We will equal any comparable price. Many people do voice feminization therapy before 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. 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. You may be prescribed an oral antibiotic or an antibiotic ointment to apply to your incision sites, once or multiple times a day for the first week after surgery. Orchiectomy is a procedure done to remove the testes which alleviates genital dysphoria in some patients and eliminates the need for androgen (testosterone) suppression and optimize the effects of estrogen. (2021). 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). 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. In the case of patients with more narrow mandible angles, jaw implants are used to create a more defined jaw structure. 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. 2021. Looking for a non-invasive treatment to help reduce the signs of aging? Surgical manipulation of the bone and soft tissues of the face create a feminine appearance. We are happy to share a list of qualified hair removal providers as well as qualified mental health providers upon request. The goal of FFS is to 1) treat gender dysphoria, 2) eliminate misgendering, and 3) help you love the way you look. To ease discomfort, take your pain medication exactly as prescribed. 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. The procedure is often performed laparoscopically using three 5mm incisions on the lower abdomen. Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. This is typically only needed if you are undergoing surgery as a gender-affirming operation. Facial Feminization Surgery (FFS). Facial feminization surgery is performed as either a single procedure or as multiple staged procedures. While estrogen won't affect your bone structure, it will redistribute facial fat, and this may alter your surgical plan. RealSelf Verified doctors complete our multistep verification process and meet rigorous requirements to become our most trusted plastic surgeons and cosmetic procedure providers. Demonstrated the capacity to make a fully informed decision and consent for treatment and the ability to comply with medical instruction. Thank you, {{form.email}}, for signing up. FFS may be part of an overall plan of gender affirmation, aligning the appearance of the face and body with a persons gender. 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. 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. Advertising on our site helps support our mission. 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. Your provider also makes sure youre in good physical health by: You might also have imaging scans before facial feminization surgery. Here are some basics for recovery after facial surgery: Bruising and swelling: These are common side effects after facial plastic surgery. Do not eat or drink anything after midnight on the eve of your surgery. It helps drain blood and fluid to prevent swelling. Since facial feminization surgery is sometimes performed in stages, you may begin preparing for the next procedure soon after recovering from the first one. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Over the last several years, we have been actively expanding the surgical services Cleveland Clinic offers to gender and sex-minority patients. Rhinoplasty: Rhinoplasty can be a key element in transgender facial feminization. Dr. Totonchi is not liable for any actions or decisions that may have been taken as a result of information provided on this website. 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. 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. Swelling, warmth, or foul-smelling drainage from the incision site(s). Need help eliminating stubborn pockets of fat or loose, excess skin? The procedure changes the length, tightness or size of your vocal cords. More people (about 14%) choose to have nonsurgical voice feminization therapy instead. The cost of the hotel stay is out-of-pocket, as insurance does not cover this expense for your surgery. Some surgeons recommend splitting the procedures into two surgeries, separated by seven to 10 days or longer. (415) 353-9500. Few hospitals are equipped to provide such care. Facial Feminization Surgery: What to Expect and Post-Operative Care. A surgical nurse will review your medication list, record yourvitals(heart rate, blood pressure, etc. 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. 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 people in whom hormone therapy is not enough to achieve desired gender-affirming changes to the face, surgery can help. Patients must have a support person to stay with them during their hospital and hotel stay. Get useful, helpful and relevant health + wellness information. When multiple surgeries are desired, the surgeon will plan a staged approach. Were happy to complete FMLA and STD paperwork if applicable. The Ethics of Gatekeeping in Transgender Health. Vaginoplasty surgery involves creation of the vulva (outer female genital structures) with or without a vaginal canal. 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. American Society of Plastic Surgery. In addition, staging provides ample time for recovery between operations. These help treat vocal cord scarring or dysphonia. If you haven't already, you may also consider finding a facial feminization support group. Place a cloth between the ice pack (frozen peas or crushed ice in a zipper bag also works) on your skin. The tracheal shave procedure performed alone does not have any downtime. Living in gender role full time for minimum of 12 consecutive months. 