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10 month post Ffs result with Dr Deschamps

Started by Ypsf09, February 11, 2017, 05:48:20 PM

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Ypsf09

So I am 10months post op now from my type 3 forehead reconstruction, rhinoplasty, genioplasty.

Here's my preop pics:

http://m.imgur.com/gallery/fo3Di

Here's my postop pics:

http://m.imgur.com/gallery/pANrh

Both set of pics are without makeup.

I am very self critical, self conscious and have very low self esteem. Due to that its very difficult to take pics and post it online specially without makeup/hair. But I still gathered courage to do so to help my own self and maybe other prospective Ffs patients.

I would be very grateful to you gals if you could help me get some answers/advise to the following questions.

1. What do you think of my result?
2. Was this a aggressive or conservative result?
3. Do I still look boyish?
4. What other procedures could help me more? ( I am open to travelling to any part of the world and also open to getting double jaw surgery in addition to anything else)
5. Do I still have a masculine browbone?
6. Are my cheekbones rugged and mAsculine?
7. Is my chin too receding?

You can simply answer yes/no or give a detailed answer.

I am more confused now than ever in where my face stands and what procedures I need.

Your response is greatly appreciated and badly need help in figuring things out.

Thanks in advance
  •  

Ellement_of_Freedom

I think you look beautiful and I can't see any masculine features on your face...


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

Debra

1. What do you think of my result? Wow awesome result! That being said I'm surprised to see some of the weirdness I'm seeing with myself when it comes to the wideness of the bridge of the nose and the overhang weirdness of the brow bone (above eyelid). I have the same things going on at 3months post from the same doctor.
2. Was this a aggressive or conservative result? I'd say it's pretty medium / agressive.
3. Do I still look boyish? Nope! Not at all.
4. What other procedures could help me more? ( I am open to travelling to any part of the world and also open to getting double jaw surgery in addition to anything else) Frankly, I'd say more is less. Stop while you're ahead. You'll never get to a 'perfect' result and in fact every op you do, you risk making things worse. I'm hoping this was my last surgery personally.
5. Do I still have a masculine browbone? You mean the brow ridge? Not at all? In fact that's what I Like most about my result too....the profile. I look great from the side now.....but the brow bone hanging over the eyelid thing (causing wrinkling) I see that in you and in me as well and I'm annoyed by it cuz it wasn't there pre-op.
6. Are my cheekbones rugged and masculine? Not at all
7. Is my chin too receding? I'd say your chin is less receded than mine. And I prob won't fix mine.

PM me if you want to see my pics. I don't want them out on the internet publicly.

  •  

Ypsf09

Thanks Ellement_of_freedom for your kind words.

Debra,

Thank you for your detailed response.

I think that wideness of the nose bridge is an aesthetic that I often see in other results from Dr O. I dont remember Dr D's before/after from my in office consult. Do you think if our nose bridges were thin/narrow (without adding more height)it would look better.

As far as side profile goes, I think Dr D's has done a great job given my forehead was sloping before. But like you I get confused because of the browbone hang over the eyelid and start thinking I still have a masculine browridge. In my case, the tail of the browbone is more prominent/comes out than the glabella region and I thought it should be opposite or atleast at the same level. Do you think burring of this brow bone hang would take away the wierdness by opening up the eye more.

I would love to see your pics. I will pm you shortly.

Thanks
  •  

Mirya

Quote from: Ypsf09 on February 11, 2017, 05:48:20 PM
1. What do you think of my result?
2. Was this a aggressive or conservative result?
3. Do I still look boyish?
4. What other procedures could help me more? ( I am open to travelling to any part of the world and also open to getting double jaw surgery in addition to anything else)
5. Do I still have a masculine browbone?
6. Are my cheekbones rugged and mAsculine?
7. Is my chin too receding?

1.)  I think you looked very feminine already, but now you look even more beautiful than before!
2.)  Slightly on the aggressive side.
3.)  Not at all!  There is nothing boyish or masculine about your face now.
4.)  I think your eyebrows are a little too high and a little too arched.  It looks kind of unnatural.  But more surgery?  No, you definitely do not need more facial surgery.
5.)  No, it looks very feminine.
6.)  No, not at all.
7.)  I think you should google 'receding chin' to see images of what a receding chin really looks like.  Yours looks very normal.


I think you had an absolutely wonderful result!  You look stunningly beautiful without looking plastic or fake.  It makes me a bit jealous to be honest, lol.  I had FFS last year too, but I opted not to do any chin/jaw work.  Now I am starting to think I should have done it...  :)

I encourage you to put thoughts of any additional facial surgery behind you and instead focus on your self esteem.  (and this is coming from someone who has no qualms about telling someone that they don't pass, which is why I never respond in the 'do I pass?' threads any more!)

