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FFS with Dr. Simon & Dr. Bellinga at FacialTeam

Started by Kendra, November 23, 2017, 05:16:01 AM

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Kendra

20 hours after all the operations and I feel swell!  But seriously, part of last night was pretty rough... I expected that and got through it.  I feel great now although the meds are probably helping, just a few minor things here and there.

8am, changed into a hospital gown.  And I was handed a... whoa those are hott lookin set of stockings.  They really are anti-embolism stockings but look more like something I'd expect on stage in Paris or Milan.  I want the matching skirt. 


Pretty stylin' for hospital clothes

In the pre-op meeting I had met with Dr. Simon and Dr. Bellinga.  Right before surgery started I met with Dr. Alcaide - hair transplant surgeon.  He took measurements, snipped a teeny amount of hair to confirm the intended donor area has enough density (yes I can be dense at times), more measurements, then drew on my forehead where 1,500 transplanted follicles would fill those pesky triangles to form a feminine arc of hair. 


Hair transplant line marked with a pen.  And my last photo with brow bossing.

Show time!  8:30am, wheeled into the operating room.  Wheee!  Said buenos días to Dr. Simon and to the anesthesiologist, a nurse jabbed something into my hand, anesthesiologist turned a dial and the remodel began.  I apparently woke up at 10pm.  No pain but lots o' drugs probably still in me.  At that point the hair transplant started - I almost fell asleep during the transplant procedure which ended well after midnight.  No pain, all done.  A refrigerated mask was applied to my face.  That felt really good. 


Cool!  Literally.


Refrigeration unit for face mask

Within a few minutes a sharp pain developed in my eyes.  And increasing pain.  At 1:00am I tried looking at my phone and the simple motion of sitting up was a bit much... my eyes really hurt like needles in the back of them so I hit the call button.  Nurse came in, and a doctor, they rinsed my eyes and applied an ointment - much better but still hurt to move my eyes.  A pain med was added (morphine but I'm not sure) and the pain was gradually declining... so everyone left.  And then I barfed.  Not exactly what I had hoped to do.  And then I remembered I almost puked from morphine after GCS surgery.  The staff at Facialteam asked earlier if I had any known reactions to anesthesia or other drugs and I had forgotten to tell them.  A very nice nurse cleaned me up and added an anti-nausea medicine to the drippy gizmo.  The pain declined fast, tummy calmed down and I slept quite well until morning. 

Others have complained about dealing with a blocked nose - packing inside nostrils to preserve shape for the first 24 hours - but I didn't think it was any worse than having a cold.  I woke up a couple times, realized oh yeah gotta breathe through my mouth and fell back asleep.

In the morning my eyes were 80% better and are now almost completely pain-free.  I haven't been handed any pills yet and no needle-stabs other than the pre-op meeting (blood clot thinner) and intravenous pain meds after I complained about my eyes.  Other than my eyes (especially the left eye), the only other real pain was my right ankle which I sprained in 1979.  I don't understand that, but the ankle pain went away by mid-day.  Or maybe that was from goin' out in London right before heading to Marbella - danced until club closed at 3am. 

I was offered a milkshake or fruit shake in the morning - I had the fruit shake.  Lunch was solid food, I was surprised that soon after having my jaw rearranged but it was fine.  I can feel everything in my mouth and jaw, no loss of sensation.  I am also surprised how brushing teeth is painless so soon after having my jaw cut apart. 

Nurse removed the catheter, doctor removed packing from nose, and I was shown how to clean it with a saline solution.  You must not blow your nose for a half month after having your forehead removed and reinstalled.  I also have a spray bottle of water for the hair transplant area - once per hour to keep it from getting itchy.  The doctor also removed a looong thin drain tube from my skull which collected fluid from sinus area, up and over and exited near the left ear.  He said it might feel weird but I could barely feel anything, maybe I'm a numbskull.  I told him my ear makes a handy gutter for the drain. 

Megan dropped by today - we had a great talk.  Right after surgery, Megan relayed information from the FacialTeam coordinator to Beth and Saha, and to my parents. 


Look what showed up in my room!  I am speechless (and my voice does work)

After lunch a specialist came in and gave me a facial massage - it felt great!  I was afraid this might be deep-tissue and hurt, but the goal is to get the fluids flowing right under the skin.  His touch was very light and relaxing.  A couple hours later a staff psychologist introduced herself - she is available to all patients post-op to answer questions, and holds weekly group meetings at the Aldea surgery recovery center.  Tomorrow I am having acupuncture (never tried that before) and an additional facial massage, check out of HC Hospital (down the hall from FacialTeam) and go to Aldea Health Resort which has a nurse in the building 24 hours.

