Susan's Place Transgender Resources

Community Conversation => Transitioning => Facial feminization surgery => Topic started by: jgirl76 on May 24, 2015, 09:11:35 PM

Title: Cardenas revision
Post by: jgirl76 on May 24, 2015, 09:11:35 PM
I had full facial feminization surgery with Dr. Cardenas last May 2014 (1 year post op photos BELOW) -  I plan to travel back to Guadalajara this June for a post surgery follow-up and revision surgery consultation.

I had:

Forehead contouring type I
Rhinoplasty
Jaw/Chin contouring
Trach shave
Fat infiltration to the lips
Chin lipo

Cost =  Approximately 16,000  (at the time)

I was one of the first patients to have surgery in the new Innovare hospital. The facilities were great and the hospital staff were very attentive and the care I received was superb. I ended up staying an extra night, I didn't want to leave! :)

My thoughts about the surgery? Overall it was an improvement but not the level of feminization that I was hoping for.

Forehead -

The type I procedure did improve my profile although there is still residual brow bossing. It wasn't readily apparent shortly after surgery when my forehead was still swollen, but once the swelling receded the bossing reappeared.  One generally wouldn't notice it in pictures with bright lighting that tends to smooth/blurs everything out, but in other light it is readily noticeable. I will include photos showing this. I also have temporal hollowing which I think could have been addressed, perhaps with some fat grafting?

Eyebrows -

My eyebrows have a nice arch but I would prefer them to appear more "straight across" my forehead like in most genetic females. I think this could have been achieved if we had done a type III procedure? Too much frontal sinus bone in the way? I'm not sure.

Nose:  I have a very roman nose typical of my family heritage (Italian/Eastern European) and I did request that we go conservative on the rhinoplasty. My nose is improved but it could be more narrow (the tip could also be refined) and I would like to take a little more of the hump/projection out.  At the end of the day I DO NOT fault Dr. Cardenas as I had requested that he take a conservative approach to this area of my face, although I think we could afford to do a little more.

Chin/Jaw -

My chin was GREATLY improved, it is definitely more v-shaped than before, although none of the jaw flaring in the masseter area was reduced.  The result is a lower face that although refined, still appears rather boxy and square.   I will probably always have a stronger jaw than most women (which I expect) but I think it could be a "bit" softer - Some people feel a square jaw is very "modelesque" but I'm not a model... and as I begin to age (on approach to 40) I think it looks too masculine and won't necessarily carry over well through the rest of my life? I don't want to "chop it all away" but I do think we could afford to soften it a bit more.

Trachea - 

Beautiful job! Dr. Cardenas was able to remove it all without any damage to my vocal chords - My voice is one of my best assets so this was a HUGE concern for me. I do have a little scar but perhaps a little Fraxel laser will help it? For now I just cover it with some makeup and nobody notices.

Lips (fat infiltration) -

The fat grafting didn't last, not sure I would do this again. We did this procedure in lieu of an upper lip lift, although in hindsight I think shortening the distance between my nose and upper lip would have been a good thing. Potential scarring and loss of feeling scared me away initially, but I'm open to re-visiting the idea of this prodcedure.

Chin lipo -

I think the results were good, although naturally some fat has redeposited here... I probably just need to call it a day and put my fork down :) 

Cheeks -

We didn't do anything to my cheeks but I wonder if some fat infiltration to the cheeks would have been nice. I would also consider implants but they scare me a little. Perhaps my fear of them is unwarranted?

So overall my surgery was an improvement but I would like to a achieve a more v-shaped/round face (not as square) refine my nose and get rid of the residual brow bossing with the type III procedure. I was open to doing the type III procedure from the beginning but Dr. C decided it was unnecessary at the time of surgery, although I don't feel that was the right decision.

With that said I do feel that I've been able to communicate my concerns to to Dr. Cardenas without any risk of judgement. I feel Dr. Cardenas to be a kind and caring surgeon who is open and willing to discuss my results and my concerns and I look forward to speaking with him soon face-to-face.

I will keep everyone posted.

(https://www.susans.org/proxy.php?request=http%3A%2F%2Fi1282.photobucket.com%2Falbums%2Fa532%2Fjgirlpacific%2FCardenasprofilecomparison%2FCardenas%25201%2520year%2520post%2520op%2Fpostop1year_4_zpsxlbknwgm.jpg&hash=cac1a325333338b16731c5ce301685bf96dc2246) (http://s1282.photobucket.com/user/jgirlpacific/media/Cardenasprofilecomparison/Cardenas%201%20year%20post%20op/postop1year_4_zpsxlbknwgm.jpg.html)