  •  

Sophia Sage

Quote1. What do you think of my result?
QuoteWow awesome result! That being said I'm surprised to see some of the weirdness I'm seeing with myself when it comes to the wideness of the bridge of the nose and the overhang weirdness of the brow bone (above eyelid).  I have the same things going on at 3months post from the same doctor.

Okay, so I'm not the only one who's seeing that too, how the outer orbits are shaped. Can't tell if the irregularities are bone or soft tissue; sometimes there's too much soft tissue left behind after an aggressive forehead reduction.  I agree with Mirya, though, that the eyebrow arching is too high; it is also too thin.  This is what might be making the orbits look a bit unnatural.  You should first grow out your eyebrows and set them lower, across the orbits rather than above them, as this might actually be the source of the issues I'm seeing here. 

I disagree about the wideness at the bridge, it looks fairly well tapered to me.  Many Dr O results I've seen, it's looked more like a flattened ski slope, so this is a marked improvement.  I like the nose most of all here, actually.

Quote2. Was this a aggressive or conservative result?
3. Do I still look boyish?

As everyone else says, this a good result, somewhat aggressive, and there's no boyishness or masculinity in your features.  All of your features are between strongly female to neutral. 

From your expression, though, I'd say you were somewhere between skeptical and angry.  You're obviously not happy.

Quote4. What other procedures could help me more? ( I am open to travelling to any part of the world and also open to getting double jaw surgery in addition to anything else)
5. Do I still have a masculine browbone?
6. Are my cheekbones rugged and masculine?
7. Is my chin too receding?

Your brow is feminine, pretty close to average.  On a scale of 0 to 10, where 0 is hyperfemme, 10 is hypermasculine, and 5 is completely neutral, I'd give it a 3, well within the bell curve. 

Nose is almost hyperfeminine.

Your cheekbones are neutral, but only because there's a sharpness due to being quite thin.

Double jaw surgery will not help in terms of feminization when it comes to your midface.  You have a very short upper lip already, and a medium vertical mid-face.  Your proportions in this respect are already well within the female average.  I think what you're perceiving here, if anything, is very subtle... it's as if you're puckering your lips.  There's tension here.  If you have some pictures of your full relaxed smile, exposing your teeth, that would help with evaluation. 

You have an oblique angle to the back of your mandible, and its vertical height is solidly feminine.  Your chin is smaller than average for a woman; any further work to your lower jaw would make your midface look longer in comparison, which would create a sense of being out of proportion. 

The overall gestalt is solidly female. 
What you look forward to has already come, but you do not recognize it.
  •  

Debra

Quote from: Sophia Sage on February 11, 2017, 09:47:00 PM
I disagree about the wideness at the bridge, it looks fairly well tapered to me.  Many Dr O results I've seen, it's looked more like a flattened ski slope, so this is a marked improvement.  I like the nose most of all here, actually.

Yeah I guess the wideness of the bridge was noticable for me because it wasn't as wide pre-op. Is that a common side affect of FFS? Because I have the same issue going on at 3 months post-op still.

  •  

Sophia Sage

Quote from: Debra on February 11, 2017, 10:37:46 PM
Yeah I guess the wideness of the bridge was noticable for me because it wasn't as wide pre-op. Is that a common side affect of FFS? Because I have the same issue going on at 3 months post-op still.

Most noses are triangular in cross section.  When you take down an edge, it's going to look wider unless you also take down the sides as well.  But as you get closer to the bone of the bridge, there's only so much you can do to narrow it there without compromising the integrity of the structure.  So I think that yes, this might just be a limiting factor?
What you look forward to has already come, but you do not recognize it.
  •  

Ypsf09

Quote from: Mirya on February 11, 2017, 08:18:40 PM

I think you had an absolutely wonderful result!  You look stunningly beautiful without looking plastic or fake.  It makes me a bit jealous to be honest, lol.  I had FFS last year too, but I opted not to do any chin/jaw work.  Now I am starting to think I should have done it...  :)

I encourage you to put thoughts of any additional facial surgery behind you and instead focus on your self esteem.  (and this is coming from someone who has no qualms about telling someone that they don't pass, which is why I never respond in the 'do I pass?' threads any more!)

Thanks Mirya for your generous response. Based on what I have seen from Dr Z so far, I am pretty sure you look great too. Also maybe it's good to take things slowly, so you can gauge what u truly need and safely obtain your aesthetic goal without taking too much risk.  Doing everything at once can be very confusing unless we have 110% trust in our surgeons aesthetic/vision and skills.

