Susan's Place Transgender Resources

Narrowed my search to two surgeons for in-person evaluations.  One in Boston, one in Spain.  I also considered Argentina.  The list I came up with might not be the right answer for others as we each have different situations, goals, genetics. 

Seattle to London to Málaga.  Arrived after sleeping Seattle to London coach on Virgin, then Sleepless on EasyJet.
I'm glad EasyJet doesn't offer surgery... they follow safety regulations but anesthesia might be interrupted every 45 minutes with advertising announcements, as they did on my flight.

(https://www.dropbox.com/s/2lr3xhfpgjq6o74/2017-11-21%2020.39.03%202.jpg?raw=1)

To avoid risk of a late flight I arrived the night before, stayed near Málaga airport - headed into town on the subway.  FacialTeam arranged a car & driver to meet 9am in the hotel lobby.  On the map it looked like a 30 minute drive but took nearly an hour - traffic wasn't stopped but a bit slow along a beautiful coastline. 

Marbella's HC Hospital looks a bit like a spa, very nice area a few blocks from the ocean.  FacialTeam is one of three operations there - the other two are fertility and oncology. 

The meeting is to evaluate exactly where things are right now, so I didn't wear any makeup this morning.

(https://www.dropbox.com/s/v7ptbkd3ve85yua/2017-11-22%2010.02.20%202.jpg?raw=1)

10am met with Sonja, patient coordinator.  Very polite and efficient.  One thing I noticed and like is she's assigned to stay as primary contact all the way through recovery, instead of being bounced among several contacts. 

Filled out forms on their tablet and a very short paper form.  HC Hospital has a fast free internet connection.  Sonja took photos with a two cameras in the FacialTeam office.  One was a gizmo with a pair of laser dots to align distance, directly connected to a PC - I think that one measures 3D/surface contours. 

Then back across the lawn for cat scans at HC's facility.  Remove earrings for that.

(https://www.dropbox.com/s/4pbvfk9mclk6kcr/2017-11-22%2010.33.43%202.jpg?raw=1)

Prep work was about 45 minutes, then a break before 11am with Dr. Simon. 

I had Alexandre at VirtualFFS (http://virtualffs.co.uk/) do a full set of photos earlier this year, I brought those to the meeting.  I heard FacialTeam provides a set of VFFS simulations with an in-person eval but I felt it would be useful to bring what I already have. 

Dr. Simon went over the CT scans and checked the shape of soft tissue on my face with his hands.  I didn't realize until later he was carefully observing how I speak, facial expressions - based on that he said I might not need a lip lift - he is leaning against it.  Those are things you can't gain from a static photograph.  A Skype call is not 3D, he can't reach through a Skype call to check skin elasticity or run a CT scan.  He also suggested I avoid a tracheal shave unless that's bothering me (it isn't). 

He spent quite a bit of time explaining potential areas for FFS.  He placed a clear plastic page over the CT scans and drew where he would make changes - I learned quite a bit, for example testosterone during growth phase changes some but not all sections of the skull.  He showed me the natural seams that are literal dividing lines.  He looked carefully through the VFFS photos from Alexandra (on my iPad in the photo below) and used those to help explain some options.  Yep those are scans of my skull on the table.

(https://www.dropbox.com/s/0u5dpn80ptlobxn/2017-11-22%2012.18.03%202.jpg?raw=1)

I was previously aware of FacialTeam's unique hair incision/grafting method that seems like an excellent idea - don't waste follicles from the main FFS incision.  I suppose a potential downside is a less radical change in eyebrow position since the tension/incision is further back, but that's what I prefer.  I wasn't aware of their jaw-work methods which sound quite good.  He uses an ultrasound cutting tool instead of a saw to minimize impact on surrounding tissue - apparently that became available 5 years ago.  For the incision inside the mouth, instead of a long arc he makes three shorter cuts to improve healing time. 

I definitely want a nose job and he brought in Dr. Bellinga - he focuses on that area.  They went over the different incision methods.  I had assumed any nose job requires a cut across the lower nose line but that's only if combined with a lip lift.  They prefer to work on the nose with an incision between each nostril, a very small incision and virtually invisible once it heals. 

I was surprised the meeting with the surgeons was more than one hour.  I never felt rushed and didn't feel like any part of this was a sales pitch. 

I made my decision, I'm going with FacialTeam for FFS.  Current waiting list is a half year - I'll be returning June or July 2018. 

After the meeting they arranged a taxi at their expense to run back to Málaga - did my makeup in the car.  I took a train from Málaga to Seville.  The center part of Seville is amazing - definitely recommend if you're in the area.

(https://www.dropbox.com/s/4fk1nean767avye/2017-11-22%2021.10.33%202.jpg?raw=1)

(https://www.dropbox.com/s/l3pd9v14oorf75p/2017-11-22%2021.14.33%202.jpg?raw=1)

(https://www.dropbox.com/s/fpqf5hx08z17tgw/2017-11-22%2021.21.12%202.jpg?raw=1)

Wow,  thank you for excellent detail,  it all looks very impressive and reassuring. X

Sent from my MI 5s using Tapatalk

Thanks, Kendra! 

FacialTeam is high on my list if Kaiser FFS falls through. (Issues there that I'll post about once I get a response from them...)

I think you made the right decision based on your two options. And what a thorough research process you went through!

I consulted with several FFS specialists, and decided on Facial Team.  That was 3 years ago.  I'd recommend FT to anyone who needs/wants facial feminization.  Top notch hospital, talented surgical team, and excellent patient coordination and after care.  Oh, and I love southern Spain!

