Looking for a surgeon that does more aggressive work also works with insurance.

[gammax]

So I have insurance that covers just about everything. But I been looking for a doc that is willing to work with them and do more aggressive work. Most likely a type 3. Only ones I know that do type 3 foreheads are Lee and Dr D. I know Dr Z works with insurance but I fear that it wont be aggressive enough. I am looking for 5mm to 8mm worth of removal.

I am 2 years 9 months into transition. So its about time for FFS and BA.


So this is what I really am looking for out of FFS.

http://imgur.com/a/Rxb2m

My current profile.


The photo shopped example of what I want.


And a front shot, just cause.

[Jacqueline]

Welcome to the site. I hope you find the information you are seeking.

I also want to share some links with you. They are mostly welcome information and the rules that govern the site. If you have not had a chance to look through them, please take a moment:

Things that you should read

Site Terms of Service & Rules to Live By	Standard Terms & Definitions	Post Ranks (including when you can upload an avatar)
Reputation rules	News posting & quoting guidelines	Photo, avatars, & signature images policy

Once again, welcome to Susan's. Look around, ask questions and join in.

With warmth,

Joanna

[gammax]

Thanks, While Susan's is not new to me, It's been at least 12 to 15 years since I last even looked at susans. But I will look over that info.

[keojampamd]

The amount of forehead setback that can be performed is dependent on how big the frontal sinus cavity is and the anterior border of the brain.  You cannot set back the forehead back any further than the anterior border of the brain or posterior table of the frontal sinus.  The best way to estimate this is with a preoperative CT scan.  If you do not have a frontal sinus cavity (occurs in up to 15% of the population) then the maximum setback could be minimal and the 8mm desired setback may not be possible.  My experience with working with Dr. Spiegel for 5 years was that he almost exclusively performed Type 3 forehead on every patient.  Dr. Spiegel also accepts insurance coverage for FFS.   Currently, mainly the East Coast health insurance plans cover FFS such as BCBS of MA, Harvard Pilgrim, Tufts.  Most of the West coast plans do not cover FFS.  In my practice, I strive to perform at Type 3 forehead on every patient unless they do not want maximal setback.  The approximate maximal setback can be easily estimated with a presurgery CT scan of the Face which we do in the office during the initial consultation.