2021. 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. Most people continue voice feminization therapy after surgery. 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) . Relationship with a mental health care provider who will see you 4-6 weeks after your surgery. Your doctor will provide instructions on returning to work and exercise and other tips on whats safe to do and when. Feminizing the Face: Combination of Frontal Bone Reduction and Reduction Rhinoplasty. The price you see is the price you pay. Your surgeon may also measure your face, take photographs and assess your skin quality. Instead, a staged approach, based on your priorities, is recommended. 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. 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. Take two to three weeks off from work (this may vary based on the procedures you had and your occupation). Orchiectomy (surgical removal of the testes) - 2 letters must be obtained. Masculine foreheads have a heavy bony ridge above the eyes, just below the eyebrows. For a better experience, please enable JavaScript. 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. Vocal Feminization for Transgender Women: Current Strategies and Patient Perspectives. 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. 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. Your surgical team will review these with you as you get closer to surgery. This type of healthcare provider specializes in surgery for the voice box and throat. Your healthcare provider will tell you when you can gradually start using your voice again, as well as when you can resume voice therapy. It is strongly suggested that all prospective clients perform their own independent research regarding Totonchi Plastic Surgery and our qualifications. Just look for the RealSelf Verified badge. These images help the surgeon plan your surgeries and provide a baseline for evaluating results after your procedures are finished. From there, you will walk on your own into the operating room or be wheeled on a gurney. Once you are scheduled for facial feminization surgery, your surgeon will give you instructions on how to prepare. A speech-language pathologist works with you on: Your speech-language pathologist also makes sure you dont have any existing voice disorders that could prevent a successful surgery. Nonverbal communication, such as eye contact, gestures, articulation and pausing. Generally, female noses tend to be smaller, less prominent, and slightly pointed. Companion to accompany you for postoperative stay. This procedure involves making features more prominent and hence more masculine in appearance. Free of any non-prescribed substances including marijuana (minimum 3 months). Avoid hot beverages for one or two weeks or until your incisions heal. The brow lift can be used in combination with the scalp advancement procedure to give a more youthful feminine aesthetic outcome. You may go home with a surgical drain. It is strongly suggested that all prospective clients perform their own independent research regarding Totonchi Plastic Surgery and our qualifications. Insurance Coverage: This procedure is very specialized and often not covered by insurance plans. Ask your healthcare provider when its safe for you to resume therapy. (2021). Chest surgery is sometimes performed as an outpatient procedure but some patients may require one night stay in the hospital. Do not shave or use hair-removal processes such as waxing until your doctor clears you to resume these practices. Facial Feminization Surgery: Everything You Need to Know. The tracheal shave procedure performed alone does not have any downtime. Insurance Coverage: This procedure is covered by many insurance plans when criteria has been met. Avoid bending over or lifting anything heavier than 20 lbs for two weeks after your surgery. Since facial feminization surgery is sometimes performed in stages, you may begin preparing for the next procedure soon after recovering from the first one. 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. 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. It helps drain blood and fluid to prevent swelling. Too much pitch increase (voice is unnaturally high). This IV will be used for administering fluids and medications during and after surgery. Male hysterectomy/vaginectomy - 2 letters must be obtained. Hair removal completed, free of regrowth. doi:10.1080/15265161.2018.1531159, Salgado CJ, AlQattan H, Nugent A, et al. Advertising on our site helps support our mission. Facial Feminization Surgery is a critical part of a transition timetable for a transgender patient who has decided to live full time as female. Masculine facial features tend to be square and sharp. A tracheal shave is done through a small incision on the anterior neck which Dr Totonchi uses to shave down the tracheal cartilage. When adding the rhinoplasty procedure, nasal splints and stents are kept in placed for 2 weeks before removal. 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. Your provider also makes sure youre in good physical health by: You might also have imaging scans before facial feminization surgery. Its important to have realistic expectations about the results of voice feminization surgery. Your voice box will need several weeks to heal after voice feminization surgery. The procedure is often performed laparoscopically using three 5mm incisions on the lower abdomen. 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. Dr. McClung is a board-certified urologist in Columbus, Ohio who specializes in gender-affirming Vaginoplasty. Facial Plast Surg Clin North Am. 