Susan's Place Transgender Resources

Hello Everyone,

     I'm new to the posting on the boards, but I've been a visitor for a while. I decided on Dr. Rossi because I liked his work in several before/afters on this forum. After contacting t-change, I decided the price was exactly what I could afford and I was satisfied with his credentials and level of experience. Dr. Rossi has done amazing surgeries even though he's relatively new in terms of "mainstream" FFS. He is a proper maxillofacial surgeon. Corresponding with Amanda over there has made a difference in my decision; she's answered every question and helped me find an apartment. Knowing she will be there to pick me and my partner up at the airport is a big deal also.

     I've been told by another plastic surgeon that my face is a "challenge."  My upper lip is strange: the shape is very nice already, but it looks a little bit long from the front, and very long from the profile/side. Since my teeth are already showing, as is, I might not be able to get a lift. Fat infiltration is too risky. I'm having the front two teeth shaved a bit before surgery so maybe that will help.

      Lots of bossing but I'm not terribly worried about that. The doctor will do his best but I'm keeping my expectations limited. The rhinoplasty and the sliding genioplasty worry me a tiny though. Not sure if I want a little chin implant because I heard they can come undone and rotate. If anyone here had that experience, please let me know. All my procedures listed below:


-Forehead reconstruction with setback of the anterior wall of the frontal sinus and orbital rims reshaping.
-Hairline correction – up to 2 cm advance or corners smoothing out (*)
-Brow lift (to make them match the new forehead shape) (*)
-Feminizing rhinoplasty  (to make the nose smaller overall; to leave the bridge shorter and straight or slightly concave when seen from profile, and to give the tip more definition and a slight upturning)
-Possible upper lip lift (to make it vertically shorter)
-Chin feminization (lateral tapering and projection improvement with chinbone graft or tiny implant)
-Jaw feminization (tapering of the ridges that run along the bottom edges of the jaw on both sides, to make them match the chin tapering)
-Under chin liposuction

Here are some pictures of me as a guy. A little over a year on hormones. Still growing my hair out.

(https://www.susans.org/proxy.php?request=http%3A%2F%2Fs5.postimg.org%2Fxce82pkwz%2FIMG_3495.jpg&hash=27f18b6b116eb06f6d50f6215737dc5f85be8061) (http://postimg.org/image/xce82pkwz/)

(https://www.susans.org/proxy.php?request=http%3A%2F%2Fs5.postimg.org%2F5qbgi11k3%2FIMG_3500.jpg&hash=2be719fa7b6dcf904f8d801c70dbcacf793299b7) (http://postimg.org/image/5qbgi11k3/)

(https://www.susans.org/proxy.php?request=http%3A%2F%2Fs5.postimg.org%2Fezdms5ag3%2FIMG_3505.jpg&hash=d74031a768e39960a62bf7b0208104f7a1a874e1) (http://postimg.org/image/ezdms5ag3/)



And here are some with my nice wig and some make up. Amazing the difference it all makes:

(https://www.susans.org/proxy.php?request=http%3A%2F%2Fs5.postimg.org%2Foqfjvuyar%2FFull_Size_Render_1.jpg&hash=9d16a6f9a3ec460b712dbbc59c2f5bd8653cf7e4) (http://postimg.org/image/oqfjvuyar/)

(https://www.susans.org/proxy.php?request=http%3A%2F%2Fs5.postimg.org%2F87wegs083%2FIMG_3142.jpg&hash=0b0da0f538cd338374c48c416a68dc3f7665d799) (http://postimg.org/image/87wegs083/)

I'm leaving to Buenos Aires this Friday and will hang out until my surgery. I'll post updates on this thread frequently, including written descriptions of my experiences.

- Ruby

Hi Ruby, thank you for sharing your experience with us; I will be watching this thread carefully, and I wish you the best possible outcome with your upcoming surgery! I like your bottom 2 pictures; very pretty :)

Ruby,

We'll be in Buenos Aires at about the same time, that's very special  :D

And don't worry about challenges. Challenges are meant to be overcome :) I'm sure you'll do great!

Don't worry too much about your profile, mine is way worse. More like neanderthal than human, with the brow bossing and my nose sticking out like a beak. Your hairline is fine, and so are your lips. Just leave a little while for your hair to grow and you'll look great - especially with a new cute face  ;)

How exciting! I'm currently in the process of finally scheduling an appointment with Dr. Rossi myself!

Mind if I ask, did you do all the communication through Amanda?  I almost wish there was a skype call or something with Dr. Rossi to assure me before making the deposit.


p.s. Ruby, I wanted to relate that I was, several years ago, a student at CCSF as well!!

Kittenpower: Thank you for the kind words. I'll do my best to update, not sure if too many other people care much though ;)

Charlotte15: Hey! Good to hear from you here. It is special, we have a lot in common including our surgery dates :) I hope Dr. Rossi is up to the challenge. I'm so happy for you though, MDM has been doing these surgeries forever, and not only that but I know you look pretty cute as is :) And I wish my hair was longer, so short! Had to cut it for my crap job I recently quit.

