I have no idea what I want done

[Denise]

I have no idea which FF procedures I want done, not a clue (okay nose but that's because I broke and it didn't heal straight).  Is it okay to schedule a consultation and say "I have no idea - what do you think should be done?"

[Dena]

If you take that approach, you should see several doctors to get an idea what can be done then select the procedures you desire. The other option is to post a picture here for a few days and get ideas from others who have had more experience in this area. It's also possible that you need little or no work but you still don't fully see the woman in your face. Having a new set of eyes view you removes the bias you might have from looking at your face for years.

[kittenpower]

I think I read that the Virtual FFS website will give you recommendations and photoshop some pics for you so that you can have an idea what you will look like with the recommended procedures.

[deeiche]

I have no idea which FF procedures I want done, not a clue (okay nose but that's because I broke and it didn't heal straight).  Is it okay to schedule a consultation and say "I have no idea - what do you think should be done?"

Sure, that is a great way.  If you are concerned that all surgeons will quote you everything that was not my experience at all.  If anything I found the surgeons I sent my pictures to were more conservative with their recommendations than I expected.

One of the beneficial aspects of getting quotes from surgeons is they request a set of pictures taken of you face.  They want them taken without makeup, without facial expression.  I hated to look at these pictures, but they allowed me to focus on what needed to be done. 

[Denise]

If you take that approach, you should see several doctors to get an idea what can be done then select the procedures you desire. The other option is to post a picture here for a few days and get ideas from others who have had more experience in this area. It's also possible that you need little or no work but you still don't fully see the woman in your face. Having a new set of eyes view you removes the bias you might have from looking at your face for years.

ok - one (?) picture coming up:

[anjaq]

Yes, I think you can get a consultation to find out - some surgeons do free consultations via email or Skype. But the downside is that you may later need more consultations, once you have gotten a good idea about what you really want, to really talk about the details. Another way would be to ask others who had FFS or get that virtual FFS simulation done - Alexandra also writes several pages with recommendations about your face specifically. She has a lot of years of experience with FFS techniques. However she charges some money for it, which is however little compared to the costs of FFS or having several consultations with surgeons. A bit of a downside is that she works a lot with the Facialteam, so she kind of has similar opinions as they do which may make her less independent than she could be.

[yashika_1989]

You look good.

If you were to go for FFS I would say tracheal shave, forehead reconstruction (hairline lowering,  brow bone shaving, brow lift) and rhinoplasty could help.

[Denise]

You look good.

If you were to go for FFS I would say tracheal shave, forehead reconstruction (hairline lowering,  brow bone shaving, brow lift) and rhinoplasty could help.

Thanks - I was thinking maybe lips too?  Not sure about the hairline lowering but definitely agree with the brow bone shaving and brow lift.

[zirconia]

Hi Denise

I'm posting this without reading the other replies, since independent opinions may help determine the features/procedures that most people think would make the biggest difference.

Here are those I think would, in order:

Frontal sinus setback
Orbital rim shave
Rhinoplasty
(Priority. These probably should go together.)

Hairline re-contour
(Just a "why not?" category. Your hair looks full so I don't think this strictly necessary, but if the surgeon opens up the forehead, rounding the corners would probably not add much to the total cost—and does look pretty.)

Genioplasty
Lip lift
(Maybe, to match the softened upper face contours. The lip lift would help balance a smaller chin.)

Mandibular angle reduction
(Again, possible in conjunction with genioplasty, depending on the total balance. I don't think it strictly necessary.)

To me your laryngeal prominence doesn't seem to stand out very much in these pictures and probably wouldn't do so too much even after facial feminization surgery. Still, I'd also consider a shave.

I hope this is of some help...

[yashika_1989]

Thanks - I was thinking maybe lips too?  Not sure about the hairline lowering but definitely agree with the brow bone shaving and brow lift.

Yeah, I was thinking about suggesting lips as well, but then thought they would be comparatively less important than the Forehead Sinus setback and the brow lift. I think your jawline is good, it's quite well defined. Rhinoplasty would definitely help in feminisation. I really like sharp noses though, and your looks pretty good.

[Sophia Sage]

I'll second zirconia's list, though with a slightly different ordering:

Frontal sinus setback
Orbital rim shave
Rhinoplasty
(Priority. These probably should go together.)

Wholeheartedly agreed, this is the number one priority, though I wouldn't say they "probably" should go together; your best result will come from having this all done at once, with a unified aesthetic.  And I'd add hairline recontouring to this list -- your hairline is pretty close to not needing the peak lowered at all, but it definitely needs to be rounded out in the corners.

Trachea Shave
Lip Lift
Genioplasty

While your trachea isn't too visible, as we see from the middle row/far right picture, there is still some projection here, and given most people look to this area as a "tell" I'd go ahead and make it a priority.  The lip lift is necessary to shorten the appearance of your midface.  Genioplasty should focus on shortening and tapering the chin; it's lateral position is fine.

Mandibular Recontouring
Skin Resurfacing

The angle of the mandible is already obtuse, which is a plus.  But reducing the height of the mandible overall would help, and create balance with the rest of the work.

I'm putting skin resurfacing here even though it's not strictly an FFS procedure.  It might not be necessary after a few years of HRT and electrolysis (which can stimulate collagen production) but right now there's a roughness (both in terms of texture and in terms of pigmentation) to your skin that we really don't see in most women's faces. Now, I have no idea what procedure would be best, whether it's on the gentle end of Retin-A or facial peels, something in the middle like dermabrasion, or something really aggressive like laser.  But I do think it's something to put on the list.

I'd call the first two groups "vital" and the third one "very important" in terms of passing.