(https://www.susans.org/proxy.php?request=http%3A%2F%2Fi1282.photobucket.com%2Falbums%2Fa532%2Fjgirlpacific%2FCardenasprofilecomparison%2FCardenas%25201%2520year%2520post%2520op%2FPostop1year_2_zpsk15cthox.jpg&hash=92d8ba6f773179ab46462465453932fb2562294c) (http://s1282.photobucket.com/user/jgirlpacific/media/Cardenasprofilecomparison/Cardenas%201%20year%20post%20op/Postop1year_2_zpsk15cthox.jpg.html)

(https://www.susans.org/proxy.php?request=http%3A%2F%2Fi1282.photobucket.com%2Falbums%2Fa532%2Fjgirlpacific%2FCardenasprofilecomparison%2FCardenas%25201%2520year%2520post%2520op%2FPostop1year_3_zpsdz7b9i38.jpg&hash=1026b896d2f6c9be04e3ef5053c4f26f4653e8be) (http://s1282.photobucket.com/user/jgirlpacific/media/Cardenasprofilecomparison/Cardenas%201%20year%20post%20op/Postop1year_3_zpsdz7b9i38.jpg.html)

(https://www.susans.org/proxy.php?request=http%3A%2F%2Fi1282.photobucket.com%2Falbums%2Fa532%2Fjgirlpacific%2FCardenasprofilecomparison%2FCardenas%25201%2520year%2520post%2520op%2FPostop1year_1_zpsvghd4yq1.jpg&hash=5b49ef98e720b4b80d63d3b65a43d658f0eb526f) (http://s1282.photobucket.com/user/jgirlpacific/media/Cardenasprofilecomparison/Cardenas%201%20year%20post%20op/Postop1year_1_zpsvghd4yq1.jpg.html)
Title: Re: Cardenas revision
Post by: jgirl76 on May 24, 2015, 10:29:15 PM
More one year post op photos, one can see the residual brow bossing on the right side, jaw flaring, nose projection (too much projection).   

(https://www.susans.org/proxy.php?request=http%3A%2F%2Fi1282.photobucket.com%2Falbums%2Fa532%2Fjgirlpacific%2FCardenasprofilecomparison%2FCardenas%25201%2520year%2520post%2520op%2FPostop1year_6_zpsscfmr39b.jpg&hash=4dbd111ba5f1afb975e362bce4b5a4bf7e4a1364) (http://s1282.photobucket.com/user/jgirlpacific/media/Cardenasprofilecomparison/Cardenas%201%20year%20post%20op/Postop1year_6_zpsscfmr39b.jpg.html)

(https://www.susans.org/proxy.php?request=http%3A%2F%2Fi1282.photobucket.com%2Falbums%2Fa532%2Fjgirlpacific%2FCardenasprofilecomparison%2FCardenas%25201%2520year%2520post%2520op%2Fpostop1year_5_zpsvfxnlf1f.jpg&hash=37f4292e29f1e243047e6b38b12910132ed7ab74) (http://s1282.photobucket.com/user/jgirlpacific/media/Cardenasprofilecomparison/Cardenas%201%20year%20post%20op/postop1year_5_zpsvfxnlf1f.jpg.html)

(https://www.susans.org/proxy.php?request=http%3A%2F%2Fi1282.photobucket.com%2Falbums%2Fa532%2Fjgirlpacific%2FCardenasprofilecomparison%2FCardenas%25201%2520year%2520post%2520op%2FPostop1year_7_zps6gujdkea.jpg&hash=ab0eef4dfb2be53cbc0d316ba0022b3d96c84ce4) (http://s1282.photobucket.com/user/jgirlpacific/media/Cardenasprofilecomparison/Cardenas%201%20year%20post%20op/Postop1year_7_zps6gujdkea.jpg.html)
Title: Re: Cardenas revision
Post by: jgirl76 on May 24, 2015, 10:36:18 PM
PRE Operative photos (sent to Dr. Cardenas)

(https://www.susans.org/proxy.php?request=http%3A%2F%2Fi1282.photobucket.com%2Falbums%2Fa532%2Fjgirlpacific%2F20140210_174128_resized_1_zpsc0296207.jpg&hash=3524e1c13ae8a21ba352d5b48d9904e8d6eb6945) (http://s1282.photobucket.com/user/jgirlpacific/media/20140210_174128_resized_1_zpsc0296207.jpg.html)

(https://www.susans.org/proxy.php?request=http%3A%2F%2Fi1282.photobucket.com%2Falbums%2Fa532%2Fjgirlpacific%2F20140210_173905_resized_1_zps0b7278cc.jpg&hash=fd8f8f38622cc6626227fda77bc1d89aa238de61) (http://s1282.photobucket.com/user/jgirlpacific/media/20140210_173905_resized_1_zps0b7278cc.jpg.html)

