Facial feminization surgery FFS is a set of cosmetic surgical procedures that alter typically male facial features to bring them closer in shape and size to typical female facial features. FFS can include various bony and soft tissue procedures such as brow lift , rhinoplasty , cheek implantation , and lip augmentation. For many transgender women, FFS is medically necessary to treat gender dysphoria. FFS is occasionally sought by cross-dressers and drag queens. FFS candidates should wait until the bones of their skull have stopped growing before undergoing FFS.
I begrudgingly looked at my reflection. For transgender people who have a gender identity that differs from the sex assigned to them at birth, altering these characteristics can be essential in their transition. Conflicting ideas Facial femenization FFS have also entered mainstream culture. To start, your doctor will evaluate your health to rule out or address any medical conditions that might affect or contraindicate treatment. Uncertain Facial femenization hopeful, Femenizatiob drifted Faciql. For many transgender women, FFS is medically necessary to treat gender dysphoria.
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It is very hard to wash all the blood out of you hair Facial femenization all the stitches and Widows lack of intimacy in it. However, in some people the wall of bone is so thin that it is not possible femenizationn grind the bossing away completely without breaking through the wall into the frontal sinus. I didnt want to eat or drink but I had to because the pain pill are hard on my stomach. After reviewing many reviews, photosand videos. I wont post price. A surgeon or surgeon's assistant will reply. Faciap was always readily available for us when we needed her. I had a person come with me for the first two days. Following completion of a craniomaxilofacial surgery fellowship, Facial femenization opened his private practice in Montreal, Canada specializing in Facial Feminization. In NY, we have the benefit of a clear history of coverage through Medicaid, and plenty of pro-bono legal teams Facial femenization to help patients with denials.
Facial feminization surgery encompasses a broad range of procedures to change masculine facial features into feminine features.
- While the definition is accurate, Dr.
- The Surgeons listed below are highly qualified plastic, cosmetic and maxillofacial Surgeons who offer FFS.
- Facial feminization surgery, or FFS, is a surgery that involves the cosmetic modification of your facial characteristics.
- Korean Facial feminization surgery FFS is for anyone who wants to have a soft, feminine structure not only face but also body.
Facial feminization surgery encompasses a broad range of procedures to change masculine facial features into feminine features. Examples include having your hairline moved to create a smaller forehead, having your lips and cheekbones augmented, or having your jaw and chin reshaped and resized.
You also might need skin-tightening surgery, such as a face-lift. Facial feminization surgery might be done as a step in the process of treating distress due to a difference between experienced or expressed gender and sex assigned at birth gender dysphoria. The techniques can help transgender women transition physically to their self-affirmed gender.
Many facial features, such as the eyes, jaw and brow, reflect gender differences. While other body parts can be covered or hidden, facial features are readily seen. For transgender people who have a gender identity that differs from the sex assigned to them at birth, altering these characteristics can be essential in their transition.
Being seen as women can also help transgender women avoid harassment and discrimination. However, facial feminization surgery isn't right for every transgender woman. Your doctor might recommend against these surgeries if you have:. Like any other type of major surgery, many types of feminizing surgery pose a risk of bleeding, infection, damage to nearby structures, facial asymmetry and an adverse reaction to anesthesia.
Other complications might include:. Sometimes additional surgery is needed to correct facial asymmetry and improve the final outcome. Before facial feminization surgery, you'll meet with your surgeon. Consult a surgeon who is board certified and experienced in the procedures you desire. Every person has a unique facial structure. To plan your surgery, you might need a CT scan. This will allow your surgeon to obtain detailed anatomical information.
Your face will also be photographed before and at several intervals after your surgery. The surgeon will refer you for an appointment to discuss your anesthesia.
Follow your doctor's specific instructions on preparing for your procedures, including guidelines on eating and drinking, adjusting current medications, and quitting smoking. In addition, before you can have certain feminizing surgeries, you'll be required to meet specific criteria. To start, your doctor will evaluate your health to rule out or address any medical conditions that might affect or contraindicate treatment.
The evaluation might include:. The evaluation might assess:. Since facial feminization surgery might cause irreversible physical changes, you must give informed consent after thoroughly discussing:. Health insurance might not cover surgical procedures considered cosmetic for the general population, even though these procedures might be essential to alleviating your gender dysphoria. You might also consider talking to others who've had facial feminization surgery before taking this step.
They can help you shape your expectations of what can be achieved and what personal and social problems you might experience during treatment. Avoid overexertion for one month. You can begin moderate exercise within three to six months. Chewing and swallowing might be difficult due to incisions and swelling.
Your surgeon might recommend that you work with a nutritionist to make sure you get enough nutrients following surgery. A healthy diet is an important part of your recovery. During your recovery period, you'll continue to talk to specialists involved in your treatment about the evolution of your facial features and any complications you experience. Facial feminization surgery can be an important part of gender transition.
Research suggests that these surgeries can dramatically improve the quality of life in transgender women. Facial feminization surgery care at Mayo Clinic. Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. This content does not have an English version. This content does not have an Arabic version.
Overview Facial feminization surgery encompasses a broad range of procedures to change masculine facial features into feminine features. Request an Appointment at Mayo Clinic. Share on: Facebook Twitter. Show references Ferrando C, et al.
Transgender surgery: Male to female. Accessed April 15, Erickson-Schroth L, ed. Surgical transition. New York, N. Standards of care for the health of transsexual, transgender and gender nonconforming people, 7th version. Feminizing or masculinizing procedures.
Rochester, Minn. Morrison SD, et al. Facial feminization: Systematic review of the literature. Plastic and Reconstructive Surgery. Deschamps-Braly JC. Facial gender confirmation surgery: Facial feminization surgery and facial masculinization surgery. Clinics in Plastic Surgery.