So here's how I look 20 hours after getting my forehead removed and reinstalled, jaw reduced, nose, lip lift and reverse electrolysis (hair injection).  The actual results won't be known for several months and up to a year but I am already very happy with the results - especially side profile.  This is with swelling and bruising which will increase in the next few days. 


Bruise on jaw is not from surgery - that's from playing violin, band gig last weekend

One nice side effect from this surgery is I've always had a bruise on my left jaw when I play the violin.  The sharp corner in my jaw that developed when I was a teenager is now smooth. 
Assigned male at birth 1963.  Decided I wanted to be a girl in 1971.  Laser 2014-16, electrolysis 2015-17, HRT 7/2017, GCS 1/2018, VFS 3/2018, FFS 5/2018, Labiaplasty & BA 7/2018. 
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Megan.

I can confirm that Kendra was in wonderful form,  and that the Facial Team crew seem to be treating her very well. It was lovely to meet up and chat again following a brief dinner last year.
I had a consult with them while I was there, more out of curiosity in my case as I have no current plans, but they seemed excellent and there was no hard-sell.

Sent from my MI 5s using Tapatalk

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Devlyn

Big hug! Glad you're up and about. Do me a favour and get Megan back in a time zone I can deal with.  :laugh:

Speedy healing!

Hugs, Devlyn
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Kendra

Quote from: Devlyn on May 23, 2018, 12:30:21 PM
> Do me a favour and get Megan back in a time zone I can deal with. 

A favour?!  Or a favor.  Sounds like you've been spending weekends in England.
Assigned male at birth 1963.  Decided I wanted to be a girl in 1971.  Laser 2014-16, electrolysis 2015-17, HRT 7/2017, GCS 1/2018, VFS 3/2018, FFS 5/2018, Labiaplasty & BA 7/2018. 
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davina61

Unlike you!! Congrats on a "easy" outcome, hope the recovery is swift and stays painless. Tandoori mushrooms to celebrate?
a long time coming (out) HRT 12 2017
GRS 2021 5th Nov

Jill of all trades mistress of non
Know a bit about everything but not enough to be clever
  • skype:davina61?call
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Kendra

Davina, time with you and your cooking is awesome.  Glad to be here, but wish I was there. 

And thank you all for your thoughts and comments!
Assigned male at birth 1963.  Decided I wanted to be a girl in 1971.  Laser 2014-16, electrolysis 2015-17, HRT 7/2017, GCS 1/2018, VFS 3/2018, FFS 5/2018, Labiaplasty & BA 7/2018. 
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Paula1

Hi Kendra,

Glad you are feeling ok ... 😎

Reminds me of my surgery with FT in April 2016.

Dr Alcaide is performing on me in November this year, so looking forward to spending a couple of weeks in sunny Marbella when it has become miserable here in the UK.

Clubbing to 3.00am naughty girl!! Was that the "Way Out" club 😉 in London?

What is it they say? USA 🇺🇸 and the UK 🇬🇧 , two nations divided by a common language? Something like that anyway.

Aluminium and aluminum etc etc

Keep trucking kiddo ... 😀

Hugs

Paula xx



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Ellement_of_Freedom

Kendra I can already tell you look amazing. And that pic of you between the doctors - what a babe!


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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Cindy

Lots of love Kendra, heal quickly.

Lovely to see all the UK gang!!!!!
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sarah1972

So glad to hear you are I good spirits after such a surgery. The result picture looks pretty spectacular and I can only imagine how pretty you will look once everything has healed.

Keeping my fingers crossed for a speedy recovery!

Get well and hopefully no pain.

Hugs,

Sarah

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Devlyn

Quote from: Kendra on May 23, 2018, 12:34:09 PM
A favour?!  Or a favor.  Sounds like you've been spending weekends in England.

I'm honoured to the point of raising some colour on my face that you're checking my spelling. If I'm sounding English, it's probably because I've been drinking tea from the hah-bah harbour.  :laugh:

Hugs, Devlyn
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Kendra

Slept 8 hours.  HC Hospital is nice, no beeping sounds and I have a private room with power curtains, closet space, view of courtyard and trees.  All the medical staff are fluent in English but it's handy to know a few words of Spanish for the food staff and cleaning staff.  The shower and bathroom are brand new with trendy Hans Grohe fixtures.  Fast reliable wireless internet, 20 mbps both directions.  I went for a walk yesterday evening but stayed near the property as my nose was occasionally a bit runny. 