(https://www.susans.org/proxy.php?request=http%3A%2F%2Fi1282.photobucket.com%2Falbums%2Fa532%2Fjgirlpacific%2F20140210_174125_resized_1_zps5d10657b.jpg&hash=512941ca3b3da606a880c6d12ac7fe81c22aa25e) (http://s1282.photobucket.com/user/jgirlpacific/media/20140210_174125_resized_1_zps5d10657b.jpg.html)

Title: Re: Cardenas revision
Post by: kittenpower on May 24, 2015, 11:06:05 PM
I agree with your evaluation, but I would like to say that you are really pretty, you look very female, and he did do a really good job on your chin; it's perfect. 
Title: Re: Cardenas revision
Post by: jgirl76 on May 24, 2015, 11:27:31 PM
Thank you, Kitten. I appreciate your acknowledging my concerns while at the same time pointing out the positive. Appreciate the feedback!
Title: Re: Cardenas revision
Post by: ArielAce on May 25, 2015, 11:56:12 AM
I tend to agree overall with your assessment. I am seeing Cardenas on July 1 and insisting on type 3. It seems to me that type 3 nearly always gives a better result. I think you did get good results overall, but I can see why you'd want a revision for the forehead. It seems to me you could definitely get a better result there.

As far as your eyebrows, I just wanted to mention, many cis females do have very arched eyebrows, probably equally as many do as the straight across. I do not think yours look unnatural. It really is a matter of personal preference and if you prefer them straight then you should make them straight. :)

I think you look really quite beautiful and model like with your hair down. I hope you get the result you are looking for on your second visit. <3





Title: Re: Cardenas revision
Post by: jgirl76 on May 25, 2015, 02:33:53 PM
Great, Ariel! Please let everyone know how it goes for you! And as always appreciate before and after photos showing  profile. There is still some contention as to "how skilled" Dr. Cardenas is with type III.

I've not yet decided that I will actuall go to Dr. Cardenas for the revision surgery. That will depend in part on my meeting with him, what he has to say and if he can readily accept that mistakes that were made, and more importantly that he can fix these issues with confidence. I also don't expect to be charged for any subsequent procedures that are required to deliver the results that I should have gotten when I laid down my money last year. I would pay for anesthesia and the hospital of course, but nothing beyond that.

We'll see.... :)
Title: Re: Cardenas revision
Post by: lovelessheart on May 25, 2015, 04:13:39 PM
Quote from: jgirl76 on May 25, 2015, 02:33:53 PM
Great, Ariel! Please let everyone know how it goes for you! And as always appreciate before and after photos showing  profile. There is still some contention as to "how skilled" Dr. Cardenas is with type III.

I've not yet decided that I will actuall go to Dr. Cardenas for the revision surgery. That will depend in part on my meeting with him, what he has to say and if he can readily accept that mistakes that were made, and more importantly that he can fix these issues with confidence. I also don't expect to be charged for any subsequent procedures that are required to deliver the results that I should have gotten when I laid down my money last year. I would pay for anesthesia and the hospital of course, but nothing beyond that.

We'll see.... :)

Hey i understand what you mean! I went to dr carsenas in june last year... He did do a good job on my forehead it is an improvement, but i feel like he could have smoothed it out a little better. Also..my nose is okay.. I would prefer the radex to be lower than it is and also my nostrils are different shapes. I want to go back for jaw or chin shaving.. But im afraid he wont be agressive enough. I dont have time to play russian roulette with my money.
Title: Re: Cardenas revision
Post by: jgirl76 on May 25, 2015, 06:41:38 PM
Perhaps instead of paying for a plane ticket back to Guadalajara I should fly to Buenos Aires instead and consult with Rossi and DiMaggio. 

I paid Dr. Cardenas already and there is a "part of me" that doesn't want to pay for another full FFS...  My hope is that Dr. C would correct what is wrong, but the MORE I think about.... the MORE I'm unsure that he has the right level of skill for the job. I do think he is a good surgeon for some girls, and that he is a kind and good man, as aformentioned, but that doesn't necessarily equate to good results. The MORE I think about it, I will only get ONE MORE shot at this... I need someone to do it right, and I'm not 100% confident in his ability so I should just call a spade a spade and resolve to going elsewhere...
Title: Re: Cardenas revision
Post by: shedevilcanada on May 25, 2015, 06:55:46 PM
just for your info Jgirl, Dr Mdm will do consultation in NyC this september
Title: Re: Cardenas revision
Post by: ArielAce on May 25, 2015, 09:37:30 PM
Quote from: jgirl76 on May 25, 2015, 02:33:53 PM
Great, Ariel! Please let everyone know how it goes for you! And as always appreciate before and after photos showing  profile. There is still some contention as to "how skilled" Dr. Cardenas is with type III.

I've not yet decided that I will actuall go to Dr. Cardenas for the revision surgery. That will depend in part on my meeting with him, what he has to say and if he can readily accept that mistakes that were made, and more importantly that he can fix these issues with confidence. I also don't expect to be charged for any subsequent procedures that are required to deliver the results that I should have gotten when I laid down my money last year. I would pay for anesthesia and the hospital of course, but nothing beyond that.

