Author Topic: Van de Ven or Capitan ?  (Read 1760 times)

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Offline Ashley3

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Re: Van de Ven or Capitan ?
« Reply #20 on: December 29, 2017, 07:33:35 pm »
This is really in line with others who've spoken about FT! It's making me consider a trip to Spain for an in person consultation- given I have the patience and money to do 2 trips.. mostly money!

Did you do in person or skype? Not sure how it all works yet but I'm curious

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I had 2 Skype consultations in 2016 prior to placing a deposit for a Feb 2017 surgery date. I had one additional Skype consult a few months later in the Fall of 2016 to touch base regarding whether or not I'd do the "simultaneous hair transplant" option... I'd gotten frontal transplants early in 2016 so depending on their thoughts of the progress there, they would give me their recommendation on that aspect of the forehead procedure.

At that point in Fall 2016 I knew I'd be getting forehead without simul hair transplants... and with chin reduction TBD upon arrival in Spain in Feb 2017.

I only went to Spain once, that was in Feb 2017 for the surgery... by that time, I really had little concerns regarding the surgery so I felt like it was sort of on an easygoing downhill ride at that point... I arrived, went to an in-person consultation with Dr. Simon (Dr. Capitán had performed all of the Skype consults... that was my first time meeting Dr. Simon). We agreed on chin, got surgery, recovered for about 10 days there, returned home.

I think many who get FFS agree that it's the years leading up to FFS that are the most difficult, including preparing for travel and being away from home. For me that was the tough part... after I scheduled the surgery life got easier but it wasn't until I was on the plane to Spain that things coasted. I was a bit stressed out before going... had to take care of a lot of things... I was not used to being away.

I'm surprised to hear lately of many folks are traveling to Spain for their initial consultations w/FT... I guess the current generation is both more used to travel as well as perhaps having access to better airfare.

For me personally, I could never have seen myself traveling just for the in-person consult... but I keep hearing of folks doing just that. Either way works... some things they may want to see you in-person for... but frankly not much changed for me between my Skype consultatons and in-person (the day before surgery)... the in-person was mostly confirming what we had discussed in Skype... we also finalized assessment of my chin such that we'd do it... so chin was really the thing we clarified in-person for the first time.

That was my way... everyone is different. Beyond chin... the in-person was a great time to talk with Dr. Simon, learn how the surgery works, all that kind of stuff. The in-person is also where they take scans of your head area and look closely to ensure they're aware of everything before finalizing procedures.

I noticed above there was some discussion of rhino ahead of FFS... if it helps, this is my general surgical path so far...

  • 2015: Feminizing rhino to be compatible with my then-cismale face... but being as fem as possible. I wasn't sure I'd get FFS despite knowing I surely wanted it... odd... but I'm come from over-thinkers. :D I consider this to have been an incremental transition step.
  • 2016: Initial FT Skype consultation.
  • 2016: FT approves my getting hair transplants and a lip lift locally before getting FFS but conveyed they could not perform forehead (any head) surgery on me until one year post-transplants.
  • 2016: Feminizing hair transplants. I consider this to have been an incremental transition step.
  • 2016: Lip-lift #1 (I was afraid of doing too much because doing more is easier than undoing a liplift so I discussed w/surgeon and he'd take it in stages.) I consider this to have been an incremental transition step.
  • 2016: FT Skype #2 ~6 mos post-transplants... they think things look good... I schedule my FFS with them... send deposit. I consider this to have been an incremental transition step.
  • 2016: FT Skype #3: FT says transplants look good to them... no need for simul transplants. We will finalize chin yes or no when I arrive in Spain and they can see scans and look at me firsthand.
  • 2016: Lip-lift #2: bring it up more... this was a few months before FFS... FT approved and this took my lip up more.
  • 2017: FFS w/FT. Believe it or not, I consider this to have been an incremental transition step.

So above I mention incremental a lot... what I learned early in my FFS search... around 2013/2014... I was stalled not doing anything and realized if I consider the big package surgery options (many procedures at once), I get daunted and sit on the fence overthinking and being overly cautious... so by going incremental, I kept being happy with minor changes, but left with a feeling that it wasn't enough.. it could be a bit difficult... but the benefit is I moved forward and was propelled by a natural desire to take more steps (it can be frustrating doing something, feeling it's not enough, doing more, feeling it's not enough... etc. that's the difficult part... but the reward was that I was moving forward instead of doing nothing).