I truly appreciate your encouragement and have decided to seek therapy to find my lost self esteem/confidence.
  •  

icy

Ypsf09,

Wow I didn't know you went to Doctor Deschamps for forehead type 3 reconstruction, rhinoplasty and genioplasty.

1. AMAZING!
2. Hard to say because you looked like a girl even pre-op.
3. Absolutely not! not even pre-op
4. I think honestly for now you are perfect! Honestly he did well on your nose job I just wish he had made your nostril tip a bit more refined, and narrower. If this makes any sense. However for now you are perfect in my eyes.
5. Nope!
6. Nope!
7. Yours look fine


Quote from: Ypsf09 on February 11, 2017, 05:48:20 PM
So I am 10months post op now from my type 3 forehead reconstruction, rhinoplasty, genioplasty.
I would be very grateful to you gals if you could help me get some answers/advise to the following questions.

1. What do you think of my result?
2. Was this a aggressive or conservative result?
3. Do I still look boyish?
4. What other procedures could help me more? ( I am open to travelling to any part of the world and also open to getting double jaw surgery in addition to anything else)
5. Do I still have a masculine browbone?
6. Are my cheekbones rugged and mAsculine?
7. Is my chin too receding?

  •  

Ypsf09

Thanks Sophia for your thorough and honest feedback.

Quote from: Sophia Sage on February 11, 2017, 09:47:00 PM
Okay, so I'm not the only one who's seeing that too, how the outer orbits are shaped. Can't tell if the irregularities are bone or soft tissue; sometimes there's too much soft tissue left behind after an aggressive forehead reduction.  I agree with Mirya, though, that the eyebrow arching is too high; it is also too thin.  This is what might be making the orbits look a bit unnatural.  You should first grow out your eyebrows and set them lower, across the orbits rather than above them, as this might actually be the source of the issues I'm seeing here. 


After thinking a lot about this, I feel  it's all of the three: bone, soft tissue and my eyebrow position.

For the first few months when I was swollen, everything looked very smooth and even. But as time progressed, I noticed some temporal hollowness/loss of fat which caused the supra orbital ridge to stick out a bit specially around the outer eye corner. And I should definitely bring my jessica rabbit inspired eye brows a bit down. lol.

If I were to ever get it redone, would you suggest filling the temporal, upper/mid region of forehead or to get more reduction of the browbone(if safely possible) or both.

Here's pics of my forehead 3weeks postop

http://imgur.com/a/phs7S


Quote from: Sophia Sage on February 11, 2017, 09:47:00 PM

I disagree about the wideness at the bridge, it looks fairly well tapered to me.  Many Dr O results I've seen, it's looked more like a flattened ski slope, so this is a marked improvement.  I like the nose most of all here, actually.

As everyone else says, this a good result, somewhat aggressive, and there's no boyishness or masculinity in your features.  All of your features are between strongly female to neutral. 

From your expression, though, I'd say you were somewhere between skeptical and angry.  You're obviously not happy.

Your brow is feminine, pretty close to average.  On a scale of 0 to 10, where 0 is hyperfemme, 10 is hypermasculine, and 5 is completely neutral, I'd give it a 3, well within the bell curve. 

Nose is almost hyperfeminine.

Your cheekbones are neutral, but only because there's a sharpness due to being quite thin.



Do you think I would look better in front view, if my nose bridge was thinner/sharper and nostrils more pinched/refined

Yes, you are right in that I was not happy at all when I took those pics this afternoon. Infact I was feeling sad/tired about certain things. Sometimes I think I bully/torture my own self by being extremely critical and setting unrealistic goals. Though I am a really nice, sweet and gentle towards other.

Here's me in good mood from the past. Lol. I will take more once I start felling good again.

http://imgur.com/a/BKDX7

Do you think it's possible to bring my brow/forehead to a 0 or 1?

The Asian surgeons suggested lateral cheekbone reduction along with fat transfer/cheek implants. Do you think that would help?

Quote from: Sophia Sage on February 11, 2017, 09:47:00 PM

Double jaw surgery will not help in terms of feminization when it comes to your midface.  You have a very short upper lip already, and a medium vertical mid-face.  Your proportions in this respect are already well within the female average.  I think what you're perceiving here, if anything, is very subtle... it's as if you're puckering your lips.  There's tension here.  If you have some pictures of your full relaxed smile, exposing your teeth, that would help with evaluation. 

You have an oblique angle to the back of your mandible, and its vertical height is solidly feminine.  Your chin is smaller than average for a woman; any further work to your lower jaw would make your midface look longer in comparison, which would create a sense of being out of proportion. 

The overall gestalt is solidly female.


