Its important to have realistic expectations about the results of voice feminization surgery. You will be advised to rest for a couple of days. Incision sites may also vary with certain procedures. To optimize your wound healing and surgical results, it's important to follow post-operative instructions carefully. The techniques can help transgender women transition physically to their self-affirmed gender. Avoid exercise or other strenuous activities for at least four weeks after your surgery. Please check with your insurance provider to make sure that it is covered. 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. 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. These may be staged over time or performed during the same surgery, depending on surgeon discretion and patient goals/preferences. 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 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. *Your results may vary. Take two to three weeks off from work (this may vary based on the procedures you had and your occupation). All information on this site is intended for general purposes and is in no way a substitute for professional medical advice. Masculine facial features tend to be square and sharp. You can find out more about our use, change your default settings, and withdraw your consent at any time with effect for the future by visiting Cookies Settings, which can also be found in the footer of the site. This is often because the insurance company may deem the surgery as cosmetic or not medically necessary. The price you see is the price you pay. Get useful, helpful and relevant health + wellness information. Policy. Research suggests that patients who have undergone facial feminization surgery are generally pleased with their results. The incision is closed with sutures (stitches). Facial Feminization Surgery Photos Browse Facial Feminization Surgery before & after photos shared by doctors on RealSelf. Insurance Coverage: This procedure is covered by many insurance plans when criteria has been met. Please make sure that you have a driver for any postoperative visit that is within 2-4 weeks of your surgery. Two weeks prior to surgery, you might be advised to stop taking certain blood-thinning medications, likenon-steroidal anti-inflammatory drugs (NSAIDs). Orchiectomy is performed as an outpatient procedure. Transgender Surgery Ohio - Affordable Facial Feminization Surgery 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). Facial Feminizations Mastectomies Vaginoplasty Breast Augmentations This procedure involves enlargement of the breasts with an implant. Last reviewed by a Cleveland Clinic medical professional on 06/08/2021. Whatever your reason for undergoing facial feminization surgery, be sure to get recommendations for an experienced board-certified plastic surgeon. The Ethics of Gatekeeping in Transgender Health. This video follows my entire experience with FFS (facial feminization surgery) from beginning to end in chronological order. Vaginoplasty surgery involves creation of the vulva (outer female genital structures) with or without a vaginal canal. was also featured in a documentary (badly) titled "Sex Change" shown by Channel 4 (a terrestrial TV station in the UK). Your provider also makes sure youre in good physical health by: You might also have imaging scans before facial feminization surgery. Raffaini M, Magri AS, Agostini T. Full Facial Feminization Surgery: Patient Satisfaction Assessment Based on 180 Procedures Involving 33 Consecutive Patients. Facial Feminization Surgery (FFS) | Johns Hopkins Medicine (2021). Patients must have a support person to bring them home from the hospital. A small incision is made under the nose to lift the upper lip and decrease the distance between the nose and the upper lip. University of Washington. He has now performed over 200 feminizing bottom surgeries and his practice is fully dedicated to providing gender-affirming surgical care. 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. Parts of this website will not display or function properly. This therapy helps you adapt to the changes in your voice. 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. Photo time lapse compilation at . 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. Over the last several years, we have been actively expanding the surgical services Cleveland Clinic offers to gender and sex-minority patients. Upon arrival at the hospital or surgical center, you will be led into a small pre-operative/holding room. 2021. In FMS, the cheeks can be made more angular and prominent in order to mimic a masculine facial bone structure. Most people need several weeks or months to fully recover from FFS. It is important to follow the doctors advice for the weeks following a tracheal shave. Dr. Dorafshar is a highly distinguished plastic and reconstructive surgeon who specializes in gender-affirming facial surgery. 