FFS with Deschamps-Braly in SF for November 3, 2016

[Ellement_of_Freedom]

Yaaaay! Sounds like it was a success Debra! I'm so happy for you. I'm sure you will continue to notice changes every day as it continues to heal and the swelling goes down.

[kittenpower]

Ok! Yesterday (well yesterday evening) was finally the big unveiling.

The cast finally came off and the stints came out of the nose.....that part was a little unpleasant and scary....having her grab on with the tweezers and pull this huge thing out of each nostril haha. But not as bad as you'd think.....more scary than bad.

Anyway, it all came off and WOW no brow ridge! It looks great. I was kinda shocked....it doesn't look that different (from the front) but it does. The nose doesn't look very different either except the base of it is obviously much smaller to match the forehead and frankly I'm hoping theres a lot of swelling that will come down off the nose itself.

But I'm happy. My eyes pop more, my face looks more feminine and soft in general. It's really great.

Now for this hairline scar to heal.....

Nose and forehead make an incredible difference when done together; and it's probably the greatest feminizing effect for most of us. Congratulations 😊

[Debra]

Thanks kittenpower.

So wow yesterday and today I woke up with throbbing headaches. Basic throbbing pain in forehead and at the bridge of the nose too. I can only assume it's swelling.....although it doesn't look TOO bad....it is kind of a constant dull ache/throbbing that I can't seem to get rid of. I'm taking ibuprofin again to no avail as of yet.

Weirdly enough, the first week after surgery didn't have headaches like this....I can only assume because of all the extra anti-inflammatory and pain meds I was on as well as the cast kind of keeping everything flat and in place.

Still taking ambien at night and trying to sleep upright at least halfway thru the night. Doc said I shouldn't have to anymore but it doesn't seem to matter now....upright or not, the headache keeps me from getting a lot of sleep as well.

[Debra]

Last night and today were better.

I slept better last night. Still taking ambien to help and ibuprofin regularly for swelling headaches.

Today's headaches were mostly kept at bay.

My husband flew down cuz he's going to a conference and I've switched from my airBNB to his hotel room where we can stay together. I haven't seen him for the last 2 weeks I've been here so it was great to be reunited.

We went for a 2 mile walk around downtown together and that was great. Yesterday I bought some athletic cloth headbands that aren't too tight that cover up the hairline scar for now. It's not ideal, I look a little odd but better than showing off some crazy scar right now haha.

it's amazing how much more confident I feel ..... it's probably just me but I'm seriously no longer worrying about what I look like from the side view because of the brow ridge being totally gone. =)

OH and the scar itself is scabbing.....for some reason it didn't dawn on me till today that it was a reddish scab and that's why it was so visible. I imagine the scab will fall off in a week or two and the real 'scar' will be much less visible. That was very relieving to realize.

Tomorrow I plan on dilating....2nd time on this trip (I do it weekly nowadays......this is the first trip I've taken where I actually had to take my dilators, let alone dilate TWICE ...in the 6 years since I had SRS)...and then I will walk around downtown again, maybe go visit Dr D's office again. Have a couple more questions for them and such and hey I'm still in town....and he wants me walking everyday so why not? haha

[Debra]

My husband and I flew home today and I'm unpacked and relaxing.

Tomorrow is technically 2 weeks post-op and I get to go back to normalcy for the following things:

- Restart my vitamins and regular estrogen dosage
- Drink alcohol again
- work out / exercise (lightly)

I don't go back to work for 2 more weeks. I'm thankful for that as there's still (even at 2 weeks post-op) a slight bruise under my right eye and well the hairline scar still shows too.

Other than that, the hairline scar in front is a bit scabby in places, in the places where it's fallen off it's really not very noticeable. For now I am wearing either sweat hairbands or beanies when I go out. Also, just under the scar itself, the skin on the forehead at the top is a bit bumpy. They said there were deeper stitches that would dissolve over time (unless I'm one of the few patients who ends up 'spitting stitches'. Here's hoping that's not the case.

My husband commented that the swelling has gone down a lot today. I'm still waking up with tension headaches....but today I only took ibuprofen once.....immediately upon waking. I'm also feeling slight tinglings where the numbness is around my eyebrow areas.....also some weird sensations near the hairline scar too.

