Not enough pitch increase (voice is still too low). 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. It is performed as an outpatient procedure. Cleveland Clinic is a non-profit academic medical center. Breast augmentation is often performed as an outpatient procedure but some patients may require one night stay in the hospital. While you are considering facial feminization surgery, make a plan for yourself. He has now performed over 200 feminizing bottom surgeries and his practice is fully dedicated to providing gender-affirming surgical care. You may need a second surgery to achieve your target pitch. 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. To minimize swelling (which peaks two to three days after the operation), your surgeon will probably advise you to ice your face. Several surgical techniques are available to change the length, tightness or size of your voice box. (415) 353-9500. drtotonchi.com. The Latest in Non-Invasive and Minimally Invasive Face & Body Contouring. The total cost will vary depending upon the procedure and the number of stages needed. A cartilage graft is used to change the size and shape of the nose. Surgery changes the length, size or tightness of your vocal cords. This video follows my entire experience with FFS (facial feminization surgery) from beginning to end in chronological order. 2023 Dotdash Media, Inc. All rights reserved. All information on this site is intended for general purposes and is in no way a substitute for professional medical advice. The Adams apple is an area of cartilage around the larynx (voice box) that tends to be larger in people assigned male at birth. Please check with your insurance provider to make sure that it is covered. Once you are scheduled for facial feminization surgery, your surgeon will give you instructions on how to prepare. Find out more. Each patient is different and your expectations and desired results will be discussed fully in your consultation. The brow may be elevated to give the eyes a feminine appearance. Advertising on our site helps support our mission. 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. A drain is a thin, plastic tube that the surgeon places under your skin. Doing a physical exam, including lab tests. Two letters of support from qualified mental health providers dated within the past 12 months. If you haven't already, you may also consider finding a facial feminization support group. 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. Since your face contains lots of blood vessels, it easily swells and bruises, and this can be quite dramatic after your surgery. 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. A small incision is made under the nose to lift the upper lip and decrease the distance between the nose and the upper lip. All of this information helps your surgeon plan your treatment. These may be staged over time or performed during the same surgery, depending on surgeon discretion and patient goals/preferences. Dr. Totonchi is also an Associate Professor at Case Western Reserve Universitys School of Medicine. The most common features that FFS addresses are the hairline, forehead, nose and jaw. It is important to follow the doctors advice for the weeks following a tracheal shave. Demonstrated the capacity to make a fully informed decision and consent for treatment and the ability to comply with medical instruction. 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. Facial feminization surgery (FFS) changes features on your face so they appear more feminine and less masculine. Facial feminization surgery is different for everyone. doi:10.1080/15265161.2018.1531159, Salgado CJ, AlQattan H, Nugent A, et al. See ourCQC ratings. The surgery is usually done under general anesthesia. doi:10.1001/jamafacial.2016.1572, Pittman TA, Economides JM. While facial feminization surgery has many potential benefits, the decision to proceed with it requires careful thought and preparation, especially given the surgery's psychological and social implications. 9500 Euclid Ave. 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. 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. Depending on the specific procedure or procedures being performed, the operation time for facial feminization ranges from 90 minutes to several hours or longer. 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. This usually requires that you use lots of pillows or a soft foam wedge behind your head when sleeping. Resonance (how you pass air through your vocal folds to control the intensity of your voice). Information on Estrogen Hormone Therapy. Denver Health. Please check with your insurance provider to make sure that it is covered. For the first few days after surgery, you may need to avoid talking, laughing, singing or coughing. Genioplasty: Transgender genioplasty is performed to transform a wider, flatter, longer, and more squared masculine chin to a narrower, shorter, more rounded female chin. Surgery changes the folds so they vibrate differently and make higher sounds when you speak. Patients who have met these criteria are deemed appropriate surgical candidates. Don't submerge your incisions sites underwater (e.g., when taking a bath or swimming) for three to four weeks. They control the pitch of your voice. Cutting and reformatting the scalp can lower the hairline and give it a more feminine or nonbinary look. 