I liked Marbella, the Hospital and the people at Facialteam. I have only two things I somehow am considering a bit on the negative side. They tend to be too subtle - tell people they dont need this or that, usually regarding jaw or nose or take away not enough bone to make the face strongly feminine - they are usually happy reaching female ranges. i know of several patients who went back again to get more bone sheaved off or get the procedures done that they skipped the first time based on their recommendations. So I guess this menas get clear what you want by yourself and if you want to have more visible changes, tell them to be more agressive than usual. The other thing I miss with them a bit is that they do no or very few cosmetic procedures usually - they do lip lifts but no lower face/neck lifts apparently and they dont seem to recommend eyelid surgery or lip augmentation , usually. I read today that for some of these things, they dont do these themselves but call in a surgeon they know? But the things I read were inconclusive. Other than that I found them very professional, they take a lot of time for the consultations and I liked them using the CT scan to show where there is a lot of bone to be changed. Seeing my skull like this made me a bit dysphoric because it looked more typical masculine than my actual face does, with all the laers or hormonally shaped soft tissue on it :D

Hi Kendra,

Awesome description of FT's consultation. Good luck in your future FFS. Spain looks amazing.

Could you share the procedure and cost that they and Dr. Spiegel quoted?

Thanks,
Rachel

Costs depend on specific procedures and each of us has different requirements... for example I don't need cheek implants - surgeons here and in Boston said my tracheal bump is quite mild and best to leave as-is. 

I'm comfortable sending my estimate to any of us by PM but I won't post it for unregistered viewers.  Rachel - I'll send you the costs I was quoted.  If anyone else is curious, PM welcome.   :-)

Quote from: Kendra on November 23, 2017, 05:16:01 AM
... Seattle to London to Málaga.  I'm glad EasyJet doesn't offer surgery... they follow safety regulations but anesthesia might be interrupted every 45 minutes with advertising announcements, as they did on my flight. ...

You are quite the adventurous traveler... I tend to have to go from point A to B and want to get home ASAP... :)  Re the advertisement announcements... never heard of that happening before... LoL (on hindsight).

Quote from: Kendra on November 23, 2017, 05:16:01 AM
... To avoid risk of a late flight I arrived the night before, stayed near Málaga airport  ...

Very smart... it's much more relaxing to know you're there already.

Quote from: Kendra on November 23, 2017, 05:16:01 AM
... Dr. Simon went over the CT scans and checked the shape of soft tissue on my face ... He spent quite a bit of time explaining potential areas for FFS. ... I was surprised the meeting with the surgeons was more than one hour.  I never felt rushed and I didn't feel like any part of this was a sales pitch.  ...

They're very patient, kind.

Quote from: Kendra on November 23, 2017, 05:16:01 AM
... I made my decision, I'm going with FacialTeam for FFS.  Current waiting list is a half year - I'll be returning June or July 2018. ...

Huge congrats again Kendra... so happy for you!

BTW, I love all your photos... the following is my favorite... your smile is beaming... it's a great picture...

Quote from: Kendra on November 23, 2017, 05:16:01 AM
...
(https://www.dropbox.com/s/v7ptbkd3ve85yua/2017-11-22%2010.02.20%202.jpg?raw=1)
...

Hey Kendra, congrats, so happy for you!

Just out of curiosity, was a face to face consultation something that facial team requires? They were initially on my list before choosing someone else. 

Also, your adventure looked incredibly fun!

I had originally scheduled a Skype consultation with FacialTeam.  And then I thought about it and realized... this is a pretty important decision.  So I went there. 

FacialTeam travels to a few major international cities once per year, but in-person in Marbella is a more comprehensive consultation including CT scans.  And it's a nice place to visit.

No personal consultation is required with any surgeon I know of, so far. Except of course on the day or two days before surgery to plan it all out. BEfore that, one can usually choose - sending emails only, better have Skype maybe plus sending pictures and even better have personal consultations off-site and ideally personal consultations on-site. But since the personal copnsultations cost a lot of money for travelling, I think it only makes sense to do them with the top 2 or 3 on the list. Many dont get personal consultations at all and just rely on trust and good reputation and do it all remotely and then meet the surgeon the day before surgery to plan it all out.

Thank you Kendra for this information. It will help people like me who is contemplating doing FFS in the future.


Respectfully,

Lucia

I'm back in Marbella now for surgery tomorrow morning.  The cheapest flights from Seattle landed in London so I spent a few days driving around South Wales, and then a weekend in London before heading south. 

(https://www.dropbox.com/s/si6sqbdecfyz2e4/2018-05-16%2012.48.02.jpg?raw=1)
Tretower Castle - 13th century

(https://www.dropbox.com/s/ljy17yb8v2yh12j/2018-05-16%2012.58.57.jpg?raw=1)
Wales scenery from inside Tretower Castle

(https://www.dropbox.com/s/4qvu9hg302j5x5a/2018-05-16%2013.07.15.jpg?raw=1)
16th century manor next to castle.  Much of the original interior is intact.

(https://www.dropbox.com/s/cdivif1qba6hiz0/2018-05-17%2010.38.31.jpg?raw=1)
Sunrise in Wales

Before returning to London, went to the Midlands for an awesome dinner at Davina's place.  She worked all day on this meal.  Before dinner, stopped and saw several cars Davina (https://www.susans.org/forums/index.php?action=profile;u=52193) has built from scratch or restored. 

(https://www.dropbox.com/s/51bpwivvt0knl12/2018-05-17%2015.20.31.jpg?raw=1)
Davina (https://www.susans.org/forums/index.php?action=profile;u=52193) and one of her creations.  She built and has raced this car. 

(https://www.dropbox.com/s/ux1ssmqem5u29ps/2018-05-17%2017.42.04.jpg?raw=1)
Davina (England), Sara (South Wales), Kendra (Seattle)

Quite a bit of traffic near Windsor before dumping off the rental car, something about a royal wedding.  In London, met up with Judith Lynn (https://www.susans.org/forums/index.php?action=profile;u=23281) for a nice dinner Friday, and all of Saturday - a most enjoyable time. 