Sleeping itself is still not easy...on my back or side....uncomfortable on the side (and I can't only sleep on my back). Ambien continues to help but is just about to run out and I'll have to see what just plain melatonin does for me.

Still taking First Intentions and arnica (as well as rubbing arnica on the bruise) and cleaning my nose with q-tips morning and night. At night I find putting vaseline in the nose helps too....to soften things up for removal in the morning. Kinda gross I know....but needed.

I have to say, at 2 weeks I'm VERY happy with the results. My eyes have opened up so much in a 'cute' / feminine way and my nose....I can't stop touching/feeling the curve of it. I love it!

[Maybebaby56]

Hi Debra,

Congratulations on surviving FFS!  So much of your story I can relate to.  I flew home by myself nine days after surgery, and I barely made it.  Lugging my little suitcase through Chicago O'Hare airport nearly did me in.

I am glad you are taking more time off from work.  I hugely underestimated my recovery time.  I took about two-and-a-half weeks off, and went back the third week.  Big mistake.  I was largely non-functional, and ended up taking half-days. By the fourth week, I was almost back to normal.

My forehead scar has been one of the slowest to heal. It is still a red line, and one of the worst offenders for spitting sutures, although I would have to say the sutures in my nose were worse, because they were *right there* under my septum and outside my nostrils, and looked and felt like big pimples.

One of the tough things I had to deal with during recovery is sleeping on my back. I have been a side-sleeper my whole life.  I had to wear a compression garment on my head for the first month, and the pain in my ears from the face/neck lift made sleeping on my side impossible.  I was taking Valium and Vicodin nearly every night for the first three weeks to get to sleep.

One thing I did not do was stop estradiol, at least as originally instructed.  Dr. Zukowksi and I bargained about that. I stopped two days before surgery and started two days after. There is just no sound medical reason to stop sublingual or parenteral estradiol.

Now that I am largely "healed" I still have to deal with the weird electric sensations and shooting pains through my face, forehead, and neck as nerves recover and reconnect, so I certainly sympathize with you there. 

The first three weeks after surgery I was not allowed to blow my nose. I had to go rooting around with  hydrogen peroxide-soaked Q-tips to clear my nose.  Perhaps you can relate to how satisfying it was to get big red globs of coagulated blood and snot out your nose, lol!

One downer for me: my nose was absolutely perfect until I took the tape off on day 12.  Within a few days I noticed a new lump on my previously perfect nose!    I can only hope it subsides with time.

Anyway, congratulations to you again.  You should post some pictures!

With kindness,

Terri

[Debra]

Hi Debra,

Congratulations on surviving FFS!  So much of your story I can relate to.  I flew home by myself nine days after surgery, and I barely made it.  Lugging my little suitcase through Chicago O'Hare airport nearly did me in.

I am glad you are taking more time off from work.  I hugely underestimated my recovery time.  I took about two-and-a-half weeks off, and went back the third week.  Big mistake.  I was largely non-functional, and ended up taking half-days. By the fourth week, I was almost back to normal.

My forehead scar has been one of the slowest to heal. It is still a red line, and one of the worst offenders for spitting sutures, although I would have to say the sutures in my nose were worse, because they were *right there* under my septum and outside my nostrils, and looked and felt like big pimples.

One of the tough things I had to deal with during recovery is sleeping on my back. I have been a side-sleeper my whole life.  I had to wear a compression garment on my head for the first month, and the pain in my ears from the face/neck lift made sleeping on my side impossible.  I was taking Valium and Vicodin nearly every night for the first three weeks to get to sleep.

One thing I did not do was stop estradiol, at least as originally instructed.  Dr. Zukowksi and I bargained about that. I stopped two days before surgery and started two days after. There is just no sound medical reason to stop sublingual or parenteral estradiol.

Now that I am largely "healed" I still have to deal with the weird electric sensations and shooting pains through my face, forehead, and neck as nerves recover and reconnect, so I certainly sympathize with you there. 

The first three weeks after surgery I was not allowed to blow my nose. I had to go rooting around with  hydrogen peroxide-soaked Q-tips to clear my nose.  Perhaps you can relate to how satisfying it was to get big red globs of coagulated blood and snot out your nose, lol!