I was referring to double jaw(push the jaw backward) to fix my mouth protrusion and mild overbite. That's what gives me a bit of that duck face look, lol. Also due to me trying to close my mouth, naturally my mouth doesn't close and lips don't touch each other exposing the upper teeth area. But I would want to avoid double jaw and only use it as a last resort only if the
outcomes/benefits are significant not subtle.

Dr Lee and other Asian surgeons suggested bringing the chin(either through sliding genioplasty or chin implant) a bit forward along with cheek implants than to get double jaw.

Do you think my chin can be enhanced more?
  •  

Ypsf09

Quote from: icy on February 12, 2017, 02:45:28 AM
Ypsf09,

Wow I didn't know you went to Doctor Deschamps for forehead type 3 reconstruction, rhinoplasty and genioplasty.

1. AMAZING!
2. Hard to say because you looked like a girl even pre-op.
3. Absolutely not! not even pre-op
4. I think honestly for now you are perfect! Honestly he did well on your nose job I just wish he had made your nostril tip a bit more refined, and narrower. If this makes any sense. However for now you are perfect in my eyes.
5. Nope!
6. Nope!
7. Yours look fine

Thanks Icy for your sweet and kind words. I thought I mentioned to you about me being Dr D's patient. Maybe I just mentioned the procedures and forgot the surgeons name. Anyways feel free to pm me if you have any questions or need any info.



  •  

anjaq

Well, first, I must say that you look female and even feminine even before the surgery, but I understand the need to improve on that. That said, I think overdoing it - never being happy until one reaches a BArdie doll face is not great either. You are now clearly on the female and even feminine side of the scale, I would honestly leave it at that and not go for any major procedures anymore

1. What do you think of my result?
Overall it is good. I honestly am a bit disturbed by the eyebrows though. As it was said before, I think you should let them grow and then adapt a ne shape that fts the face better. They are currently too high and too much arched, giving a bit of a weird look. I am not sure if this has to do with surgery or just with eybrow shaping by plucking

2. Was this a aggressive or conservative result?
In my opinion it was mor eon the agressive side. The brow reduction is massive, the change in the nose is massive, the other parts are maybe more moderate

3. Do I still look boyish?
seriously?

4. What other procedures could help me more? ( I am open to travelling to any part of the world and also open to getting double jaw surgery in addition to anything else)
None

5. Do I still have a masculine browbone?
I do not think so. Of course, a plastic doll has even less and a very few women also have less - but you are "flatter" than the average women, I would say.

6. Are my cheekbones rugged and mAsculine?
cheekbones are a matter of aesthetics, not about gender. The most beautiful actresses I see on TV have high and defined cheekbones, many men have no cheeks - so I think this is more a matter of personal aesthetics. Euros like cheekbones, Asians dislike them apparently


  •  

RubyAliza

Yspf09,

   I empathize with you. I have facial dysphoria still even after getting a revision. My first impression, like the others, is to say that you run the risk of ruining your already pretty face. You don't want to look like you obviously had plastic surgery right? That's worst than looking boyish, which, by the way, you don't. Nevertheless, since I'm a perfectionist like you, I'll give my unprofessional advice.

    You had a CT scan right? Can they take down more of your orbital rims? I think that would actually look better in my opinion. During my revision with Dr. Rossi, he shaved down my orbital rims further, rounder my forehead and opening my eyes a bit more. If your bone is thick enough, you could do that. However, you would have to do coronal incision. Dr. Z, who I don't like much, could do it through an endoscopic incision. Or, it may be possible to do it through an eyelid incision, which brings me to my second point.

    Your eyebrows are too high in the corners in my opinion. One way to fix that might be by pulling them down using a blepharoplasty incision. However that might cause some tension on the incisions. But anyways, agree with Mirya. But still, I think it doesn't take away from your beauty. I still think you're freaking hot!

   For the bridge of your nose, I don't see how it could possibly be made thinner without looking weird. I suppose he could take a millimeter from each side but it wouldn't make that much of a difference. The nose isn't much a problem. Messing it would definitely give you the plastic surgery look.

   Your midface, your upper lip specifically isn't a big issue either. Double jaw surgery depends on the position of your teeth too. There are limits to what you they can do. The risk is big in terms of complications. Most important, if they make the lower 2/3rds of your face shorter overall, it will make your forehead look bigger by comparison. The proportions would be off. The trade off is not worth it. Dr. D is an orthognathic surgeon. He could do the double jaw surgery. What did he say?

   I remember a previous post you made about your forehead being too wide. I see what you mean. Instead of trying to have the bone taken down, have you considered getting hair transplants on the sides, on your temples at a sloping angle. It would make your forehead look thinner. It would be less than a 1000 grafts and you could get them done on a vacation in Thailand for cheap. Just some ideas.