(https://www.dropbox.com/s/x1pmysso8t6jvoq/2018-05-18%2020.34.32.jpg?raw=1)
Kendra and Judith Lynn (https://www.susans.org/forums/index.php?action=profile;u=23281) at Simpson's in the Strand (https://www.simpsonsinthestrand.co.uk/)

(https://www.dropbox.com/s/t9s7lzph9kq4w79/2018-05-19%2020.43.23.jpg?raw=1)

(https://www.dropbox.com/s/j1p7x2y5jp306ta/2018-05-19%2015.44.25.jpg?raw=1)
Tower Bridge has a glass floor

...and then arrived in Marbella Spain.  Megan (https://www.susans.org/forums/index.php?action=profile;u=44490) timed a trip to be there at the same time - we had a great day wandering around the waterfront, and of course had to have tapas for lunch.  I took advantage of her rental car and picked up extra groceries for my next couple weeks at the Aldea Health Resort / surgery recovery facility.

(https://www.dropbox.com/s/k3rhqobstnat3ij/2018-05-21%2014.27.19.jpg?raw=1)
Puerto Banús - 2km walk from FacialTeam offices

(https://www.dropbox.com/s/53g56nifebk60ru/IMG_20180521_155622.jpg?raw=1)
Kendra & Megan (https://www.susans.org/forums/index.php?action=profile;u=44490)

Time for tests and measurements before the pre-surgery meeting.  A blood test, an injection to reduce the potential for blod clots during surgery, and an EKG.  Next was an updated set of facial photos taken using same picture angles and equipment as the evaluation meeting, including a visual 3D grid/measurement set using a special whizbang camera.  The previous CAT scans weren't updated since skulls don't change very fast unless you cut into them.  This entire process went pretty quick - less than a half hour total.  I had a two hour break between that and the pre-surgery meeting so I went for a walk along the ocean - 10 minute walk from FacialTeam.

The meeting with Dr. Simon and Dr. Bellinga took 45 minutes.  Dr. Simon will be doing the primary FFS, and Dr. Bellinga is a nose specialist.  They carefully checked updated measurements and went over surgery details for tomorrow - both asked several times if I had any questions or requests.  I know this will involve some pain and hassles, and I'll look ridiculous for a few days or weeks but it's all part of the process.  I am super confident in the outcome, and excited. 

Procedures I am having tomorrow: Forehead skull shaping (Type 3), jaw bone trimming, nose job, lip lift, and hair transplant to fill-in two corners for a more feminine hairline.

(https://www.dropbox.com/s/xo4lyaqlal9p4k7/2018-05-21%2011.34.45.jpg?raw=1)
Pre-surgery meeting.  Details, details.

(https://www.dropbox.com/s/91kzfeje0tcgn0e/2018-05-21%2011.26.28.jpg?raw=1)
This almost looks easy.  Almost.  Well, maybe not.

(https://www.dropbox.com/s/9v1waygyp0sorfx/2018-05-21%2011.38.48.jpg?raw=1)
Dr. Bellinga, Kendra, Dr. Simon

Good luck tomorrow, girl!

Hugs, Devlyn

Hi Kendra,

Looks like you had an awesome trip in the UK.

Good luck today and I am sure you will be fine.

You are in excellent hands.

Paula xx

The people at FT seem great, I'm sure she is in good hands.

Sent from my MI 5s using Tapatalk

@Kendra, Laurie and I are cheering for a successful outcome, and a comfortable and swift recovery.

I'm hoping as I post that you are out of the OR and in recovery. 

Hugs,
Michelle

Quote from: Michelle_P on May 22, 2018, 01:06:52 PM
@Kendra, Laurie and I are cheering for a successful outcome, and a comfortable and swift recovery.

I'm hoping as I post that you are out of the OR and in recovery. 

Hugs,
Michelle

I second that Michelle and she is enjoying the cooling mask ... 😉

Good luck through it all girl. Heal quickly. I has been so neat to see you set your goals and knock them down. Now that the end is in sight for you, we are going to love seeing how you redirect those transitioning energies into living life. I hope that you consider writing a book of this journey.

Tia Anne

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. 

(https://www.dropbox.com/s/bti030zuxuqulzn/2018-05-23%2007.25.20.jpg?raw=1)
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. 

(https://www.dropbox.com/s/tfs8qy7ke92tfyy/2018-05-22%20hairline.jpg?raw=1)
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. 

(https://www.dropbox.com/s/vkrxaoa79ch2nq8/2018-05-23%2010.23.25.jpg?raw=1)
Cool!  Literally.

(https://www.dropbox.com/s/yqabqbuu91d8oas/2018-05-23%2005.15.07.jpg?raw=1)
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 (https://www.susans.org/forums/index.php?action=profile;u=44490) dropped by today - we had a great talk.  Right after surgery, Megan relayed information from the FacialTeam coordinator to Beth (https://www.susans.org/forums/index.php?action=profile;u=55278) and Saha (https://www.susans.org/forums/index.php?action=profile;u=56498), and to my parents. 

(https://www.dropbox.com/s/vchtwcaomd83gsw/2018-05-23%2013.42.29.jpg?raw=1)
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 (https://www.hcmarbella.com/en/) (down the hall from FacialTeam) and go to Aldea Health Resort (http://aldealaquinta.es/en/) 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. 

(https://www.dropbox.com/s/rff54eml9svjmnx/2018-05-23%2013.25.14.jpg?raw=1)
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. 

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

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

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.

Unlike you!! Congrats on a "easy" outcome, hope the recovery is swift and stays painless. Tandoori mushrooms to celebrate?

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!

Hi Kendra,

Glad you are feeling ok ... 😎

Reminds me of my surgery with FT in April 2016 (https://www.susans.org/forums/index.php/topic,199847.0.html).

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

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

Lots of love Kendra, heal quickly.

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

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

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

Slept 8 hours.  HC Hospital (https://www.hcmarbella.com/en/) 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. 

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. 

(https://www.dropbox.com/s/dz7yzqsiztpjz38/2018-05-24%2018.59.01.jpg?raw=1)

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. 

(https://www.dropbox.com/s/q91xg9uxmw48y74/2018-05-24%2017.12.19.jpg?raw=1)

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. 