One downer for me: my nose was absolutely perfect until I took the tape off on day 12.  Within a few days I noticed a new lump on my previously perfect nose!    I can only hope it subsides with time.

Anyway, congratulations to you again.  You should post some pictures!

With kindness,

Terri

THanks for the response! Yes lots to relate to. I'm thankful for taking time off work too....but I'm going to have so much cabin fever too haha.

Really hoping the scarline area doesn't spit stitches ugh. Yeah sleeping still sucks. I took my last ambien last night ....we'll see how tonight goes. I may be getting more if I can't take it. Still waking up with tension headaches too.

Yeah I talked Dr D up . He wanted 1/4th dose of Estradiol 2 weeks before nad 2 weeks after surgery. I talked him up to 1/2 dose. Which is much more bearable and I have done that for several other surgerys with no problems.

Wow the nose bump sounds bad. I hope it goes away too! And I hope I don't get that lol.

Thanks, no pics for me. I may consider posting a temporary pic at some point....but still not sure I want to do that.

[Debra]

So yesterday (Thanksgiving) was 3 weeks post-op.

Not a whole lot has changed. I'm off valium and ambien and sleeping 'ok'. Not great but ok. It's still hard sleeping on my side because of the scarline that's behind the hair...still kinda tender and stuff. Because of that I can't seem to sleep on my stomach either as there's not enough twisting going on to twist the side of my head on the pillow back up towards the ceiling enough when I'm on my stomach. (if that makes any sense)

The hairline scar is a slight pink but not nearly as noticeable as it was a week ago. I'm still using the scar treatment on it 2x a day as directed. I've also noticed some hairs starting to grow back in the scarline itself already, yay! The bumps from the (deep stitches) directly below the scarline are still a bit bumpy....and that will be my primary concern going forward. I can hide what's left of the scar itself with concealer, I'm pretty sure. But the bumps are impossible to hide.....so I may be wearing beanies for a bit longer (including when I go back to work).

Nose scars are barely noticeable and still treating them as well. That being said, the constant feeling of stuff in my nose drives me nuts. I am using q-tips and tissues to get stuff out as I am able (gross I know) and putting Vaseline inside at night to try to keep things soft in there.

The bruising is really only on my right cheek, directly under my right eye.....arnica 3-4x a day on that sucker and it does not wanna go away very quickly still. Both cheeks are still slightly swollen too so even tho the left cheek doesn't have the bruising, because of the swelling , given the right lighting, it does show.

Swelling in general is very much in play with the nose. I'm still surprised about that. I guess I assumed it would swell upwards but what seems to happen is (at least at the bridge of the nose) it swells outward like to the sides towards the eyes....kinda flattening out the bridge. (and making it difficult to get eye boggers out of the corner of my eyes without q-tips).

Swelling of the tip of the nose is also in play but less noticable from the front, more from the side/profile, I think?

And finally numbness. Still general numbness from eyebrows up to the back of the top of my head. So the back of my head I can feel but not the top. The forehead I can feel in the middle (directly above my nose) but not directly above my eyes. I can lift my left eyebrow slightly but not the right but I can kinda squinch both down and in slightly (think angry face).

Also slightly weird phenomenon, a bunch of acne-like tiny bumps around my forehead and nose and going down the sides of my eyes (from the forehead). Not sure if that was part of the micro-needling done post-op or what. I've also restarted the retin-A treatment they recommend doing so hoping that will help shed some of these upper layers of skin.

General satisfaction? From the front I'm still kinda annoyed/upset about the bumpiness and the swelling. A little worried with only 1 week away till I go back to work. From the side, however, I'm pretty darn happy...even with the tip of the nose still swollen.....my side profile looks pretty damn good.

So that's me at 3 weeks post-op. Feeling generally pretty happy and glad I did it. Just impatient for results

[kittenpower]

At this point it helps to focus on the good, acknowledge the bad but let it sit on the back burner and allow more time, at least a month or longer, for more healing to take place, however be vigilant about anything that looks like infection and call your doc asap. This is major surgery so unfortuneately you probably won't be able to hide the fact that you've just had surgery, but you can still hope for the best; and these days Plastic surgery isn't anything to be embarrassed about; it's a status symbol 👝🐩

[Sophia Sage]

I was pretty disappointed with what I was seeing after 4 weeks.