    Also, fat transfers to your cheeks would like nice, in my opinion. A subtle fat transfer, not too much.

    Last thing I'll say is that you're beautiful and we're all telling you the truth. But there is the possibility that no matter how good you look after surgery and no matter how much people tell you it, you won't believe them.

   And one more thing. I live in the Bay Area. PM me if you ever need someone to talk to about your dsyphoria. I know how you feel. And we could also meet in person too haha :)

- Ruby
   
   
  •  

Sophia Sage

Quote from: Ypsf09 on February 12, 2017, 03:50:50 AMIf I were to ever get it redone, would you suggest filling the temporal, upper/mid region of forehead or to get more reduction of the browbone(if safely possible) or both.

Here's pics of my forehead 3weeks postop

http://imgur.com/a/phs7S

Do you think it's possible to bring my brow/forehead to a 0 or 1?

Wow, your look at 3 weeks out is spot-on, except for the swelling around your nose. 

If you're really not happy with how things have progressed since, and you're going to do revisions regardless, I kind of like RubyAliza's advice about smoothing down the orbital rims, and a smidge from the glabella.  If there's bone to smooth down, that is. 

This might take it down to a 2, and I don't think you can go much further, and I mean that from a technical perspective.  The other complicating issue is the rest of your skull and how your forehead joins up with it.  Another reconstruction, for example, just isn't going to deliver; your forehead would end up so flat there'd be no roundness to it.  Too much straightness might bring up connotations of squareness in profile, and I don't think you want that. 

There are three reasons to have any kind of revisions done, in my opinion.  First, to address any latent gendering issues.  You don't have any gendering issues, at least not externally at least.  (Having everything done just to lose the ghost in the mirror is another thing, but you've already done that, so if you're still haunted by the ghost then that's something else entirely.)  Second, to address complications from the original surgery, be they medical or aesthetic, particularly a result that looks "unnatural."  Third, it's to pursue beauty for its own sake. 

I have a hard time philosophically supporting the last position.  In terms of all the things you've asked about, the only one that makes sense to pursue right now is the irregularities around your orbital rims.  Starting by seeing how repositioning your eyebrows can take care of that.


QuoteDo you think I would look better in front view, if my nose bridge was thinner/sharper and nostrils more pinched/refined

No, I think your nose is already a 1, and about as close to perfect as you can get.  There are very real risks to going after the nose again -- noses are not particularly hardy, and you don't want to compromise the integrity of the underlying structure. 

Here, I'm at a 180 from the forehead -- if there's one thing I'd be adamant about leaving alone, it'd be your nose.  Your nose is gorgeous.  It should be a reference point for everything else, as far as I'm concerned.

QuoteThe Asian surgeons suggested lateral cheekbone reduction along with fat transfer/cheek implants. Do you think that would help?

Not significantly, no.  It won't change your gendering. 

Cheek implants look fake, imo.  Fat transfer might be nice, but you're so thin, where are they going to get the fat from, and how will it stick around as opposed to dissolving?  Plus, fat will migrate south over time, sagging due to gravity.

2cherry's thread on her FFS included some very interesting pictures on various techniques for the cheeks in terms of bone work, I'd look there to find out more about the technical details of the procedures.  I wouldn't go for reduction -- this was something more like a repositioning of the cheekbones.  Very artful.  And this isn't very radical surgery, either, so I don't think it's unreasonable to consider just in terms of aesthetics. 

QuoteDr Lee and other Asian surgeons suggested bringing the chin(either through sliding genioplasty or chin implant) a bit forward along with cheek implants than to get double jaw.

Do you think my chin can be enhanced more?

I disagree. 

Your chin is right where it needs to be -- the lateral position of it is nicely aligned with your current profile.  Moving it forward would exacerbate what you already have.  It's trying to use sleight-of-hand, and I don't think it'll work.

Most chin implants and sliding genioplasties look fake.

QuoteI was referring to double jaw(push the jaw backward) to fix my mouth protrusion and mild overbite. That's what gives me a bit of that duck face look, lol. Also due to me trying to close my mouth, naturally my mouth doesn't close and lips don't touch each other exposing the upper teeth area. But I would want to avoid double jaw and only use it as a last resort only if the outcomes/benefits are significant not subtle.

Pushing the jaw back, rather than changing its verticality?  That wouldn't mess with your proportions.

However, now we're in the territory where you're pursuing major surgery with many risks to chase beauty.  Your mild overbite is not a source of misgendering.  So what's the motivation for pursuing beauty to such an extent?  Insecurity, I believe. Which is understandable, given our situations. 

