Facial feminization surgery has a wide range of recovery time depending on the combination of procedures that are chosen. For people in whom hormone therapy is not enough to achieve desired gender-affirming changes to theface, surgery can help. 2023 Dotdash Media, Inc. All rights reserved. Facial Feminisation Surgery | Nuffield Health Facial feminization surgery (FFS) includes a series of plastic and craniofacial surgical procedures designed to feminize the face. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event, (https://alahns.org/wp-content/uploads/CLC/56-Transgender-surgery.pdf), (https://leader.pubs.asha.org/doi/10.1044/leader.FTR2.24022019.54). 2017 May; 19(3): 175181. He has now performed over 200 feminizing bottom surgeries and his practice is fully dedicated to providing gender-affirming surgical care. It is strongly suggested that all prospective clients perform their own independent research regarding Totonchi Plastic Surgery and our qualifications. University of California, San Francisco. Dr. Dorafshar is a highly distinguished plastic and reconstructive surgeon who specializes in gender-affirming facial surgery. Vaginoplasty surgery involves creation of the vulva (outer female genital structures) with or without a vaginal canal. It is strongly suggested that all prospective clients perform their own independent research regarding Totonchi Plastic Surgery and our qualifications. 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. The cost of the hotel stay is out-of-pocket, as insurance does not cover this expense for your surgery. 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. They vibrate when you take in air. Facial Feminization Surgery FFS Insurance Coverage The surgery softens these features, creating a face that is more oval-shaped. Examples include chin and nose augmentation, cheek augmentation, jaw contouring, and lowering of the eyebrow ridge/forehead lengthening. Your vocal cords (also called vocal folds) are bands of soft tissue in your larynx (voice box). The Transgender Surgery Program has a special rate for our patients with the hotel. University of Washington. With IPS Transformation we offer a variety of high quality, indivi. Contact your healthcare provider right away if you experience any of these complications after your surgery: Facial feminization surgery (FFS) is a procedure to make your face appear more feminine instead of masculine. FFS usually does not happen in one operation. The precise steps of your surgery will depend on the type of procedure(s) you are having. More people (about 14%) choose to have nonsurgical voice feminization therapy instead. RealSelf Tip: The average cost of FFS for cisgender . Although. Once you are scheduled for facial feminization surgery, your surgeon will give you instructions on how to prepare. 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. Posts Tagged. This procedure involves making features more prominent and hence more masculine in appearance. This operation is most commonly performed in transgender women or non-binary people as a type of gender-affirming surgery. Transgender patients have facial feminisation surgery to soften and feminise features such as their jaw, cheeks, forehead and nose. A small incision is made under the nose to lift the upper lip and decrease the distance between the nose and the upper lip. Facial Feminization Considerations for the Transgender Patient 2021. Find out if you benefit from a discounted membership. 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. These may be staged over time or performed during the same surgery, depending on surgeon discretion and patient goals/preferences. 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. 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. Make sure you bring your driver's license, insurance card, and a list of your medications. 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. They cannot be smokers or be excessively overweight, and they must be medically optimized for surgery if they have medical comorbidities. You may need to sign one or more consent forms at this time. Incision sites may also vary with certain procedures. Voice feminization surgery is a procedure to raise the pitch of your voice or make it sound higher. Facial Feminization Surgery: What to Expect and Post-Operative Care. Many people who have the procedure consider it an important part of their transition process. 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. Ask your surgeon about how to re-dress your incisions after washing them and applying ointment. Facial feminization surgery may be part of the treatment approach for a person who desires a more feminine facial appearance. (2014). We're happy to complete FMLA and STD paperwork if applicable. Generally most patients are in hospital for around 2 to 3 days. When you awaken from surgery, there will be a drain in place; this will likely come out before you are released to go home. If it is not, you will receive information about payment plans at the time of your consultation. FFS can include hairline lowering, jaw reduction, rhinoplasty (nose reshaping), eyelid surgery, face or neck lift, and other facial changes. We do not endorse non-Cleveland Clinic products or services. Even fewer hospitals offer surgical care for patients wishing to undergo gender affirmation surgery. Please contact our office with any questions. The procedure may include reducing the prominence of the bony ridge above your eyes and reshaping the hairline. This procedure reshapes the jaw line, increases facial width, and creates an angular, more masculine jaw line. 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. Most people need several weeks or months to fully recover from FFS. Some surgeons recommend splitting the procedures into two surgeries, separated by seven to 10 days or longer. 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. Surgery changes the folds so they vibrate differently and make higher sounds when you speak. Elizabeth Boskey, PhD, MPH, CHES, is a social worker, adjunct lecturer, and expert writer in the field of sexually transmitted diseases. 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. Facial feminization surgery is different for everyone. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event, (https://www.plasticsurgery.org/reconstructive-procedures/facial-feminization-surgery). What is facial feminization surgery (FFS)? While some individuals may feel that facial feminization surgery is necessary to feel affirmed in their gender, others may not. Your provider also makes sure youre in good physical health by: You might also have imaging scans before facial feminization surgery. Last reviewed by a Cleveland Clinic medical professional on 06/08/2021. There will be several postoperative appointments after your surgery depending on what type of surgery you have. 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. The procedure changes the length, tightness or size of your vocal cords. When you visit the site, Dotdash Meredith and its partners may store or retrieve information on your browser, mostly in the form of cookies. A surgical procedure called a chondrolaryngoplasty, or tracheal shave, can reduce the size of an Adams apple and create a smoother neck profile. FFS may be part of an overall plan of gender affirmation, aligning the appearance of the face and body with a persons gender. This is often because the insurance company may deem the surgery as cosmetic or not medically necessary. The incision is closed with sutures (stitches). 2020 Aug; 53(2): 244253. Rates are subject to change each year, but please plan for a minimum of $2,000 for the hotel stay. Hair removal completed, free of regrowth. 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. Elizabeth Boskey, PhD, MPH, CHES, is a social worker, adjunct lecturer, and expert writer in the field of sexually transmitted diseases. 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). Preparing for Surgery: Checklist. That said, here is a general breakdown of what you can expect during surgery: After surgery, you will be taken to a recovery area where you will slowly wake up from anesthesia. 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. Facial feminization surgery (FFS) involves several surgeries that can be done to feminize the facial features. You may consider this surgery if youre a transgender woman (transitioning from male to female). Facial Feminization Surgery - American Society of Plastic Surgeons At the end of the procedure, the incision will be closed with sutures that do not need to be removed. This "in-between" timeline is highly variable, though, and is determined based on a number of factors including surgeon discretion, procedure healing times, and patient preference. BMI requirements are determined by your surgeon. While the surgery takes place, you will be asleep under general anesthesia. 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. Comprehensive care for transgender patients involves a wide spectrum of services, ranging from routine medical visits to the physical transition process. Place a cloth between the ice pack (frozen peas or crushed ice in a zipper bag also works) on your skin. FFS addressed your forehead prominence (frontal bossing), hairline, eye socket shape, nose, cheeks, temples, lips, chin . FFS can change your hairline, forehead, nose, jaw and other parts of your face. The SOC are based on the best available science and expert professional consensus. The Adams apple is an area of cartilage around the larynx (voice box) that tends to be larger in people assigned male at birth. 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. 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.