Standards of care for the health of transgender and gender diverse people, version 8. International Journal of Transgender Health. Masculinizing surgery, also called gender-affirming surgery or gender-confirmation surgery, involves procedures that help better align the body with a person's gender identity. You'll also receive instructions to follow after your surgery to improve your results. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. The expanders are gradually filled with saline over several months. More . All rights reserved. The effects will also ease the anguish many transgender men will experience from gender dysphoria (Gender Identity Disorder). Men who are slightly overweight with an underdeveloped chin may begin to see the signs of laxity in their lower face, known as the "turkey neck", as they age. Evaluation of your body contours, including excess skin, fat deposits, muscle tone. When can I resume normal activity and exercise. It takes several weeks for swelling to improve. As ASPS data over the years illustrates, strong economic climes equal strong plastic surgery practices while a downturn, such as the recession of 2008 recession, can mean a dip for some practices. The views expressed in Ask a Surgeon and the Patient Community are those of the You might have one surgery or several. Facial masculinization surgery is performed as either a single procedure or as multiple staged procedures. Male hormones (testosterone) cause changes such as increased muscle mass, and body and facial hair. The male facial skeleton is larger and more angular than that of the female. Surgical removal of breast tissue. You will be given specific instructions that may include: How to care for your surgical site(s) following surgery, medications to apply or take orally to aid healing and reduce the risk of infection, specific concerns to look for at the surgical site or in your general health, and when to follow up with your plastic surgeon. Once you return home, we are available around the clock to answer any questions you may have. During your recovery period, you'll continue to talk to specialists involved in your treatment about the evolution of your facial features and any concerns you might have. I've been severely dysphoric as always but super anxious now for a date. In this paper we try to capture some of the sex differences, respectively, of skeleton, musculature and other subcutaneous soft tissues, integument and frame of the face. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Ending the Opioid Crisis - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Book: Mayo Clinic Family Health Book, 5th Edition, Newsletter: Mayo Clinic Health Letter Digital Edition. Click here for an email preview. New ASPS data outlining the range and rising frequency of gender-affirmation surgery reflects a different kind of societal change. It makes standing urination possible. Mayo Clinic; 2022. What are female-to-male gender confirmation surgeries? Options for masculinizing surgery include: Your health care provider might advise against these surgeries if you have: There is a problem with Ask your health care provider about these options and the risks and benefits they involve. Because the healing process can take time, you shouldn't engage in strenuous physical activity or heavy lifting for the first six . In: Trans Bodies, Trans Selves: A Resource by and for Transgender Communities. They can help you shape your expectations of what can be achieved. Phalloplasty also may include: After phalloplasty, a tube is temporarily placed in the urethra to collect urine. To prepare for the procedure, expanders are placed under the skin. The surgical masculinization of the face is often used as a means to finalize the transition for many transgender men. The chin on an average basis is 17% vertically higher in the male and there is more fullness laterally. Data on patient demographics, follow-up, operative techniques, complications, and outcomes were collected. Often used to refer to phalloplasty, metoidoplasty, or vaginectomy, sex reassignment surgery can also more broadly . Before facial feminization surgery, you'll meet with your surgeon. For the best results, go to a surgeon who specializes in working with FTM individuals. If you are a transgender man living in-and-around the Miami area, allow Dr. Christopher Salgado and his team at the University of Miami to complete your transition. Receive trusted health information and answers to your questions about sexual orientation, gender identity, transition, self-expression, and LGBTQ+ health topics. I forced myself to get out of bed and I took my shirt off to help. Measurements may be taken. However, our financial team works very hard to obtain insurane coverage for all of our procedures if possible. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Accessed Nov. 5, 2021. Masculinizing surgery includes several options, such as top surgery to create a more male-contoured chest and bottom surgery that changes the genitals. Techniques and trends of facial feminization surgery: A systematic review and representative case report. Interested in Body Masculinization Surgery? A single copy of these materials may be reprinted for noncommercial personal use only. Case #3109 - Facial Masculinization. Blood-soaked dressings, which can be a sign of excessive bleeding. Evaluation and treatment of facial feminization surgery: Part II. Throat. The oblique line is fuller in the male. The goal of facial masculinization surgery is to transform the feminine features of the face to a more masculine appearance. Copyright Trans Media Network, 2011-document.write(new Date().getFullYear());. The mental health provider ensures your: Before the procedure, your healthcare provider performs a thorough assessment. It's very important for patients to have realistic expections about outcomes. Identifying risks for potential complications. A solid swelling of clotted blood within your tissues, Dissatisfaction with appearance after surgery, Changes from the procedure that can't be undone. At The South Florida Center for Cosmetic Surgery, weve helped hundreds of transgender males transform their facial features with Facial Masculinization surgery. Next, the fat is treated with ultrasound energy that is very specific to fat, and then the fat is removed. What to expect after Body Masculinization Surgery: Infections that cause a fever or yellowish discharge from incisions. The views expressed in Ask a Surgeon and the Take the antibiotics you are prescribed to reduce risk of infection. an algorithmic approach to treating this patient population. Our goal is to keep you as comfortable as possible. 915 Middle River Dr. #213Fort Lauderdale, FL 33304Phone: (954) 565-7575. 877-424-5678. Also, nipple sensation is unaffected after surgery. This content does not have an Arabic version. Although less common than Facial feminization it is performed with increasing frequency. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Surgery. Next, the thin layer of fat left behind is evened out using fat equalization probes. Medical transition. However, you can expect to be at our center for about 4-5 hours. First, a fluid is injected into the fatty tissue layer that causes blood vessels to shrink and the fat to expand. Your surgeon will also perform a complete physical examination, take blood tests, and take photos of your face to aid in planning and performing your Facial Masculinization surgery. This gender-affirming surgery is a common treatment for gender dysphoria, a condition in which differences between physical appearance and assigned gender cause distress. Dr. Sherie offers trans men the highest level of surgical care at her practice in Charlotte, North Carolina, where she specializes in FTM Top Surgery and Body Masculinization with VASER Hi-Definition Liposuction. The shape of the forehead will be augmented and lengthened to create a stronger, more masculine-looking forehead. Your provider also makes sure youre in good physical health by: You might also have imaging scans before facial masculinization surgery. Unfortunately, surgery poses several risks such as: Scarring is an expected consequence of surgery. Bed rest and limited activity for a few days after surgery; pain should significantly reduce 4-5 days post-op. Some breast tissue remains after surgery regardless of the surgery you have. Pain that does not respond to medications. Facial feminization surgery encompasses a broad range of procedures to change the shape of the face to look feminine. Kindle edition. Gender-affirming procedures (adult). This is called a urethral hookup. Buttock Liposuction must be done conservatively to avoid loose, droopy skin. The procedures that are commonly employed to masculinize the face include forehead . FFS may include a brow lift, cheek augmentation, rhinoplasty, and lip augmentation. Facial Confirmation Surgery with Description of a New Procedure for Masculinization of the Thyroid Cartilage (Adam's Apple). Facial Masculinization Surgery and its Role in the Treatment of Gender Dysphoria. Though less common than facial surgeries for trans women, these surgeries provide trans men with a permanent solution for masculinizing facial features. (https://pubmed.ncbi.nlm.nih.gov/31299718/), Visitation, mask requirements and COVID-19 information. As it is often a multi-surgery procedure, facial masculinization comes with unique recovery instructions considering the specific surgical plan. Dang BN, et al. 2nd ed. Facial masculinization surgery creates a more angular face, which may be considered more masculine in appearance. Definitive and stable results might not appear until up to a year after facial feminization surgery. Plast Reconstr Surg. However, most patients can resume normal activities within a few days after their surgery. Msg & Data rates may apply. Facial feminization surgery might include: Other possible head and neck procedures include: You might also consider skin-tightening surgery, such as a face-lift or other treatments. As world leaders in gender-affirming procedures, each of our surgeons understands the