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Partial FFS With Chettawutt (13/11/2014)

Started by Apples Mk.II, September 08, 2014, 06:31:28 AM

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Apples Mk.II

What I have now is my septum deviated just at the entrance. Every time the nurse is trying to clean it in the mornings, she hits it and its pure pain. I'll have to get it checked with my otorrinolaryngologist when I am back. This is something that existed before, but feels as if the rhinoplasty worsened it.

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Julia-Madrid

Julia, was this not something Dr Chett was intending to fix during your FFS?  If something has gone wrong as a consequnce of the rhinoplasty, isn't it worth asking him to fix it now, while the bones are still malleable?
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blackponyx

It's too early to judge.

Swelling could cause (temporary) deviations and even uneven nostrils!

Give it some time and check with Dr Chettawut to see if this is indeed swelling, or otherwise.
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JLT1

Hi,

I'm at seven months and my nose is almost calmed down.  Four times each day I have to hold it bent slightly to the left.  It can take time. 

Hugs!!!

Jen
To move forward is to leave behind that which has become dear. It is a call into the wild, into becoming someone currently unknown to us. For most, it is a call too frightening and too challenging to heed. For some, it is a call to be more than we were capable of being, both now and in the future.
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Julia-Madrid

Quote from: JLT1 on November 23, 2014, 01:53:24 PM
Hi,

I'm at seven months and my nose is almost calmed down.  Four times each day I have to hold it bent slightly to the left.  It can take time. 

Hugs!!!

Jen

The things we do to look pretty  ;D  I swear, if there was ever a crazy bunch, and I'm right in the middle of it!  :D
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Liara

Hello Julia. I'm a little bit worried for you . I hope you are feeling better sweetie. Be strong, I know is a little difficult in this moments but I know you are a warrior.

Wish you all the best.
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Apples Mk.II

Trying not to freak out right now.






For comparison, Pre-FFS, February:
Spoiler


Well, I don't recognice my face. The nose is still big, but that's mostly because I had a long face to beging with. It's the same face, but with minor changes, and yet.... Well, he has managed to do what I asked with my nose. Definitely, the front view looks good compared to before, at least in the mirror.
Looks like one eyebrow is higher than the other in the mirror. WTF? I don't know if t is an optical illusion or what...

Well, my eyes seem to be quite even right now. No droopy eyelid for now. In fact I'd say it's difficult to close them. Perhaps the residual swelling, maybe?

too bad my eyes are deep set. The forehead is round, and the bossing does not cover my eyes, so I can't wait to try makeup on.

Lower face is still the same, but I'm not that worried about it.

I've been told I don't need to wear the cast anymore, or the head band at night.. I thought it was good to keep wearing the cast for at least four months... I still have it with me, though. She threw it to the trash...
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missymay

Hi Julia, your results look quite good at this stage; your forehead and nose look amazing!
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blackponyx

You worry too much. And I understand why.

But as a 3rd part who has seen your post-op face for the first time - I am telling you that your changes are amazing. I loved how much he reduced the forehead and the forehead now is smooth and perpendicular to the ground (it was a lot receding previously...the slope not the hairline)

I am Asian so we have different views on the nose. I can still see visible swelling. Compared to the pre-op photo I would say it's a great improvement. I would, personally, however, prefer a much refined nose tip. It still looks a little bulbous BUT that's possibly swelling. And like i say, i know too little about Western noses to judge.

Get out of your depressed mood and celebrate. You look gorgeous!
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michelle82

Hair Removal - 10/1/14
HRT - 3/18/15
Full Time - 7/1/15
Name Change: 8/4/15
FFS - 1/14/16



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Apples Mk.II

To be honest, he had made a massive work with my nose. It's not symmetric sure, and I can feel that at bone level, but it works much better into hiding it than before. My face was highly assymetrical with a smaller side that literally ->-bleeped-<-ed everything. Now the eyes are corrected by doing an assymetrical blepharoplasty so that they have enough skin to hang at the exact height. Only the mouth remains, but that would require a double jaw ostheotomy for aesthetic purposes, something I can't do anymore.

As far as I know, this was a rhinoplasty with alarplasty and he had intention on reducing the tip (did he said tip-plasty?" I have seen other recent noses, and they look bulbous, too. It's a common thing for the first three months, although noses are the longest to heal.

