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FFS with Dr. Rossi, June 2015 + Revisions/New Procedures, August 2016

Started by RubyAliza, May 25, 2015, 12:44:54 PM

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RubyAliza

Hi Rebecca,

    I got a good vibe from Dr. Rossi too. If this thread was helpful to you then that  lmakes me happy indeed. If you ever wanna message me too, maybe I can be supportive or helpful. You're a nurse though so I'm sure you aren't too nervous. It will be a much easier recovery since you're not doing your chin or jaw. Well best of luck, let us know how it goes, on your thread, or even post here on my thread if you want. Three week :) so soon! Best wishes :) As I always say, tell Amanda I said hi.

-Ruby
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deeiche

Hi Ruby

Just wanted to say thanks again on starting the conversation about hair transplants with Dr Szyferman.  My new hairline has grown out 2-3 inches, has filled in well too.  I had not really thought about hair transplants until you posted about your results.

take care

"It's only money, not life or death"
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RubyAliza

#122
Hi deeiche! Nice to hear that you are happy. I hope that's the case with Dr. Rossi's work as well. I'm also really happy about getting the transplants. The hairline makes a world of a difference. It's nice to have no visible scar and a round feminine hairline. Can't recommend it enough. Dr. Szyferman actually emailed me too on his own accord, asking how I was doing. The hair transplants look pretty dense and the funny thing is, there's actually more growing in at 10 months. Crazy.

  Might as well do an update since I have some news and a CT scan. I'm really happy overall with how passing I am, considering how masculine I looked before. I'm not super feminine and still feel like I need some makeup to look decent, but everyone I tell about my male past stares in disbelief.

   I am, however, having some problems regarding the forehead contouring. I don't think it's what Dr. Rossi did, but rather what my body did in response to the osteotomies or breaking of my frontal sinus plate in order to move it back. I have what looks like a bone spur around the fused bone, what the radiologist called a "cortical defect" on the lower left part of my front sinus bone. See for yourself the bone spur growing over my orbital ridge on the middle left side on the CT scan. I also have some kind of bone bump too on the left side. Originally, I thought something was only something wrong with the brow lift on that side but there was actually bone regrowing too! Maybe there's a male part of me that keeps trying to come back ;)

   I also, oddly, have persistent mild swelling from the titanium screws and plates. It's a rare complication. The CT scan confirmed this. Something else very interesting - I have a plate/screw on the bridge of my nose. No wonder Dr. Rossi was able to move my forehead so back so far.

   The reason I'm not worried is because Dr. Rossi stands by his work and has agreed to make sure I am happy. They aren't just treating me like I'm $$, they really do care. As part of my revisions, they will take out all the now unnecessary titanium screws/plates from my forehead  (and nose bridge) and recontour it all as necessary, removing the bone spur and cortical defect. In other words, they agreed to basically fix everything :) I love Dr. Rossi. No hassle, just "we think you'll be happy." I asked another surgeon about how difficult this would be and they said "possibly very difficult." Dr. Rossi seems very confident and at this point, I have no reason not to believe him.

   I'm super excited to get the revision. As a writing teacher, I have it in my head that revisions are often necessary to improve original work. I take that philosophy to my FFS. It was a highly complex procedure and sometimes the best thing to do is go back and tweak it or make little changes in response to unpredictable healing. That's just me though, I'm a perfectionist.

   And boobs. I want my boobs. I've heard nothing but amazing things from other patients about Dr. Rossi's augmentation work. Fantastic price too :)

  Hey, I started a thread on my GRS too on the other forum but nobody seemed to care much. Maybe the FFS board is just more active or something. I'm happy I got FFS first though - I hear the pain for GRS is not as bad. Let's hope it's not.

- Ruby

P.S. On the CT scan, bone cement oftentimes doesn't show up. That's why there appears to be "holes" everywhere.