We'll see.... :)

I will definitely be posting detailed before/after photos and I hope that may help with your decision. My surgery is a month away. I realize there is not a lot of type 3s out there (the only one I've seen is Roni) so hopefully it will be helpful to people.

All this talk about him makes me a bit nervous but seeing as I've already paid the deposit, this is happening one way or another. I just hope for the best!
Title: Re: Cardenas revision
Post by: jgirl76 on May 26, 2015, 04:46:26 AM
I'm sure because you are having type III you will be better off than I was. Do not get me wrong, I don't think Dr. Cardenas is not a good surgeon, HE IS, when he does the right procedures. Roni did get EXCELLENT results from him, and my results weren't "terrible" they just weren't optimal. For me because I only have one more shot at this, my confidence is blown because he didn't do the right thing the 1st time, however, that isn't to say he won't do the right thing by you. I have trust you'll be in good hands :)
Title: Re: Cardenas revision
Post by: Jennygirl on May 26, 2015, 05:03:27 AM
I see what you mean about the residual brow bossing as well. Seems like he might have even been a bit conservative with the Type I approach, but I know it also varies greatly by patient how much they are able to take off. My forehead is completely flat after Type I with Dr. Mayer in Beverly Hills. And yeah, Roni looks fan-freaking-tastic.

I second getting a consult from DiMaggio. I've seen some incredible Type III results from him!

Goes without saying that you already look fantastic, but also I don't think what you want to do would be seen as "going too far". Best of luck to you with your choice of surgeon and following procedure(s)!
Title: Re: Cardenas revision
Post by: RubyAliza on May 26, 2015, 06:27:45 AM
Hi Jgirl,

     I almost went to Cardenas too; actually it was your thread initially that convinced me to go to Dr. Rossi instead. I most likely won't be able to afford a revision, much less want that kind of pain again, so I'm going to someone who can do it right the first time (hopefully). Dimaggio is great too, more expensive. Either way, you can't go wrong.

    I just don't understand why he would not do a Type III. He was just plain wrong. I think you're beautiful, but you needed a type III like 95% of the trans women out there.

Hi Jennygirl - you are certainly one of those lucky 5% cause you're forehead looks incredible with only the type 1.
Title: Re: Cardenas revision
Post by: Jennygirl on May 26, 2015, 07:18:22 AM
Quote from: RubyAliza on May 26, 2015, 06:27:45 AM
Hi Jennygirl - you are certainly one of those lucky 5% cause you're forehead looks incredible with only the type 1.

Thank you Ruby! It's important to have realistic expectations with any procedure, and I did. I still have a bit of overhang at the orbitals and over the nose, but the forehead is indeed flat across the front which is what mattered to me. With Jgirl, I see what she is talking about. The "bossing" bumps towards the middle on either side of her nose along the brow are still somewhat prevalent- as if Cardenas took a very mild approach to it (or perhaps the frontal sinus bone there was very thin).

And FWIW, Ousterhout told me I would most definitely need Type III/IV and that I should never trust a doctor who just wanted to do a Type I based on my measurements. He was probably technically right about it for being perfectly within female spec from his research- because my forehead does slightly protrude forward more than average for a female... but whatever- looks in range to me. I'm floored with my overall result from Type I and I'm glad I stuck with the conservative approach.

Thank you again for the kind words :)
Title: Re: Cardenas revision
Post by: RubyAliza on May 26, 2015, 09:28:11 AM
:) just being on honest Jennygirl. Dr. Mayer did an incredible job.  I recently read Dr. Ousterhout's book and remember when talked about the female measurement ranges and all that. He's a bit of a perfectionist I would say, but on balance, I would never mistake you for anything other than a cute girl.


And I think Cardenas did a pretty good job with your chin and nose, jgirl. He was conservative like you asked him to be, but you look like a model already - I love that last picture of you looking down. Those eyebrows are gorgeous :) Anyhow check out my thread for Dr. Rossi's work or Charlotte 15's thread for Dr. Dimaggio's work. But I"m optimistic that Dr. Cardenas will do the revision with only the operating room and anesthesia fees. It's the least he could do for his reputation, which is incredibly important for these people.

