And the time she overheard a man from another department asking the woman at the desk next to Holford whether Holford was a man or a woman, and whether she felt uncomfortable sitting so close to her. In these cases, the front of the brow bone is entirely removed, temporarily exposing the sinus cavity behind it. As the surgeon, Keith Altman, prised back her cheek with a stainless steel retractor and peered inside her mouth, beams from the three bulbs fixed to his glasses illuminated the furthest interior reaches of her jawbone. The forehead is accessed through an incision in the scalp. Drake sought out videos of facial feminisation surgery, in which trans women had their masculine features hairlines, jaws and brows reduced and remodelled. All rights reserved. A penile implant may be inserted in a follow-up surgery, providing the ability to maintain a full erection suitable for penetrative sex. But, two months later, Drake was delighted with the results. It would remove the parts of Drakes face she thought were most male, the features she hated so much. It may be necessary to shorten the upper jaw as well as the lower jaw. View our online Press Pack. This is because the incision is far from the hairline. We identified Gender Identity Clinics throughout Scotland. 2023 Healthline Media LLC. . But those codes and diagnoses are currently needed in most cases for trans people to get access to the resources they need, which is unfortunate, Plemons said. No hair on the face, generally. See additional information. Mr Brian Musgrove wins Top Customer Service Award. In one, she looked directly into the camera with a calm determination in her eyes, bleached-blond hair, an elegant nose, full lips and dimpled cheeks. Its like a sickening in your stomach, a pit, a crunching. You'd have to High cheekbones, a curved jawline, pointed chin. I was very nervous for my consultation but Mr Musgrove made me feel at ease. FFS isnt the golden ticket to passing. The procedures offered by our team aim to reduce salient masculine features to give your face a naturally feminine appearance. Each and every one who works at 2pass goes above and beyond to make your experience as positive as possible and all relationships are based on mutual trust and respect. Pratt asked a colleague, the San Francisco-based maxillofacial surgeon Douglas Ousterhout, if there was anything he could do for his patient. Some argued that this presumes transgender identity to be inferior or less legitimate than cisgender identity. For example some individuals have a very long face, a common characteristic of the male face. Last medically reviewed on April 19, 2018, Forehead reduction surgery, also known as hairline lowering surgery, is a cosmetic procedure used to shorten the height of the forehead. . Lack of an Adams apple. DOI: All About Buccal Fat Removal for Thinner Cheeks, Are Puberty Blockers Reversible? When she finally felt ready to eat, using her jaw was agony; she lived on soups, sorbets and mushed-up jelly. Also, it is why the development of FFS techniques and methods is a central pillar of our practice. Im not trying to make myself beautiful, Drake said. Then there was a man who looked Holford up and down in the staff canteen, then turned away, only to look back and stare again. Hairline advancement became the default standard, despite sometimes having a masculinizing effect. I find that my eyes arent sunken, theyre further out. The clinic also suggests you can expect moderate pain for 3-5 days, but you can go back to regular activities after 1-2 weeks. In his private practice, he treats a different kind of trauma: the trauma of not being read as female. Is it possible to get FFS on the NHS? Throughout his career, Mr Inglefield has gained vast experience in a wide range of specialities, with areas of specialist interest including gender confirmation surgery, facial feminisation surgery, body feminisation surgery, masculinisation surgery and male chest reduction, breast surgery, breast implants and reconstruction, hair line lowering, eye bag surgery and facial rejuvenation, rhinoplasty and non-surgical nose job, labia reduction and labiaplasty. After requesting advice on how best to feminise her face and a careful analysis she realised that the most important issue for her was the length of her lower face. They can quietly go about their business, without risk of violence.. He has heard of several trans women who have had consultations with so-called fly-in-fly-out doctors: surgeons from overseas who might not have a licence to practise in the UK, but see prospective patients in hotel rooms and offer cut-price surgery abroad. Shes got a nice nose. Where she once might have been met with stares, she told me she now gets nothing. There are sites, such as virtualffs.co.uk, that are specifically aimed at trans women, and will, for a fee, apply Ousterhout-like principles to photos. Some chins call for a chin reduction. If youre going under general anesthesia, this includes fasting. . In 2015, while Caitlyn Jenners feminised face was on the cover of Vanity Fair, the actor Laverne Cox began using