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. These help treat vocal cord scarring or dysphonia. Facial Feminisation Surgery | Nuffield Health The procedure may include reducing the prominence of the bony ridge above your eyes and reshaping the hairline. Facial Feminization Surgery Cleveland - FFS Surgeon Cost - Dr. Ali Totonchi My entire FFS (facial feminization surgery) journey. Before - YouTube 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. Our gym members get 20% off physiotherapy. 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. YOU WILL NOTICE A DIFFERENCE IN SERVICE AND CARE THE MOMENT YOU VISIT OUR OFFICE. While some individuals may feel that facial feminization surgery is necessary to feel affirmed in their gender, others may not. Stable mental health, sufficiently self-aware, and successfully managing identified issues with depression. The procedure requires an inpatient stay in the hospital and if a full-depth vaginoplasty is performed, there is a required stay at a nearby hotel. Healthcare providers usually recommend voice feminization therapy before and after surgery. 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. Determine what it is that you like or dislike about your look. Sometimes voice feminization surgery doesnt produce the results you want. Reviewed November 2020. Please make sure that you have a driver for any postoperative visit that is within 2-4 weeks of your surgery. Your goals are extremely important and Dr. Totonchi will help you understand how your goals can be accomplished with the proper expectations for the cosmetic or other surgical procedure you are seeking. Even with a documented diagnosis of gender dysphoria, facial feminization surgery is not consistently covered by insurance. The surgery may also be performed in cisgender women who desire a more feminine face or facial feature (e.g., a lower hairline). Meta. Facial feminization surgery (FFS) includes a series of plastic and craniofacial surgical procedures designed to feminize the face. IPS Transformation | Facial Feminization Surgery - YouTube drtotonchi.com. Instead, a staged approach, based on your priorities, is recommended. Your consultation can be scheduled once 50% of hair removal is completed. They may recommend certain ointments or treatments to address them sooner than later. Insurance Coverage: This procedure is covered by many insurance plans when criteria has been met. During your consultation, your plastic surgeon will review your goals and expectations, the recommended procedures, and all potential risks involved. Dr. Totonchi is also an Associate Professor at Case Western Reserve Universitys School of Medicine. CareCredit credit card can help finance cosmetic surgery, minimally invasive procedures, dermatology expenses and more. 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. Blog . The procedure takes one to two hours and may not require admission to the hospital. 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. 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. Your surgical team will review these with you as you get closer to surgery. Your surgeon andanesthesiologistwill come to greet you and review the operation with you. 9500 Euclid Ave. A drain is a thin, plastic tube that the surgeon places under your skin. In addition, staging provides ample time for recovery between operations. University of California, San Francisco. There are no time limits on your aftercare. Patients who have met these criteria are deemed appropriate surgical candidates. Verywell Health's content is for informational and educational purposes only. Feminizing the Face: Combination of Frontal Bone Reduction and Reduction Rhinoplasty. Patients must have a support person to stay with them during their hospital and hotel stay. 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. Chest surgery (breast augmentation, masculinizing mastectomy) - 1 letter must be obtained. He has extensive training and experience in facelift, rhinoplasty body, and breast surgery. 2023 Dotdash Media, Inc. All rights reserved. 2012;13(4):165-232. doi:10.1080/15532739.2011.700873. Facial Feminization Surgery: What You Should Know - Healthline 2 The surgery may also be performed in cisgender women who desire a more feminine face or facial feature (e.g., a lower hairline). While estrogen won't affect your bone structure, it will redistribute facial fat, and this may alter your surgical plan. The recovery time remains 2-3 weeks. Facial feminization surgery is a series of procedures that can reshape the face and its features to achieve a more feminine appearance. Dubov A, Fraenkel L. Facial Feminization Surgery. Hair removal completed, free of regrowth. That said, whether you are recovering from one or multiple procedures, you can generally expect swelling, pain, and tightness. Advertising on our site helps support our mission. Plast Reconstr Surg 2016 Feb;137(2):438-448.doi:10.1097/01.prs.0000475754.71333.f6. Do not eat or drink anything after midnight on the eve of your surgery. Brandstetter K, Kleinberger A, Shih C, Bell J. Kaiser Permanente. When you visit the site, Dotdash Meredith and its partners may store or retrieve information on your browser, mostly in the