For the hollowed temporals, I'm thinking if the fat graft on the lips didn't work, maybe your body won't accept the grafts up there too. Not sure if you need it at all. But there is actually a better technique that Dr. Ousterhout developed with solid implants for that anyways. There are a lot of techniques he developed that few other surgeons use unfortunately. Check out the book I mentioned about on FFS - he even has a technique where he uses dermal grafts from the extra skin from the forehead for a permanent lip fillers. He was a genius - too bad he was crazy expensive and is now retired.
Title: Re: Cardenas revision
Post by: jgirl76 on May 29, 2015, 02:17:21 AM
Quote from: shedevilcanada on May 25, 2015, 06:55:46 PM
just for your info Jgirl, Dr Mdm will do consultation in NyC this september

Thanks for the information... I want to consult with both MDM and Rossi so I'll fly to Buenos... and make small vacay out of it probably :) 
Title: Re: Cardenas revision
Post by: jgirl76 on May 29, 2015, 02:20:13 AM
Quote from: RubyAliza on May 26, 2015, 06:27:45 AM
Hi Jgirl,

     I almost went to Cardenas too; actually it was your thread initially that convinced me to go to Dr. Rossi instead. I most likely won't be able to afford a revision, much less want that kind of pain again, so I'm going to someone who can do it right the first time (hopefully). Dimaggio is great too, more expensive. Either way, you can't go wrong.

    I just don't understand why he would not do a Type III. He was just plain wrong. I think you're beautiful, but you needed a type III like 95% of the trans women out there.

Hi Jennygirl - you are certainly one of those lucky 5% cause you're forehead looks incredible with only the type 1.

Thanks so much for the compliment. Yup! I needed type III... FOR SURE. I'm glad I could help you make your decision. I know Dr Cardenas has done type III for others, but I still think his skill in that area is in question. Without a doubt the Argentinian surgeons do so many of them that they really are the subject matter experts.
Title: Re: Cardenas revision
Post by: jgirl76 on May 29, 2015, 02:25:09 AM
Quote from: RubyAliza on May 26, 2015, 09:28:11 AM
:) just being on honest Jennygirl. Dr. Mayer did an incredible job.  I recently read Dr. Ousterhout's book and remember when talked about the female measurement ranges and all that. He's a bit of a perfectionist I would say, but on balance, I would never mistake you for anything other than a cute girl.


And I think Cardenas did a pretty good job with your chin and nose, jgirl. He was conservative like you asked him to be, but you look like a model already - I love that last picture of you looking down. Those eyebrows are gorgeous :) Anyhow check out my thread for Dr. Rossi's work or Charlotte 15's thread for Dr. Dimaggio's work. But I"m optimistic that Dr. Cardenas will do the revision with only the operating room and anesthesia fees. It's the least he could do for his reputation, which is incredibly important for these people.

For the hollowed temporals, I'm thinking if the fat graft on the lips didn't work, maybe your body won't accept the grafts up there too. Not sure if you need it at all. But there is actually a better technique that Dr. Ousterhout developed with solid implants for that anyways. There are a lot of techniques he developed that few other surgeons use unfortunately. Check out the book I mentioned about on FFS - he even has a technique where he uses dermal grafts from the extra skin from the forehead for a permanent lip fillers. He was a genius - too bad he was crazy expensive and is now retired.

I could never afford Dr. O... it just wasn't ever going to be feasible, and as you pointed out he is retired now so... even if I could afford it... it's not an options :)  I agree the fat grafts may not be long lasting, but perhaps in that area (temples) they would last longer? I'd be willing to try it...  Also I'm sure Cardenas would be open to doing the surgery at no charge BUT I need to be confident he would do it the right way, not just use some bone cement to smooth things etc. At the end of the day I need someone who I can trust will do the type III and do it WELL. So there ya go! ;)
Title: Re: Cardenas revision
Post by: Jennygirl on May 29, 2015, 05:21:22 AM
Quote from: jgirl76 on May 29, 2015, 02:25:09 AM
I could never afford Dr. O... it just wasn't ever going to be feasible, and as you pointed out he is retired now so... even if I could afford it... it's not an options :)  I agree the fat grafts may not be long lasting, but perhaps in that area (temples) they would last longer? I'd be willing to try it...  Also I'm sure Cardenas would be open to doing the surgery at no charge BUT I need to be confident he would do it the right way, not just use some bone cement to smooth things etc. At the end of the day I need someone who I can trust will do the type III and do it WELL. So there ya go! ;)
Yes I know exactly what you mean. The one I have seen over and over give good results is DiMaggio. If I thought I needed type III, I most likely would have gone with him based on the recommendation of other members here alone. Some really dramatic and beautiful results.
Title: Re: Cardenas revision
Post by: calicarly on May 30, 2015, 08:31:03 AM
Jgirl,

What a great surprise to see you around here again, I myself wasn't very active around the forums for quite a while, as I had a lot of things to catch up with after healing from my surgery last year.

There's no doubt in my mind that you were right from the beginning to not feel like things had been done to Dr. Cardenas' usual standard, your brow bossing on the one side is still visible and not just a little, maybe it seems more obvious in these pics than what I remember because of the amount of settling that has taken place in a year now, somehow the other side does look nice and flat. Yes the jaw could do with some tapering down, and in my opinion, there's no reason why these things wouldn't have been able to be achieved the first time around, so I would be expecting to only pay anaesthesia fees and not the surgeons.