the #TransIsBeautiful hashtag, starting a movement for trans people to be accepted without surgical intervention. Transgender men, nonbinary folks, and others assigned female at birth may consider a hysterectomy to better align their physical body with their sense. This website uses cookies. In his NHS work, Altman could remake your forehead if you smashed it against a dashboard in a car accident. Our quotes include hospital andanaesthetistfees, pre- and post-operative care for one year, pre- and post-operative manual lymphatic drainage (MLD) and a nurseon call24/7. What happens after I get back home after surgery? Weve gathered all information you need in a. Youre not doing this to beautify or rejuvenate, youre doing it to feminise, he said. It was Drakes profile that threw into relief the reality that she had been born biologically male. He was confident about Drakes forthcoming surgery. However, a surgeon experienced with FFS can sometimes provide better results, especially when multiple facets of the face are being altered at once. It had been posted by Joanna Holford, a trans woman who had had facial feminisation surgery with Altman the year before. Each patient is different and your expectations and desired results will be There are women with heavy brows and square jaws but they still look absolutely beautiful in their own way. It is frequently done by transgender women who want their features, from their brow bones and foreheads to their lips, hair and cheeks, to reflect a more typical female look, so that they can feel more confident integrating socially into society. For extensive work on your skull, they're the better option. Privacy Policy. Its an all too common occurrence for transgender individuals, especially those who are just beginning [], As a trans or nonbinary person, body positivity can be a challenging concept to embrace. While there is no doubt that testosterone does change skulls in puberty, how much is up for discussion. She recognised how lucky she was to be able to afford a procedure that she could not get on the NHS. Drains collected the fluid that was accumulating under her skin. Other commonly performed operations include cheek augmentation, fat grafts, lip enhancement, hair transplants and grafting. Here's why this surgery is done and what to expect. Healthline Media does not provide medical advice, diagnosis, or treatment. Soft tissue procedures can be performed in conjunction with the core FFS procedures listed above. By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. Facial Gender Confirmation Surgery (FGCS) has advanced considerably since its beginnings, thanks in part to our work to revolutionize the field, from R&D to training future generations of professionals. All rights reserved. You have likely asked yourself, How do I find the right FFS surgeon? In his private practice, he treats a different kind of trauma: the trauma of not being read as female. WebFacial Feminization Procedures The procedures offered by our team aim to reduce salient masculine features to give your face a naturally feminine appearance. Drake had no definite idea of how she would look after the surgery. The aim of this project was to review surgical practices in NHS Scotland. The coronal incision hides the incision scar within the bulk of the persons head hair. and he replied without missing a beat. When he was satisfied with the result, Altman changed his gloves and turned his attention to her forehead. He made an incision into her hairline with a swift, steady hand. This patient had brow recontouring, a rhinoplasty, jaw recontouring and a tracheal shave to reduce the prominent "Adams Apple" @copy; 2020 Facial Plastic Surgery Specialist, Before and after images of blepharoplasty, Jaw osteotomies/upper or lower Jaw surgery. Orchiectomy may be a first step in gender confirmation surgery for transgender women. The medical anthropologist Eric Plemons, who specialises in the politics and practice of trans medicine and surgery, told me the current definition of gender dysphoria is an improvement, and that it replaces much more pathologising things that came before it. They blend in. Understand the risks, recovery, and cost. A bimaxillary osteotomy of the upper jaw was performed to shorten her face together with a lip lift. What You Should Know Before Treatment, 9 Upper Body Exercises for Transgender Men and Transmasculine People, Hysterectomy for Transgender Men and Gender Diverse People, Testosterone Therapy for Transgender Men and Gender Diverse People, Whats the Timeline for Trans Women and Transfeminine People Medically Transitioning?, $20,000-$50,000, or even as high as $150,000. Ok. As world reference in surgery for effectively and naturally feminizing the face (FFS) and body, 2pass Clinic offers a range of services with the needs of trans women in mind. She decided against, in the end. Itis alsoimportant, as a patient, to understandyour own goals and know what each surgery canachieve,as well as the risks of eachprocedure. . Scrotoplasty may be performed with either In addition facelifts, blepharoplasty, liposuction can all be used to enhance the appearance but the most important key is to neutralize the male gender cues which are to do with the shape of he facial skeleton. Literature detailing the conduct and outcomes of FFS is lacking. But it takes her to places where being trans can mean being very exposed. 