form of cookies. Forehead lengthening is a procedure, which elongates the forehead, increasing the distance between the brow ridge and hairline. Many people who have the procedure consider it an important part of their transition process. Facial feminisation surgery can involve a combination of all or some of the below cosmetic procedures. It is strongly suggested that all prospective clients perform their own independent research regarding Totonchi Plastic Surgery and our qualifications. Surgery will be carried out under general anaesthetic and can typically range from around 4 to 8 hours depending on the procedures. The cost of the hotel stay is out-of-pocket, as insurance does not cover this expense for your surgery. That said, the physical and emotional challenges that go along with surgery are very real. He will assist you in choosing the best surgical plan to attain your desired outcome. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Several surgical techniques are available to change the length, tightness or size of your voice box. If you are staying overnight, you will be moved to a hospital room once you are fully awake. Our body contouring procedures can create a slimmer, sexier physique to help you look and feel your best. Cheek augmentation: Cheek augmentation can be achieved with fat grafting and/or implants. A nurse will administer medications, as needed, to ease your symptoms. You may consider this surgery if youre a transgender woman (transitioning from male to female). Most facial plastic surgeries involve a day or so in the hospital for observation and to ensure you are healing properly before you are released to go home. The selection of procedures is customized for each person based on their aesthetic goals. Transgender women may choose FFS to affirm their gender. Talk to your healthcare provider or your psychologist before the procedure so you know what to expect. 10 Facial Feminization Surgery doctors in Cleveland, OH CareCredit credit card can help finance cosmetic surgery, minimally invasive procedures, dermatology expenses and more. Male hysterectomy/vaginectomy - 2 letters must be obtained. Limited time savings on the Hair Restoration Package, click here to learn more. The cost of the hotel stay is out-of-pocket, as insurance does not cover this expense for your surgery. Before and after photos on this website are Dr. Totonchis actual patients and all patients have given consent for use of these photos. When showering, wash your incision sites very gently with warm water and soap and pat the skin dry with a clean towel. Facial Feminization Surgery Before & After Pictures - RealSelf doi:10.1080/15265161.2018.1531159, Salgado CJ, AlQattan H, Nugent A, et al. Generally most patients are in hospital for around 2 to 3 days. The surgeon will attempt to minimize the appearance of the scar by placing it in a less obvious area or within the natural skin folds of the neck. 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. 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. FFS@totonchiplasticsurgery (@facialfeminization) - Instagram Resonance (how you pass air through your vocal folds to control the intensity of your voice). When you awaken from surgery, there will be a drain in place; this will likely come out before you are released to go home. Too much pitch increase (voice is unnaturally high). The incisions for an eyelid lift can either be hidden in the crease of the eyelid or placed behind it to minimize visible incisions. 2017 May; 19(3): 175181. 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. For people in whom hormone therapy is not enough to achieve desired gender-affirming changes to theface, surgery can help. Facial feminization surgery has a wide range of recovery time depending on the combination of procedures that are chosen. Cutting and reformatting the scalp can lower the hairline and give it a more feminine or nonbinary look. Since facial feminization surgery is sometimes performed in stages, you may begin preparing for the next procedure soon after recovering from the first one. If you haven't already, you may also consider finding a facial feminization support group. Masculine foreheads have a heavy bony ridge above the eyes, just below the eyebrows. 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. Bathing and showering: Avoid showering, and gently sponge bathe instead until you return for your first post-surgery appointment and your doctor says it is OK to resume showering. Dr. Totonchi knows your goals are extremely important and will listen and help you understand how these can be accomplished. Whether you want to minimize signs of aging or improve a life-long aesthetic concern, Dr. Totonchi offers both surgical and non-surgical facial procedures to help you achieve your desired look. Spread the cost of your treatment with a 6, 10 or 12 month 0% personal medical loan. We do not endorse non-Cleveland Clinic products or services. They can help you prepare emotionally. We will equal any comparable price. Genital hair removal must be completed for surgery. Find