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deeiche

Quote from: RubyAliza on May 02, 2016, 08:14:11 PM
Hi deeiche! Nice to hear that you are happy. I hope that's the case with Dr. Rossi's work as well.
Oh, definitely happy with Dr Rossi's work.  It is such an immediate effect, I have forgotten what I looked like before, until I look at my work ID.  I really need to get a new picture for the ID.
Quote from: RubyAliza on May 02, 2016, 08:14:11 PM
I'm also really happy about getting the transplants. The hairline makes a world of a difference. It's nice to have no visible scar and a round feminine hairline. Can't recommend it enough. Dr. Szyferman actually emailed me too on his own accord, asking how I was doing. The hair transplants look pretty dense and the funny thing is, there's actually more growing in at 10 months. Crazy.
I understand it can take up to 2 years to see the full effect of hair transplants.  You have to be REALLY patient.  :-)
Quote from: RubyAliza on May 02, 2016, 08:14:11 PM
  Might as well do an update since I have some news and a CT scan. I'm really happy overall with how passing I am, considering how masculine I looked before. I'm not super feminine and still feel like I need some makeup to look decent, but everyone I tell about my male past stares in disbelief.
I think we are our own harshest critics.  No need to be "super feminine", just feel comfortable in your own body.  You look like a cute lesbian to me.  ;-)
Quote from: RubyAliza on May 02, 2016, 08:14:11 PM
   I am, however, having some problems regarding the forehead contouring. I don't think it's what Dr. Rossi did, but rather what my body did in response to the osteotomies or breaking of my frontal sinus plate in order to move it back. I have what looks like a bone spur around the fused bone, what the radiologist called a "cortical defect" on the lower left part of my front sinus bone. See for yourself the bone spur growing over my orbital ridge on the middle left side on the CT scan. I also have some kind of bone bump too on the left side. Originally, I thought something was only something wrong with the brow lift on that side but there was actually bone regrowing too! Maybe there's a male part of me that keeps trying to come back ;)
Sorry to hear about the bone growth.  Our bodies react to injuries in all manner of ways.  :-(  Fortunately Dr Rossi stands behind his work.
Quote from: RubyAliza on May 02, 2016, 08:14:11 PM
   I also, oddly, have persistent mild swelling from the titanium screws and plates. It's a rare complication. The CT scan confirmed this. Something else very interesting - I have a plate/screw on the bridge of my nose. No wonder Dr. Rossi was able to move my forehead so back so far.
I was really worried about allergic reactions to titanium and bone cement as I have so many allergies, but no evidence of allergic reaction.  I do still have swelling from the nasal repair surgery.  It has only been the last month or so that I could breathe easily through my right sinus, then I'll have a bad day where it doesn't work as well.  It is still much better than before surgery.
Quote from: RubyAliza on May 02, 2016, 08:14:11 PM
   The reason I'm not worried is because Dr. Rossi stands by his work and has agreed to make sure I am happy. They aren't just treating me like I'm $$, they really do care. As part of my revisions, they will take out all the now unnecessary titanium screws/plates from my forehead  (and nose bridge) and recontour it all as necessary, removing the bone spur and cortical defect. In other words, they agreed to basically fix everything :) I love Dr. Rossi. No hassle, just "we think you'll be happy." I asked another surgeon about how difficult this would be and they said "possibly very difficult." Dr. Rossi seems very confident and at this point, I have no reason not to believe him.
It is good to hear Dr Rossi fully backs his original work.  I believe he has the proper skillset, based upon the initial work he did.  I also can feel some small bumps on either side of my nose, along the brow line.  Perhaps they are screws?  I guess I'd need a CT scan to get more information.
Quote from: RubyAliza on May 02, 2016, 08:14:11 PM

   I'm super excited to get the revision. As a writing teacher, I have it in my head that revisions are often necessary to improve original work. I take that philosophy to my FFS. It was a highly complex procedure and sometimes the best thing to do is go back and tweak it or make little changes in response to unpredictable healing. That's just me though, I'm a perfectionist.