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. Operations are performed at IM Clinics renowned hospital, a spacious and modern surgical facility equipped with the latest technologies, you will feel safe at this center where patient care protocols are a priority. Facial feminisation is not considered cosmetic surgery. First, the brow was lifted and anchored by two stitches. It will have shaped your hands. I mean pleasing. Located only 200 meters from the sea near Puerto Banus, the calm gardens offer a sense of wellness that is essential for your recuperation. Individualization includes getting to know surgeons, creating a plan to realize your goals and understanding your unique facial structure. It may be necessary to shorten the upper jaw as well as the lower jaw. Thats most people. Now, I dont need to worry.. DOI: Cavanaugh T, et al. But in the long term, I expect to feel nothing. This was the most difficult part of the surgery. He is admired by both his peers, as well as his patients. We find the best specialist for your medical problem Alternately, a chin implant can be used when appropriate. However this is not the best operation for every patient. Surgeons who use this technique purport greater vaginal depth, more sensate inner labia, and improved cosmetic appearance. As a highly experienced consultant plastic, reconstructive and aesthetic surgeon, Mr Inglefield has performed thousands of procedures. But the truth is, if testosterone has shaped your face, it will have shaped your shoulders, your shoulder-to-hip ratio. Surgeons require that people stop taking hormone replacement therapy two weeks before surgery and refrain for two weeks after surgery before starting again. After requesting advice on how best to feminise her face and a careful analysis she realised that the most important issue for her was the length of her lower face. With scrotoplasty, the body may reject the testicular implants. He fixed the hairline in place with a ladder of surgical staples at her temples and blue stitching along the top of her forehead, with a practised tilt of his wrist. That went well, he said, as he pulled the black-and-white portraits of Drakes old face down from the theatre wall. Transgender rhinoplasty doesnt differ from standard cosmetic rhinoplasty. Abstract Introduction Facial Feminisation Surgery (FFS) is integral to the management of transgender adult females. Her hair was pulled back by tortoiseshell sunglasses, and she wore mascara but no other makeup. Facial feminization surgery, or FFS, is a surgery that involves the cosmetic modification of your facial characteristics. WebJon Melbourne, chief medical officer at University Hospitals of Leicester NHS Trust (UHL), said it continued "to prioritise the most clinically urgent patients", and urged anyone with For a guaranteed fee, please book a consultation. It costs twice as much as genital surgery, which used to be Controlling her food intake fed the fantasy that she could finally shapeshift, after all. Its goal is to reconstruct the face, not to improve it aesthetically. Unlike the hairline advancement procedure, a coronal incision allows for simultaneous hair transplants. She now recognises the post as a low point, triggered by the loneliness of being single for the first time in a decade and moving to a new city, and the suspicion that, despite having had facial surgery, she still wasnt always read as female. At Facialteam, we are [], Facial feminization surgery can result in a more delicate jawline, for a typically feminine facial shape. The MRI on the lightbox showed Drake had a large sinus cavity with a thin wall; the challenge was to saw the bone down without perforating the sinus, and the best way to do this was to remove part of her forehead entirely. Furthermore, heembraces the latest technological and surgical developments to ensure that the service he offers to his patients is constantly evolving. They believe it takes control out of the hands of the person and implies that the transgender person deserves less personal authority than a cisgender person. Cheek augmentation is a less common procedure. You can do so via online forums, support groups, or mutual friends. After vaginoplasty, most people generally need to dilate regularly for the first year or two, by using a graduated series of hard plastic stents. Rectosigmoid vaginoplasty involves the use of intestinal tissue to form the vaginal wall. Altman is one of only a handful of British surgeons to specialise in it. This makes a surgical procedure unnecessary. Unmasculinized faces tend to have a shorter distance between the upper lip and the base of the nose. You're going to have to find the time and money to go. Becauseofitsincrediblefeminisingpower, it isfrequentlyone of the first surgeries transfeminine patients will request in their