unique needs of trans patients as well as the smallest details that make up a truly masculine facial anatomy. Masculinization surgery is comprised of a set of aesthetic and reconstructive surgical procedures that work to reshape female facial features to be more masculine. To masculinize the cheeks, Dr. Salgado will use augmentation to create a square and angular cheekbone. Liposuction is performed on an outpatient basis, under general anesthesia or local anesthesia with twilight sedation. A 3.7-5mm diameter hollow tube (cannula) is inserted through small, strategically placed incisions and vacuum is applied to break up and suction out fat. Client Testimonials are based on personal experience and are the opinion of individual clients. This procedure usually results in a penis with an unstimulated length between 1 and 3 inches (3 and 8 centimeters). The procedures include the ones listed below: Forehead augmentation (increase in forward protrusion of the brow) Our professional M.D. Gender-affirming procedures (adult). Refer a patient. The views expressed in Ask a Surgeon and the Patient Community are those of the participants and do not necessarily reflect the opinions of the American Society of Plastic Surgeons. Your doctor will also follow your progress closely and advise you as to which activities are safe during your healing process. However, for this surgery to be optimal your surgeon should have a deeper understanding of not only the aesthetic qualities of the male face but also the underlying craniofacial structures that define what it is to be masculine. For this reason, we recommend that your plastic surgeon is also a qualifiedcraniofacial (maxillofacial)andjaw surgeonto achieve the most successful result. Siringo NV, et al. Amirlak Plastic Surgery. South Florida Center for Cosmetic Surgery, Tracheal Shave Adams Apple Reduction Surgery, Absorbable Thread Lift / Non-Surgical Facelift, AcuPulse Fractional CO2 Laser Resurfacing, The South Florida Center for Cosmetic Surgery. Chest masculinization surgery. Everyone heals differently, and it could take several weeks to see your true results. Male-to-female (MTF) facial feminization. Another option involves having ovarian tissue surgically removed, frozen, and later thawed and reimplanted. Healthcare providers inject these substances into specific areas to add bulk or definition. Initially, masculinization of the chin was accomplished with a multisegment chin osteotomy with grafts to vertically expand and widen the chin along with correcting pronounced microgenia. A chin implant is customized to the shape and size of the face to create a . All Rights Reserved. Surgery to remove all or part of the vagina, called a vaginectomy, create a scrotum, called scrotoplasty, place testicular prostheses, increase the length of the clitoris, called metoidioplasty, or create a penis, called phalloplasty. These procedures fall under the categories of: Typically, facial gender confirmation surgery is performed under general anesthetic as along-format surgical operative sessionduring which several procedures are performed either simultaneously or sequentially. Since facial feminization surgery might cause irreversible physical changes, you must give informed consent after thoroughly discussing: You might also consider talking to others who've had facial feminization surgery before taking this step. Surgical manipulation of the bone and soft tissues of the face create a masculine appearance. Facial masculinization surgery costs may include: Surgeon's fee Hospital or surgical facility costs Anesthesia fees Accessed July 22, 2022. Plast Reconstr Surg. All rights reserved. The Deschamps-Braly clinic offers several plastic surgery procedures to create a more masculine appearance in both the face and body for transmen and transmasculine transgender patients. Mayo Clinic is a not-for-profit organization. A penile implant is needed to allow penetrative sex. The facial gender confirmation surgery process consists of preparing for surgery, undergoing the procedure, and recovering. In general, you can expect cost to be in the range of $3500-$15,000. During your facial masculinization surgery consultation be prepared to discuss: Your transition process Your surgical goals Medical conditions, drug allergies and medical treatments Current medications, vitamins, herbal supplements, alcohol, tobacco and drug use Previous surgeries Your surgeon will also: About Us; . These surgeries can be expensive, carry risks and complications, and involve follow-up medical care and procedures. This can cause significant scarring. Body Masculinization Surgery (BMS) is an ideal procedure for trans men who would like to obtain a more masculine body shape and for whom weight loss strategies and muscle building have not helped entirely. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); 360 Post St. Suite 901 It isn't necessary for the vagina to be closed or removed before metoidioplasty. Dr. Hope Sherie's VASER Hi-Def Body Masculinization procedures are unique to her practice. Realistic Individual results will be discussed with you based on your information with an initial consult with a doctor or health care professional provided for your free consultation. This is a gender-affirming procedure that yields permanent changes in facial features. Your surgeon might recommend that you work with a nutritionist to make sure you get enough nutrients following surgery. Benefits. Youll also undergo an extensive physical exam and blood tests before your surgeon takes photographs to aid in planning and performing your procedures. Ann Plast Surg. You must get plenty of rest during the recovery period. After my surgery with Dr. D., I suffered a deformed face after nearly a year and a half of infection, I'm in chronic, severe pain for the rest of my life due to nerve damage, I fear I may have brain damage, and I nearly died before falling into a coma. All rights reserved. After surgery, expect to experience pain, redness and swelling in your face, most noticeably in your eyes, nose, jaw and chin. 7th version. Although less common than Facial feminization it is performed with increasing frequency. Facial masculinization procedures can take from two to four hours. This may include guidelines on eating and drinking. Advertising revenue supports our not-for-profit mission. Annals of Plastic Surgery. For some people, having masculinizing surgery feels like a natural step. You may not be a good candidate for facial masculinizing surgery if: Types of providers that perform these procedures include: Some providers have extra training in gender-affirming surgery. Understanding of the procedure and its impact on your life. While many trans men are satisfied with the body shape changes that are acquired through hormone therapy, others don't achieve the level of masculinization desired, which can negatively affect body image, self-esteem and confidence. Health insurance might not cover surgical procedures considered cosmetic for the cisgender population people whose gender identity matches the one they were assigned at birth even though these procedures are medically necessary to alleviate gender dysphoria. The girth and angle of the mandible will be surgically enhanced. Facial Masculinization Surgery can include: A post shared by Dr. Tony Mangubat (@drtonymangubat). The final costs of your procedures will be estimated by Dr. Salgado and the University of Miami staff. We work with three third-party financing companies to offer flexible payment plans with instant approval based upon your credit score. Many facial features, such as the eyes, jaw and brow, reflect sex differences. Facial reconstructive surgery is a good option for patients who have had a skin cancer removed. The surgeon also may provide information on details such as the type of anesthesia that will be used during surgery and the kind of follow-up care that you may need. Dr. Salgado will use augmentation techniques to advance the projection and width of the nose. If you don't know someone, ask your health care provider about support groups in your area or online resources you can trust. Dallas. This field is for validation purposes and should be left unchanged. Copyright Trans Media Network, 2011-document.write(new Date().getFullYear());. For example, Liposuction is used in Top Surgery to remove fat from under the arms and provide a masculine-looking contour to the pectoral muscles. This fear is usually unfounded because a good surgeon will take into aesthetic consideration those facial features that are unique to "you" and will work to retain your individuality. You have a health condition that makes surgery dangerous. Like any other type of major surgery, many types of feminizing surgery pose a risk of bleeding, infection, damage to nearby structures, an imbalance in facial features and an adverse reaction to anesthesia. Chin Implant. Dr. Beck is a board certified plastic and reconstructive surgeon in Charlotte NC who has been performing gender-affirming surgery since 2003. This approach allows the surgeon to visualize the body as a single aesthetic unit and tends to produce the best results. the unsubscribe link in the e-mail. During your consultation, youll meet with your surgeon one-on-one to help them better understand your concerns and desires. health information, we will treat all of that information as protected health https://www.uptodate.com/contents/search. Request an appointment. The views expressed in Ask a Surgeon and the Patient Community are those of the participants and do not necessarily reflect the opinions of the American Society of Plastic Surgeons. Masculinizing surgery includes several options, such as top surgery to create a more male-contoured chest and bottom surgery that changes the genitals. The sex hormone differences between men and women are to blame. Elsevier; 2017. https://www.clinicalkey.com. Miami, FL 33145, 2020 Constructive Surgery. Dr. Hadeed will consider these factors when determining which options are best suited for each patient . Dr. Sherie is a member of the Charlotte Transgender Health Care Group and