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 (FFS) involves a comprehensive set of procedures to make your face appear more feminine. We do not endorse non-Cleveland Clinic products or services. Are a transgender woman (male transitioning to female). Bruises, including black eyes, may take four to six weeks to clear up. A laryngologist performs voice feminization surgery. On the other hand, a cisgender woman with a receding hairline may only desire a hairline advancement procedure. An Adams apple that is still prominent after the procedure, Removal of too much cartilage, which can damage the vocal cords. He has also given relief to many patients who have suffered from migraine headaches with an innovative technique that has been developed by Dr. Bahman Guyuron. Facial feminization surgery (FFS) changes features on your face so they appear more feminine and less masculine. Forehead lengthening is a procedure, which elongates the forehead, increasing the distance between the brow ridge and hairline. 2018 Dec; 18(12): 39. Elizabeth Boskey, PhD, MPH, CHES, is a social worker, adjunct lecturer, and expert writer in the field of sexually transmitted diseases. In addition, while there are guidelines that exist for the specific timing of facial feminization surgery, your surgeon may recommend that you delay any procedures until you have been on estrogen therapy for at least a year (if applicable). For patients having forehead and hairline contouring, the brow can be lifted through the same incision made in the scalp. 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. 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. 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 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 zero-depth procedures patients should expect to be in Cleveland for 3-4 days after the surgery and for a full-depth procedure, 7-10 days after surgery. In addition, staging provides ample time for recovery between operations. We are happy to share a list of qualified hair removal providers as well as qualified mental health providers upon request. The highest standards of clinical care in state-of-the-art facilities, with Consultant-led treatment, spotlessly clean rooms, and a team of dedicated and experienced nurses. The surgery softens these features, creating a face that is more oval-shaped. Surgical manipulation of the bone and soft tissues of the face create a feminine appearance. A small incision is made under the nose to lift the upper lip and decrease the distance between the nose and the upper lip. Males tend to have wider and longer foreheads than females. 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. 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. These may be staged over time or performed during the same surgery, depending on surgeon discretion and patient goals/preferences. Our expert physicians and surgeons provide a full range of dermatologic, reconstructive and aesthetic treatments options at Cleveland Clinic. 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. Parts of this website will not display or function properly. The mental health professional will review your gender identity and dysphoria and help you determine how the surgery fits into your overall treatment plan. Facial feminisation surgery can involve a combination of all or some of the below cosmetic procedures. Specific risks and complications will be discussed in detail at your consultation. 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. Forehead contouring (frontal bossing): Forehead contouring involves shaving down the frontal bone and altering its pronounced shape. Information on Estrogen Hormone Therapy. Once your provider removes your stitches, you may be able to return to work or light activities. Deschamps-Brely J. American Society of Plastic Surgeons. Have a mental health disorder that impairs your ability to make appropriate personal decisions. With facial feminization surgery, there are several different surgical procedures a person may undergo. Surgery will be carried out under general anaesthetic and can typically range from around 4 to 8 hours depending on the procedures. The course of recovery for the different procedures can vary, and it can be influenced by your general state of health and your self-care after surgery. Your provider may use steroid injections or Botox injections after surgery. The specifics of recovery from facial feminization surgery depend on the procedures used and whether all the procedures are done at once or the surgery is performed in stages. University of California, San Francisco. Patient Checklist for Vaginoplasty & Phalloplasty/Metoidioplasty. Surgery will be carried out under general anaesthetic and can typically range from around 4 to 8 hours depending on the procedures. 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. Do not eat or drink anything after midnight on the eve of your surgery. When multiple surgeries are desired, the surgeon will plan a staged approach. 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. 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. Ask your surgeon about how to re-dress your incisions after washing them and applying ointment. Policy. Patients must have a support person to stay with them during their hospital and hotel stay. Copy of your most recent primary care medical records. BMI requirements are determined by your surgeon. Youll have gauze or bandages over your incisions for several days. After surgery, you may go home or to a hotel (if you are out of town), or your surgeon may have you stay overnight in the hospital. 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. Facial surgery with him (in theatre - and they showed a great deal!) Please make sure that you have a driver for any postoperative visit that is within 2-4 weeks of your surgery.
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