That was my way... not necessarily efficient by any stretch... on hindsight, I'd likely do a bunch of stuff at once... but I'm not entirely certain of that... anyway, incremental got me to move forward, considering a buffet of surgeries at once stalled me. People successfully take both routes, all at once and incremental... so it's an each-his-own thing... just make sure you go to right surgeons.

Side note: getting nose first, then doing forehead contouring/reduction is not a big sin or bad thing... talented maxillofacial FFS surgeons deliver incredible results from both starting points. The notion that forehead FFS is a "second rhino" shouldn't even be mentioned in a consultation I feel (perhaps I'm wrong... it's my own feeling)... it should be invisible to the patient... that's a doctor detail relating to maxillofacial boney work... FT never mentioned one single thing to me about my nose and prior rhino other than they really liked the work done there as a quick comment during consultation. (I've only had one rhino and FT did not touch my nose because any maxillofacial bridge work or whatever magic they do there.)

What I'm saying here is largely my opinion based on my own experience... so I can't say if a maxillofacial FFS surgeon wouldn't need to call out a prospective patient's prior rhino as some feat to overcome during forehead FFS... my personal—and possibly incorrect—opinion, what I just mentioned, is that an artful maxillofacial FFS surgeon just works with you as you are, rhinoplasty (if any) and all. I say this because I think sometimes a prior rhino is brought up as presenting something extra to deal with... so I'm suspicious in some cases it may be a way to affect or justify surgical cost estimates... not sure.

And I offer my opinion in that way with another opinion that I bet there are some rhino and non-rhino nose situations that do present maxillofacial forehead challenges... but I'm not convinced that having a rhino automatically puts one in such a category... it did not with me and I suspect many who go to FT (at least FT... I can't speak for other offices).

VFFS is an excellent resource for this type of thing...  VFFS can help convey information from experience working w/FFS surgeons about things such a prior rhino and it's affects on forehead FFS consultation discussions/estimates. (VFFS helped me avoid getting a cisfemale forehead lift early on... it would have been a big/costly mistake... that was back when I thought I'd never travel out of the country for FFS. So I got a few simulations from VFFS but asked many questions to take advantage of that experience.)

Best of luck with your research on FFS and all else... it can be daunting but there's a lot more experience-related info and knowledge out there... if you decide surgery is right for you, you will find the path that works for you.

Offline Allison S

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Re: Van de Ven or Capitan ?
« Reply #21 on: December 29, 2017, 07:53:42 pm »
I had 2 Skype consultations in 2016 prior to placing a deposit for a Feb 2017 surgery date. I had one additional Skype consult a few months later in the Fall of 2016 to touch base regarding whether or not I'd do the "simultaneous hair transplant" option... I'd gotten frontal transplants early in 2016 so depending on their thoughts of the progress there, they would give me their recommendation on that aspect of the forehead procedure.

At that point in Fall 2016 I knew I'd be getting forehead without simul hair transplants... and with chin reduction TBD upon arrival in Spain in Feb 2017.

I only went to Spain once, that was in Feb 2017 for the surgery... by that time, I really had little concerns regarding the surgery so I felt like it was sort of on an easygoing downhill ride at that point... I arrived, went to an in-person consultation with Dr. Simon (Dr. Capitán had performed all of the Skype consults... that was my first time meeting Dr. Simon). We agreed on chin, got surgery, recovered for about 10 days there, returned home.

I think many who get FFS agree that it's the years leading up to FFS that are the most difficult, including preparing for travel and being away from home. For me that was the tough part... after I scheduled the surgery life got easier but it wasn't until I was on the plane to Spain that things coasted. I was a bit stressed out before going... had to take care of a lot of things... I was not used to being away.

I'm surprised to hear lately of many folks are traveling to Spain for their initial consultations w/FT... I guess the current generation is both more used to travel as well as perhaps having access to better airfare.

For me personally, I could never have seen myself traveling just for the in-person consult... but I keep hearing of folks doing just that. Either way works... some things they may want to see you in-person for... but frankly not much changed for me between my Skype consultatons and in-person (the day before surgery)... the in-person was mostly confirming what we had discussed in Skype... we also finalized assessment of my chin such that we'd do it... so chin was really the thing we clarified in-person for the first time.