   And boobs. I want my boobs. I've heard nothing but amazing things from other patients about Dr. Rossi's augmentation work. Fantastic price too :)
So he is going to do BA along with the facial procedures?  I'm still working on getting mine replaced under health insurance, because of their age.  The perspective on trans procedures coverage is changing in our favor, though not fast enough for us to take advantage of it.
Quote from: RubyAliza on May 02, 2016, 08:14:11 PM

  Hey, I started a thread on my GRS too on the other forum but nobody seemed to care much. Maybe the FFS board is just more active or something. I'm happy I got FFS first though - I hear the pain for GRS is not as bad. Let's hope it's not.
Can't remember any short term effects of GRS, I've slept to many times to remember much about GRS recovery.  :-)
Quote from: RubyAliza on May 02, 2016, 08:14:11 PM

- Ruby

P.S. On the CT scan, bone cement oftentimes doesn't show up. That's why there appears to be "holes" everywhere.


I wonder if I should get a 3d CT scan, I am curious what everything looks like underneath it all.

take care and have a safe and uneventful trip

diana
"It's only money, not life or death"
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RubyAliza

QuoteI think we are our own harshest critics.  No need to be "super feminine", just feel comfortable in your own body.  You look like a cute lesbian to me.  ;-)

Thanks, you've always been so nice to me. I'm so tired of chasing an impossible image of what it means to be female. I'm starting to just lean towards the queer crowd, hanging out with people who will be and look however the f*** they want, just being kind to each other. In the end, there is no surgery for happiness (maybe for relieve but not total dissipation of dysphoria, at least for some of us).

QuoteI also can feel some small bumps on either side of my nose, along the brow line.  Perhaps they are screws?

I think they might be. I've seen other CT scans where he did the same thing. It could also just be the nasal bone as well. I need to talk to him about what happens when he removes the screws/plating on the nasal bone for me. Unique situation I guess.

QuoteSo he is going to do BA along with the facial procedures?

Yeah, seems like a good idea. I met another girl from Brazil who had it done at the same time and she was really, really happy with how they did them. I also recently added a small thing to the revision - fat transfer around the eyes and the temples. I'm still curious about the effects of fat for facial feminization. Worked for you I remember. Maybe it's one of those underrated procedures too often overlooked.



Oh and here's another result that looks great. Saw it on my Facebook feed. https://www.facebook.com/FacialFeminizationSurgeryArgentina/photos/pcb.374422766061679/374422652728357/?type=3&theater
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RubyAliza

I'll do a last one year update before my ffs revision/breast aug on August 10th.  I've been on here recently, updating my GRS thread which is kind of like this one if you want to check it out.https://www.susans.org/forums/index.php/topic,207241.0.html.

Went out for coffee this morning and my partner took some candid photos without my consent :) They turned out okay so I thought I'd use them as one year post op photos. I put some minimal makeup on because, to be honest, I feel pretty androgynous without it. That's one reason, aside from from taking the titanium out, that I'm going back to Dr. Rossi. I'm hoping the fat transfers and slight revisions to the original work makes somewhat of a difference. I'm sure the new cleavage from the breast aug will help :)


Today. I don't look bad! I'm just a perfectionist. Glad Dr. Rossi is willing to help me achieve my goals.


Using an app called FaceTouchUp, I've made a mockup of some of the possible changes, which include smoothing out the bumps on my forehead that you can't see in the photos, correct the eyebrow asymmetry (more apparent in avatar photo), bring them up a bit, especially the tails, slight secondary lip lift, and fat transfers around my eyes, temples, cheeks nasiolabial folds, and lips. In their own right, each one of these doesn't make too much of a difference, but together I hope it's just enough to feel more comfortable, especially without makeup:



Maybe some people won't be able to see the difference unless they are side by side. It's a marginal improvement. Luckily the 375 CC breast aug will be a less marginal difference.

If anyone is in Buenos Aires around July 26th to August 26th, whether you are going to Dr. Rossi or Dr. DiMaggio, let me know if you want to hang out. I know the city well enough from my last visit. I made a cool friend last time there who went to Dr. DiMaggio :)

Here's one more pic of me looking down. This one really shows the grown out transplants:



- Ruby
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Debra

Just wanted to say thanks for this thread! The updates and pics have been helpful for me! =) I'm having my (hopefully last) consult with Dr Deschamps-Braly in SF in 2 weeks!

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Ellement_of_Freedom

Quote from: Debra on June 02, 2016, 07:09:59 AM
Just wanted to say thanks for this thread! The updates and pics have been helpful for me! =) I'm having my (hopefully last) consult with Dr Deschamps-Braly in SF in 2 weeks!
Please let us know how it goes - I am really interested to know more about his work!