Your chin, trachea shave, and nose, seem to have gone great, in your place, I would weight out the risks and benefits of getting my nose re-done, the reason is I had a bad nosejob done with my BA in 2013, I have had 2 revisions after that (3 ops total, last one with my ffs). A lot improved from the bad job I had done the first time but there are things they were never able to fix caused by the first bad job I had (the original surgeon left a needle in my nose and had to go back in to get it which completely messed it up) but I am happy enough now! What I'm trying to say is,!noses are very difficult to get right and fixed once something goes wrong. If you are going in for rhinoplasty, make sure you really want it. If it's only for small improvements , try to think it thoroughly and really measure out wether it's necessary or you could do without it, but of course that decision is ultimately for you to make!

Your cheeks do seem like maybe they could do with something, I would maybe consider some fat transfer to them too, I can't say I know enough about cheek implants, maybe the fact that I have two big breasts already scares me away from having implants anywhere else in my body, I don't know! , but I'm wondering wether your jaw is making that need for fullness more noticeable as it is right now? If that makes sense..

I myself will likely be having to go under for some small improvements, so you're not alone at it!

Regardless, you are looking beautiful as always and I am just happy to get to say hi to you once more!
Title: Re: Cardenas revision
Post by: jgirl76 on May 31, 2015, 02:07:36 PM
Hi there Cali! It's nice to hear from you! You're looking AMAZING by the way, Dr. Bart did a beautiful job on you! Appreciate the constructive feedback. I will likely be going to DiMaggio or Rossi at a future date. I would really like to go to Buenos Aires first and consult with them both in person and compare notes. On an additional note... I noticed that Dr. C seems to do really well with ethnic girls. Perhaps it's because generally they start out relatively feminine. If one needs aggressive work done, he is not the one. I'm really tempted to go back to him to fix things because I already paid the money... but that's what got me into this pickle in the first place, I should have waited but he was the right price at the right time and I went for it....  I don't feel worse off than I did before, but the idea of having to go through this again is rather daunting... I just want to feel that I'm done with it and I just don't feel that way. It's such a disappointing thing! Anyhow, thanks again for the feedback and I'm glad to see you're still here lovely girl! XX
Title: Re: Cardenas revision
Post by: jgirl76 on August 02, 2015, 01:54:02 AM
I wrote to Dr. Cardenas and Tyler over a week ago about my concerns and sent photos. I have yet to hear back...
Title: Re: Cardenas revision
Post by: kittenpower on August 02, 2015, 01:21:30 PM
That's terrible; I was considering surgery with Dr. Cardenas, but one of the things that seriously bothered me was that Tyler took too long to reply to my email. 
Title: Re: Cardenas revision
Post by: jgirl76 on August 03, 2015, 12:14:37 AM
Still nothing.... I'll let everyone know if I ever hear back...
Title: Re: Cardenas revision
Post by: radialan on August 03, 2015, 05:01:24 PM
Hi JGIRL, please check your spam.  Dr. Cardenas sent you an e-mail at 8:14 AM Central Time on 7/27/2015.  If you can't find it, I can forward it to you. 

Kittenpower - I'm sorry that we didn't respond to your e-mails as fast as we should have.  If there is a chance that we can help you, please consider reaching out to us again. 
Title: Re: Cardenas revision
Post by: Laura_7 on August 03, 2015, 05:09:34 PM
Quote from: jgirl76 on August 03, 2015, 12:14:37 AM
Still nothing.... I'll let everyone know if I ever hear back...

If you are using a mail program you might log in to the web interface of your mail provider and check folders...
you also might add known addresses to a whitelist so mail is delivered...

hugs
Title: Re: Cardenas revision
Post by: jgirl76 on August 07, 2015, 03:50:57 AM
I did finally hear back from Dr. Cardenas and we are discussing a possible revision. Not sure yet what the costs for revision will be etc.   
Title: Re: Cardenas revision
Post by: MsFierce on August 07, 2015, 06:51:04 PM
I'm curious to know if their going to make you full price. Because, I need a revision also. he did my first surgery which didn't turn out good. I'm more clockable now then ever before. I've never wore my hair back in a ponytail not once in public, I have to much brow bossing still. Now I have to go back and do a revision (type 3) with full price and if he gives you any discount, Thats not very fair. I'm also tired of girls coming on here claiming he does better with Ethnic girls, I'm ethnic and I highly disagree with that comment. Every surgeon has its best and good ones and I've actually seen better white girls when I was there  that had work done same time as me, I didn't even know two of the woman were even trans woman, thats how good he did and one was 58.
Title: Re: Cardenas revision
Post by: possessed on August 08, 2015, 11:50:14 AM
I am thinking about going to Cardenas for fat transfer. Do you have any experience with him on this?
Title: Re: Cardenas revision
Post by: Melissa_fox on August 09, 2015, 02:06:41 PM
I would be leery of going back for a revision. Some doctors aren't happy about doing them even though they might feel obligated to do them.
Title: Re: Cardenas revision
Post by: jgirl76 on August 10, 2015, 02:19:52 AM
Posessed,
I did have fat transfer to my lips by Cardenas and it lasted for a while but I would say that most of it is gone now. I think a filler like Restlyn (sp?) can be done for cheaper in the US. I found the fat transfer to be expensive, which I assume is because they have to harvest the fat etc. With filler, it's already ready to inject.