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 🙂🌸🙏💕

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

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

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

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.

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.

(https://www.dropbox.com/s/a255oa3276mclyt/2018-05-25%2014.36.16.jpg?raw=1)
Photo taken 3 days post-op

(https://www.dropbox.com/s/23dup74x6e6sh29/2018-05-25%2021.26.22.jpg?raw=1)

Hi Kendra,

Looking very good kiddo 😎

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

xx

The Stay Puffed lady has left the room, swelling going down nicely . Couple of weeks and folk will be saying who's this hottie

Aww - thank you!  Or if the swelling persists I'll get a Crash Test Dummy t-shirt with matching stickers for my face. 

Quote from: Kendra on May 26, 2018, 03:19:28 PM
Aww - thank you!  Or if the swelling persists I'll get a Crash Test Dummy t-shirt with matching stickers for my face.

Or a T shirt that says "You should have seen the bus that ran into me!"

The swelling will go down but it will seem like it takes forever. As small of area as my nose was, the swelling lasted the better part of a year.

My forehead and chin need tire valves.  "Inflate to 36 psi / 250kPa"   :P

After my original FFS in 2004, I flew back to the UK 🇬🇧 a week later and told everyone that I had been "Hit by a Mack Truck"!!! 😉😉. Kendra it takes a few weeks to get better ... 😀

So glad to hear that all went well with your surgeries. I knew you were going but for some reason, just missed this thread. Your have been through a lot in the surgeries and are doing so well! All the Best with your recovery and have a safe trip back!

Day 7.  Every morning starts out with very dry lips and dry back of throat caused by sleeping with nose mostly plugged up like a cold.  Face is more puffed up first hour or so after getting up, then calms down after standing upright.  Probably a gravity thing, and one reason it's nice all the beds at Aldea are power-tilt.  Keeping bed angled up the entire stay here is known to improve healing. 

My hair is also pretty dried out - not from the weather but from having it washed every day.  I didn't realize this was required so I didn't bring more than the usual miniature airline carry-on size shampoo, conditioner and other stuff in the brand I prefer.  A nurse washes my hair every day in a nice comfy salon chair, checks and if necessary cleans the stitches in the skull.  I wish I had brought full-size containers of my favorite hair products.

But enough complaining about hair.  After getting past the first few days I am amazed how things are starting to settle in, and super happy there will apparently be no visible scars anywhere - not even from the lip lift.

Makeup is allowed starting with day 7.  I've been walking up a nice hill behind the resort every day but also resting quite a bit - I have been sleeping a surprising amount.  I've started using the swimming pools a bit but must keep face and hair above water.  Heavily chlorinated water is not allowed for several weeks. 

(https://www.dropbox.com/s/peds6aw0n4tiy5f/2018-05-28%2021.46.15.jpg?raw=1)
Photo taken 6 days post-op, no makeup

(https://www.dropbox.com/s/unbsr797vr8xyj1/2018-05-29%2011.39.04.jpg?raw=1)
Close-up of area under nose - incision went all the way across and I can barely see it. 

(https://www.dropbox.com/s/inhbl2gyp0lc0ah/2018-05-29%2017.13.09.jpg?raw=1)
Photo taken 7 days post-op, with makeup

You're already looking amazing. X

Sent from my MI 5s using Tapatalk

I am proud of you girl! Well done chasing and capturing your dreams.

Tia Anne

Amazing! You are looking great in that swim suit! May the rest of your recovery go smoothly! Hugs, Kelly

Swift recovery, looking brill . Wont be long before your back home .

You DO look amazing already Kendra!  Heal quickly and make it south to Astoria?!?

Hugs and smiles, Jess

Thank you girls  ;)

Day eight.  Stitches removed today - took awhile as nurse very carefully removed each stitch across top of skull.  And nose cap removed.  Nose cap left adhesive reside on surface of nose.  I was able to remove that later with makeup remover.

Another set of 3D photos were taken, and a set of regular camera photos.  Dr. Bellinga re-checked my nose and top of head where stitches had just been removed.  Dr. Simon was next, he checked a few things on my forehead and inside mouth.  We went over pre- and post-op photos and CT scans.  Comparing CT scans is interesting, especially the side profile.

(https://www.dropbox.com/s/hw6dqg3bxoa4el3/2018-05-31%2000.29.27.jpg?raw=1)
Me, before and after

(https://www.dropbox.com/s/kp4cvx1hrim0uyy/2018-05-30%2016.29.24-1.jpg?raw=1)
Day eight post-op

(https://www.dropbox.com/s/81sjx0exxjx0bzq/2018-05-30%2016.31.19.jpg?raw=1)
Lip-lift incision under nose barely visible

(https://www.dropbox.com/s/7xwj6b8mminz0hr/2018-05-30%2021.11.39.jpg?raw=1)
Today at Aldea

Incredible, what a fast recovery! X

Sent from my MI 5s using Tapatalk

 I guess I'm a Laurie come late to the party. I just looked at this thread Kendra and I see a lot of changes in you. I can't wait to see how you look after all the swelling goes down but what I can see looks good to me.

Hugs,
  Laurie

Hi Kendra,

You are looking great honeybun.

Hugs

Paula xx

Well done kendra ☺  looking good so soon post op that pic it the pool looks great

Thank you!  ;)

Looking back at 10 nights: 2 at HC Hospital, 8 at Aldea health resort.  Knowing what I do now, would I do this the same way?  Absolutely, yes. 

We each have unique details in our goals.  And factors including health, age, genetic background, finances.  I am saddened by the fact not every transgender individual has access to resources for FFS, much as GCS and other procedures that may improve quality of life or are even life-saving are often out of reach.  I have felt guilty at times posting when things go well.  I want to provide information to potentially help others, much as the information I gathered from friends I made here at Susan's Place definitely helped my decisions.