transition. In general, risks are low, but bruising is very common. The WPATH standards of care requires a letter of support from a therapist to begin HRT, and multiple letters to undergo bottom surgery. . (2016). No. WebAs world reference in surgery for effectively and naturally feminizing the face (FFS) and body, 2pass Clinic offers a range of services with the needs of trans women in mind. This shortens the distance above the lip and adjusts the lip orientation. Follow the Long Read on Twitter at @gdnlongread, and sign up to the long read weekly email here. Make an appointment here. They may also decide that bottom surgery also known as genital surgery, sex reassignment surgery (SRS), or preferably, gender confirmation surgery (GCS) is the right choice for them. First visit: The lower jaw was recontoured together with a genioplasty to shorten her chin. To anyone consideringFFS, we wouldrecommendgetting as much information aspossiblefrom yoursurgeonor clinic. On my face, Im 75% there. For vaginoplasty, hair will be removed on the skin that will eventually comprise the lining of the neovagina. Holford has been documenting her transition on her YouTube channel since 2012. WebSurgical Interests: Mr Keith Altman has an international and national reputation for facial feminization surgery in transgender females and has authored papers and book chapters on this subject. (Male chins are 17% longer than female chins, according to his calculations.) Facial feminization surgery: Current state of the art. And then theres the female hairline, a low hairline. The focus of his work was to bring attention to the eyes. Some surgeons require a bowel prep before bottom surgery as well. Facialteams philosophy on Facial Feminization Surgery is based on precision, predictability and natural results that reflect the most feminine version of you without visible scars. WebIf you want to stay in the UK or if you don't have extensive needs, use the London Transgender Clinic. She then went on to have cheek implants to highlight her cheek bones and add more volume to her face. All they really offer is HRT and vaginoplasty. They have ranged in age from 18 to almost 70, and include a barrister, several academics and three airline pilots. This patient had prominent bossing of her forehead which required an osteotomy of the frontal sinus and recontouring together with a rhinoplasty to lengthen the nose and jaw recontouring with a genioplasty to advance the chin. But the authentic Sophia Drake she is looking for in the mirror is still several procedures away. Find a Surgeon. The aim of this But I'd argue that Facial Team still does it better. Facial feminisation surgery (FFS) is integral to the management of transgender adult females. Theres no one way to transition and no one-size-fits-all timeline for trans women and transfeminine people who choose to medically transition. Full metoidioplasty and phalloplasty carry the risk of urethral fistula (a hole or opening in the urethra) or a urethral stricture (a blockage). Soon after, he became passionate about plastic surgery and after six years of developing his specialist skills, he passed the intercollegiate specialist examination (in plastic surgery) and was awarded the FRCS(Plast) in 1997. The goal is to eliminate, to the utmost, the masculinizing changes that occur to the facial bones during puberty. WebMr Inglefield and his team prioritise safety and use advanced surgical techniques with cutting edge technology. Things will tighten up, obviously the scar will slowly reduce over time. Scan this QR code to download the app now. After these procedures, the neopenis may or may not maintain an erection on its own and is unlikely to provide meaningful penetrative sex. Microflora of the penile skin-lined neovagina in transsexual women. The hairline frames my face better. We also offer Finance options so you can spread the cost of your treatment. By accepting all cookies, you agree to our use of cookies to deliver and maintain our services and site, improve the quality of Reddit, personalize Reddit content and advertising, and measure the effectiveness of advertising. Where does it stop?. Sometimes the incision is made right at the Adams apple. WebCosts of FFS vary greatly depending on whether you only want work done on one area of your face or several and how difficult the surgeon will envisage creating the change will Are the criteria for the real-life experience (RLE) stage of assessment for GID useful to patients and clinicians? You may be attended by another doctor who is member of the Team. The reduction of the prominence is done through a small incision just above the prominence in a skin crease, in order to keep the incision scar as inconspicuous as possible. You can get this cosmetic procedure in the UK, but it is very unlikely this will be offered on the NHS, so you will have to go privately. They may be undertaken for several reasons including. However, the back scar tends to be the least visible and allows for additional penis length. Both can be repaired via minor follow-up surgery. The surgery may also be performed in