That was my way... everyone is different. Beyond chin... the in-person was a great time to talk with Dr. Simon, learn how the surgery works, all that kind of stuff. The in-person is also where they take scans of your head area and look closely to ensure they're aware of everything before finalizing procedures.

I noticed above there was some discussion of rhino ahead of FFS... if it helps, this is my general surgical path so far...

  • 2015: Feminizing rhino to be compatible with my then-cismale face... but being as fem as possible. I wasn't sure I'd get FFS despite knowing I surely wanted it... odd... but I'm come from over-thinkers. :D I consider this to have been an incremental transition step.
  • 2016: Initial FT Skype consultation.
  • 2016: FT approves my getting hair transplants and a lip lift locally before getting FFS but conveyed they could not perform forehead (any head) surgery on me until one year post-transplants.
  • 2016: Feminizing hair transplants. I consider this to have been an incremental transition step.
  • 2016: Lip-lift #1 (I was afraid of doing too much because doing more is easier than undoing a liplift so I discussed w/surgeon and he'd take it in stages.) I consider this to have been an incremental transition step.
  • 2016: FT Skype #2 ~6 mos post-transplants... they think things look good... I schedule my FFS with them... send deposit. I consider this to have been an incremental transition step.
  • 2016: FT Skype #3: FT says transplants look good to them... no need for simul transplants. We will finalize chin yes or no when I arrive in Spain and they can see scans and look at me firsthand.
  • 2016: Lip-lift #2: bring it up more... this was a few months before FFS... FT approved and this took my lip up more.
  • 2017: FFS w/FT. Believe it or not, I consider this to have been an incremental transition step.

So above I mention incremental a lot... what I learned early in my FFS search... around 2013/2014... I was stalled not doing anything and realized if I consider the big package surgery options (many procedures at once), I get daunted and sit on the fence overthinking and being overly cautious... so by going incremental, I kept being happy with minor changes, but left with a feeling that it wasn't enough.. it could be a bit difficult... but the benefit is I moved forward and was propelled by a natural desire to take more steps (it can be frustrating doing something, feeling it's not enough, doing more, feeling it's not enough... etc. that's the difficult part... but the reward was that I was moving forward instead of doing nothing).

That was my way... not necessarily efficient by any stretch... on hindsight, I'd likely do a bunch of stuff at once... but I'm not entirely certain of that... anyway, incremental got me to move forward, considering a buffet of surgeries at once stalled me. People successfully take both routes, all at once and incremental... so it's an each-his-own thing... just make sure you go to right surgeons.

Side note: getting nose first, then doing forehead contouring/reduction is not a big sin or bad thing... talented maxillofacial FFS surgeons deliver incredible results from both starting points. The notion that forehead FFS is a "second rhino" shouldn't even be mentioned in a consultation I feel (perhaps I'm wrong... it's my own feeling)... it should be invisible to the patient... that's a doctor detail relating to maxillofacial boney work... FT never mentioned one single thing to me about my nose and prior rhino other than they really liked the work done there as a quick comment during consultation. (I've only had one rhino and FT did not touch my nose because any maxillofacial bridge work or whatever magic they do there.)

What I'm saying here is largely my opinion based on my own experience... so I can't say if a maxillofacial FFS surgeon wouldn't need to call out a prospective patient's prior rhino as some feat to overcome during forehead FFS... my personal—and possibly incorrect—opinion, what I just mentioned, is that an artful maxillofacial FFS surgeon just works with you as you are, rhinoplasty (if any) and all. I say this because I think sometimes a prior rhino is brought up as presenting something extra to deal with... so I'm suspicious in some cases it may be a way to affect or justify surgical cost estimates... not sure.

And I offer my opinion in that way with another opinion that I bet there are some rhino and non-rhino nose situations that do present maxillofacial forehead challenges... but I'm not convinced that having a rhino automatically puts one in such a category... it did not with me and I suspect many who go to FT (at least FT... I can't speak for other offices).

VFFS is an excellent resource for this type of thing...  VFFS can help convey information from experience working w/FFS surgeons about things such a prior rhino and it's affects on forehead FFS consultation discussions/estimates. (VFFS helped me avoid getting a cisfemale forehead lift early on... it would have been a big/costly mistake... that was back when I thought I'd never travel out of the country for FFS. So I got a few simulations from VFFS but asked many questions to take advantage of that experience.)