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. The doctor may recommend a soft or liquid diet until you can swallow food comfortably. The incisions for an eyelid lift can either be hidden in the crease of the eyelid or placed behind it to minimize visible incisions. 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 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. The procedure takes one to two hours and may not require admission to the hospital. 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. 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 Have a mental health disorder that impairs your ability to make appropriate personal decisions. Elizabeth Boskey, PhD, MPH, CHES, is a social worker, adjunct lecturer, and expert writer in the field of sexually transmitted diseases. The nasal tip is generally adjusted to give a upward feminine appearance rather than the typical male downward nasal appearance. Read on to find out why you might pay more or less, and whether the cost is really worth it. Insurance Coverage:This procedure is sometimes covered by insurance plans when criteria has been met. Transgender patients transitioning from male to female and non-binary. The procedure can involve cutting or reshaping the bones as well as the cartilage. Dr. McClung is a board-certified urologist in Columbus, Ohio who specializes in gender-affirming Vaginoplasty. You might have one surgery or several, including: If you get a comprehensive FFS as a single surgery, it can take eight to nine hours. Transgender women may choose to have voice change surgery as part of their male-to-female (MTF) transition. Call and make your consultation appointment with Dr. Totonchi to discuss your FFS needs, call office at 216-778-2262. While estrogen won't affect your bone structure, it will redistribute facial fat, and this may alter your surgical plan. Various techniques may be used to perform this procedure, and they are surgeon and patient dependent. Have disorders that require androgen (male sex hormone) therapy as treatment. Nicotine/nicotine-related product free (minimum 3 months). Please check with your insurance provider to make sure that it is covered. 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. Facial Feminization Surgery: What to Expect and Post-Operative Care. Facial Feminization Surgery: What are the risks of facial feminization surgery? Bellinga RJ, Capitn L, Simon D,Tenrio T. Technical and Clinical Considerations for Facial Feminization Surgery With Rhinoplasty and Related Procedures. The most important thing to us is getting you fit and healthy with our network of fitness experts and cutting-edge facilities. 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. Plastic and Reconstructive Surgery: Facial Feminization. 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. The surgeon may use this method to shape various areas of the face and may include a silicone implant to sculpt the cheeks into a rounder, more feminine shape. Advertising on our site helps support our mission. Before and after photos on this website are Dr. Totonchis actual patients and all patients have given consent for use of these photos. Voice feminization surgery is a procedure to raise the pitch of your voice or make it sound higher. Minimize sun exposure and always wear sunscreen. 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. Recovery from the procedure takes about one month. With the traditional "open" approach, a surgeon makes a large incision to perform the operation. Those looking to soften and feminise their facial features such as their jaw, cheeks, forehead and nose. During your consultation your Consultant will be able to advise you in detail about your personal recovery. Your surgeon andanesthesiologistwill come to greet you and review the operation with you. We recognize that you have many options when it comes to your cosmetic or plastic surgery needs. Dubov A, Fraenkel L. Facial Feminization Surgery. Orchiectomy (surgical removal of the testes) - 2 letters must be obtained. 2019 May;27(2):191-197.doi:10.1016/j.fsc.2018.12.002. 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. 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. Facial feminization surgery is performed by a plastic surgeon who has training in craniomaxillofacial and soft tissue surgery. Furthermore, not all healthcare providers may offer them. This is typically only needed if you are undergoing surgery as a gender-affirming operation. We recognize that you have many options when it comes to your cosmetic or plastic surgery needs. The entire of scope of jaw contouring procedures are done from incisions made inside the mouth. Depending on your priorities, the plan you agree on with your surgeon may include one or more of the following procedures: Shaping the forehead and hairline can create a more oval or heart shape to the face. Forehead lengthening is a procedure, which elongates the forehead, increasing the distance between the brow ridge and hairline. Insurance Coverage: This procedure is covered by many insurance plans when criteria has been met. Recovery After Facial Feminization Surgery. American Psychiatric Association. Over the last several years, we have been actively expanding the surgical services Cleveland Clinic offers to gender and sex-minority patients. He will assist you in choosing the best surgical plan to attain your desired outcome. YOU WILL NOTICE A DIFFERENCE IN SERVICE AND CARE THE MOMENT YOU VISIT OUR OFFICE. 