Ever: Hi :) Your avatar pic looks great, just wanted to say that first. I did all my communication through Amanda, yes, although I'd rather Dr. Rossi spend his time with patients who are already in Argentina. Amanda has a lot of experience and I trust her so I can wait for the final consultation with Dr. Rossi. And hey, I went to CCSF a few years ago too, bought the sweatshirt to support them. Great school, I just finished my masters at SFSU. I saw your other thread - going to a conference eh? Jeez, so many well-educated people on this forum :)

Thank you darling!

Okay, well, that is much reassuring, as wiring so much money makes me nervous when I haven't even had a skype consultation, which seemed like standard practice with the many other doctors I consulted.

Yes! I should get a CCSF sweatshirt too.  Haha, yeah, I adored that place, then transferred to the UC just on the other side of the bridge to finish my BA, and now am doing my phd at a different UC! very exciting to hear you were also educated in the bay area!

Ever: UC Berkeley I presume. That's awesome. Well I'll be around, wish you well with your surgery and your conference :) Check back in here if you want to see what Dr. Rossi can do.

And the very best of luck to you on your voyage south!

I would usually say "Good luck", but you do not need it because your going to T.Change and Dr Rossi.
Buenos Aires is a beautiful, friendly city. Obviously as in any city, you have to have a certain level of caution, mainly against pick pockets, and other petty criminals.
You can buy all you hormones cheap from the pharmacies, but shop around, and if ordering a good amount you can definitely ask for more discount.
Try not to miss going to the Teatro Colon, or a couple of Tango shows, I recommend the Saturday night performance at the Pacifico Galleria.
Enjoy the whole experience, you are in good hands  xx

Hi All,

      Surgery is tomorrow, starting at 10 am. Nervous and excited. I met with Dr. Rossi for my final consultation. Immediately I sensed his really remarkable personality, both very humble but also extremely confident. He described everything in detail after looking closely at my face. He will be as aggressive as I had hoped for, more so actually. He stressed harmony in all the procedures which makes me think he's an ideal surgeon if you want everything possible done. I added a new procedure - tracheal shave. Initially I didn't need it but losing weight exposed my adam's apple.

      The main thing I was worried was that my sinus cavity would not be deep enough to set it back far enough. I was prepared for the possibility of not having the flat forehead I wanted. But the X-ray came out much better than I thought. The sinus is very deep and will allow for major reconstruction :) The X-ray's also reveal more jaw bone than can be normally. He is going to reduce is further the jaw to complement the fat distribution. He's also doing a different kind of lip lift that leaves less of a scar under the nose. Finally, he's doing an open rhino-septoplasty, meaning he will be able to really work on reducing the size and angle of the nose in relation to the rest of my face.

      I spent quite a bit of time with Amanda today. I won't soon forget her. If you are wary of traveling to another country for this surgery, I highly recommend t-change because of her incredible level of support. The whole team is top notch too.
   
      Met one of their patients the other day. They did an amazing job, I couldn't help but wish that my own results will be as good. We'll see. I'm scared of anesthesia and the whole thing but I'l be back and post some more pictures when I can.

Ruby, Good luck tomorrow. Hugs
Mariah

Congratulations, and I'm very happy for you :)

Today is the BIG DAY! Best wishes and speedy recovery!

So great to hear your experience going well so far! best of luck to you hun!!!!!
Everything will turn out wonderfully!!

Hope it all goes well for you and you recover quickly. From my dealings by e mail with Amanda she seems awesome and I can't wait to meet her.

Hugs

Sorcha  ;D

Hope the recovery is going well and you're doing fine!

Hello Everyone,

        The first two days were really bad. I was swallowing too much blood while taking pain medication, all on an empty stomach, which caused me to wake up in the middle of the night vomiting. The worst part is that all my vomit was blood and it was pretty violent too - a bit came out of my nose! Luckily I cleaned up nicely and now I'm doing well . The swelling is going down quickly but I still have to wear a compression mask because of the liposuction. My partner helped me make it through all of this :) <3

So far I am very happy with the results. Before I swelled up, my jaw/chin looked amazing. My forehead is very flat although I haven't seen the bridge of my nose. The bottom of my nose looks great too. Dr. Rossi and his team are really talented. He and his wife work together in the operating room which is really special I think, and I met the rest of his amazing team before the surgery. Amanda knew I was nervous and she put scrubs on and stayed in the operating room :) She's been checking up on me too, a phone call and a few blocks away, making sure I'm fine.

