Toby Mayer FFS

[Jennygirl]

I've got a consultation with Toby Mayer in Beverly Hills, the same doctor who did MaidOfOrleans' FFS. I went with her to her consultation and I was VERY impressed with him because he is a minimalist when it comes to surgery. He will actually refuse to do certain things if he decides you don't need it.

My brow has been a constant confidence issue for me, and I feel like I've given HRT long enough to do it's thing. Honestly, I feel like with HRT my brow has become a little bit more noticeable- possibly due to skin thinning?

Anyway here is a [fresh out of the shower sans eye makeup] pic of me so you know what I mean


I've got the classic brow ridge and flat spot just above my nose. I really want to have this fixed, as I feel like it may be the only thing holding me back from feeling confident while going out into public with no makeups.

Additionally I've got some genetically inherited eye bags and deep nasolabial folds that I would LOVE to get rid of or make less noticeable. I've had them basically all my life.. I think the procedure for the under eye bags is called a transconjunctival blepharoplasty. They basically trim down the fat pads underneath the eyes through an incision on the inside of the lower lid- there is not even a need for sutures with this procedure nor is there any visible scar or excising of skin. It is apparently very safe and hairlines & eyelids are two of Mayer's specialties among doing very natural looking rhinoplasties (which I will also ask him about but I'm not too worried about my nose at all).

My biggest concerns are with sensation on the scalp from the brow bone procedure. I've heard it can also cause premature hair thinning and I don't want that to happen. I'm not sure what I am going to do about my naso folds, I don't really want to do fillers- I'm much more inclined to do something permanent. I suppose fat transfer to the folds is my only option- yet for some reason I am a bit weary about it looking lumpy or something.

[JLT1]

Jennygirl,

I wish you the successful surgery you want.

Keep us informed.

Hugs,

Jen

[Gabrielle]

All things considered, your brow is not a "tell" as that goes.  But if it is an issue for you, by all means address it.

If you did nothing at all, you would still look great.  Good luck, hon.

[Jennygirl]

Thanks Jen I will definitely!

Here is my desired result after a little photoshop

LEFT: before
MIDDLE: difference
RIGHT: after



I think a very subtle rhinoplasty would probably be a good compliment to the brow bossing correction, because otherwise it may make my nose look bigger. I've done a little bit of that to the pic too.

What do you think?

[Jennygirl]

All things considered, your brow is not a "tell" as that goes.  But if it is an issue for you, by all means address it.

If you did nothing at all, you would still look great.  Good luck, hon.

Thank you Gabrielle, that does make me feel better about it in the interim. I really appreciate it

[Tristan]

yeah you will look even more amazing than you already do. i dont think he will recommenced more than like the brow and maybe nose work if you want it. i mean the rest of your facial structure seems to be so good as it is.

[Heather]

Wow Jenny I honestly think you don't need it your brow ridge has nothing on my brow ridge I wish I looked that good from a side view.

[Jennygirl]

Thanks girls for the nice comments

Back when I had my trach shave with Dr. O in February, I asked him what else he would do to feminize my face. Here was his list:

• forehead recontouring
• nose
• jaw
• chin

I rolled my eyes at the jaw and chin, but did somewhat agree with him on the forehead and nose. Overall it seemed excessive then and it seems even more excessive now to me. Plus, he wanted $42K for everything. No thank you no thank you!

He also rec'd fat transfer to naso folds. I definitely do want to do something about that. Makeup seems to like to fall in the crack and enhance the look of the wrinkle. It looks masculine at times and I don't like it.

[Jennygirl]

yeah you will look even more amazing than you already do. i dont think he will recommenced more than like the brow and maybe nose work if you want it. i mean the rest of your facial structure seems to be so good as it is.

Also, it's wonderful to see that you're back here posting again

[Gabrielle]

Thanks Jen I will definitely!

Here is my desired result after a little photoshop

LEFT: before
MIDDLE: difference
RIGHT: after



I think a very subtle rhinoplasty would probably be a good compliment to the brow bossing correction, because otherwise it may make my nose look bigger. I've done a little bit of that to the pic too.

What do you think?

Wow!  Little changes do make a difference.  You have a great eye for that.

[Nicolette]

What's the current state with endoscopic procedures? What type of forehead reduction are we talking about: type I, II or III? You have a great starting position in regards to profile.