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. Transgender patients have facial feminisation surgery to soften and feminise features such as their jaw, cheeks, forehead and nose. 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. 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. Most people can go home the same day as their procedure. 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). Standards of Care for the Health of Transsexual, Transgender, and Gender-Nonconforming People, Version 7.International Journal of Transgenderism. This IV will be used for administering fluids and medications during and after surgery. Policy. FFS can include hairline lowering, jaw reduction, rhinoplasty (nose reshaping), eyelid surgery, face or neck lift, and other facial changes. Do not eat or drink anything after midnight on the eve of your surgery. Your vocal cords (also called vocal folds) are bands of soft tissue in your larynx (voice box). Typically, you will need to cover the incisions with gauze and rewrap your head with bandages. Cheek augmentation helps to round out the face giving it a feminine appearance. He welcomes patients in his hospital base and private practice offices. Brow lift: The brow lift/forehead lift gives the most dramatic FFS results. 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. It may be uncomfortable to talk, but it is safe to do so if you can. When you awaken from surgery, there will be a drain in place; this will likely come out before you are released to go home. 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. They control the pitch of your voice. 10 Facial Feminization Surgery doctors in Cleveland, OH CareCredit credit card can help finance cosmetic surgery, minimally invasive procedures, dermatology expenses and more. The process depends on the facial features you choose to change. Many people do voice feminization therapy before surgery. 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. The procedure is used to decrease the distance between the hairline and the eyebrows giving a more youthful, feminine appearance. You will be advised to rest for a couple of days. We're happy to complete FMLA and STD paperwork if applicable. 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. 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. To ease discomfort, take your pain medication exactly as prescribed. What Is Gender Dysphoria? 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. He is also one of the few plastic surgeons in the area who performs surgical treatment of migraine headaches and also facial feminization surgery. Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Additionally, the forehead and brow ridge are reshaped to create a softer contour with feminine highlights. 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. In older patients, the eyelids may also be lifted to open the eyes and achieve a more feminine look. Males tend to have wider and longer foreheads than females. 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. Forehead contouring (frontal bossing): Forehead contouring involves shaving down the frontal bone and altering its pronounced shape. You may go home with a surgical drain. Transgender surgery: Male to female. I just had facial feminization surgery. We are happy to share a list of qualified hair removal providers as well as qualified mental health providers upon request. The chin plays a crucial role in the proportions and balance of facial features. After surgery, you may feel more confident and secure in your gender expression. 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. Please make sure that you have a driver for any postoperative visit that is within 2-4 weeks of your surgery. Verywell Health's content is for informational and educational purposes only. Copy of your most recent primary care medical records. BMI requirements are determined by your surgeon. There are no hidden costs in our treatment prices. If you are being discharged that day, it will likely be a few hours after the procedure. For genital surgery, a written psychological assessment from at least two Qualified Behavioral Health Providers experienced in treating Gender Dysphoria*, who have independently assessed the individual, is required. Nuffield Health looks after your health and wellbeing in ways that go beyond getting you fit and getting you back on your feet, that's what makes us specialists in you. Hairline advancement (scalp advancement): Scalp advancement is a procedure done to move the hairline forward, decreasing the prominence of the forehead. More people (about 14%) choose to have nonsurgical voice feminization therapy instead. Learn more about cleft lip and palate surgery, ear reconstruction (otoplasty), giant congenital nevus (GCN) and other craniofacial procedures from leading specialist Dr. Totonchi. However, facial masculinization surgery (FMS) is gaining popularity. 