightness of your vocal cords. Dr. Amir Dorafshar. With the endoscopic approach, smaller incisions and special, pliable instruments are used to perform the procedure. 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. Parts of this website will not display or function properly. We recognize that you have many options when it comes to your cosmetic or plastic surgery needs. 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. Facial feminization surgery is a series of procedures that can reshape the face and its features to achieve a more feminine appearance. Many people who are transitioning from male to female consider this an important step in their transition process. The procedure takes one to two hours and may not require admission to the hospital. Dr. McClung is a board-certified urologist in Columbus, Ohio who specializes in gender-affirming Vaginoplasty. For more information about the program or to make an appointment, please contact the Transgender Surgery Program at 216.445.6308. However, facial masculinization surgery (FMS) is gaining popularity. This procedure reshapes the jaw line, increases facial width, and creates an angular, more masculine jaw line. He is also one of the few plastic surgeons in the area who performs surgical treatment of migraine headaches and also facial feminization surgery. The nasal tip is generally adjusted to give a upward feminine appearance rather than the typical male downward nasal appearance. If you haven't already, you may also consider finding a facial feminization support group. This usually requires that you use lots of pillows or a soft foam wedge behind your head when sleeping. 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. Policy. The incision is closed with sutures (stitches). 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 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. You will be advised to rest for a couple of days. Once all criteria have been met, we will be happy to schedule a formal surgical consultation. Facial Feminization Surgery: A Review of 220 Consecutive Patients. Hairline advancement (scalp advancement): Scalp advancement is a procedure done to move the hairline forward, decreasing the prominence of the forehead. The procedure may include reducing the prominence of the bony ridge above your eyes and reshaping the hairline. Be prepared to communicate nonverbally with text messages or notes. Verywell Health's content is for informational and educational purposes only. Before the first consultation, the surgeon may schedule photographs,X-raysand a 3DCT scanthat shows your facial bones and soft tissue. Your doctor will provide instructions on returning to work and exercise and other tips on whats safe to do and when. Even fewer hospitals offer surgical care for patients wishing to undergo gender affirmation surgery. Tracheal shave is one of the simplest surgeries done to obtain feminine features and can be performed under local anesthetic. Vaccines & Boosters | Testing | Visitor Guidelines | Coronavirus. Facial feminization surgery is performed in a hospital or surgical center. Facial Feminization Procedures Facial feminization surgery (FFS) involves several surgeries that can be done to feminize the facial features. Facial feminization surgery is performed as either a single procedure or as multiple staged procedures. Plastic and Reconstructive Surgery: Facial Feminization. If you are concerned about scarring, contact your surgeon. Risks of voice feminization surgery include: The major benefit of voice feminization surgery is that you can achieve a pitch that more closely matches your gender identity. The selection of procedures is customized for each person based on their aesthetic goals. 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. American Society of Anesthesiologists. Do not eat or drink anything after midnight on the eve of your surgery. Denver Health. Cutting and reformatting the scalp can lower the hairline and give it a more feminine or nonbinary look. Risks of facial feminization surgery include: Face feminization surgery can help give you the physical appearance of the gender you identify with. 2018; 2018: 1947807.doi:10.1155/2018/1947807, Telang PS. FFS can reshape bone, cartilage and soft tissue of the face. Policy. Various techniques may be used to perform this procedure, and they are surgeon and patient dependent. While you are considering facial feminization surgery, make a plan for yourself. 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. This procedure involves enlargement of the breasts with an implant. 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. 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. Preparing for Facial Feminization Surgery: Timing. The most important thing to us is getting you fit and healthy with our network of fitness experts and cutting-edge facilities. At the end of the procedure, the incision will be closed with sutures that do not need to be removed. A nurse will administer medications, as needed, to ease your symptoms. 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 Comprehensive care for transgender patients involves a wide spectrum of services, ranging from routine medical visits to the physical transition process. 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. Facial Feminization Surgery: What are the risks of facial feminization surgery? Stable mental health, sufficiently self-aware, and successfully managing identified issues with depression. Facial Feminizations Mastectomies Vaginoplasty Breast Augmentations This procedure involves enlargement of the breasts with an implant. The brow lift procedure moves the eyebrows to a higher set position on the forehead, giving a softer, wide eyed, feminine appearance. Are a transgender woman (male transitioning to female). Facial feminization surgery (FFS) includes a series of plastic and craniofacial surgical procedures designed to feminize the face. 