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. Your healthcare provider will probably take out the nonabsorbable stitches a week after your surgery, or they may place absorbable stitches that don't need to be removed. As with all surgeries there are risks involved with being under general anaesthetic. While you are considering facial feminization surgery, make a plan for yourself. To optimize your wound healing and surgical results, it's important to follow post-operative instructions carefully. Depending on the specific procedure being performed, there may be more than one approach that a surgeon can use. The incisions for an eyelid lift can either be hidden in the crease of the eyelid or placed behind it to minimize visible incisions. Lauren Schlanger, MD, is a board-certified primary care physician. She is an assistant professor at the Alpert Medical School of Brown University. Dr. Totonchi is also an Associate Professor at Case Western Reserve Universitys School of Medicine. Before the first consultation, the surgeon may schedule photographs,X-raysand a 3DCT scanthat shows your facial bones and soft tissue. Sort by doctors that use CareCredit Ali Totonchi, MD Board Certified Plastic Surgeon 59 reviews Virtual consultations accepted 17 yrs experience Every person's gender journey is different. 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. Surgery will be carried out under general anaesthetic and can typically range from around 4 to 8 hours depending on the procedures. 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. FFS is a combination of complex procedures that transforms every part of your face from masculine to feminine. The cost of the hotel stay is out-of-pocket, as insurance does not cover this expense for your surgery. Most patients first begin working with a therapist before and after starting hormones. that meets WPATH Guidelines: WPATH Guidelines for Gender Affirming Surgeries. Forehead reconstruction requires an incision that goes across your head from ear to ear. FFS can include hairline lowering, jaw reduction, rhinoplasty (nose reshaping), eyelid surgery, face or neck lift, and other facial changes. Dr. Totonchi offers a variety of leading-edge treatments to help you feel and look younger. Resonance (how you pass air through your vocal folds to control the intensity of your voice). Have a mental health disorder that impairs your ability to make appropriate personal decisions. You may need to sign one or more consent forms at this time. He offers Facial Feminization and Masculinization Surgery as part of the Gender Affirmation Surgery Program at Rush university Medical Center. 2017 May; 19(3): 175181. All patients are fully assessed for their safety prior to surgery. Parts of this website will not display or function properly. Dr. Totonchi is not liable for any actions or decisions that may have been taken as a result of information provided on this website. Generally most patients are in hospital for around 2 to 3 days. Any non-disclosure could result in your surgery being cancelled. If it is not, you will receive information about payment plans at the time of your consultation. The techniques can help transgender women transition physically to their self-affirmed gender. Take two to three weeks off from work (this may vary based on the procedures you had and your occupation). This video follows my entire experience with FFS (facial feminization surgery) from beginning to end in chronological order. Your surgeon may use a laryngoscope to access your voice box. Use our list of health topics to reach your destination faster. Before and after photos on this website are Dr. Totonchis actual patients and all patients have given consent for use of these photos. Undergoing this procedure will not interfere with the possibility of having future vaginoplasty. FFS can reshape bone, cartilage and soft tissue of the face. 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. Vaccines & Boosters | Testing | Visitor Guidelines | Coronavirus. At this time, you may feel pain and nausea. 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. Your healthcare provider will tell you when you can gradually start using your voice again, as well as when you can resume voice therapy. These operations are commonly performed for transgender women (MTF FFS) and can be performed for cisgender women. Facial feminization surgery might be done as a step in the process of treating discomfort due to a difference in gender identity and sex assigned at birth (gender dysphoria). Brubaker L, ed. Intonation (adapting the sound of your voice to express emotions). Facial Feminization Surgery: A Review of 220 Consecutive Patients. Facial feminization surgery (FFS) is a procedure to make your face appear more feminine instead of masculine. 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 critical part of a transition timetable for a transgender patient who has decided to live full time as female. Have a health condition that makes surgery dangerous. American Society of Anesthesiologists. 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. The procedure can involve cutting or reshaping the bones as well as the cartilage. Advertising on our site helps support our mission. He will assist you in choosing the best surgical plan to attain your desired outcome. How long it takes: This depends on what you are having done. A tracheal shave is done through a small incision on the anterior neck which Dr Totonchi uses to shave down the tracheal cartilage. Even fewer hospitals offer surgical care for patients wishing to undergo gender affirmation surgery. Male hysterectomy/vaginectomy - 2 letters must be obtained. SUPPORT Patreon: https://www.patreon.com/jessiege. Insurance Dr. Angela Rodriguez San Francisco, California Facial Feminization Surgery: What are the risks of facial feminization surgery? We recognize that you have many options when it comes to your cosmetic or plastic surgery needs. Facial feminization surgery is a series of procedures that can reshape the face and its features to achieve a more feminine appearance. Contraindications to facial feminization (which are surgeon dependent) may include: The risks associated with facial feminization surgery depend on the specific procedure being performed. Please contact our office with any questions. BMI requirements are determined by your surgeon. Limited time savings on the Hair Restoration Package, click here to learn more. Some people who undergo this procedure experience side effects, most of which resolve in about a week, such as: To shape the facial contours, the surgeon may recommend a procedure to remove a small amount of fat from one part of the body and use it to add volume and smooth out hollowed or sunken areas. New masking guidelines are in effect starting April 24. 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. Plastic and Reconstructive Surgery: Facial Feminization. Policy. We take quality and safety seriously. 