a Surgeon for Gender Affirming Surgery - TransHealthCare To access the larynx, the surgeon makes an incision in your neck. This is typically only needed if you are undergoing surgery as a gender-affirming operation. FFS is a combination of complex procedures that transforms every part of your face from masculine to feminine. Insurance Coverage:This procedure is sometimes covered by insurance plans when criteria has been met. Those looking to soften and feminise their facial features such as their jaw, cheeks, forehead and nose. Learn more about cleft lip and palate surgery, ear reconstruction (otoplasty), giant congenital nevus (GCN) and other craniofacial procedures from leading specialist Dr. Totonchi. You will likely be given anopioidto start, followed byTylenol (acetaminophen)alone. There will be several postoperative appointments after your surgery depending on what type of surgery you have. 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. RealSelf Verified doctors complete our multistep verification process and meet rigorous requirements to become our most trusted plastic surgeons and cosmetic procedure providers. However, the cost can range from $1,847 to $62,000, depending on a few key factors. The Transgender Surgery Program has a special rate for our patients with the hotel. Facial Feminization Surgery: A Review of 220 Consecutive Patients. The tracheal shave procedure performed alone does not have any downtime. But some procedures require incisions (cuts) on the outside of your throat. Facial Feminization Surgery: Everything You Need to Know - Verywell Health 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. 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. University of Utah Health. 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. A cartilage graft is used to change the size and shape of the nose. 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. August 2018. FFS can reshape bone, cartilage and soft tissue of the face. These techniques are tailored to fit the goals of each individual. Forehead reconstruction requires an incision that goes across your head from ear to ear. A narrow chin can be augmented using a combination of techniques, which include bone shaving and/or osteotomy. 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. Forehead contouring (frontal bossing): Forehead contouring involves shaving down the frontal bone and altering its pronounced shape. doi:10.1055/s-0040-1716440, Ferrando CU, Thomas TN. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7458845/). Facial feminization is a desire expressed by certain individuals who identify beyond the gender binary seeking to align their physical appearance and the gender with which they identify. When adding the rhinoplasty procedure, nasal splints and stents are kept in placed for 2 weeks before removal. Our surgical providers at Cleveland Clinic offer a wide range of gender-affirming procedures, including: See before and after photos of patients who have undergone gender-affirming surgeries, including breast augmentations, facial feminizations, mastectomies and vaginoplasty. Your complete postoperative recovery will be about 6-8 weeks but this varies with each individual. For the first few days after surgery, you may need to avoid talking, laughing, singing or coughing. From there, you will walk on your own into the operating room or be wheeled on a gurney. JAMA Facial Plast Surg. Read our, Estrogen for Transgender and Transfeminine People, Eyelid Surgery: Everything You Need to Know, Tympanoplasty Surgery: Everything You Need to Know, Trapeziectomy: Everything You Need to Know, Bunion Surgery: Everything You Need to Know, What to Know About Big Toe Bone Spur Surgery (Cheilectomy), Quintuple Bypass Surgery: Everything You Need to Know, Amblyopia Surgery: Everything You Need to Know, Sinus Surgery: Everything You Need to Know, Capsulectomy Surgery: Everything You Need to Know, Breast Reduction vs. Top Surgery: Uses, Benefits, Side Effects, and More, Facial feminization for cisgender women with masculine-looking faces, Facial Feminization Surgery. Facial feminization surgery (FFS) involves a comprehensive set of procedures to make your face appear more feminine. Double-check with your surgeon, but taking an over-the-counter herbal product called Arnica may also be recommended to further ease any bruising and swelling on your face. Facial Feminization Surgery (FFS). 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. Many people who are transitioning from male to female consider this an important step in their transition process. A rhinoplasty can also shape the bridge and the tip of the nose to give them a more delicate appearance. Swelling, warmth, or foul-smelling drainage from the incision site(s). The mental health professional will review your gender identity and dysphoria and help you determine how the surgery fits into your overall treatment plan. We recognize that you have many options when it comes to your cosmetic or plastic surgery needs.
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