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). Orchiectomy (surgical removal of the testes) - 2 letters must be obtained. 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. For example, a forehead reduction may be performed using an open or endoscopic approach. 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. While some individuals may feel that facial feminization surgery is necessary to feel affirmed in their gender, others may not. Transgender women may choose to have voice change surgery as part of their male-to-female (MTF) transition. These help treat vocal cord scarring or dysphonia. Once you are scheduled for facial feminization surgery, your surgeon will give you instructions on how to prepare. Not enough pitch increase (voice is still too low). We do not endorse non-Cleveland Clinic products or services. Each patient is different and your expectations and desired results will be discussed fully in your consultation. He welcomes patients in his hospital base and private practice offices. It is the patients responsibility to disclose all medical and surgical history to the consultant or specialist nurses. 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. Insurance Dr. Angela Rodriguez San Francisco, California 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. If you are being discharged that day, it will likely be a few hours after the procedure. Living in gender role full time for minimum of 12 consecutive months. The procedure is used to decrease the distance between the hairline and the eyebrows giving a more youthful, feminine appearance. Have a mental health disorder that impairs your ability to make appropriate personal decisions. 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. 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. Hairline advancement (scalp advancement): Scalp advancement is a procedure done to move the hairline forward, decreasing the prominence of the forehead. University of California, San Francisco. Last reviewed by a Cleveland Clinic medical professional on 06/08/2021. Nicotine/nicotine-related product free (minimum 3 months). Facial Feminization Surgery: Everything You Need to Know. Forehead lengthening is a procedure, which elongates the forehead, increasing the distance between the brow ridge and hairline. *Your results may vary. This usually requires that you use lots of pillows or a soft foam wedge behind your head when sleeping. Facial Feminizations Mastectomies Vaginoplasty Breast Augmentations This procedure involves enlargement of the breasts with an implant. Dr. Dorafshar is a highly distinguished plastic and reconstructive surgeon who specializes in gender-affirming facial surgery. That said, general risks of this surgery include: The purpose of facial feminization surgery is to change masculine facial features into feminine ones. 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. Patients must have a support person to stay with them during their hospital and hotel stay. 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. Meta. 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. All of this information helps your surgeon plan your treatment. They will ask you about your goals for surgery and explain what you can expect during your recovery after the procedure. That said, the physical and emotional challenges that go along with surgery are very real. Facial feminisation surgery can involve a combination of all or some of the below cosmetic procedures. Facial feminization surgery is a series of procedures that can reshape the face and its features to achieve a more feminine appearance. Please make sure that you have a driver for any postoperative visit that is within 2-4 weeks of your surgery. To ease discomfort, take your pain medication exactly as prescribed. Decreasing the distance between the nose and upper lip gives a more feminine balance to the face. While estrogen won't affect your bone structure, it will redistribute facial fat, and this may alter your surgical plan. An Adams apple that is still prominent after the procedure, Removal of too much cartilage, which can damage the vocal cords. You will have to clean the inside of your mouth with a prescription mouthwash for a few weeks after surgery. Swelling, warmth, or foul-smelling drainage from the incision site(s). With the traditional "open" approach, a surgeon makes a large incision to perform the operation. 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. You will be advised to rest for a couple of days. Insurance Coverage: This procedure is covered by many insurance plans when criteria has been met. Postoperative appointments: There will be several postoperative appointments after your surgery depending on what type of surgery you have. Determine what it is that you like or dislike about your look. 2020. Upon arrival at the hospital or surgical center, you will be led into a small pre-operative/holding room. Ohio Facial Feminization Surgery 19 Facial Feminization Surgery doctors in Ohio, USA CareCredit credit card can help finance cosmetic surgery, minimally invasive procedures, dermatology expenses and more. There are many techniques used to perform facial feminization surgery, and many factors should be taken into consideration when choosing which . A tracheal shaving procedure involves reduction of the thyroid cartilage to reduce the size of the Adams apple. was also featured in a documentary (badly) titled "Sex Change" shown by Channel 4 (a terrestrial TV station in the UK). Once your provider removes your stitches, you may be able to return to work or light activities. He has now performed over 200 feminizing bottom surgeries and his practice is fully dedicated to providing gender-affirming surgical care. 