Woke up this morning with a slight headache, not bad.  Nose is a bit plugged up, maybe I'm allergic to having forehead bone sawed apart and reassembled.  Jaw is a bit stiff but not sore.  The only area with reduced sensation is forehead, maybe 50% less when I touch it.  I assume same with top of head but I haven't touched there - I'll leave my hair a mess until it's ok to wash it. 

A few drops of blood on the pillowcase.  Nurse brought in a doctor, they said it was from the location where drain tube was removed yesterday.  My left ear theory was correct - it makes a handy gutter.  They cleaned that area with fizzy stuff (probably hydrogen peroxide), didn't hurt, and added a bandage. 

Quote from: Paula1 on May 23, 2018, 04:27:38 PM
> Clubbing to 3.00am naughty girl!! Was that the "Way Out" club 😉 in London?
Actually, yes.  Paula how in the world did you guess that? 

Quote from: Ellement_of_Freedom on May 23, 2018, 05:27:27 PM
> And that pic of you between the doctors - what a babe!
Awwww - ya gots me blushing.
   
Cindy, Davina, Devlyn, Michelle, Sarah, TiaAnne - thank you so much.
And I can't thank Megan enough for being astonishingly helpful while here. 
Assigned male at birth 1963.  Decided I wanted to be a girl in 1971.  Laser 2014-16, electrolysis 2015-17, HRT 7/2017, GCS 1/2018, VFS 3/2018, FFS 5/2018, Labiaplasty & BA 7/2018. 
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Kendra

After breakfast I was starting to wonder if HC Hospital is also a spa. 

First Dr. Fernández arrived - FacialTeam's medical acupuncture specialist.  I have never tried that and was horribly afraid of needles prior to transition.  Now that I've endured countless blood tests, several hundred hours' electrolysis on my face and many more down you-know-where, acupuncture sounds like nuthin'.  Besides I am half Asian so maybe I can call it a cultural experience.  I was surprised to see him bring out some electrical gear but his calm demeanor assured me.  And... this was amazing.  A few barely detectable pokes in the legs, arms, hands, and face (yeah I know that sounds bad) but it was oddly calming and then... an odd pulsing when he applied electricity.  Nothing was attached to my chin but I felt it move slightly and it was pleasant.  And then I felt like my body was just slightly rocking back and forth like on a boat on calm water.  After a few minutes I was half asleep, seeing colors in the ceiling with my eyes closed, listening to music from memory that wasn't playing.  I know it sounds crazy but that's what I experienced.  I asked him about it later, he said some of the effects are difficult to explain but they have seen faster healing and reduced swelling from patients who have tried this.

Next a nurse came in with a portable hair wash chair shindig - a salon on wheels with all the hair gear, dryers, brushes, shampoos and conditioners.  I didn't think it was possible to wash hair so soon after having my skull cut apart but yep, she was there to shampoo hair in my room's shower in a relaxing chair, head tilted back to avoid getting water on my nose bandages.  She did so very carefully and it felt great.  Carefully brushed, blow dried at a temperature setting okay for recent surgery.

And then Antonio Moreno, Physiotherapist for a lymphatic facial massage that felt soooo good.  He mentioned this is designed to promote blood flow and drainage in an effort to reduce swelling after surgery.  I never imagined anything like this in a hospital.

Next, down the hall to the Cat Scan room for a set of skull selfies.  I did this last November, and I'm pretty sure at my follow-up meeting with the surgeons next week I'll receive before/after comparisons of my skull. 

And a goodie bag. 



Front row: face balm, lip balm, velcro adjustable head band - not hippie style, but to be worn under the chin around the head to reduce swelling during the first week or two.  I won't have to wear this all the time, but part time will help. 

On the right is a 20 page booklet I was handed on arrival with all schedules including return to train station (I'm heading to Madrid later), and very clear pre-op and post-op instructions.  Booklet explains all the medications and dosage intervals. 

Second row: Ibuprofen, Acetaminophen (alternate with Ibuprofen if necessary), Amoxicillin (antibiotic), Omeprazole (tummy calming).