After 8 weeks, I started to get optimistic.

At 12 weeks, I knew my life had changed profoundly.

[Debra]

At this point it helps to focus on the good, acknowledge the bad but let it sit on the back burner and allow more time, at least a month or longer, for more healing to take place, however be vigilant about anything that looks like infection and call your doc asap. This is major surgery so unfortuneately you probably won't be able to hide the fact that you've just had surgery, but you can still hope for the best; and these days Plastic surgery isn't anything to be embarrassed about; it's a status symbol 👝🐩

Thanks, yeah that's what I'm trying to do. If anyone asks, yeah I got a nose job, whatever.

I was pretty disappointed with what I was seeing after 4 weeks.

After 8 weeks, I started to get optimistic.

At 12 weeks, I knew my life had changed profoundly.

Thanks Sophia. Puts things in perspective. The docs always talk the recovery down like it won't be that bad.....but I know better lol.....and yet you still hope things will heal quicker.

[Debra]

Heard back from the doctor's office yesterday and today about any questions I had. I had sent some pics to them as well and apparently Dr D noticed my nose bridge swelling and said it was swollen enough that it might be helpful to be taping it at night.

I was a little concerned that he was bringing this up now haha. He had mentioned taping it at my first pre-op appointment I think? But then at our 2nd pre-op appointment when they took the cast off, tape wasnt' really mentioned at all. We were all just kinda excited at the results and I forgot to ask about it.

Then I walked to the office a few days later (couple days before I flew home) and the Doc wasn't in but the PA took a quick look at me and didn't mention tape.

Anyway, I am hoping this new info will help some of the swelling because the bridge of my nose is indeed still pretty swollen....to the point of having a hard time digging out 'eye boogers' without a q-tip heh. And hoping I didn't set myself back on healing by not taping it up until this point. =/

Anyone else with experience with rhinoplasty to tape or not to tape and for how long?

[Mko]

wow thanks for sharing all this fresh information about Dr.D-B's process and detailed insight into your experience and recovery. i recently got super hyped about Dr. D-B and want to ask 999 questions but i'll try to keep it to just few (at a time anyway! ):


1. Did they require any documents or official therapy history / letters regarding your transsexuality at all to proceed with the consultation / surgery? or could a completely random person in guy-mode fly there and buy an FFS out of nowhere just by telling the doc his story, signing papers and paying?
(im considering getting certain FFS stuff done there in 1-2years from now still in full male mode before even starting any official transition "therapy" and hrt. im from europe so i wonder what all i would need to bring/do over there to get smoothly processed at D-B's other than my passport id, travel insurance and money)

2. how was your dreaded micro-needling and at what phase of your stay did they actually perform it? i didnt fully understand it from the line in your post about it earlier

3. also before the surgery do they wait with putting urinary cathether in until youre already knocked out? thats like the last quality of life thing im still annoyed about in pre-surgery stuff


And finally, hows the nose doing ?

[2cherry]

Also slightly weird phenomenon, a bunch of acne-like tiny bumps around my forehead and nose and going down the sides of my eyes (from the forehead). Not sure if that was part of the micro-needling done post-op or what.

Oh, yes, I have those too... !  tiny bumps/pimples feel a little bit sandy on my forehead. They appeared on the 3rd week. I have no clue what they are...

[Debra]

wow thanks for sharing all this fresh information about Dr.D-B's process and detailed insight into your experience and recovery. i recently got super hyped about Dr. D-B and want to ask 999 questions but i'll try to keep it to just few (at a time anyway! ):

Sure thing! =) He's awesome!

1. Did they require any documents or official therapy history / letters regarding your transsexuality at all to proceed with the consultation / surgery? or could a completely random person in guy-mode fly there and buy an FFS out of nowhere just by telling the doc his story, signing papers and paying?
(im considering getting certain FFS stuff done there in 1-2years from now still in full male mode before even starting any official transition "therapy" and hrt. im from europe so i wonder what all i would need to bring/do over there to get smoothly processed at D-B's other than my passport id, travel insurance and money)

I can't really speak from experience here because I transitioned a good 7+ years ago. I walked into his office with my husband in a full face of makeup, curled hair, and a dress. During the consult, he did say that some people come into his office expecting FFS to change everything and he always has to play that down. He said with me, obviously I was already doing pretty well and it would be a good change/update for me.