But do not mistake insecurity for dysphoria.  It's easy to conflate the two, trust me, but it's better imo to address insecurity through other means first.  Like, spend a couple years living a woman's life, giving yourself some distance from trans spaces.  See how the world responds to you without a narrative.  Focus on other interests, rather than your body. And then see how you've grown.

If you're ever getting misgendered, it's not from your face.  It'll be from your voice, comportment, social skills, or narrative.  And these are all things that need to be addressed regardless of facial work, if you want to have a seamless experience of a woman's life. 

Incidentally, pursing your lips does not help your beauty.  There's an ease to beauty.  Actually, most women have an "incisal show" when their mouths are at rest.  This is normal.  Some women have lip lifts just so that they'll have teeth showing when their lips are at rest.  Plus, when you purse your lips, you're activating all kinds of muscles around your mouth -- you think you're hiding your overbite, but I think it exacerbates the "duck face" look.  A relaxed smile that shows teeth is pretty.

And that might take working on your confidence, first and foremost.

You're at the point where you need to start thinking like an ordinary woman, rather than as someone who's suffered from a lifetime of traumatic dysphoria. What do most women with overbites do?  Some will see dentists, get braces if need be -- that's what my mom did, actually, as a middle-aged woman at that.  But most don't do anything, they get on with their lives and let people see the authentic invisible self, and use that recognition to determine who they want relationships with, be those relationships as girlfriends, lovers, what have you.  You can't keep putting that off, or you're going to be missing out on the best part of life.
What you look forward to has already come, but you do not recognize it.
  •  

TigerLilyNYC

As I read Sophia's note above, I said what a sage she is. Then I realized it's Sophia Sage! What a fitting name! Thanks for always adding your grounded, informative and intelligent perspective. This isn't my thread but I felt compelled to thank you for your sage advice 😉
  •  

Anastasija

Quote from: Ypsf09 on February 11, 2017, 05:48:20 PM
So I am 10months post op now from my type 3 forehead reconstruction, rhinoplasty, genioplasty.


ok i would say, its not critical, couse you looks amazing, only problem when you make pictures, couse when in 1 you make it straight face looks other i mean chin, and in second you take a picture from the top so face looks other i mean chin again.

and its pretty funny, couse in most picures in instagram, girls makes on top so they face looks more prolonged

Quote from: RubyAliza on February 12, 2017, 05:09:09 AM
Yspf09,

   I empathize with you. I have facial dysphoria still even after getting a revision. My first impression, like the others, is to say that you run the risk of ruining your already pretty face. You don't want to look like you obviously had plastic surgery right? That's worst than looking boyish, which, by the way, you don't. Nevertheless, since I'm a perfectionist like you.

    Last thing I'll say is that you're beautiful and we're all telling you the truth. But there is the possibility that no matter how good you look after surgery and no matter how much people tell you it, you won't believe them.

   And one more thing. I live in the Bay Area. PM me if you ever need someone to talk to about your dsyphoria. I know how you feel. And we could also meet in person too haha :)

- Ruby
   
   


Chist, i fell like i found kindred spirits, you so right, i have that same problem, every time when i looked in mirror i saw that same fu male face, its preety but male. And i not believe anybody whos told me: you look so good, like young girl. Lst week when i in post office i gave my ID and women in info told me: ok , and wher is your id? i say its my ID, and she told: no possible couse i look like i girl.
Yesterday i flight and i have control in airport, everyone think i girl, even I even revision made by a woman.

But its dosent matter, i still fu feel like damn boy, with nce body, but still boy. I even dont know wher i can go with this problem, and who would I talk to about this. Couse all say: i dont see problem. Its so fu bad, last few days about it i feel so terrible
  •  

Ypsf09

Thanks Anjaq for your feedback. As always it's really appreciated.

I agree on your opinion about cheekbones. Actually I personally like chiseled features more than soft/delicate ones. The first link is of a cis model and second of a trans model that I totally adore. But also think very few trans girl can have those chiseled features and still look that feminine.

http://imgur.com/a/WNi0f

http://imgur.com/a/XCyNT

Ruby,

Thank you for sharing your FFS journey on Susan's as out of all I related with your experience the most. We both experience the facial dysphoria and also share the perfectionist attitude. And I agree with you that looking plastic is more worse maybe also more clockable than looking a bit boyish/androgynous.

I had contacted Dr Rossi because of your amazing post/result and he advised the same, just getting the orbital rims shaved to open up the eyes more. I spoke with Amanda over half an hour and was so amazed how honest, straightforward, kind and caring their whole team is. I already have a coronal incision so if I ever get forehead revision, I would prefer reusing that. Dr Deschamps advised coronal incision as my forehead was too low before and that it needed to be more higher.