cisgender women who desire a more feminine face or facial feature (e.g., a lower hairline). These before and after images of a patient who attended for advice about FFS illustrate the power of surgery on the lower face in FFS. We believe that for many transgender women, FFS is medically necessary to treat gender dysphoria. For other inquiries, Contact Us. The biggest change was in Drakes demeanour. Im tired of the stress and constant insecurity and I am not sure I can take it any more. She had written two lists, for and against detransitioning. Demand remains steady. See additional information. Find out more on our Finance page. NEWS OF THE WEEK Mr Christopher Inglefield is one of London's leading plastic surgeons. Special care should be taken to not impact the nose for several weeks after surgery. (2009). WebFacial feminisation surgery and hair transplants are not routinely available on the NHS. NHS England has confirmed that the 18 week referral to treatment time standard set out in the Constitution applies to gender identity services. Your surgeon might have other requirements based off of the procedure that youre getting. (2014). For Keith Altman, the maxillofacial surgeon, it is the removal of bone, skin and cartilage. He contacted a surgeon in Antwerp who was experienced in facial feminisation surgery, and who invited Altman over to watch him at work. Perhaps, in the future, the availability and acceptance of hormone treatment will mean there will be fewer people requiring or wanting facial procedures. An overview of neovaginal reconstruction options in male to female transsexuals. Because you dont want to keep fighting all the time. Drake described gender dysphoria as a deep longing to be comfortable. It would remove the parts of Drakes face she thought were most male, the features she hated so much. Your surgeon will require you to stop HRT two weeks before surgery, and refrain for two weeks after surgery. We avoid using tertiary references. Intestinal tissue has the added benefit of being mucosal, and therefore self-lubricating. Testicular implants usually require waiting for a follow-up surgery. Finding Gaynor: an uplifting story of embracing ones true self. You should refrain from returning to work or lifting heavy objects for six weeks. You cannot exercise though for around six weeks. Literature detailing the conduct and outcomes of FFS is lacking. Am I sitting in the wrong way? If the individual is on a budget,MrInglefield can discuss which procedures willmakethe biggest impact based on their goals and they canprioritisethe proceduresthey'dlike to have done that remain within their budget. Scars tend to either be hidden in the pubic hair, along the folds of the labia majora, or simply heal so well as to not be noticeable. Facialteams facilities in Barcelona, located in Sant Cugat del Valls, which is easily accessible by car from the airport or from the train station. As with all surgical procedures there can be complications. Overnighthospitalisationcan be offered if manyproceduresare performed together so that the patient canbemonitoredthe first night aftersurgery. With total respect for your gender identity, our detail-oriented care protocol attends specifically to your emotional and physical needs during the FFS process. Transgender men, nonbinary folks, and others assigned female at birth may consider a hysterectomy to better align their physical body with their sense. Do I really need Facial Feminisation Surgery? His knowledge and manner was reassuring and the reason I chose him as my surgeon. He drew back her skin in either direction from her hairline until it gathered in folds on one side at the tip of her nose, and draped back across her crown on the other. The gender dysphoria she felt before her transition has transmuted into a real, chronic paranoia. He held it in his hand as he filed it back, turning a flat plane into a gentle curve. Receiving simultaneous hair transplants with a standard hairline advancement will cause the transplanted hair to be rejected by the healing tissue surrounding the incision. If this is going to help, why wouldnt you do it?. WebFTM/FTN bottom surgery procedure Phalloplasty and metoidioplasty are two methods that involve the construction of a neopenis. Video games saved her. Intestinal tissue helps when penile and scrotal tissue is scarce. Each patient is different and your expectations and desired results will be The whole procedure would take two-and-a-half hours. FFS is tailored to each person and can encompass up to every aspect of the face and neck. Vaginal prolapse may also occur. Facial swelling and asymmetry can be present for many months after the surgery. WebSurgery for Facial Feminisation Brian Musgrove has been performing Facial Feminisation Surgery for over 20 years. It is What we feel is attractive. This technique is sometimes used in conjunction with penile inversion. It is commonly undertaken for transsexual individuals who are transitioning from male to female or for women who wish to further feminise their facial appearance.
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