I will say this purely on my own, not as site volunteer (moderator) but just my thoughts: if you have the money to have FFS you should be donating to Susan's Place to help others.  I do, and I do.  The information at Susan's has changed peoples' lives and in many cases has literally saved lives.  I didn't know some things were even possible until I spent time here. 

Looking back at the first ten days, it was day three when it hit me: this is a profound change.  I had been told this might happen, but looking at before/after photos is two-dimensional and didn't quite prepare me for what I saw in the mirror.  I'll admit I sat down on day three several times, crying like I never have before and in a good way.  It still stops me in my tracks when I'm not thinking about it and catch a reflection in a window - how a relatively slight change in skull shape has such an impact on facial features. 

The other thing I wasn't expecting is just how comprehensive the aftercare is.  Careful facial massages, optional acupuncture, hair washed by a nurse each day, daily checks for blood pressure, pulse and oxygen level.  The on-site nurse at Aldea can provide sleeping medicine if necessary (I didn't, but heard about this from another FacialTeam guest).  A FacialTeam psychologist holds an optional weekly meeting at Aldea and is available on-call.  I don't think any of this was frivolous - these are things to help with healing.  I had some pain in my eyes post-op, probably from swelling but it wasn't going away quickly enough.  FacialTeam arranged to take me to an ophthalmologist as a precaution, but I canceled that after the second acupuncture session removed the pain.  I don't exactly know how acupuncture works but it worked for me.  I am amazed at the quality of post-op aftercare, and of course the operation itself.

If you stay at Aldea, the current arrangement is you'll be checking into Aldea the first night where you'll have a large private room with two small beds and lots of storage space.  From Aldea you'll go to HC Hospital for two nights, leaving the majority of your stuff in your room at Aldea.  The food at both places is good enough to get the job done - better than many airlines but it ain't a tapas bar.  Something I wish Aldea provided was filtered water - I usually drink tap water (it's totally safe in this area).  I've heard the bottled water they sell is expensive, so I picked up a few litres at a grocery before settling in at Aldea.  I asked FacialTeam if there's a way for Aldea to add a water filter machine in the hallway or dining area - maybe they will in the future.

Things to bring to Aldea:
- Full size container of shampoo, conditioner and other hair products.  I mistakenly brought miniature airline carry-on size of my favorite hair products and promptly ran out because I didn't realize my hair would be washed every day. 
- Full size hairbrush if you have long hair.  I almost brought a compact travel brush instead, and was glad to have my full size brush.  After surgery and initial hair washing my hair was a tangled mess... required careful brushing.
- Hair straightening iron (if you use one), 110-220 volts.  For travel I use an inexpensive dual-voltage with an insulated carry bag, easier to pack if it's still warm.  $25 USD on Amazon (https://www.amazon.com/gp/product/B00YG5597Y/ref=oh_aui_search_detailpage?ie=UTF8&psc=1). 
- International power plug adapters.  If your home is in North America, I like this one (https://www.amazon.com/gp/product/B00E0P2GLM/ref=oh_aui_search_detailpage?ie=UTF8&psc=1) because it's small.
- Chap Stick.  If you're into the Katy Perry song bring cherry flavored.  You won't be breathing through your nose a week or two after FFS, and that means you'll wake up every morning with very dry lips from breathing through your mouth. 
- Q-Tips to help clean areas around your nose if you get that altered.  And for eye goobers or whatever the technical term is. 
- Little purse-size packages of Kleenex tissue.  Having my face taken apart and reassembled caused a runny nose for several days.
- Sandals.  Weather in Marbella is usually nice, but the main reason is for indoors.  Sandals are easier to put on than socks or shoes, and the first few days after surgery you may not feel like bending down.
- Sharpie felt pen.  Why?  Because the pills provided for the first few days all look similar and have teeeny markings on the foil packaging and might not be English language.  To help avoid mistakes, write what they are on the packaging.
- Spray-on sunscreen, especially for face.  You probably won't apply this for the first few days, but once you do go outside the sun here can be intense.  I didn't bring one but a hat might be good.
- Makeup remover.  I used this to remove glue from outside of my nose after the plastic splint/cap was removed.
- Makeup.  I don't normally wear foundation but needed it after day 7 (when makeup is first allowed) to cover bruising.
- Phone, laptop, charger. 
- Soft bristle toothbrush.  After FFS you will have stitches inside your mouth - best with soft bristles.
- Tweezers.  You won't use these at first, but if you have a lip lift some stitches will work their way through the skin.  Don't force it - give the stitches time to dissolve - but tweezers can be handy for very carefully removing flaking skin next to the stitches.
- If you've recently had GCS: spare underwear, pads, dilation kit.

Things you won't need at Aldea:
- Hair dryer.  Aldea has one built into the wall, and their dryer has a North America style power outlet (for powering your flat iron) although that is 220 volts not 110v.
- Extra snacks, unless you have a favorite (there isn't a grocery nearby, and no convenience store or vending machine on-site).  Your room includes a small fridge and there is plenty of stuff in the dining room - extra fruit you can take to your room, packaged yogurt etc. 

Bring to HC Hospital:
- Chap Stick
- Toothbrush etc.
- Sandals.  Easier than dealing with socks or shoes after surgery.  The place is very clean but you should never walk barefoot on any hospital floor.
- Phone, laptop, charger, and international power plug adapters.
- If you've recently had GCS: spare underwear, pads, dilation kit.  Bladder control might not be good the first day after anesthesia.

After leaving FacialTeam and Aldea I took a train to Madrid and stayed at an AirBnB near the main train station.  I didn't realize how much Madrid is like a Spanish version of Paris - filled with sidewalk cafés selling tapas, carefully preserved historic buildings all through the central district, and it's huge.  I walked 7 hours in one day and enjoyed every minute.  According to my GPS that was 7 miles (11km). 

(https://www.dropbox.com/s/6pc11uykahh25fw/2018-05-31%2017.21.34.jpg?raw=1)
Balcony of AirBnB apartment in Madrid, $65 USD per night.