After all the feedback I have received, I have decided not to touch my nose as it's the most risky out of all in giving that plastic look. Also there is still a bit of swelling in the lower part.

I myself don't really know what the actual benefits of getting double jaw would be. I had sent pics to Korean clinics,  they suggested  double jaw/vline to decrease the vertical height of the jaw, fix class 2 malocclusion and make the mandible more slimmer. At my 4 month post op, Dr D said my mild mouth protusion is actually a sexy thing and he would never touch it. On most days I wouldn't want to get double jaw but then everytime I see or hear about Jenna Talackova online, I just want to book the next fight to Seoul. I totally agree with you about forehead/head looking disproportionately huge if the mid/lower face is reduced too much.

Getting hair transplant around temples seems like a great idea to narrow/round out the forehead. I was thinking Asia for that. Just waiting to find a surgeon for my forehead revision before getting transplants.

Thanks again for your kind words. I feel we would totally click and could help each other out while having fun, but I no longer live in bayarea. I moved to Denver 2 years ago after living 11 years in Bayarea. But next time I visit SF, I would love to meet you.
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Ypsf09

Thank you Sophia once again for your invaluable feedback. Your screen name totally resonates with your luminary personality.


Quote from: Sophia Sage on February 12, 2017, 11:02:18 AM
Wow, your look at 3 weeks out is spot-on, except for the swelling around your nose. 

If you're really not happy with how things have progressed since, and you're going to do revisions regardless, I kind of like RubyAliza's advice about smoothing down the orbital rims, and a smidge from the glabella.  If there's bone to smooth down, that is. 

This might take it down to a 2, and I don't think you can go much further, and I mean that from a technical perspective.  The other complicating issue is the rest of your skull and how your forehead joins up with it.  Another reconstruction, for example, just isn't going to deliver; your forehead would end up so flat there'd be no roundness to it.  Too much straightness might bring up connotations of squareness in profile, and I don't think you want that. 


Omg your observation here is so spot on. "The other complicating issue is the rest of your skull and how your forehead joins up with it." I would be forever grateful to you if you can help me figure out if/how can the rest of the skull be feminized. By no means I want to have a craniofacial surgery where brain would be exposed. I am just thinking minor smoothing/rounding out using burring or implants or both. I feel like the top of my head and transition from forehead into skull is not quite right. If I get my forehead revised, I would want the top of the skull fixed too. I Am thinking of going to Dr Eppley for this but not quite sure if he is the right choice. Also agree that goal should be to round out more than to make it look more flat, square and receding.

Quote from: Sophia Sage on February 12, 2017, 11:02:18 AM

There are three reasons to have any kind of revisions done, in my opinion.  First, to address any latent gendering issues.  You don't have any gendering issues, at least not externally at least.  (Having everything done just to lose the ghost in the mirror is another thing, but you've already done that, so if you're still haunted by the ghost then that's something else entirely.)  Second, to address complications from the original surgery, be they medical or aesthetic, particularly a result that looks "unnatural."  Third, it's to pursue beauty for its own sake. 

I have a hard time philosophically supporting the last position.  In terms of all the things you've asked about, the only one that makes sense to pursue right now is the irregularities around your orbital rims.  Starting by seeing how repositioning your eyebrows can take care of that.

I think if I were to pursue more work it would be mostly to not see any traces of my previous self at all. And there is a bit of pursuit of perfection/beauty thing. Sadly, also if I gave up on this, life would become very empty and maybe not even worth living. But at the same time if I went overboard and looked plastic/unnatural, that would make everything worthless too.

Quote from: Sophia Sage on February 12, 2017, 11:02:18 AM

No, I think your nose is already a 1, and about as close to perfect as you can get.  There are very real risks to going after the nose again -- noses are not particularly hardy, and you don't want to compromise the integrity of the underlying structure. 

Here, I'm at a 180 from the forehead -- if there's one thing I'd be adamant about leaving alone, it'd be your nose.  Your nose is gorgeous.  It should be a reference point for everything else, as far as I'm concerned.

Not significantly, no.  It won't change your gendering. 

Cheek implants look fake, imo.  Fat transfer might be nice, but you're so thin, where are they going to get the fat from, and how will it stick around as opposed to dissolving?  Plus, fat will migrate south over time, sagging due to gravity.

2cherry's thread on her FFS included some very interesting pictures on various techniques for the cheeks in terms of bone work, I'd look there to find out more about the technical details of the procedures.  I wouldn't go for reduction -- this was something more like a repositioning of the cheekbones.  Very artful.  And this isn't very radical surgery, either, so I don't think it's unreasonable to consider just in terms of aesthetics. 