FFS: Dr Noorman van der Dussen, August 2018 (Belgium)
SRS: Dr Suporn, January 2019 (Thailand)
VFS: Dr Thomas, May 2019 (USA)
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RubyAliza

Quote from: Debra on June 02, 2016, 07:09:59 AM
Just wanted to say thanks for this thread! The updates and pics have been helpful for me! =) I'm having my (hopefully last) consult with Dr Deschamps-Braly in SF in 2 weeks!

I agree with Element_of_Freedom, let us know how it goes. Very excited for you, Dr. Deschamps-Braly is so good, I've seen his results in person. I would have gone to him in a heartbeat. Glad this thread was helpful!

- Ruby
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RubyAliza

#129
    Well...I've been back in Buenos Aires for the last week and half, enjoying the sights. It's almost time for my second surgery with Dr. Rossi. I had my consultation with him last night and we decided on what revisions and new procedures are going to be done. He gave me a lot of time and Amanda was very helpful too. As always, he's kind, humble, yet super confident.

    First, Dr. Rossi said that bone already grew over all the titanium and that it would be very difficult to take out. He doesn't think that it's necessary but he will do a coronal incision to shave down the extra bone growth that happened above my left eye which looks like slight bump. He's going to do a browlift revision as well but he's mainly going to give them shape by raising the corners. He really doesn't want them to look unnaturally high and I agree.

   I love my profile but for some reasons which I couldn't figure out, I look much more androgynous from the front. Amanda took some pictures and Dr. Rossi took a few days to analyze my facial features as whole. His decision surprised me; he's going to do a closed rhinoplasty to make the bridge of my nose thinner, which should help open up and feminize my eyes. I'm so happy about this :) No extra charge.

   He's also going to take a screw out of my chin, which he does think should be taken out. He's going do an incision through my mouth. Since he's doing that, he says he's also possibly going to shave my jawline to make it even more symmetrical and feminine. Again very happy about that :)

    I was concerned about lip lift but Dr. Rossi made good points about that. He refuses to do any more than a 2 mm revision because he doesn't want it to look unnatural. He'll do the 2 mm lip lift but he thinks fat grafts to my cheeks, nasiolabial folds, and around the sides of my upper lip will balance out the muscles around my mouth. So far so good.

   I'm also getting body contouring. Last year I had lipofat transfer to the butt/hips and it looks pretty good overall. However, some fat reabsorbed on my left hip making a visible dent. Dr. Rossi is going to redo the hips and make them look better, while making my stomach more flat. Finally, I'm getting a 375 CC moderate profile breast augmentation. Just got back after trying them on and buying them. It's going to be done through armpit incisions (transaxillary) and placed under the muscle. I hear it's going to be very painful. Not looking forward to that. Normally I wouldn't want any silicone in my body but after "trying" them on, they completely balance out my slightly wider shoulders. They look beautiful. Apparently Dr. Rossi and Dr. Appiani, his assistant plastic surgeon, are experts on this type of breast augmentation. I've heard really good things about their breast augs. We shall soon see.

    Surgery is next Wednesday, August 10th. Wish me luck! Hopefully this is one of last surgeries I ever have. I'm so sick of surgery!

- Ruby
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confused_very

how long will you be in Argentina.
I am arriving on the 30th and it would be wonderful to see the person that gave so much information and inspiration of their journey to all of us.
Dami
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deeiche

I just read your post, I wish you the best.

Regarding your planned fat transfers, they sound like a good idea.  I had fat transfer to the same areas when I was there last year.  At first I thought a lot had been reabsorbed, due to all the swelling I experienced.  However in looking at my face over time I can see a difference where the fat transfers occurred.  I lost about 10% of my body weight while I was in Buenos Aires, I ate really poorly while I was there.  I pretty gaunt when I returned home, even some co-workers commented about my weight loss.  .  Since then I've gained back some of the weight and my face looks "plumper" where the injections were made.  When I eventually have BA to replace my >30 year old implants I'll probably have more fat transfers done.