(https://www.dropbox.com/s/t3shrzv6ji0pvyl/2018-05-31%2021.56.30.jpg?raw=1)
Plaza Mayor (Major Town Square)

(https://www.dropbox.com/s/f2kwvpuqo5n21wh/2018-05-31%2023.02.05.jpg?raw=1)
Ten days post-op

Hi Kendra,

You look smoking and are very attractive.

The difference pre-op to post-op is outstanding and you would never know your background.

Not a bruise in sight too.

Thank you for your narrative which is fascinating and informative. It reflects my journey in many ways but fortunately without my complications before finding Facial Team.

Have a great trip home and look forward to hearing more about your healing progress.

Hugs

Paula

Your look great! I have really appreciated your narrative about your journey. I can only imagine the feelings you have now that you are on this side of the surgery.

You look so happy! Have a great trip back! Play On!

Hugs,
Kelly

Healing incredibly well honey, look great. X

Sent from my MI 5s using Tapatalk

I can only say WOW. I think you made a great choice of doctor. You look amazing

After arriving, went to a party with Beth (https://www.susans.org/forums/index.php?action=profile;u=55278) & Saha (https://www.susans.org/forums/index.php?action=profile;u=56498).

(https://www.dropbox.com/s/takbtsapt01gmdn/2018-06-02%2011.26.27.jpg?raw=1)

Currently taking one regular over the counter ibuprofen, nothing else.

Gotta mow the lawn tomorrow :)

well all I can say is WHOOOHOWIE

Hi Kendra,

Glad you arrived home safe and sound.

Hugs

Paula xx

Two weeks post-op.  All remaining bruising has disappeared.  I just realized I forgot to take ibuprofen yesterday because I didn't feel the need.  Swelling is about the same for the past half week - a bit more when waking up in morning, less swelling after time standing upright.  At this point I expect remaining swelling to take several months to very gradually diminish, and as Dena (https://www.susans.org/forums/index.php?action=profile;u=42503) mentioned the nose typically takes a full year to form its new shape.  One of the patients at Aldea said the facial swelling made her look like she had instantly gained weight - I suppose that's one way to describe it.  This "weight" will go away.

The remaining things are minor inconveniences.  I notice stitches inside mouth when I eat (those are self-dissolving) and carefully brush that area using the mouthwash and soft-bristle brush provided in Marbella.  Sides of head are tender, only notice if I touch it - careful brushing hair.  Forehead feels a bit odd when I touch it, I expect that for several months.  I also feel some remaining stiffness around nose job, not worried - normal healing process.  Bottom area of nose has remaining self-dissolving stitches, and inside nose requires careful cleaning but the main thing is I can now reliably breathe through my nose (I wasn't able to last week). 

Last night was the first time I could have potentially slept on my side without too much pain from resting on side of head.  I normally prefer to sleep on my side but made an effort to sleep on my back with an extra pillow to elevate head, and woke up that way - pretty sure I slept on my back.  For this stage I think that's better to avoid potential asymmetry and help reduce swelling.

I am slowly getting used to new eyes and forehead.  Not as startled when I see it but still makes me stop and smile, and momentarily forget what I was doing.  Brain slowly adjusting to the new normal, although I know final facial shape is not fully visible as sharper bone shapes were replaced with temporary swelling over smooth bones.  Jaw and nose require more time.

Your recovery is really progressing nicely! Thanks for the update! Hugs!

Wow, you look great. I am sorry I am arriving late.

I think you made a wise choice going to where you went and in the months forward each day you will wake up to see your face a little different. I am very happy for you. Congratulations.

3 weeks post-op.  A couple nights ago, for the first time I was able to comfortably fall asleep on either side.  Left side of skull had been sensitive to pressure until then. 

This morning I was able to carefully remove a couple dissolvable stitches from bottom edge of nose with tweezers.  A third one was more stubborn so I left it for now.  I don't want to tug on a stitch too soon and pull my brains out.  :P

One month post-op.  No visible scars.

I usually style my hair a bit different but this photo shows hair transplant area - front hairline corners are now a smooth arc.  Transplants require several months to re-grow but look fine so far.

The only makeup I am wearing is eyeliner, lipstick and a touch of Garnier Anti-Circle (https://www.amazon.com/gp/product/B00778LVGA/ref=oh_aui_search_detailpage) under the eyes (I am 54 after all).   ;)

(https://www.dropbox.com/s/9hm1i2nykc9qsta/2018-06-22%2017.10.48.jpg?raw=1)
June 22, 2018

Congrats! You look great [emoji4]

Sent from my VS501 using Tapatalk

Wow! You look wonderful! Looks like your recovery is right on target! Such a beautiful smile as well!

Hugs,
Kelly

You looked great before, but they did fab work,  and you're healing incredibly well. X

Sent from my MI 5s using Tapatalk

Wow, you were pretty before but now you are beautiful!

Judi

So gorgeous Kendra. <3

You look great!

That is an excellent FFS.

Nice work :)

   NICE! Kendra, You mentioned the blond  but I didn't picture it like that. Girl it looks good! Love it as your avatar. I'm waiting on my blonde hair to wear over my own blonde hair. It has hair on top whereas my own does not. lol

Hugs,
  Laurie

Great results and very encouraging!!!

Wow, amazing. Would have been cool to show before and after.

Quote from: Kendra on June 23, 2018, 10:55:28 AM
One month post-op.  No visible scars.

I usually style my hair a bit different but this photo shows hair transplant area - front hairline corners are now a smooth arc.  Transplants require several months to re-grow but look fine so far.

The only makeup I am wearing is eyeliner, lipstick and a touch of Garnier Anti-Circle (https://www.amazon.com/gp/product/B00778LVGA/ref=oh_aui_search_detailpage) under the eyes (I am 54 after all).   ;)

(https://www.dropbox.com/s/9hm1i2nykc9qsta/2018-06-22%2017.10.48.jpg?raw=1)
June 22, 2018

You are beautiful @Kendra , they did a wonderful job!
I love this pic as your avatar!