Third row: saline water wash to inject into nostrils since you can't blow your nose, super-soft toothbrush kit for the gum area with Perio-Aid to clean food out of the stitches, hourly water spray for newly transplanted hair, and Betadine (iodine) shampoo for the transplanted hair site - spray lightly but do not touch for the first week.

Fourth row: extra gauze pads since my noggin had a slight ear-gutter drip this morning, bigger bottle of Perio-Aid (same stuff in the super-soft toothbrush travel kit), 4 month supply of Iraltone AGA hair growth pills for transplanted hair.

Here's a close-up of the kit for cleaning stitches inside the mouth after eating.  I've done it now, sounds scary but doesn't hurt even slightly. 



An important detail I learned from Antonio Moreno (facial massage specialist) - he advises keep room temperature colder than normal during the first week as heat isn't your friend when trying to avoid swelling.  He suggests set air conditioning to 20C (68F), dressing warm or sleeping under thicker covers is fine but keep your face in a room that's not too warm, and of course elevated a bit higher than rest of body. 

Before leaving the hospital and returning to Aldea health resort I was handed something I had requested.  An unusual request that might gross some people out, but... it's the one thing from all this remodeling I think is kinda cool to have.  Before surgery I asked if I could keep the jaw bone fragments that were sawed off Tuesday and I have them now. 
Assigned male at birth 1963.  Decided I wanted to be a girl in 1971.  Laser 2014-16, electrolysis 2015-17, HRT 7/2017, GCS 1/2018, VFS 3/2018, FFS 5/2018, Labiaplasty & BA 7/2018. 
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tgirlamg

All good things to you as you heal my dear sister!!!... I approve of your momento of the experience!!! A fragment of the life that was ...to anchor us, as we venture into a world seen through new eyes!!!... All shall be well 🙂

Onward we go brave sister!!!

Ashley 🙂🌸🙏💕
"To be yourself in a world that is constantly trying to make you something else is the greatest accomplishment" ... Ralph Waldo Emerson 🌸

"The individual has always had to struggle from being overwhelmed by the tribe... But, no price is too high for the privilege of owning yourself" ... Rudyard Kipling 🌸

Let go of the things that no longer serve you... Let go of the pretense of the false persona, it is not you... Let go of the armor that you have worn for a lifetime, to serve the expectations of others and, to protect the woman inside... She needs protection no longer.... She is tired of hiding and more courageous than you know... Let her prove that to you....Let her step out of the dark and feel the light upon her face.... amg🌸

Ashley's Corner: https://www.susans.org/index.php/topic,247549.0.html 🌻
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Paula1

Hi Kendra,

Sounds that you are doing really well.

Congratulations 😀

Re "The Way Out" .... I used to go there quite a lot a few years ago as I love to dance and the music is usually very good.

It always used to close at 3.00am so was an informed guess... 😉😉

Happy healing

xxx
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Anne Blake

I am glad to hear that you are doing well girl, you have been through a lot and have shown strength through it all. I look forward to your continued tale of healing. Are you able to give a comparison of pain, discomfort and healing difficulties/issues between your GCS with Dr. Ley and your facial surgery? As you know, I am considering ffs with facialteam but am concerned about the recovery process.

How soon will they allow an electric violin to be wedged under your jaw again?

Be strong sister,
Tia Anne
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judithlynn

Hi Kendra,

So glad to see you looking so good although a bit swollen and t,hat the surgery went so well. As I was having my beauty treatments on Tuesday (facial) I was thinking of you with thoughts back to the glass floor on Tower Bridge and how unsteady we both were, to sitting and having high tea at Fortum and Masons with all the scones and jam.
By the way I saw Emma (Emma-f) on Sunday after she had her Breast Augmentation and she looked really great. She said that after the surgery and the time with you and I at Simpson's on the Strand that she announced her transition on Facebook to all her family and friends and that she had received more than 200+ positive responses.

I am in my cottage in Devon and this week had the chance to go to the TG support group in Torquay ( called Transfigurations) and heard about their Youth Support group.

One rather sad story was from a mother of a young TG woman  who has been waiting for over 2 years, since 5he age of 16 to get even the first appointment with a NHS GIC appt. when her mother was finally told they had an appointment, they found that was only for an initial assessment to see whether they should go on the waiting list for a proper assessment for Puberty blockers. Is there any wonder that young TG turn to suicide through despair!