The forehead yes, it's amazing. A type III complete reconstruction, and I'd say that he also burrowed the "spikes" that went upwards  from the brow. If you search my old post when I would rand, my worst issues were the almost diagonal forehead (yeah, it was a friggin' slope, and the nose. Combined they made a rat face. I also specifically asked him if he could alter how the lip connected to the nose, since nose pulled out lip (more rat face). I like that now there is no brow bone to completely hood my eyes, so this time eyeshadow won't smudge and end in the brow as before.

The eyebrows now have a natural curve, but just at the exact point to not to look surprised all the time. The skin is really tight there, and I still have issues with closing my eyes.

On the negative side of things, I've lost a lot of sensitive and considerable nerve damage. I don't have facial issues mobility, but I've lost sensitivity from the crown to the hairline, in several parts of the forehead and eyelids. This came to be a problem during my first shower, since I did not know what was I touching. Not being able to feel the pressure proves to be a problem with my eyelids for applying eyeliner, too. So regarding makeup, when I go back to work I'd limit myself to base and concealer. Right now there's still a lot of glue that is taking a lot of time to go away.

Pain wise, I still have it in the Trach shave and the forehead. Yawning is one of the most complicated issues, although swallowing is ok for now. The forehead is not to be touched for now, and my right side gets either weird sensations or a jolt of pain. I can feel clearly one of the screws.



I'm not going to lie. The first day was terrible. Due to a delay in the date I had the surgery on friday, and the morning of the saturday I was sent back to the hotel with a bag full of pills and a catether. I was in an awful state where I could barely see, talk or eat. And in those conditions, I had to cook (the bangkok rama restaurant is now closed for lunch, and it would have been harder to talk for ordering pizza). The big deal with this date is that there are no nurses on sunday, and I had to spend the worst part without observation until monday. Even if I was given cleaning material for the sutures, THere was a lot of black crust in the first days.

Being realistic, I should have spent the saturday at the clinic, which supposedly is the normal thing to do, but Chett sends his patients too quickly to the hospital. I'm glad somebody could help me, because in that first day post-op I really needed assistance and I should not have been left alone.

Speaking of other things, my voice is still not functional. I have checked that I can still pitch high, but the throat is still too weak. I have also oticed that now I don't physically lock when going up to falsetto. Now there's an empty space where there's no sound production from when I leave my high range until I enter falsetto territory.

Right now I compare this recovery with the future SRS I will have to endure. It will be four crippling days stuck in a bed (and with a catheter again. Did I mention how much I hate those things?), but still, it is not as abad as not being able to look, breath and eat, all at the same time. Even if I had had the money, I think I would have lamented going for the procedure I decide to remove, the jaw / chin contouring. One bone operation is more than enough.
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Julia-Madrid

Hola Julia

I think this is an excellent result. The change is remarkable, and frankly, your nose looks good, even so soon after surgery.  You're not a tiny girl, so your nose will almost certainly fit your face and body nicely. 

Sensitivity will probably return quite slowly.  Swelling will take 4-6 months to go down.  But in around 4 weeks your face will look great - only you will know that it's still in recovery.

You should be very pleased with this result.

Un beso
Julia

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Liara

Hey Julia. What an amazing result girl. You must to be patient and wait untill the swelling it's gone. In my experience, you will see the final result after the swelling dessapear.

Hugs and Kisses


xx
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Carrie Liz

HUGE change in the eye area.

Getting rid of the bossing, and the trimming that was done on the upper nose bridge, has really made the whole area look more open, and the femininity quotient as a result has REALLY gone up. Very impressive!

(By the way, I've kind of been stalking your FFS posts because I'm trying to decide whether I want to do FFS or SRS first myself. :P )
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ana1111

I think your looking great in your after pictures! The nose only seems big do to swelling which takes months after rhinoplasty to go completely down so don't worry bout it!
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Apples Mk.II

I think we can conclude that Chett is great at bone work. I had heard comments about him doing "weird" foreheads, but I think I am the living example of how an extremely male forehead with massive brow bossing to the point of being slopped can be rounded.

I've been taking photos daily. After I get home I will start working on a timelapse video for it. Although after the three first weeks mark I'll limit myself to a weekly picture.

@Carrie Liz Even if you don't believe me, I'm sorta regretting the FFS. After finally being able to see a woman in the mirror and weeks of everybody treating me like that, genital dysphoria has grown to the point of anxiety just by looking at it. Estrogen is slowly helping into mitigating it, but I need to save for SRS. And wishing I had had an orchi in the beginning.

PS: from a decent shaped A cup with even breast and a somewhat OK shape to cone shaped mini breasts with uneven size and shape again which won't fill the push up. Luckily My BA is coming in 2-3 months, bit... God damn of.