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. We are happy to share a list of qualified hair removal providers as well as qualified mental health providers upon request. Use our list of health topics to reach your destination faster. Take two to three weeks off from work (this may vary based on the procedures you had and your occupation). Transgender patients have facial feminisation surgery to soften and feminise features such as their jaw, cheeks, forehead and nose. Avoid hot beverages for one or two weeks or until your incisions heal. IPS Transformation | Facial Feminization Surgery - YouTube If you are concerned about scarring, contact your surgeon. Insurance Coverage:This procedure is sometimes covered by insurance plans when criteria has been met. The brow lift can be used in combination with the scalp advancement procedure to give a more youthful feminine aesthetic outcome. Forehead contouring (frontal bossing): Forehead contouring involves shaving down the frontal bone and altering its pronounced shape. When showering, wash your incision sites very gently with warm water and soap and pat the skin dry with a clean towel. 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. From there, you will walk on your own into the operating room or be wheeled on a gurney. 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. 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. What are the masculine features that you would most like to soften and make more feminine? It helps drain blood and fluid to prevent swelling. Who might need facial gender surgery? that meets WPATH Guidelines: WPATH Guidelines for Gender Affirming Surgeries. This video follows my entire experience with FFS (facial feminization surgery) from beginning to end in chronological order. 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. He has extensive training and experience in facelift, rhinoplasty body, and breast surgery. To access the larynx, the surgeon makes an incision in your neck. It is strongly suggested that all prospective clients perform their own independent research regarding Totonchi Plastic Surgery and our qualifications. For patients having forehead and hairline contouring, the brow can be lifted through the same incision made in the scalp. Few hospitals are equipped to provide such care. When multiple surgeries are desired, the surgeon will plan a staged approach. Bandages and dressings: Do not remove tape, gauze, drains, splints or compression dressings: The doctor will take off these items and examine the surgical area at your first clinical appointment after your procedure. However, it can take months for you to see the full results of the procedure. We're happy to complete FMLA and STD paperwork if applicable. 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. Products & Services Book: Mayo Clinic Family Health Book, 5th Edition Reviewing your current medications and any allergies you may have. With IPS Transformation we offer a variety of high quality, indivi. Dubov A, Fraenkel L. Facial Feminization Surgery. doi:10.1001/jamafacial.2016.1572, Pittman TA, Economides JM. Administering cosmetic fillers may take an hour or less, while complex facial surgery may take several hours. Our providers specialize in head and neck surgery and oncology; facial plastic and reconstructive surgery; comprehensive otolaryngology; laryngology; otology, neurotology and lateral skull base disorders; pediatric otolaryngology; rhinology, sinus and skull base surgery; surgical sleep; dentistry and oral and maxillofacial surgery; and allied hearing, speech and balance services. Before and after photos on this website are Dr. Totonchis actual patients and all patients have given consent for use of these photos. You may consider this surgery if youre a transgender woman (transitioning from male to female). Raffaini M, Magri AS, Agostini T. Full Facial Feminization Surgery: Patient Satisfaction Assessment Based on 180 Procedures Involving 33 Consecutive Patients. Bellinga RJ, Capitn L, Simon D,Tenrio T. Technical and Clinical Considerations for Facial Feminization Surgery With Rhinoplasty and Related Procedures. Chest surgery is sometimes performed as an outpatient procedure but some patients may require one night stay in the hospital. If you decide to proceed with surgery, various tests will be recommended for medical and anesthesia clearance. Please check with your insurance provider to make sure that it is covered. More people (about 14%) choose to have nonsurgical voice feminization therapy instead. Reviewed November 2020. Though the procedures are largely safe, it is important tocall your doctor right away if you develop a fever, severe pain or other signs of infection, or if you have any other concerns. 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. It is important to follow the doctors advice for the weeks following a tracheal shave. Typically, you will need to cover the incisions with gauze and rewrap your head with bandages. The overall goal of the SOC is to provide clinical guidance for health professionals to assist transsexual, transgender, and gender nonconforming people with safe and effective pathways to achieving lasting personal comfort with their gendered selves, in order to maximize their overall health, psychological well-being, and self-fulfillment. Dr. McClung is a board-certified urologist in Columbus, Ohio who specializes in gender-affirming Vaginoplasty. Additionally, the forehead and brow ridge are reshaped to create a softer contour with feminine highlights. 