Ferrando CA. Facial feminization surgery and facial gender confirmation surgery. In: Comprehensive Care of the Transgender Patient. Philadelphia, Pa. Accessed April 22, Mayo Clinic Marketplace Check out these best-sellers and special offers on books and newsletters from Mayo Clinic.
Soft tissue procedures can be performed in conjunction with the core FFS procedures listed above. Tips for pregnant trans and nonbinary folks seeking quality, compassionate healthcare. Voted 1 Best Surgeon in Seattle in , Dr. LGBT portal Transgender portal. We absolutely do not sell your information to any 3rd party.
Facial femenization. What are the differences between the male and female craniofacial anatomy?
Facial Feminization Surgery | American Society of Plastic Surgeons
Facial feminization surgery, or FFS, is a surgery that involves the cosmetic modification of your facial characteristics. It can appeal to cisgender women as well. FFS is tailored to each person and can encompass up to every aspect of the face and neck. Soft tissue work, such as face-lifts and neck lifts, can be incorporated when necessary. However, some insurers are beginning to cover FFS from select surgeons.
Insurers often classify FFS as an elective cosmetic procedure. To choose the right surgeon, pursue in-person or Skype interviews with as many surgeons as possible.
Many surgeons give presentations or consultations in major cities and make appearances at transgender conferences. It also helps to reach out to former patients of the surgeons that interest you.
You can do so via online forums, support groups, or mutual friends. Masculinized and unmasculinized faces exhibit a number of subtle differences , which in combination tip the scale toward a face being interpreted as male or female.
Each area of the face is addressed in separate procedures:. Forehead procedures contour the forehead by shaving down hard angles and reducing the prominence of the brow bone. Sometimes the brow can simply be shaved down when the brow protrusion is smaller and when the brow bone itself is thick. Heavily shaving down the brow bone may result in a hole in the sinus cavity. In these cases, the front of the brow bone is entirely removed, temporarily exposing the sinus cavity behind it. The removed bone is then contoured separately and replaced, so it lies flat.
Forehead work is often paired with procedures to alter the hairline in order to counteract the effects of receding hairlines or male pattern baldness. The forehead is accessed through an incision in the scalp. This was the only procedure available for many years. Hairline advancement became the default standard, despite sometimes having a masculinizing effect. In recent years, a new method of coronal incision along the top of the head has been pioneered by the FacialTeam in Spain.
Unlike the hairline advancement procedure, a coronal incision allows for simultaneous hair transplants. This is because the incision is far from the hairline. Receiving simultaneous hair transplants with a standard hairline advancement will cause the transplanted hair to be rejected by the healing tissue surrounding the incision.
Hair transplants allow surgeons to target the areas of the hairline that need reinforcement without unnecessarily advancing parts that may not aesthetically need it. Rhinoplasty , popularly known as a nose job, contours the nose to fit within unmasculinized norms while maintaining natural proportion with the rest of the facial features. When less extreme changes are called for, rhinoplasty can be performed without external scarring. Cheek augmentation is a less common procedure.
Cheek augmentation can involve cheek implants or fat grafting. For many people, when synthetic hormones begin to redistribute body fat, the cheeks get sufficiently fuller on their own. This makes a surgical procedure unnecessary. Masculinized and unmasculinized faces have different proportions of skin above the lips up to the base of the nose and below the lips down to the tip of the chin.
Unmasculinized faces tend to have a shorter distance between the upper lip and the base of the nose. A masculinized face can be given a lip lift. This shortens the distance above the lip and adjusts the lip orientation. Genioplasty modifies the chin. Surgeons typically approach the chin and jaw through incisions within the mouth, along the gum line.
Some chins call for a chin reduction. In this procedure, bone and protrusions are shaved down and smoothed. In this case, surgeons slice the bottom part of the chin bone into a wedge. They then slide it forward away from the jaw and reattach it in the advanced position. Alternately, a chin implant can be used when appropriate. Jaw surgery focuses on the back corners of the jaw, where the bone turns up toward the ears. A surgeon can smooth strong protrusions.
However, there are limits to the reductions. The jaw bone contains a crucial nerve. Aggressive reductions risk exposing or severing the nerve. When possible, the surgeon will make the incision just below the chin so that scarring is less noticeable. Soft tissue procedures can be performed in conjunction with the core FFS procedures listed above. This may include:. Surgeons require that people stop taking hormone replacement therapy two weeks before surgery and refrain for two weeks after surgery before starting again.
Make sure to tell your surgeon about any other medications you regularly take. Never stop taking medications with approval from a doctor. If you opt for lip or brow fillers, be very cautious about permanent fillers, such as silicone.
Dissolvable fillers such as hyaluronic acid allow for you to change the appearance of your soft tissue as your facial features change with age. Recovery time varies based on which procedures are performed. In general, you can expect to go home after surgery. You should refrain from returning to work or lifting heavy objects for six weeks.
If you receive forehead work, your surgeon will anchor the eyebrows in place. Therefore, you must refrain from plucking your eyebrows for a few weeks while the anchors set and the tissue heals. Rhinoplasty work is particularly delicate. Special care should be taken to not impact the nose for several weeks after surgery.
Tips for pregnant trans and nonbinary folks seeking quality, compassionate healthcare. Yes, it's possible for men to become pregnant and give birth to children of their own.
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One man shares how - and why - he learned to meditate even though he…. Cholesterol is a fatty substance that's needed to build cells. How much does FFS cost? How to choose a doctor. How is FFS performed? How to prepare for FFS. Risks and possible side effects of FFS. What to expect after FFS. Can Men Get Pregnant? What to Expect from Gender Confirmation Surgery. Read this next. How to Fall Asleep in 10, 60, or Seconds You can do a lot of prep work to make the perfect sleep environment.
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