Best of luck with your research on FFS and all else... it can be daunting but there's a lot more experience-related info and knowledge out there... if you decide surgery is right for you, you will find the path that works for you.
Wow I wasn't expecting such a detailed response but that's very interesting! Thank you!

You look great and you're right- in the end it has to work for the individual.

I'm wanting rhinoplasty, forehead/brow bossing reduction and chin/jaw. I may consider reducing size of my ears. That's about 5 surgeries at once! This is why I want an in person consultation.

I wonder if anyone's had an experience with a surgeon refusing to do too many parts of the face all at once. I'd feel like that would set me back a lot because it would cost more for hospital etc. in the long run.

FFS is very daunting but sometimes necessary.

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Offline joan196.jh

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Re: Van de Ven or Capitan ?
« Reply #22 on: December 29, 2017, 09:24:26 pm »
Facial team  are the best very experienced in the field of FFS

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Offline Ashley3

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Re: Van de Ven or Capitan ?
« Reply #23 on: December 29, 2017, 10:59:42 pm »
Wow I wasn't expecting such a detailed response but that's very interesting! Thank you!

You look great and you're right- in the end it has to work for the individual.

I'm wanting rhinoplasty, forehead/brow bossing reduction and chin/jaw. I may consider reducing size of my ears. That's about 5 surgeries at once! This is why I want an in person consultation.

I wonder if anyone's had an experience with a surgeon refusing to do too many parts of the face all at once. I'd feel like that would set me back a lot because it would cost more for hospital etc. in the long run.

FFS is very daunting but sometimes necessary.

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Thanks... and also forgive for any detail overload! ... An aside... I get stuck sometimes between offering extra detail or not...I could have just answered your question but in the context, with discussions of separate surgeries or not, rhino etc., I thought I'd share that the nature of my slow incremental process.

Generally what you're saying is correct... more surgeries generally means more cost. But overall, I probably spent less than doing a single stop given some of the estimates I considered. For example, I went two stages with a lip lift not knowing if the first stage wouldn't be just fine. Overall I spent just a little over an out-of-town estimate and didn't have to travel... and that was for two stages (two surgeries). I originally felt uncomfortable about going to a non-FFS surgeon for an MTF lip lift but I was able to discuss that and convey other info to a local surgeon whose been great for those non-maxillofacial plastic surgery needs.

What you're listing rhino, chin/jaw, forehead is quite common I believe... I've heard of FFS surgeons doing more at once.

If you have not gotten any consultations... just go to the surgeons' web sites and setup consultations... FT was free last I heard... is still the same there's no reason not to get the ball rolling... you just set it up and have a talk with the docs yourself. Some of the other top docs do the same I believe (maybe folks can chime in about that). I sat on the fence about even getting a consult... silly... but we all have our obstacles... mine is (was?) overthinking! :D

Offline IsabellaSwan

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Re: Van de Ven or Capitan ?
« Reply #24 on: January 07, 2018, 11:19:31 am »
i had a nose revision, chin and jaw contouring, and buccal fat removal with Dr Van der Dussen, and I am very happy with my results. I had my forehead done years before with Dr Suporn, and my nose done before that with a non-FFS doctor

Offline HelloKitty

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Re: Van de Ven or Capitan ?
« Reply #25 on: January 17, 2018, 09:37:14 pm »
i had a nose revision, chin and jaw contouring, and buccal fat removal with Dr Van der Dussen, and I am very happy with my results. I had my forehead done years before with Dr Suporn, and my nose done before that with a non-FFS doctor

Do you think he's good for other revision like jaw, zygomatic, etc ? Does his price is reasonable ?

Thanks

Offline Sarah.VanDistel

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Re: Van de Ven or Capitan ?
« Reply #26 on: February 28, 2018, 09:13:38 am »
Hi Girls!

It's a bit of a bumper, but you'll find my recent experience with Dr. Bart Van de Ven, with preop, 7-days postop and simulation photos, at post #293 of the following thread:

https://www.susans.org/forums/index.php?topic=225767.0

I'm very happy with the results!

Hugs, Sarah

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