With plastic surgery, there are a few types of doctors:
1. A surgeon who recommends every procedure under the sun to make more money.
2. A surgeon who recommends every procedure under the sun because he needs more practice.
3. A surgeon who overcharges certain procedures because he wants to make more money.
4. A surgeon who undercharges certain procedures because he needs more practice.
5. A surgeon who is actually talented and looking out for his patient's financial interests by lumping procedures together during one operating room visit or "package deal" - usually nothing wrong with this in concept.
To be honest, some transsexuals do need the "entire package", no doubt about that, and for the surgeons who try to lump these procedures together to help give the patient a discount, I would not say there's anything wrong with that as long as you KNOW the surgeon is experienced in the techniques that he will be performing AND you have seen multiple results of his on other patients. This is extremely important.
However, many people out there do not at all need the full package; some people are already perfectly Androgynous or even totally female looking from birth, while others may only need the "main" features softened, like the brow, nose, jaw, or chin. Things like cheek implants and fat changes and things like that tend to be a bit secondary to the cause, but is sometimes needed none-the-less. I would advice that cheek implants do not seem to have a high satisfaction rate and can come out uneven or bigger than expected. Also, the chin implant is something I would make sure I am sure about; fixing a weak or knobbly chin can truly make a big difference, but depending on the case, you may need a chin shave instead of a chin implant, or combo of both. It's just specific to the case.
It truly is about knowing what you need and do not need, and you probably should get a professional to morph a photo for you in conjunction to the procedures your doctor will perform to see what may be expected. I've been a plastic surgery adviser for numerous years, so if you post your photos, I could probably tell you in a flash if you really need all these procedures or not.
Whichever way you dice it, $24,000 is truly a deal for all those surgeries IMO, but if you don't actually need any of them, then it's a rip-off lol. Again, you also have to take your doctors skill level into account - most board certified plastic surgeons have had NO training in things like brow shaving, cheek implants, ect ect - this is actually oftentimes more routinely taught to maxilliofacial surgeons. Even if the surgeon is board certified, it does not always mean he has had proper education on all plastic surgery techniques (especially FFS, which is not regularly taught in plastic surgery programs), and the main thing again is to make sure that he has multiple patients who vouch for his work. Always make sure to find photos of them because surgeons are notorious for posting fake reviews online on forums.
And just to get the mystery overwith, you may even just want to get a second opinion by another gender surgeon. It doesn't hurt!