the World Professional Association for Transgender Health (WPATH). Facial Masculinization Surgery provides a permanent solution for masculinizing facial features. Your personal treatment plan will include a combination of the following surgeries: After surgery, you will experience some discomfort once your anesthesia wears off. Your casts will be removed after a week. Accessed Nov. 3, 2021. It is important to keep your head elevated and apply a cold compress every day for the best results. Together, these help achieve the waist-to-chest ratio that describes the V-shape torso. Surgeons can re-shape different parts of your face to look more traditionally male, focusing on creating larger and more angular features. Masculinization surgery is comprised of a set of aesthetic and reconstructive surgical procedures that work to reshape female facial features to be more masculine. Cleveland Clinic is a non-profit academic medical center. This field is for validation purposes and should be left unchanged. The skin is rolled into the shape of a penis and anchored into position above the clitoris. Talk to your health care provider about the specific activity restrictions you need to follow. You should also get plenty of rest and take medications as prescribed for pain. What is facial masculinization surgery? surgeons or share your journey with other people just like you on the Patient Community. Top surgery, also called masculinizing chest surgery, involves the removal of breast tissue a procedure known as subcutaneous mastectomy. information highlighted below and resubmit the form. You can begin moderate exercise within 3 to 6 months. Your surgeon will also describe your potential results. Your surgeon talks with you about your options and the potential results. Sometimes the nipple will be removed and re-sized before re-attaching. Once a surgical plan has been discussed, Dr. Salgado will base his surgical techniques to complement the natural features of your face. When will they be removed? The Adams apple is one of the most obvious differences between a male and female. Dr. Salgado uses general anesthesia for his surgical procedures to ensure you are pain-free and unconscious for the duration of the surgery. Many people start changing their appearance with masculinizing hormone therapy. A facelift is a procedure used to improve visible signs of aging in your face and neck. Because of that, ask your health care provider about breast cancer screening you may need after surgery. Instead, your surgeon will recommend a combination of complementary procedures to create a more feminine appearance. Implant migration, which occurs when an implanted device shifts out of place. The consumption of alcohol must be avoided for at least twenty-four hours before surgery as well. Continued care after surgery is associated with good outcomes for long-term health. Kindle edition. That evaluation might assess: Health insurance coverage for masculinizing surgery varies widely. Get useful, helpful and relevant health + wellness information. Explore Mayo Clinic studies of tests and procedures to help prevent, detect, treat or manage conditions. You can have masculinizing surgery on your: Cheeks. Body Masculinization Surgery is performed using Liposuction, a safe procedure that suctions and removes fat from targeted areas. Rib cartilage was harvested and carved into an appropriately shaped thyroid cartilage onlay graft and then attached and integrated with the native thyroid cartilage, creating a fully mobile cartilage that translocates up and down with swallowing and a visible Adam's apple. Anesthesiologist always administers general anesthesia for all surgical procedures. Tangpricha V, et al. . The authors devised a novel technique to augment the thyroid cartilage using autologous rib cartilage to create a visible Adam's apple. These may include craniofacial procedures, soft tissue surgeries, and non-surgical procedures. Patient pictures are showing Before and After results are actual patients Individual results vary. They will also thoroughly explain each treatment before your surgery and give you important instructions for a safe recovery. Resume light physical activity after a week. Recontour the chin and cheeks to create a more masculine profile. During your initial consultation, your doctor will give you an estimate of how much your procedure(s) will cost. We understand that surgery may not be the best option for transgender males who are looking into getting that well-chiseled face. Archives of Plastic Surgery. People who have gone through the process may be able to help you set your expectations and offer a point of comparison for your own goals of the surgery. The procedures that are right for you depend on the facial features you wish to change. Cases in Facial Masculinization. Dr. Paul Tessier and facial skeletal masculinization. Share your journey with other people just like you on the Patient Community or post your question to Ask a Surgeon to get an authoritative and trustworthy answer from our ASPS member surgeons.