FFS Surgeon Shopping

[Pandora]

I had cheek augmentation.. small and only frontal malar implants. I'm so happy I decided to include that, because I would otherwise seriously regret not having them, and it would cost me a lot more having that done additionally. This is not necessarily the most important part of facial feminization, but in terms of aesthetics and beauty, it can be a huge bonus.

Same here. Orbital rim reshaping and addressing the forehead bossing provided the most the feminisation for me whereas small cheek implants had a big impact on overall aesthetics (3/4 profile and head-on). Maybe that was because I had zero cheek bones to start with. Must say that the slight augmentation you added in your virtual FFS did look good.

I feel I need to mention, as noone does.. this way by far the hardest part of my recovery, definitely the most painful. Nothing else can't compare. Which is strange, because it's the least invasive of all procedures... I'm little over than 2 months now, and my left cheek still gets sore if I sleep on my left side for too long.

Bit different here as the cheek implants were not particularly painful for me. Maybe an individual thing or perhaps the differences in materials used? No idea, perhaps I was just lucky.

BTW it might be worth double checking that a burring down of the chin will provide the level of change you want if you go with Dr Z since this is the area you have identified for the biggest change. Just to make sure that it isn't a genioplasty such as provided Dr S or the Facial Team that you need. Myself, I have no idea what is feasible using the burring technique. Perhaps someone else has an idea? May need side-on shots too depending on whether you want a change in projection (hard to tell from a head-on).

[mmmmm]

Bit different here as the cheek implants were not particularly painful for me. Maybe an individual thing or perhaps the differences in materials used? No idea, perhaps I was just lucky.

Based on info I got from my surgeon, cheek augmentation very often causes a lot of swelling, along with being reported by patients as the most most painful, or one of the most painful (I didn't have invasive jaw&chin work) procedures. I'm shure many also react differently, so you got lucky in that department. 
Augmentation with silicone implant is less invasive (...or should be) because created pocket needed for instalation of implant can be much smaller, compared to size of a pocket needed for medpor implant. I have silicone implants, and I don't even want to think about if having medpor implants would be any less pleasant...

[Dana88]

BTW it might be worth double checking that a burring down of the chin will provide the level of change you want if you go with Dr Z since this is the area you have identified for the biggest change. Just to make sure that it isn't a genioplasty such as provided Dr S or the Facial Team that you need. Myself, I have no idea what is feasible using the burring technique. Perhaps someone else has an idea? May need side-on shots too depending on whether you want a change in projection (hard to tell from a head-on).

Dr. Z had said he'd do genioplasty for the chin and burring for the parts of my jaw where it's most square.  I am starting to think I'm gonna nix the cheek implants. It seems like a lot of hassle in recovery for something that I go, it'd be nice, but I'm not really insecure about it.

My consult with Facial Team is a week from tomorrow :-). So I'll see what they say and then HOPEFULLY finally be able to settle on someone soon. I was saying to someone else that this is the only thing I haven't settled on a surgeon for. And that's because at the end of the day, it's my face. If I get an unsatisfactory SRS result, while I'd of course not be happy about it, no one is gonna see it unless I'm choosing to show them. But if you get a bad FFS result, that is out there for all to see whether you like it or not.  Oof. Ignites my neurosis. Haha.

[Pandora]

Dr. Z had said he'd do genioplasty for the chin and burring for the parts of my jaw where it's most square.

Wow, are you sure he said that? I really didn't realise Dr. Z did genioplasty. I thought that was only the realm of maxillofacial surgeons. His web site must be a bit out of date then because it seems to say that he does "high speed burr to 3-dimensionally shape" rather than genioplasty (see the page on Chin Reduction, Advancement and Reshaping). Anyway, I don't really know much about the pros and cons of burring. Perhaps others have experience of this technique?

Wishing you the best with your decision and good luck with your consult with the Facial Team.

Hugs, Pandora

[Dana88]

Wow, are you sure he said that? I really didn't realise Dr. Z did genioplasty. I thought that was only the realm of maxillofacial surgeons. His web site must be a bit out of date then because it seems to say that he does "high speed burr to 3-dimensionally shape" rather than genioplasty (see the page on Chin Reduction, Advancement and Reshaping). Anyway, I don't really know much about the pros and cons of burring. Perhaps others have experience of this technique?

Wishing you the best with your decision and good luck with your consult with the Facial Team.

Hugs, Pandora

Hmmm, double checked my notes from my consult with him and that's what I have written down. It's certainly possible I misheard, or miswrote. Definitely worth double checking on before making a final decision. Thanks for the heads up!