That being said, there were a couple consults/appointments where I saw what I assume to be AMAB individuals in the waiting room before or after me and I can only assume (since he's the leading expert) that they were pre-transition trans individuals....but again, huge assumption being made there...they may just be seeing him for a nose job or something random, who knows?

I'd say yes you could see him and consult him in 'boy-mode' just fine but you'd definitely want to have a plan laid out so he can understand where you're coming from and give you a good estimate of what to really expect. As for therapy and other requirements, I'm not really sure. Since you're so far away, I would definitely call the office and/or email them and talk to the staff about any therapy or HRT requirements ahead of time.

2. how was your dreaded micro-needling and at what phase of your stay did they actually perform it? i didnt fully understand it from the line in your post about it earlier

Haha yeah. It's funny I was kinda dreading it more than the surgery almost but it really wasn't that bad. The prep is a lot like laser hair removal. When they take your cast off (1 week post-op) they do the micro-needling. Essentially they draw your blood, centrifuge it to get the plasma out, and then use a little device that has a bunch of needles in a small area (1 inch by 1 inch maybe?) to poke your face all over. So they do it area by area all over your face (like with laser kinda). The part that hurt the worst was the forehead and they said that was because of the skin being so close to the bone (even tho my forehead was numb, hah!). The rest of the face really wasn't that bad.

So in general, worth it and really not that bad.

3. also before the surgery do they wait with putting urinary cathether in until youre already knocked out? thats like the last quality of life thing im still annoyed about in pre-surgery stuff

Yes thank God. lol. The last time I had a catheter (that I remember?) was vaginoplasty. If I had one for BA, they took it out before I woke up.

For FFS, I was out before they put it in and I woke up with it. Thankfully there was no trouble getting it out and peeing after, etc.

And finally, hows the nose doing ?

Not bad. It's still very swollen at the tip area and the bridge area is still very WIDE like towards the eyes. My doc has said to tape the bridge at night for next 2 weeks to help more with continued swelling. But they say the nose won't really look right until 1 year out. I've started to notice it more in pictures when I'm turned at a 3/4 angle, it has a very nice slope =) But the tip of it definitely still seems very big in comparison. So here's hoping it goes down a LOT in the next year

[Debra]

Oh, yes, I have those too... !  tiny bumps/pimples feel a little bit sandy on my forehead. They appeared on the 3rd week. I have no clue what they are...

Yeah the retin-A they gave me to use before the surgery, they said to start using it again 2 weeks post-op . It's definitely been helping shed some of that and most of the tiny bumpage is gone now =)

[Debra]

General 1 month Update:

Scar: Still pretty red/pink but after seeing my hair lady last week, we seem to be able to hide it pretty well by simply moving the hair more to the front and side sweeping some bangs. Any other parts of it I may try to use concealer. Still using scar cream on it 2x a day and unfortunately that tends to grease up my bangs/roots.

Bumpiness under the scar (forehead): These have come down a LOT in the last week and oddly enough, simply wearing beanies and headbands over it has seemed to help the bumps come down. I also had a gf who had FFS years ago tell me that massaging is supposed to be good for that ....I asked the doc about that at ~ 2 weeks post-op and they dont recommend for or against it. Not sure what to make of that. The bumps still feel kinda hard themselves.

Nose: As stated in an earlier post, the slope of the bridge of the nose is really cool, cute even...I've noticed it at certain angles in pictures. But the tip / nostrils area is still quite big looking in comparison. Also the width of the bridge is still widening out to my eyes . Doc has me taping the bridge of the nose at night for now.

Eye trouble: My right eye has been kinda acting up a bit since the surgery. Because of the swelling and really bad bruising under that eye, I have to assume it may have taken some damage possibly too. I tend to find that eye dries out very easily and have had to use eyedrops a lot. Someone also commented asking if I had a cross eye/ lazy eye issue and I was surprised but after looking at some newer pics I'm starting to notice some of what they mean. Hoping that will heal with time too and really hoping my vision hasn't gotten worse ...esp since that's my good eye....with a prescription of -7.