Tinkerbell,
I have not yet heard back about what the costs will be... I would plan to keep any agreement reached doctor/patient confidential as every case is individual. I'm sorry to hear in your case that you don't feel you received a good outcome, unfortunately I also know the feeling...  Regardless of price,  there are other factors I have to take into consideration as well, so the price would be one factor.

Melissa,
I have some similar fears/feelings about this...  I do think Dr. Cardenas is sincere about wanting to help (which I appreciate) although there is never a 2nd chance to make a 1st impression. My trust in him is understandably somewhat challenged as the correct procedures weren't done from the beginning. Beyond pricing I will have the mental and emotional task of deciding if I can bring myself to go back to Guadalajara or if I'm better off with another surgeon... I'm still doing a lot of soul searching at the moment and I appreciate your perspective.
Title: Re: Cardenas revision
Post by: possessed on August 10, 2015, 10:25:37 AM
Thank you very much for your response. I was thinking about getting fat transfer to the hips and butt. Do you have any idea what is he like for that. Also I am kind of afraid to travel to Guadalajara. Did you find it safe?
Title: Re: Cardenas revision
Post by: kittenpower on August 10, 2015, 01:39:24 PM
Quote from: jgirl76 on August 10, 2015, 02:19:52 AM
Posessed,
I did have fat transfer to my lips by Cardenas and it lasted for a while but I would say that most of it is gone now. I think a filler like Restlyn (sp?) can be done for cheaper in the US.
I had Juvederm injected into my upper lip a few years ago, and it lasted for over a year; IIRC, It was $300.
Title: Re: Cardenas revision
Post by: jgirl76 on August 12, 2015, 02:36:43 AM
I have not had body work done by Dr. C, but have had friends who have and they were happy. You'll be safe in Guadalajara. It's a little dirty in places, but I never felt unsafe. Downtown and the nearby neighborhoods were actually really nice. It is MEXICO, MEXICO though... not a resort.
Title: Re: Cardenas revision
Post by: possessed on August 12, 2015, 11:06:18 AM
Thank you very much for your info. How aggressive is he with liposuctions and how much of the transferred fat stays in place after fat transfer?
Title: Re: Cardenas revision
Post by: jgirl76 on August 18, 2015, 03:16:21 AM
It's been some time since I should have heard back about revision costs.... To date I've not been provided any figures... I have heard nothing back. At this time I have resolved that I lost my hard earned 16k and didn't receive an acceptable FFS result. I will need  forehead and jaw revision but it won't be in Mexico. I'm feeling somewhat disappointed by my decision to go there now, but it is what it is... I'm left holding the bag now, they got my money...  For those who have the luxury of waiting a little longer, your money will go further with another surgeon, especially if you're looking for a good forehead result. Do not let anyone lie and tell you that type I is sufficient unless you barely have any brow bossing at all. If you have even moderate bossing, you'll need type III from a surgeon who is truly experienced with the procedure. DO NOT SELL YOURSELF SHORT, it's not worth it! This is a surgery you only want to go through ONE TIME, it is BRUTAL. Do not be convinced to part with your hard earned money for insufficient procedures. That's it ladies!
Title: Re: Cardenas revision
Post by: crowcrow223 on August 18, 2015, 04:57:07 AM
I'm highly appreciative of your posts Jgirl, decided not to go with Cardenas for any facial work except maybe my nose (just a little improvement).

I still, however, consider him for hip and buttock implants... Haven't met anyone who had his hip work done... I may have to be the pioneer in that. Although I also think of liposuction, hmm...

There's also another guy in Chile that does hips, I guess, unless I do it, I won't know
Title: Re: Cardenas revision
Post by: Laura_7 on August 18, 2015, 07:20:40 AM
Quote from: crowcrow223 on August 18, 2015, 04:57:07 AM
I'm highly appreciative of your posts Jgirl, decided not to go with Cardenas for any facial work except maybe my nose (just a little improvement).

I still, however, consider him for hip and buttock implants... Haven't met anyone who had his hip work done... I may have to be the pioneer in that. Although I also think of liposuction, hmm...