More to post, but have to get back to morning chores.
"It's only money, not life or death"
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clawdeenwolf

Does anyone have any info about getting a passport? I'm not sure where to get one exactly and will they give you trouble for applying for one?
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Tess2016

Wow Ruby. This post took off in a big way and there is plenty of life in it yet... ;) Bit of an information overload at the moment but wow, some really useful information and your results are amazing.. I did a search on FFS but I must have done it wrong.. Danielle M thankfully pointed me in the right defection.. I have been reading it for ages.. I am a bit lost with Doctors with names like Dr.Z or Dr.O etc.. I do not know all of them.. But your Dr. seems to be amazing.. I am seriously considering having him do my entire FFS... Not looking forward to the first few days after surgery but.. I am looking forward to seeing the women I should be.. None of these options were available to me when I was in my twenties.. or even thirties.. I am so looking forward to the future me.. Your Post has provided heaps of good information and feedback.. My issue is time.. and money .. Oh well.. Its all very exciting...!

Tess...
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Dena

Quote from: clawdeenwolf on August 06, 2016, 08:33:25 PM
Does anyone have any info about getting a passport? I'm not sure where to get one exactly and will they give you trouble for applying for one?
In the United states, some post offices offer them by appointment and federal building may provide them. Outside the country you would have to check the laws of your country. A little work with google might uncover a location near you.
Rebirth Date 1982 - PMs are welcome - Use [email]dena@susans.org[/email] or Discord if your unable to PM - Skype is available - My Transition
If you are helped by this site, consider leaving a tip in the jar at the bottom of the page or become a subscriber
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Tess2016

Hi Ruby.. With regards to your hair implants, can you please explain the procedure you had.. Did they take a strip of skin from the back of the head and then remove the individual hair follicles, or did they just remove each individual hair follicle and re-imlant it..??

Re Passport.. Most of the time that is the easy bit.. You need to check on if you need a Visa to stick into your passport for the county you intend to travel to.. I have just found out that I can change my gender anytime on my Aus Passport. I just need to fill in a form when I renew my passport.. Since its less then two years before it expires, I have to pay but after I change my name, I can get a new passport for free... It all changed this years.. Making things a lot easier... :)

Tess...
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deeiche

Quote from: Tess2016 on August 06, 2016, 09:45:07 PM
Hi Ruby.. With regards to your hair implants, can you please explain the procedure you had.. Did they take a strip of skin from the back of the head and then remove the individual hair follicles, or did they just remove each individual hair follicle and re-imlant it..??

SNIP
Tess...
not RubyAliza but we both went to the same hair transplant surgeon, Dr Syzferman.  I believe RubyAliza had FUS (strip of skin) while I had FUE ( individual follicle units ).
"It's only money, not life or death"
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TC

Ruby, wow girl! You're really going for it. I thought you were just doing a little revision work. I've got faith in your doctors and your wife to take care of you(she is pretty awesome). Lots of love to you two awesome ladies 😷💞🤕💞 and hoping for speedy recovery
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Tess2016

Hi.. I think Ruby said with regards to her hair transplant she had 1000 graphs for $2000.. That is so cheap in comparison to Australia... The Strip cost $7,150, which I hate the look of, where as the View FUE (ARTAS) cost $9,900 which I would love to have done. http://www.knudsen.com.au/fue-artas Thats a stupid price. I sure hope Ruby's doctors adopt the ARTAS one day... but.. there is one in Argentina.. http://www.artashair.com/location/medical-hair/ But the FUE can be done without the robot so will will look at both options..

In Australia we are sooo screwed for everything.. DVD's, Furniture.. everything.. Its often been on the news.. Its no wonder transgender girls look to other countries for their needs.. I would like some small moles removed but @$60 each, I will pass on that and have them removed in Thailand for $12 each using CO2.. I am happy to have my SRS done in Thailand but as for my FFS, Ruby has made me very optimistic about my own FFS.. I can see some light..

Tess...
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RubyAliza

Hey Everyone,

     Thanks for helping keep this thread active. Also, Jenna and Deechie have great threads as well, very detailed writing about their experience that provide even more information. Another poster named Diane also posted about her experience. You might find more resources elsewhere too, including the T-Change website. I thought I'd put some links below for convenience. It's not easy making a decision to go abroad for surgery. It's important to know what you're getting yourself into.