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 brow lift procedure moves the eyebrows to a higher set position on the forehead, giving a softer, wide eyed, feminine appearance. 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. Letters of referral from aqualified mental professional (depending on the surgery, 1 or 2 letters may be required). 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. Deschamps-Brely J. American Society of Plastic Surgeons. These changes address the gendered differences in facial structure that occur due to testosterone exposure during various phases of development. Elizabeth Boskey, PhD, MPH, CHES, is a social worker, adjunct lecturer, and expert writer in the field of sexually transmitted diseases. Your surgical team will review these with you as you get closer to surgery. In addition to plastic surgery, facial feminization procedures include nonsurgical treatments such as cosmetic fillers, botulinum toxin, fat grafting and liposuction. With facial feminization surgery, there are several different surgical procedures a person may undergo. Were happy to complete FMLA and STD paperwork if applicable. The surgeon can perform a nose-reshaping operation called arhinoplasty(sometimes called a nose job) to reduce the width and shape of the nose. 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. Postoperative appointments: There will be several postoperative appointments after your surgery depending on what type of surgery you have. In FMS, the cheeks can be made more angular and prominent in order to mimic a masculine facial bone structure. 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. If you experience symptoms ofdepressionor anxiety before or after surgery, be sure to talk with your healthcare provider, therapist, or other mental health professional. By Elizabeth Boskey, PhD 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. The procedure is often performed laparoscopically using three 5mm incisions on the lower abdomen. Your surgeon may use a laryngoscope to access your voice box. 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. 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. Since you will be changing into a hospital gown upon arrival, wear loose-fitting clothes on the day of your surgery. Technical and clinical considerations for facial feminization surgery with rhinoplasty and related procedures. 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. Whether you are staying overnight in the hospital or not, be sure to arrange for a loved one or friend to drive you home once discharged. Facial Feminization Surgery: Before and After Gallery. Thank you, {{form.email}}, for signing up. 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. Warning: You do not have JavaScript enabled. The combination of these procedures, however, does not increase the recovery time. Technical and Clinical Considerations for Facial Feminization Surgery With Rhinoplasty and Related Procedures, Preparing for Facial Feminization Surgery: Timing, Plastic and Reconstructive Surgery: Facial Feminization, Facial Feminization Surgery: What to Expect and Post-Operative Care, Recovery After Facial Feminization Surgery, Full Facial Feminization Surgery: Patient Satisfaction Assessment Based on 180 Procedures Involving 33 Consecutive Patients, Insufficient social support to move through the surgical process, No confirmed diagnosis of gender dysphoria (if applicable), Inability to provide informed consent of surgery, Infection and problems with wound healing, Nerve damage and subsequent numbness after surgery, Infected titanium plates/screws that may require removal, A reduction in gender dysphoria (if applicable), An improvement in self-esteem and quality of life, Wide-collar, zip-up, or button-up shirt to wear when leaving the hospital, Small personal or comfort items (e.g., cell phone and charger), Apply the ice to your face for no longer than 20 minutes within an hour-long period. 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. Insurance Dr. Angela Rodriguez San Francisco, California This therapy helps you adapt to the changes in your voice. Facial Feminization Surgery: A Review of 220 Consecutive Patients. Cheek augmentation: Cheek augmentation can be achieved with fat grafting and/or implants. 2 The surgery may also be performed in cisgender women who desire a more feminine face or facial feature (e.g., a lower hairline). He offers Facial Feminization and Masculinization Surgery as part of the Gender Affirmation Surgery Program at Rush university Medical Center. Here are some basics for recovery after facial surgery: Bruising and swelling: These are common side effects after facial plastic surgery. You may consider this surgery if youre a transgender woman (transitioning from male to female). FFS can change your hairline, forehead, nose, jaw and other parts of your face.
Fatal Motorcycle Accident Houston Texas Today,
Who Is Kathy Irelands Husband,
Articles F