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. Make sure you bring your driver's license, insurance card, and a list of your medications. 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 is typically only needed if you are undergoing surgery as a gender-affirming operation. You may experience some throat pain or discomfort. Vaginoplasty surgery involves creation of the vulva (outer female genital structures) with or without a vaginal canal. All information on this site is intended for general purposes and is in no way a substitute for professional medical advice. Need help eliminating stubborn pockets of fat or loose, excess skin? University of California, Sam Francisco. The doctor may recommend a soft or liquid diet until you can swallow food comfortably. 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. Demonstrated the capacity to make a fully informed decision and consent for treatment and the ability to comply with medical instruction. Dont have realistic expectations about the results. 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. FFS can change your hairline, forehead, nose, jaw and other parts of your face. Read on to find out why you might pay more or less, and whether the cost is really worth it. 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.) I just had facial feminization 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. Facial Feminization Surgery: Everything You Need to Know. Reviewing your current medications and any allergies you may have. FFS procedures can reshape the forehead, brows, nose, cheeks and jaw as well as minimize the appearance of an Adams apple (tracheal shave). Our prices are all-inclusive. 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. Its important to have realistic expectations about the results of voice feminization surgery. On the other hand, a cisgender woman with a receding hairline may only desire a hairline advancement procedure. 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) . Surgery changes the length, size or tightness of your vocal cords. ), and place an intravenous (IV) line into a vein in your arm. 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. Transgender women may choose FFS to affirm their gender. Posts Tagged. Sort by doctors that use CareCredit Ali Totonchi, MD Board Certified Plastic Surgeon 59 reviews Virtual consultations accepted 17 yrs experience Your vocal cords (also called vocal folds) are bands of soft tissue in your larynx (voice box). 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. 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. Please contact our office with any questions. About. In FMS, the cheeks can be made more angular and prominent in order to mimic a masculine facial bone structure. Males tend to have wider and longer foreheads than females. The process depends on the facial features you choose to change. Surgery will be carried out under general anaesthetic and can typically range from around 4 to 8 hours depending on the procedures. 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. When showering, wash your incision sites very gently with warm water and soap and pat the skin dry with a clean towel. 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. The placement and size of the implant will depend on the individual patients facial anatomy. The Latest in Non-Invasive and Minimally Invasive Face & Body Contouring. Depending on the specific procedure being performed, there may be more than one approach that a surgeon can use. 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. We're happy to complete FMLA and STD paperwork if applicable. Take two to three weeks off from work (this may vary based on the procedures you had and your occupation). The brow lift can be used in combination with the scalp advancement procedure to give a more youthful feminine aesthetic outcome. We recognize that you have many options when it comes to your cosmetic or plastic surgery needs. Doing two surgeries gives your face more time to heal between surgeries and allows more flexibility for patients. Case Rep Surg. What are the masculine features that you would most like to soften and make more feminine? Even with a documented diagnosis of gender dysphoria, facial feminization surgery is not consistently covered by insurance. They control the pitch of your voice. This is a thin, lighted tube that goes into your mouth and reaches back to your larynx. Demonstrated understanding of surgery and the implications of this irreversible step. Your surgeon will also take photographs of your face during this visit. It is performed as an outpatient procedure. Photo time lapse compilation at . (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7458845/). CareCredit credit card can help finance cosmetic surgery, minimally invasive procedures, dermatology expenses and 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. Cleveland Clinic Main Campus The procedure can involve cutting or reshaping the bones as well as the cartilage. You should also arrange to have someone stay with you for the first few days (perhaps up to a week) after surgery to help you with your recovery and other logistics, like household chores, picking up medications from the pharmacy etc. doi:10.1080/15265161.2018.1531159, Salgado CJ, AlQattan H, Nugent A, et al. He has extensive training and experience in facelift, rhinoplasty body, and breast surgery. 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.
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