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. Photo time lapse compilation at . Call and make your consultation appointment with Dr. Totonchi to discuss your FFS needs, call office at 216-778-2262. Generally, female noses tend to be smaller, less prominent, and slightly pointed. Research suggests that patients who have undergone facial feminization surgery are generally pleased with their results. Facial Feminization Surgery under Insurance: The University - LWW You may go home with a surgical drain. 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. Any specific claims or permanence length of results vary for each patient and are not guaranteed. You may find it painful to chew solid food for a few days. 2 The surgery may also be performed in cisgender women who desire a more feminine face or facial feature (e.g., a lower hairline). Facial feminization surgery is a series of procedures that can reshape the face and its features to achieve a more feminine appearance. The Latest in Non-Invasive and Minimally Invasive Face & Body Contouring. Facial feminization surgery has a wide range of recovery time depending on the combination of procedures that are chosen. What is facial feminization surgery (FFS)? - Paul Mittermiller, MD Over the last several years, we have been actively expanding the surgical services Cleveland Clinic offers to gender and sex-minority patients. 2012;13(4):165-232. doi:10.1080/15532739.2011.700873. Free of any non-prescribed substances including marijuana (minimum 3 months). Have disorders that require androgen (male sex hormone) therapy as treatment. Facial Feminization Surgery Before & After Pictures - RealSelf 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. Facial feminization surgery (FFS) includes a series of plastic and craniofacial surgical procedures designed to feminize the face. 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. 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. Facial Feminization Surgery Cleveland - FFS Surgeon Cost - Dr. Ali Totonchi FFS can change your hairline, forehead, nose, jaw and other parts of your face. Any non-disclosure could result in your surgery being cancelled. 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. 9500 Euclid Ave. Insurance Coverage: This procedure is very specialized and often not covered by insurance plans. Browseour articlesto find trusted information on training, nutrition, getting back to good health and much more. Many people who are transitioning from male to female consider this an important step in their transition process. Demonstrated the capacity to make a fully informed decision and consent for treatment and the ability to comply with medical instruction. 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. 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. On the other hand, a cisgender woman with a receding hairline may only desire a hairline advancement procedure. It is strongly suggested that all prospective clients perform their own independent research regarding Totonchi Plastic Surgery and our qualifications. The entire of scope of jaw contouring procedures are done from incisions made inside the mouth. They vibrate when you take in air. If you are considering any bone-related procedure (e.g., forehead or jaw), you will need to get X-rays or a computed tomography (CT) scan of your facial bones. She is an assistant professor at the Alpert Medical School of Brown University. Facial pain and tightness after surgery will vary in severity based on the procedures you underwent. 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. Your vocal cords (also called vocal folds) are bands of soft tissue in your larynx (voice box). Facial Feminization Surgery Photos Browse Facial Feminization Surgery before & after photos shared by doctors on RealSelf. Some surgeons recommend splitting the procedures into two surgeries, separated by seven to 10 days or longer. Facial feminization surgery (FFS) describes a group of procedures that are performed to feminize the face. Recovery After Facial Feminization Surgery. The procedure can involve cutting or reshaping the bones as well as the cartilage. When bathing or showering, be sure to use unscented soap, and never allow the water to directly spray the surgical area. Bruises, including black eyes, may take four to six weeks to clear up. Anna's Place - Trans: Facial Feminisation Surgery A laryngologist performs voice feminization surgery. 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. The total cost will vary depending upon the procedure and the number of stages needed. Dr. Amir Dorafshar. 2019 May;27(2):191-197.doi:10.1016/j.fsc.2018.12.002. Facial Feminization Surgery: Before and After Gallery They can help you prepare emotionally. Scarring inside your voice box or on the outside of your throat. Transgender women may choose the surgery as part gender confirmation process. Your diet instructions may also vary depending on whether you had any procedures performed in or around your lips, mouth, or jaw. X-rays or CT scans take pictures of the bones and soft tissues of your face and skull. BMI requirements are determined by your surgeon. Healthcare providers usually recommend voice feminization therapy before and after surgery. Gender Confirmation Surgery Toledo, Ohio & Michigan | Artisan Cosmetic The incisions for an eyelid lift can either be hidden in the crease of the eyelid or placed behind it to minimize visible incisions. When adding the rhinoplasty procedure, nasal splints and stents are kept in placed for 2 weeks before removal. Cleveland Clinic is a non-profit academic medical center. They may recommend certain ointments or treatments to address them sooner than later. Do not eat or drink anything after midnight on the eve of your surgery. In addition to adjusting the pitch of your voice, a speech-language pathologist helps you feminize: About 1% of transgender women have voice feminization surgery. 