You could have a look here:
https://www.susans.org/forums/index.php/topic,180220.msg1593390.html#msg1593390
and here:
https://www.susans.org/forums/index.php/topic,180220.msg1608335.html#msg1608335


hugs
Title: Re: Cardenas revision
Post by: radialan on August 19, 2015, 03:40:03 PM
Quote from: jgirl76 on May 26, 2015, 04:46:26 AM
I'm sure because you are having type III you will be better off than I was. Do not get me wrong, I don't think Dr. Cardenas is not a good surgeon, HE IS, when he does the right procedures. Roni did get EXCELLENT results from him, and my results weren't "terrible" they just weren't optimal. For me because I only have one more shot at this, my confidence is blown because he didn't do the right thing the 1st time, however, that isn't to say he won't do the right thing by you. I have trust you'll be in good hands :)

We were saddened to learn that JGIRL's opinion has now changed from what was written above on 5/26/2015 to what she just recently posted.  In the above post, she seems to recommend Type III by Dr. Cardenas.  In contrast, she now encourages you to consider a more experienced surgeon.  Because these negative comments will live forever online, we feel that we must point out this discrepancy and encourage further research before jumping to any conclusions.  We know that we cannot satisfy 100% of the people, 100% of the time, but our goal is to get as close to that figure as possible.
Title: Re: Cardenas revision
Post by: Mariah on August 19, 2015, 06:18:53 PM
 :police:
Okay folks. Here is the deal. We do not need to be making personal attacks or bashing someone because they may or may not work for a particular surgeon. No special favoritism is given to anyone on this site and that should always be remembered. Rules are not bent just because someone does or does not donate.

Quote2. Any attempts to stage protests, dispute the site policies, the TOS/rules, or actions of the staff; in the public areas of this site will not be tolerated and will result in your removal. If you have any issues, contact Susan by email (susan@susans.org), or forum private message, and not bring these types of issues into the public spaces on this website. For the proper way to handle problems of this nature see item #20 below.

5. The posting of messages on the chat or forums which are of a threatening tone; intended solely to communicate sarcasm, contempt, or derision; are intended to belittle or ridicule a person or group; to disgust the viewer; contain obscene or pornographic materials; which are intended to titillate (http://www.answers.com/titillate); or which depicts/promotes illegal acts; will not be permitted.

7. Leave moderating to the moderators! Susan and her staff are the only people who are authorized to deny anyone access to this website, including telling someone to leave, or to stop discussing a topic.  If someone wishes to discuss a subject that you are not interested in,  suggest a new subject; go to another of the many areas on this site; or ignore that person, topic, or discussion.

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  • Advocating the separation or exclusion of one or more group from under the Transgender umbrella term. The same restriction applies to advocating the removal of the T from GLBT.
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15. Items under discussion shall be confined to the subject matter at hand. Members shall avoid taking the other users posts personally, and/or posting anything that can reasonably be construed as a personal attack.

and from a policy governing the FFS threads

Quote from: Cindy on May 03, 2015, 03:30:19 AM
If there is any bickering from associates, staff members, clients of the various FFS units then I will ban you.

I will not tolerate the casual and insinuating insults to the various FFS centers. I will not tolerate bashing of surgeons or centers.

You have been warned for a final time.

Cindy
Forum Admin

From donations policy

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Title: Re: Cardenas revision
Post by: possessed on August 20, 2015, 05:07:18 PM
I have never been Dr Cardenas patient. I had totally different doctors operating on my face. So I am very objective. I believe that this particular patient has unsatisfactory brow results and needs revision. None of us knows why did she go for type 1 forehead reconstruction. Obviously that was wrong indication for the results she wanted. That doesn't make Cardenas a bad choice. Indeed I have seen so many stunning results of this doctor and the most important thing I have never seen one that looks done and plastic. Majority of his patients not that only pass but make beautiful women. So saying that Cardenas was a bad choice for the results she wanted is acceptable. But I believe that Cardenas is a great choice for many patients to come.
Title: Re: Cardenas revision
Post by: AubreyN7 on August 20, 2015, 09:24:51 PM
If I remember correctly, Jgirl76 and I had our surgeries a few weeks apart, and it seems as though we've had two vastly different outcomes. I only had a Type 1 as well, but it seems that was all I needed on my forehead, as it looks very feminine. My face took a LOOOOOONG time to settle, but now I'm very happy with it. I was impressed enough that I went back to Dr. C for a BA earlier this year, which turned out fantastic. He was a good choice for me, I guess. In any case, her forehead and mine don't look similar, and I agree that if you have your heart set on a Type 3, then that's what you should get.
Title: Re: Cardenas revision
Post by: Mariah on August 21, 2015, 09:54:19 AM
Thread locked. This thread has run it's course. It has become a haven for bashing this surgeon and staff. This type of behavior is against TOS 10 and will not be tolerated. Thanks
Mariah