[Jennygirl]

Thanks Gabrielle! Years of professional experience with photoshop pay off in ways one might never expect

What's the current state with endoscopic procedures? What type of forehead reduction are we talking about: type I, II or III? You have a great starting position in regards to profile.

The only one who rigidly does endoscopic (that I have found) is Zukowski. From his website, he claims that any forehead can be feminized without use of the open technique (type III I think).

When I sat in for Maid's consult, I asked Mayer about it and he kind of laughed at the open technique as in "why anyone would try to mess with the sinuses- I do not know". That is honestly my only worry, that I have a huge frontal sinus which will limit the amount that can be burred off. Maid's result is nothing short of fantastic, though.

Another thing I really like about Mayer is his technique to hide the scar. When he makes the incision along the hairline, he does it at an angle right on the natural hairline instead of below. The roots are kept intact, and after some months hair starts to grow through the scar itself- completely hiding it. I guess he has been doing hairline work for 35 years and invented this technique. That is something I can get behind!

[Jennygirl]

And the more I look at it and mess around in photoshop, if I can't get a completely flat profile on the brow I think simply lowering the bridge of the nose will help a lot to feminize the profile.

LEFT: before
MIDDLE: difference
RIGHT: after



This version is conservative on the brow bossing adjustment with slight differences for nose too. Actually I think I kind of like this one better. Does it look more natural?

[Gabrielle]

Have you thought about a sightly "concave" nose?

Sort of like this

[Jennygirl]

Yes but I want to avoid the "scoop" effect (something Dr. O is known for giving his patients) at all costs. I like the photo you cited, though. She is beautiful!

I added the slightest bit of concavity. Any more and it looks "done" / fake.



I'm starting to realize what an incredibly delicate procedure a nose job is. I mean I'm moving things around only by half a pixel and it makes a disproportionately huge difference.

Also, thank you for your feedback. This is really helpful to me!

[Jennygirl]

Also, this is kind of fun.

If anyone wants me to virtual ffs a photo I am sooo down to do a few!

[JLT1]

Thanks Jen I will definitely!

Here is my desired result after a little photoshop

LEFT: before
MIDDLE: difference
RIGHT: after

I think a very subtle rhinoplasty would probably be a good compliment to the brow bossing correction, because otherwise it may make my nose look bigger. I've done a little bit of that to the pic too.

What do you think?

Ok, let's start from the beginning.  Right now, you look wonderful.  I see your brows as they currently are and they aren't bad.  Work could take them from good to great in the hands of a skilled surgeon.  Then, I see the result of your photoshop.  WOW. I didn't fully appreciate great. 

I've seen maid's pictures and she looks incredible.  You have got to be excited.  I am so happy for you.

Hugs,

Jen

(I PM'd you a message as I don't know how to send pictures.  If you would look at them for me that would be so great.  I've got a consult Wednesday.) 

[sarahb]

Wow Jenny, those slight changes just perfect your already beautiful face! I agree that that's the extent you need (and I don't even think you really need that). I'm not just saying that either, truly.

[Tristan]

yeah the nose is a job that takes a special touch. but im sure your surgeon can handle what you want in order to meet your expectations.

[Nicolette]

Thanks Gabrielle! Years of professional experience with photoshop pay off in ways one might never expect

The only one who rigidly does endoscopic (that I have found) is Zukowski. From his website, he claims that any forehead can be feminized without use of the open technique (type III I think).

When I sat in for Maid's consult, I asked Mayer about it and he kind of laughed at the open technique as in "why anyone would try to mess with the sinuses- I do not know". That is honestly my only worry, that I have a huge frontal sinus which will limit the amount that can be burred off. Maid's result is nothing short of fantastic, though.

Another thing I really like about Mayer is his technique to hide the scar. When he makes the incision along the hairline, he does it at an angle right on the natural hairline instead of below. The roots are kept intact, and after some months hair starts to grow through the scar itself- completely hiding it. I guess he has been doing hairline work for 35 years and invented this technique. That is something I can get behind!

You need an xray of your profile to determine the thickness of the bone covering the sinuses to know how much to take off. What I know is they can thin the bone out enough so it becomes pliable and then they can push it further back.

Zukowski can do it, but you'll know that endoscopic won't allow hairline lowering, if you require it. This would be best approach to prevent potential premature thinning of the hair, as this is less invasive.

Do you have larger frontal sinuses than what Maid had? You don't appear to.