Overall swelling: The swelling that still seems to be an issue is really all around my eyes. So the eyebrow / orbital rim area is still kinda swelling down a bit and the cheeks are swelling up a bit. It ends up making my eyes look a bit too small for my face and kinda like I'm having an allergic reaction to something....especially when I smile. The doc office claims within 3 months most of that swelling will go away. Here's hoping...2 more months of this, oh joy.

Hair regrowth: In the scar line in front (and in the scar line behind all the hair) I can see little tiny hairs regrowing, yay! That'll take forever lol. Thankfully it's not too noticable unless I pull my hair back.

I go back to work on Monday...well really Tuesday since I work from home Mon and Fri. I'm glad I took a full month off but I'm still going to end up looking like I had surgery. So I guess it's good I had kinda told a few people I was getting my nose done. I dress pretty nice at work so I'm going to try to do my hair up good on Tuesday and go in dressing like I usually do....but then the rest of the week maybe go casual with a beanie. Until these bumps and the scar is easier to hide, it's going to be tough.

[Jacqueline]

wow thanks for sharing all this fresh information about Dr.D-B's process and detailed insight into your experience and recovery. i recently got super hyped about Dr. D-B and want to ask 999 questions but i'll try to keep it to just few (at a time anyway! ):


1. Did they require any documents or official therapy history / letters regarding your transsexuality at all to proceed with the consultation / surgery? or could a completely random person in guy-mode fly there and buy an FFS out of nowhere just by telling the doc his story, signing papers and paying?
(im considering getting certain FFS stuff done there in 1-2years from now still in full male mode before even starting any official transition "therapy" and hrt. im from europe so i wonder what all i would need to bring/do over there to get smoothly processed at D-B's other than my passport id, travel insurance and money)

2. how was your dreaded micro-needling and at what phase of your stay did they actually perform it? i didnt fully understand it from the line in your post about it earlier

3. also before the surgery do they wait with putting urinary cathether in until youre already knocked out? thats like the last quality of life thing im still annoyed about in pre-surgery stuff


And finally, hows the nose doing ?

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[MeghanAndrews]

General 1 month Update:

Debra! I came on for my check-Susan's-every-other-year update and saw your post Congrats on getting surgery, I didn't know you had that planned. Of course you are still early in recovery, but it sounds like things are going pretty well. Bone work will take a few years, but day-by-day, week-by-week it'll get better and better.

It's cool that you went to Deschamps-Braley, I know a few people who have gone to him and they loved their results. Plus, he's hot, that doesn't hurt either, lol. I hope married life is going well and that things are awesome! Be well Meghan

[Debra]

Debra! I came on for my check-Susan's-every-other-year update and saw your post Congrats on getting surgery, I didn't know you had that planned. Of course you are still early in recovery, but it sounds like things are going pretty well. Bone work will take a few years, but day-by-day, week-by-week it'll get better and better.

It's cool that you went to Deschamps-Braley, I know a few people who have gone to him and they loved their results. Plus, he's hot, that doesn't hurt either, lol. I hope married life is going well and that things are awesome! Be well Meghan

OMG Meghan!!!!! Long time no see!!!

Yeah I started planning this like a year ago. Up until that point, I didn't really feel like I needed FFS. I guess it was kinda the icing on the cake. Mostly about my profile and well you don't see your profile everyday lol....just in random pictures and stuff.

Yes Dr D is pretty damn suave And he's cute AF too. Shoulda seen him the day we took the cast off. He kept running in and out of the room like an excited little boy

Yeah 1+ months now, I'm still kinda surprised at how much swelling is still going on. I mean I expected nose swelling but the cheeks, the brow bone all of that causing my eyes to look smaller and then on top of that having the nose swelling outwards towards teh eyes. It's been a bit odd....and of course frustrating.

This was my first week back at work and I wore beanies for most of it. Still self conscious about the ripple in the forehead look. It's gone down a LOT though and they say 6 weeks is the expected point of it really going down by......and that's next week.