Jenna: https://www.susans.org/forums/index.php/topic,211711.0.html

Deechie: https://www.susans.org/forums/index.php/topic,196400.0.html

Diane: https://www.susans.org/forums/index.php/topic,208007.0.html

See this amazing blog by Arielle: http://ffs-argentina.tumblr.com/post/126705061554/fss-surgery-with-dr-javier-rossi-and-his-team

                                                                     ******

Dami - Oh I wish I was still here at that time! I would have loved to meet you :) I'm leaving August 26th. Going back to work ASAP. Kinda worried that I'll still be a mess because I have to teach at the university. Crossing fingers for no complications. Best of luck to you though. Amanda will be there for you. Feel free to message me at any time too.  I'd love to be helpful in any way possible.

Deeiche - Yes, thanks for giving the extra info on fat grafts. I can also vouch for what you're saying. After I had lipo fat transfer to the butt/hips, I gained weight and my butt and hips got way bigger. The fat cells expanded I believe. So that was awesome. However, fat kept redistributing to my love handles, especially after my GRS which I had recently. I gained 15 lbs after my GRS because I ate too much and didn't walk enough haha all is well, I'm going to get that fixed again. But I'm glad it all worked out for you too. I'm still skeptical about what facial fat transfers can do for feminization. Dr. Rossi thinks it will help a lot, especially for me. I've got a big mouth muscle, the orbicularis oris, which looks masculine. The fat is supposed to compensate for it. Hormones weren't enough. Here's a good website I found for some info on this so called "muscle mustache" and why fat grafts can be helpful.
http://www.virtualffs.co.uk/Lips.html

Thanks again for helping me keep this thread active :)

clawdeenwolf - Tess had a really good reply to this. It shouldn't be too much trouble getting one. The first time I came here with a male passport and left Buenos Aires with it. Even though I was getting ma'am-ed, no one said anything. Also, if you are from the US, Argentina just got rid of the $160 reciprocity fee. Too bad I paid it before  they made the announcement.

Tess- I read about your story! I'm so happy that you're finally on course to completing your transition. Your avatar looks pretty and even though you can't wind the clock back fully, you're going to be amazed at what ffs can do. Dr. Rossi was the most affordable surgeon I could find who I trusted. He really transformed a lot of trans women's faces. I know even more who haven't posted on here. I can vouch for him obviously. There are many other amazing surgeons. Dr. DiMaggio is great too, right here in Buenos Aires. Just make sure you go for a type 3 brow contouring if you have a significant brow ridge that goes across your entire forehead, especially the middle, above and between your eyes. You can't just shave that down. The bone is too thin and there is a sinus cavity right behind it. It needs a different, more aggressive procedure (type 3 - named by Dr. Ousterhout who invented ffs - he's Dr. O).

For my transplants, I got FUS, like Deeiche said. The scar is completely hidden. Dr. Syzerfman can do either procedure, with the strip of hair or when he takes out the follicles individually. That would be more expensive but not by too much. You could ask Deeiche more about hers since she got FUE without the incision. If you want to go the same transplant surgeon, tell Amanda. She handles that as well, although it's not on the T-Change website (not yet at least).

Also the price has since changed so now I feel comfortable posting my price. I paid $1600 for 1400 grafts. I think I was one of his first patients to have had grafts after ffs with Dr. Rossi. Maybe it was an intro price? It's not significantly more expensive now I think. I'm going to see Dr. Syzferman on Monday. He wants to see the results in person.

TC- Hi! Thanks for always being so supportive :) Yeah, this turned into a bit more than I thought. But it'll make a difference I hope. Maybe you'll be able to see the difference? ;)

Well that's all for now. We'll see if I have enough energy to post soon after surgery. Also, I'll probably post pics but they never seem to work out too well. Either I make a dumb pose or the lack of depth makes me look so much worse. I made a video once and posted it as a private youtube video. I might do that again so you can see the difference in motion :)

Hope everyone has a wonderful upcoming week.

- Ruby
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