Hugs and smiles, Jessica

Quote from: Kendra on June 23, 2018, 10:55:28 AM
One month post-op.  No visible scars.

I usually style my hair a bit different but this photo shows hair transplant area - front hairline corners are now a smooth arc.  Transplants require several months to re-grow but look fine so far.

The only makeup I am wearing is eyeliner, lipstick and a touch of Garnier Anti-Circle (https://www.amazon.com/gp/product/B00778LVGA/ref=oh_aui_search_detailpage) under the eyes (I am 54 after all).   ;)

(https://www.dropbox.com/s/9hm1i2nykc9qsta/2018-06-22%2017.10.48.jpg?raw=1)
June 22, 2018

You look very pretty, and every time I see your pictures, I can't help but think how much you resemble my grandma when she was younger(I have a picture of her from the early 1930s dressed like a flapper). 😊

I was following your FFS experience even though I didn't comment until seeing this 1 month picture. The results are amazing. You look 100% cis. Very successful surgery. I am very happy for you

Hi Kendra,

Congratulations and great result.

Take care

Hugs

Paula xx

Awww - thank you all for the comments!

Quote from: KayXo on June 24, 2018, 09:28:38 AM
Wow, amazing. Would have been cool to show before and after.

Here ya go.  ;)  First photo is in the hospital gown right before getting wheeled into surgery.  Sharp jaw corners, nose proportions and brow bossing under harsh lighting.  The line at the hairline in first photo is not an incision, that's the mark defining where transplants started immediately after surgery.  Incision for skull work was top of head, not at the hairline. 

Second photo is standing under a spotlight for similar harsh lighting.

(https://www.dropbox.com/s/1zbkd0buba5hfbj/2018-05-22%2008.10.55.jpg?raw=1)
May 22, 2018 - 20 minutes before anesthesia

(https://www.dropbox.com/s/v3hx3lxxe5siwvw/2018-06-24%2012.23.10.jpg?raw=1)
June 24, 2018

On most web browsers if you click on the photo it will show larger.

wow, the changes are dramatic and very natural. Beautiful

Quote from: Kendra on June 24, 2018, 02:14:19 PM
Awww - thank you all for the comments!
Here ya go.  ;)  First photo is in the hospital gown right before getting wheeled into surgery.  Sharp jaw corners, nose proportions and brow bossing under harsh lighting.  The line at the hairline in first photo is not an incision, that's the mark defining where transplants started immediately after surgery.  Incision for skull work was top of head, not at the hairline. 

Second photo is standing under a spotlight for similar harsh lighting.

(https://www.dropbox.com/s/1zbkd0buba5hfbj/2018-05-22%2008.10.55.jpg?raw=1)
May 22, 2018 - 20 minutes before anesthesia

(https://www.dropbox.com/s/v3hx3lxxe5siwvw/2018-06-24%2012.23.10.jpg?raw=1)
June 24, 2018

On most web browsers if you click on the photo it will show larger.

Wow Kendra! What an amazing difference from before and after. It's subtle, you are clearly the same person but the second photo you look so much more feminine. I had trouble identifying what specific work was done, but the overall look has changed significantly. You look beautiful.

Jayne

It subtle but powerful ...when you have your face lift in the future it will really show off the bone work 👍👌😊

Wow girlfriend, beautiful. You have been looking forward to this for so long, it must feel so good seeing the face looking back from mirror. Good going girl, I am so happy for you.

Tia Anne

Stunning, great results! ... congrats Kendra!

I'm back in Marbella.  Had a wonderful dinner yesterday with two Susan's members.  Paula (https://www.susans.org/forums/index.php?action=profile;u=38230) who has completed a very nice update to her hair line (https://www.susans.org/forums/index.php/topic,199847.260.html) and is returning home today.  And Stephanie (https://www.susans.org/forums/index.php?action=profile;u=54919) who I just now watched roll down the same hallway (https://www.susans.org/forums/index.php/topic,241033.340.html) I traveled a half year ago. 

While in town I had a checkup at FacialTeam, and some post-op photos taken now that it's been a half year.  The check for coronal incision took an extra minute because they had difficulty finding it.  I've had the same comment from my hairdresser - at four months post-op she was unable to find the cut line even when looking for it and knowing where it had been.  Same with inside mouth, my dentist back home was amazed at how skillfully the cuts were made and put back together.  At this point in time the only remaining recovery I'm aware of is my nose is a bit sensitive to pressure as it continues to heal, and feeling is returning to top of my head.  I am super happy with my hair line from the transplants and this will apparently continue to fill in during the next half year. 

I will share pre- and post-op front/side/profile photos once I get those organized, along with a set of VirtualFFS (http://virtualffs.co.uk/) photos from last year.

(https://www.dropbox.com/s/fik3yk65rcb9ydh/2018-12-03%2016.17.03.jpg?raw=1)
Dr. Bellinga really knows noses. 

(https://www.dropbox.com/s/5r11jgfdor2agcc/2018-12-03%2013.07.17.png?raw=1)
Weather in December.  Highs 21C, lows 14C.

(https://www.dropbox.com/s/g2fxa7utmy2fc27/2018-12-03%2007.45.49.jpg?raw=1)
Sunrise from the hotel FacialTeam currently arranges

(https://www.dropbox.com/s/n1tqx8s8xbrg1qx/2018-12-04%2015.24.13.jpg?raw=1)

(https://www.dropbox.com/s/wekoauyi3jrrqim/2018-12-03%2019.26.13.jpg?raw=1)
Yeah, I had other surgeries this year

I was in my twenties when the first FFS procedure was invented.  For the following three decades before I had heard of FFS my facial features and hair line gradually changed based on hormones I didn't understand.  Relentless erosion dripping in the opposite direction of my brain until I said "enough."  I am forever grateful to those who pioneered this set of breakthroughs from both sides of the operating table, and those who refined it and help us pursue who we are.  In hindsight I would gladly give up many, many things without hesitation to be able to gain what I have in this journey.  Things that really didn't matter, and things that do. 