I concur, getting another rhinoplasty is to risky overall in both functionality and aesthetic. Lefort  3 osteotomy from 2cherry's post sounds very interesting. I am definitely going dig deeper into that. Cheekbone reduction I was referring to would reposition the zygomatic arch more inward but also more higher(without changing the body of the zygoma) thus reducing face width and making the transition from temporal to cheekbone more seamless. I have mixed opinion about this procedure.

Quote from: Sophia Sage on February 12, 2017, 11:02:18 AM


I disagree. 

Your chin is right where it needs to be -- the lateral position of it is nicely aligned with your current profile.  Moving it forward would exacerbate what you already have.  It's trying to use sleight-of-hand, and I don't think it'll work.

Most chin implants and sliding genioplasties look fake.

Pushing the jaw back, rather than changing its verticality?  That wouldn't mess with your proportions.


True if I were to get two jaw it would make more sense to maybe get both ie pushing it back and reducing the vertical height. Atleast that's what the Korean surgeons recommended.

Quote from: Sophia Sage on February 12, 2017, 11:02:18 AM

However, now we're in the territory where you're pursuing major surgery with many risks to chase beauty.  Your mild overbite is not a source of misgendering.  So what's the motivation for pursuing beauty to such an extent?  Insecurity, I believe. Which is understandable, given our situations. 

But do not mistake insecurity for dysphoria.  It's easy to conflate the two, trust me, but it's better imo to address insecurity through other means first.  Like, spend a couple years living a woman's life, giving yourself some distance from trans spaces.  See how the world responds to you without a narrative.  Focus on other interests, rather than your body. And then see how you've grown.

If you're ever getting misgendered, it's not from your face.  It'll be from your voice, comportment, social skills, or narrative.  And these are all things that need to be addressed regardless of facial work, if you want to have a seamless experience of a woman's life. 



I have thought about body dysphoria for quite some time and reached the conclusion that my desire to pursue extensive surgeries stems from 1)major insecurities 2) low self esteem 3) void within my own self 4) go big or go home attitude towards my transition 5) having trans ideals such as Cassandra Cass, Ana Mancini, Maria roman, Nina Arsenault and maybe Amanda lepore too. I do not have body dysphoria but a desire to fix/enhance almost every aspect of my body through radical surgeries.

I have tried tackling insecurities via other means, but my mind is too stubborn. When I try to redirect my energy/focus into other things( take time off from contemplating/planning surgeries) it tells me that I am wasting time by prolonging my transition and compromising by settling and not pursuing for the best outcome possible. It only comes to rest once I give up to the thought of first completing all surgeries and then focusing on life.

I have been quite lucky when it comes to misgendering. Most times going out and interacting with strangers is a very healthy thing. It's a really nice escape from my own chatter/bubble. Unknowingly through their comments/remarks about me, they reinstate my confidence and make me question "do I really need all this surgeries and risk damaging something that others see as good", " do I really want to risk looking like a fake person/sex object that no one would take seriously". Also my body, voice, mannerism and aura are much more feminine than my face. So I totally agree that facial work alone wouldn't cut it.

Quote from: Sophia Sage on February 12, 2017, 11:02:18 AM

You're at the point where you need to start thinking like an ordinary woman, rather than as someone who's suffered from a lifetime of traumatic dysphoria. What do most women with overbites do?  Some will see dentists, get braces if need be -- that's what my mom did, actually, as a middle-aged woman at that.  But most don't do anything, they get on with their lives and let people see the authentic invisible self, and use that recognition to determine who they want relationships with, be those relationships as girlfriends, lovers, what have you.  You can't keep putting that off, or you're going to be missing out on the best part of life.

Yes indeed, I am at a point where either I start thinking and living like a ordinary women(maybe very cautiously and slowly fix a thing or two without going too extreme) or  follow footsteps of my trans role models and risk becoming a plastic exaggerated image of a women.
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deeiche

Quote from: Ypsf09 on February 13, 2017, 02:31:29 AM
SNIP

Yes indeed, I am at a point where either I start thinking and living like a ordinary women(maybe very cautiously and slowly fix a thing or two without going too extreme) or  follow footsteps of my trans role models and risk becoming a plastic exaggerated image of a women.
Get on with living as a woman.  Put it another way, what is it that started you down this path?  How do you know you are female?  I knew at a young age I was a girl.  People have asked how I know, but there is no way to describe it, you just know.  Just like cis folks know what gender they are.  So, if you know you are female, then live life as an "ordinary" woman.  Not some parody of women.
"It's only money, not life or death"
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