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. If you experience symptoms ofdepressionor anxiety before or after surgery, be sure to talk with your healthcare provider, therapist, or other mental health professional. These changes address the gendered differences in facial structure that occur due to testosterone exposure during various phases of development. If you are concerned about scarring, contact your surgeon. Your voice box will need several weeks to heal after voice feminization surgery. A laryngologist performs voice feminization surgery. Research suggests that patients who have undergone facial feminization surgery are generally pleased with their results. The SOC are based on the best available science and expert professional consensus. 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. 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. Facial feminization surgery (FFS) includes a series of plastic and craniofacial surgical procedures designed to feminize the face. Furthermore, not all healthcare providers may offer them. 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 Brandstetter K, Kleinberger A, Shih C, Bell J. Kaiser Permanente. BMI requirements are determined by your surgeon. 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. These techniques are tailored to fit the goals of each individual. 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. All information on this site is intended for general purposes and is in no way a substitute for professional medical advice. 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. 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. Indian J Plast Surg. On the other hand, a cisgender woman with a receding hairline may only desire a hairline advancement procedure. Decreasing the distance between the nose and upper lip gives a more feminine balance to the face. Many people who are transitioning from male to female consider this an important step in their transition process. You may have temporary restrictions on heavy lifting, vigorous exercise or other activities. 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 At the end of the procedure, the incision will be closed with sutures that do not need to be removed. It may be uncomfortable to talk, but it is safe to do so if you can. Facial Feminization Surgery: What are the risks of facial feminization surgery? The procedure takes one to two hours and may not require admission to the hospital. You will notice a difference in service and care the moment you visit our office. 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. Voice feminization surgery is a procedure to raise the pitch of your voice or make it sound higher. American Psychiatric Association. Facial feminization surgery may be part of the treatment approach for a person who desires a more feminine facial appearance. Please make sure that you have a driver for any postoperative visit that is within 2-4 weeks of your surgery. What are the masculine features that you would most like to soften and make more feminine? In older patients, the eyelids may also be lifted to open the eyes and achieve a more feminine look. 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. Any specific claims or permanence length of results vary for each patient and are not guaranteed. Denver Health. Facial Feminization Surgery Cleveland, Ohio. Genioplasty: Transgender genioplasty is performed to transform a wider, flatter, longer, and more squared masculine chin to a narrower, shorter, more rounded female chin. A small incision is made under the nose to lift the upper lip and decrease the distance between the nose and the upper lip. The most important thing to us is getting you fit and healthy with our network of fitness experts and cutting-edge facilities. However, the cost can range from $1,847 to $62,000, depending on a few key factors. 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. Our team follows the World Professional Association for Transgender Health (WPATH) guidelines to ensure patients are appropriate surgical candidates. 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. This type of healthcare provider specializes in surgery for the voice box and throat. Your surgeon will likely ask that you avoid any facial treatments (for example, electrolysis or chemical peels) two weeks before your surgery date. This procedure includes removal of breast tissue with masculinizing chest contouring and nipple grafting in some cases. 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. The surgery may also be performed in cisgender women who desire a more feminine face or facial feature (e.g., a lower hairline). Several procedures can be recommended to revise the contours of the jaw and chin: FFS jaw surgeryrequires making an incision inside the mouth, which will be closed with dissolvable stitches. Rates are subject to change each year, but please plan for a minimum of $2,000 for the hotel stay. Orchiectomy is performed as an outpatient procedure. Don't submerge your incisions sites underwater (e.g., when taking a bath or swimming) for three to four weeks. 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. Avoid hot beverages for one or two weeks or until your incisions heal. The assessment must document that an individual meets all of the following criteria: o Persistent, well-documented Gender Dysphoria Facial feminisation surgery can involve a combination of all or some of the below cosmetic procedures. Upper lip lift/Lip augmentation: The upper lip lift is generally done in combination with the rhinoplasty procedure. Get useful, helpful and relevant health + wellness information. What is facial feminization surgery (FFS)? In addition to plastic surgery, facial feminization procedures include nonsurgical treatments such as cosmetic fillers, botulinum toxin, fat grafting and liposuction. Two letters of support from qualified mental health providers dated within the past 12 months. (2014). Your consultation can be scheduled once 50% of hair removal is completed. Facial Feminization Surgery (FFS). Find out more. Specific risks and complications will be discussed in detail at your consultation.
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