It is so rewarding to see each of us take control of our lives to the degree we can, ranging from the foundation of internal acceptance to the full monty of surgeries in whatever destination is best for each on us.  Identifying and focusing on what matters the most.  Re-setting priorities.  Appreciating who we really are and finding creative ways to climb around stuff that gets in our way. 

In the half year since I was here I have been astonished at how different my world is now.  I am living what I wanted. 

Thanks for your update Kendra.  You've had a truly amazing journey.

fab looking babe.... luv the dress

Hi Kendra,

It was very special meeting you and Stephanie on Monday.

Facial Team have done a wonderful job and you look absolutely stunning.

No wonder you had so many admiring glances from guys as we strolled around Old Town Marbella on Monday evening.

Your dress is fabulous.

Have a safe journey home and as we agreed, we must all keep in touch.

Keep having fun.

Hugs

Paula xx

Awwww - thank you!

After seeing Stephanie at the hospital I ran into Dr. Simon!  Well not literally, but he was on his way to surgery and I wanted to personally thank him and let him know I am thrilled with the results of his work.

(https://www.dropbox.com/s/md4mbzpj6w0ddjy/2018-12-05%2011.40.33.jpg?raw=1)
Dr. Simon fixed my face.  Yay!

While in the neighborhood I figured it would be fun to snapshot a little something I've been carrying around since I was a teenager.  Part of my jaw until six months ago.  Maybe I'll make a necklace.

(https://www.dropbox.com/s/4jamgj70ihz9c48/2018-12-05%2011.47.37.jpg?raw=1)
That was easy!  Well actually I slept while it was removed in May. 

(https://www.dropbox.com/s/ejbtlxv9y5zskh8/2018-12-05%2011.48.26.jpg?raw=1)
An interesting way to lose a small amount of weight


I shoulda waited for Stephanie to be released from the hospital but couldn't resist perfect weather.  Steph was doing really well (and needs to avoid direct sun for awhile) so I drove west for the afternoon.  HC Hospital is a 5 minute walk from a nice sandy beach, but Sonja from FacialTeam mentioned the best sand is an area beyond Gilbraltar.  I went past Tarifa and spent the afternoon in Playa de Bolonia (Bolonia Beach).  Far end of the beach is Dunas de Bolonia with sand dunes, and Baelo Claudia - ruins from a 2,000 year old Roman fishing village.  How cool is that.  The nicest sandy beach I've seen in a long time, definitely on my list if I can visit again.

I was able to visit with Stephanie a bit more before flying back to winter weather.

(https://www.dropbox.com/s/7euv0xz9uuaqkbl/2018-12-05%2016.33.14.jpg?raw=1)

(https://www.dropbox.com/s/1k43rwyveysk6lm/2018-12-05%2016.45.56.jpg?raw=1)

(https://www.dropbox.com/s/jtj8l2n2ix3nypo/2018-12-05%2018.06.36.jpg?raw=1)

(https://www.dropbox.com/s/na93icuqn9s3kln/2018-12-05%2017.57.54.jpg?raw=1)

(https://www.dropbox.com/s/dfothxtj3stxb9u/2018-12-05%2018.40.44.jpg?raw=1)
Lights in distance are in Morocco


Before heading to the airport I was able to catch one more beach. 
Found the locals quite friendly.  ;)

(https://www.dropbox.com/s/f5fo0cjom5duyeo/2018-12-06%2013.39.22.jpg?raw=1)

(https://www.dropbox.com/s/w8o7k9j2ztax5nj/2018-12-06%2013.34.06-1.jpg?raw=1)

Absolutely beautiful, Kendra! And in a beautiful setting too!

Quote from: Kendra on December 07, 2018, 03:00:36 AM
Before heading to the airport I was able to catch one more beach. 
Found the locals quite friendly.  ;)

I have to say that your self-confidence is remarkable at this point, very admirable!

I'm not sure I'd be up for this, even after the work I'm having done this spring, but, hey!

You go, girl!

I had FFS one year ago today. 

In so many ways I now measure time starting from that point. 
My world has changed so much for the better.  One of the best decisions I ever made.

(https://www.dropbox.com/s/pd1vr0qpa0a2koi/2019-05-22%2021.07.56.png?raw=1)
   Before and after one year.

(https://www.dropbox.com/s/jtdnhblx3klf7ml/2019-05-22%2021.10.03.png?raw=1)
   Comparison: Day of FFS, one month later, one year later.

Looking amazing Kendra!

I also love how you're doing the holding a laptop that is showing a photo of you holding a laptop with a photo of you....

You should keep on going over the years.

Quote from: Kendra on May 22, 2019, 11:50:04 PM
I had FFS one year ago today. 

In so many ways I now measure time starting from that point. 
My world has changed so much for the better.  One of the best decisions I ever made.

(https://www.dropbox.com/s/pd1vr0qpa0a2koi/2019-05-22%2021.07.56.png?raw=1)
   Before and after one year.

(https://www.dropbox.com/s/jtdnhblx3klf7ml/2019-05-22%2021.10.03.png?raw=1)
   Comparison: Day of FFS, one month later, one year later.

Wow, a year already? You just keep looking better and better!

As you know, I'll be back in Marbella on June 12th and 13th for some more improvements at Ocean Clinic, down the road from FacialTeam. They're likely to be the last things I try. While I was a little disappointed with my results at FacialTeam, I'm trying to manage my expectations a little more realistically this time. I only hope I end up looking a fraction as good as you when I come home from this trip. Congratulations, sister! You're living the life.


- Stephanie

(https://www.dropbox.com/s/1fhdt577szmh4rg/2019-05-10%2019.12.49.jpg?raw=1)

(https://www.dropbox.com/s/v8q8y9ug9kmi9tu/2019-05-19%2009.43.19.jpg?raw=1)