Judith
:-*
Hugs



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Kendra

Morning of day 3 after surgery.  Slept very well last night without any pain meds other than ibuprofen.

I woke up this morning with a noticeably worse FFS hangover compared to yesterday.  Definitely a headache, eyes sensitive to light initially, jaw a bit sore at idle, sinuses 80% plugged.  I'll chalk that up to weaker pain meds - the intravenous drip at the hospital contained a liquid pain med every few hours.  I'd describe right now as slightly worse than a cold, better than the flu.  Considering all the rearranging I am totally fine with this.  Reached for the ibuprofen, also took one late last night when the headache seemed to increase.  Before I stopped drinking alcohol in 2003 I had many far, far worse mornings.

My face is slightly puffier but doesn't look much different than day one.  For a little while I get to be the Stay Puft Marshmallow Woman, and after a few more days or weeks will get to see my new jaw line and forehead. 

Ashley I am excited about our voice surgeries (yours at the same time I had my skull reset).  Looking forward to comparing notes this fall when both our voices have had time to develop. 

Paula gets the award for knowing which crazy clubs are in which city... who else could have correctly guessed when I didn't give much of a hint.  Well ok Judith also knows these cities really well as she's the one who guided me to that club.  And Judith, thank you so much for the time together and everything!  And glad to hear Emma is doing great.

Tia Anne, good question.  For pain, I found GCS was a bit more difficult than FFS so far.  Based on what I am experiencing, recovery from GCS requires a longer amount of time although both are quite involved.  Socially, FFS is more difficult because I look like my face met a car's airbag yesterday morning, this morning, and tomorrow morning, and... I'm a crash test dummy!  My first night with FFS definitely got my attention, but that first night with GCS involved an increasing amount of pain throughout my entire body until I had no choice but press the morphine button.  Until this year I had never known pain could be so intense while impacting the entire body, and I was in a very high speed car accident in 1993 (I was on an ancient painkiller back then - called alcohol).  Fortunately when you're in a hospital with the correct care, pain can be offset quite quickly.

If pain meds hadn't been invented, my first night after FFS would have been about the same as genital electrolysis, and in this case quickly erased with pain meds.  I found the morning after GCS and after FFS surprisingly okay but I don't want to set anyone up for false expectations.  We have seen posts from people who experienced serious long term pain from either of these procedures.  Different individual reactions, healing rates, surgeons, facilities.  A few days after GCS when things were quite calmed down and I'd been walking around Scottsdale with surprisingly tolerable discomfort, dilation began with a whole new set of things to deal with.  Tia Anne and I took different options on that, but others will be reading this so I'll mention the pain from beginning dilation and with each change in dilator size.  I have previously said the first few dilations are about as enjoyable as cramming a carrot all the way into your ear, and I won't have to do that with FFS.
Assigned male at birth 1963.  Decided I wanted to be a girl in 1971.  Laser 2014-16, electrolysis 2015-17, HRT 7/2017, GCS 1/2018, VFS 3/2018, FFS 5/2018, Labiaplasty & BA 7/2018. 
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Kendra

Morning of day 4 after surgery.  I slept fairly well again last night.  Pain did increase yesterday evening so I took the other provided pain med (Paracetamol - equivalent to Tylenol) and that brought things back down to reasonable.  I was very tired yesterday afternoon, slept a total of 4 hours between lunch and dinner - and this was after a full nights' sleep.  My need for rest was similar after GCS but in this case I can feel my bod recovering faster. 

This morning I felt better overall than yesterday, people noticed and commented on that at breakfast.  Certainly nowhere near 100% but I can feel my face gradually gluing itself back together - at this point it's more like having a cold with the accompanying discomfort and slowness.  And I don't have to worry about being contagious walking around others.

I snapped the following two photos yesterday afternoon.  Keep in mind this is a time when swelling is near its peak and the improvement will be very gradual.  Yeah my face is puffy and a few bruises here and there but I am astonished when I walk by a mirror.  It's like I am meeting my sister for the first time, she was in a moderate car wreck and will be just fine.


Photo taken 3 days post-op


Assigned male at birth 1963.  Decided I wanted to be a girl in 1971.  Laser 2014-16, electrolysis 2015-17, HRT 7/2017, GCS 1/2018, VFS 3/2018, FFS 5/2018, Labiaplasty & BA 7/2018. 
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Paula1

Hi Kendra,

Looking very good kiddo 😎

Like a good 🍷 wine, it gets better with time.

xx
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