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Apples Mk.II

Stitches are out, save for three self dissolving ones in my forehead. Tomorrow I have my leave consultation with CHett, so I guess I will do an effort into shaving my legs and other body parts.

Overall, I'm recovering pretty well and fast, despite numbness being an issue with makeup. I'm going to let my eyebrows regrow so that I can have them waxed and reshaped again. At the new position I don't need to remove that much hair from below, so maybe we can try a few new things.


Anyways, as a bit of advice for other people, be it FFS or SRS:

- The day you are taken to the clinic for surgery, wear the most comfortable, loose and easy to put clothes, and for the love of everything, avoid pants, specially tight fitting ones. Yes, wear a freaking dress, even if you hate them.


Basically I went to the clinic in very tight jeggings, gaff, skin tight top and converse boots. Imagine the next day to try and fit into that, tie my shoelaces and... yeah, a gaff and catheter tube coming out of my dick. I could never see that coming. Basically I should have worn an easy summer dress with a wide opening for my head, and the biggest underwear they had. Basically, this is what I will be doing when I come back for SRS.

The second advice: If you can, bring somebody with you to stay until you regain some sort of independence. The first day will be terrible, and you truly are going to need somebody to help you. I was almost blind, trying to cook while lugging around a painful catheter that was telling me to avoid doing unnecesary movements. Be it SRS or a massive amount of FFS, you will want to have somebody close to you. If possible, befriend other patients. Most of your online contacts won't be there to try and calm you give the time difference.
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Apples Mk.II

After two weeks and two days, I'm back to work. Overall people won't notice anything or comment, save for my close-coworkers. The women who knew I was getting some surgery notice the changes a lot and openly talk about them, while men... shut up. I suppose that they still see me as a man (My previous face outed me) and don't feel very well about telling a "guy" he looks pretty now. For people who knew me from before but did not know I had surgery, they are perplexed and seeing that I look completely different, much better, but they don't know what has changed.


With the family, it's been different. My father either has not noticed the change or has preferred to shut up. Anyways he almost never looks at me directly when presenting femal (now I always present female, there's no male remaining in me, even at a mental level).


So far, my biggest issue right now is hair loss. It was fairly bad after removing the headband, but it's even worse. I want to think that it is a combination of going off Estrogen, Minoxidil, traumatic damage and not a great blood flow to the scalp after being with a compression headband for 10 days straight. My hair was thin, with short roots and felt easy, but this is a freak out level now. Previously I would clean my brush once a month, now I need to remove the hair daily. I've stopped using heat at all save for one quick pass on my bangs so that I can keep them under control. The last time this got so bad was when I was prescribed venlafaxine, which I quit cold turkey precisely because of this. I've been on an antidepressant Chett prescribed for two weeks, so I wonder if all those meds have something to do.

Right now I'm looking into biotin, not sure if it can be obtained in capsules. I suppose tomorrow I will ask at the pharmacy. Yesterday I resumed my injections, so right now I'm taking cyproterone acetate, dutasteride, injectable estradiol valerate and next week I will resume progesterone (I want to take it easy and avoid saturating the body with too much drugs at the same time.

One funny thing I noticed is that my libido and erections are fully dependent on estradiol. I was dead down there when off E, but it quickly came back after I took them again.


So far, so good. Another nose stich came out yesterday, although the three that remain on my forehead are still holding well. Mentally I'm better than ever. Yesterday I was incredibly scared about going out for the first time (I needed to buy bread and move money between accounts), and in the end I went out without makeup, dressed quite girly (I'm not feeling ok with andro looks) So far, no weird looks and gendered female. I am much calmer and at ease now, always smiling (on what measure the lip lift allows me).


Regarding what's next, I have started saving for SRS already. Today I called the hospital's plastic surgery department to tell them I am back, ok, and they can put me backon the wait line for breast augmentation, which will possibly happen in January.
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Eva

Thank you I havnt had FFS yet but I will and your experience is valuable  ;)

Your results look very good to me so far, congrats  8)

I cant imagine going off HRT for anything and Im taking IM injections of EV every 5 days...

How long did the doc want you off HRT??? 
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Apples Mk.II

Quote from: Eva on December 01, 2014, 09:01:00 AM
How long did the doc want you off HRT???

Two weeks before surgery, and until I was back home (another two weeks in my case). I was told to stop "Estrogen drugs, NSAIDS and blood thinning meds", so I kept the antiandrogens all the time except for the 2-3 days of surgery and initial recovery
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