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. 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. Standards of Care for the Health of Transsexual, Transgender, and Gender-Nonconforming People, Version 7.International Journal of Transgenderism. Preparing for Surgery: Checklist. This procedure is often done in conjunction with chin reshaping. If you are staying overnight, you will be moved to a hospital room once you are fully awake. 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. 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. 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. Facial Feminization Surgery (FFS) | Johns Hopkins Medicine (2014). 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. 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. Gender Affirming Surgery: Before and After Photos - Cleveland Clinic The tracheal shave procedure performed alone does not have any downtime. American Psychiatric Association. They vibrate when you take in air. Those looking to soften and feminise their facial features such as their jaw, cheeks, forehead and nose. Cleveland Plastic Surgery - Best Cosmetic Surgeon Cleveland Masculine facial features tend to be square and sharp. In FMS, the cheeks can be made more angular and prominent in order to mimic a masculine facial bone structure. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7024865/). 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. In certain cases, it may be performed underlocal anesthesiawith intravenous sedation (the area being operated on is numbed and you are put into a light sleep). The selection of procedures is customized for each person based on their aesthetic goals. Patients who have met these criteria are deemed appropriate surgical candidates. Orchiectomy is performed as an outpatient procedure. A cartilage graft is used to change the size and shape of the nose. Our body contouring procedures can create a slimmer, sexier physique to help you look and feel your best. To minimize swelling (which peaks two to three days after the operation), your surgeon will probably advise you to ice your face. Even with a documented diagnosis of gender dysphoria, facial feminization surgery is not consistently covered by insurance. The placement and size of the implant will depend on the individual patients facial anatomy. This means you probably wont have to stay overnight in the hospital or surgery center. 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. Learn more about cleft lip and palate surgery, ear reconstruction (otoplasty), giant congenital nevus (GCN) and other craniofacial procedures from leading specialist Dr. Totonchi. These changes address the gendered differences in facial structure that occur due to testosterone exposure during various phases of development. Most patients first begin working with a therapist before and after starting hormones. The operations usually consist of multiple procedures including those listed below . Facial feminization surgery (FFS) encompasses a series of surgical interventions designed to make your face appear more feminine. 19 Facial Feminization Surgery doctors in Ohio, USA | RealSelf Voice feminization surgery is a procedure to increase the pitch of your voice. CareCredit credit card can help finance cosmetic surgery, minimally invasive procedures, dermatology expenses and more. Healthcare providers recommend voice feminization therapy before and after surgery. Doing two surgeries gives your face more time to heal between surgeries and allows more flexibility for patients. Your doctor will provide instructions on returning to work and exercise and other tips on whats safe to do and when. Sort by doctors that use CareCredit Ali Totonchi, MD Board Certified Plastic Surgeon 59 reviews Virtual consultations accepted 17 yrs experience They control the pitch of your voice. Avoid exercise or other strenuous activities for at least four weeks after your surgery. Undergoing this procedure will not interfere with the possibility of having future vaginoplasty. Contact your healthcare provider right away if you experience any of these complications after your surgery: Facial feminization surgery (FFS) is a procedure to make your face appear more feminine instead of masculine. Surgical manipulation of the bone and soft tissues of the face create a feminine appearance. Revealing My Post-Facial Feminization Surgery Face! - YouTube You might wear compression wraps around your forehead or jaw to reduce inflammation. While the surgery takes place, you will be asleep under general anesthesia. Your consultation can be scheduled once 50% of hair removal is completed. BMI requirements are determined by your surgeon. You may consider this surgery if you're a transgender woman (transitioning from male to female). Minimize sun exposure and always wear sunscreen. Tracheal shave is one of the simplest surgeries done to obtain feminine features and can be performed under local anesthetic. Your surgeon andanesthesiologistwill come to greet you and review the operation with you. In addition, staging provides ample time for recovery between operations. Avoid driving until you are off all pain medication and your surgeon gives you the OK. 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. The SOC are based on the best available science and expert professional consensus. Please be sure to inform your surgeon of all the drugs you take, including prescription and over-the-counter medications, herbal products, dietary supplements, vitamins, and recreational drugs.
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