Day 1:

(https://www.susans.org/proxy.php?request=http%3A%2F%2Fs5.postimg.org%2Fmocgdxk83%2FFull_Size_Render.jpg&hash=447aa1b5444aa12752c01bb15f0b60af1f5e39ad) (http://postimg.org/image/mocgdxk83/)


Day 2:

(https://www.susans.org/proxy.php?request=http%3A%2F%2Fs5.postimg.org%2F7na5wo1ib%2FIMG_3648.jpg&hash=113a886f690aaec782b70247040f712e5d0dc3e8) (http://postimg.org/image/7na5wo1ib/)

(https://www.susans.org/proxy.php?request=http%3A%2F%2Fs5.postimg.org%2Fjrpfdneeb%2FIMG_3649.jpg&hash=0c9f03e9ba7c99159bb92b7bf26f757f91f4e4da) (http://postimg.org/image/jrpfdneeb/)


Day 3:

(https://www.susans.org/proxy.php?request=http%3A%2F%2Fs5.postimg.org%2Fwkdjdkq03%2FIMG_3694.jpg&hash=7f2606e8ec72ba9306f9c1aa3635699e1c58b606) (http://postimg.org/image/wkdjdkq03/)


Day 4 (with compression mask on):

(https://www.susans.org/proxy.php?request=http%3A%2F%2Fs5.postimg.org%2Ftxy0wmysj%2FIMG_3704.jpg&hash=96d76f6aca21b6f3a5549ac2f8ea5676e510ff41) (http://postimg.org/image/txy0wmysj/)

(https://www.susans.org/proxy.php?request=http%3A%2F%2Fs5.postimg.org%2Fw18g4aylf%2FIMG_3708.jpg&hash=6386169ce82415b81e5d1a795f1bd8d05c76f765) (http://postimg.org/image/w18g4aylf/)

More pictures and written experiences as I recover. Looking good so far :D

Wow you already look so pretty!! I love your profile and the cute earring!! Take care of yourself!!

I find myself swollen up a bit too much, but I will try to share a pic here too

Those first two days sound frightening, but I'm glad to hear you've come out of that and are getting better
And even despite all the bandaging, I can tell you'll look amazing once the swelling subsides!

Wow, you're results look amazing at this stage; you definitely look female! I can't wait to see what you look like when the bandages come off, and the swelling goes away; I'm sure you will be beautiful :)

Looks really good so far, I'm sure you'll be really lovely when all the swelling goes away.

Take your time and try to relax and we'll all be here when you feel up to posting

Hugs

Sorcha  ;D

Congratulations! Can't wait to see the changes! Hope all is healing well and you're in good spirits HUGS

   Thanks everyone for the well-wishes/congratulations. The pain and swelling is finally starting to really subside. Dr. Rossi just came by my apartment for a visit to check on me, which was awesome. He's just a really good guy, and both my partner and my mother who came agree that he was a very good choice for surgery. So far I highly recommend him. No nerve damage as far as I can tell. Sensation is coming back everywhere, with tingling and little shocks, which is especially great considering he did a lot of jaw/chin work.

   My forehead is so much flatter now, it's crazy. Check the below X-ray. The bossing was pretty bad (you can see in my original post). He moved that back very far. He brought together my M-shaped hairline which is now a nice shape. No scar in front, he did a coronal incision stitched back with the trichophytic method, meaning hair should grow through the scar (I believe this is what Dr. Spiegel and many American surgeons do as well). My eyebrows also look really awesome. Not too high, not too low, just right. Since I have thicker eyebrows, he gave them a slight curve, leaving me with option to curve/thin them more on my own or keep them more straight/natural.

   I haven't seen the bridge of my nose yet, only through the cast. If it looks anywhere near as good as the slightly upturned tip, then I'm in a good shape. He was very aggressive, using open rhinoplasty to really reduce the overall size. I was told by a plastic surgeon trained by Ousterhout not to get a upper lip lift but Dr. Rossi said that I need to in order to balance out my face. He did a really great job with that as well raising it up mostly up on from the sides. The sliding genioplasty he did really reduced the height of my chin and face overall by a least a centimeter. Even with all the swelling, it looks shorter. He also moved my receding chin forward quite a bit, no implants necessary. My profile looks much better than before.

My new profile:

(https://www.susans.org/proxy.php?request=http%3A%2F%2Fs13.postimg.org%2Ffoi4scaw3%2FIMG_3739.jpg&hash=fd40f356720f930b61f7355a7a120adc16da6631) (http://postimg.org/image/foi4scaw3/)

X-ray(check out the bossing that goes on for my entire forehead and long, boxy chin):

(https://www.susans.org/proxy.php?request=http%3A%2F%2Fs13.postimg.org%2F5sh1sp543%2FIMG_3740.jpg&hash=afa25131a3aefca66979cdc50a2c70fd1853160a) (http://postimg.org/image/5sh1sp543/)

I'm wearing a compression mask to keep the swelling at bay and also because I did neck lipo. The lipo is actually very painful - I thought that soft tissue work might be less drastic and painful but that's not the case at all. I have a yellow bruise running across my entire neck, right on the tracheal shave they did.

I'll post some more pics on the bridge of my nose when I have the cast removed and some swelling goes down. I'm really happy I chose Dr. Rossi. The price was perfect but it will go up as more people know about his amazing results, either through their website t-change.com or on these forums.

Hope that was informative, maybe to help someone on here to feel better choosing Dr. Rossi. Buenos Aires is beautiful :) Staying here for a month, soon I'll be out and about, vacationing and enjoying the city, which is like a mix of New York City with Italy, but way cheaper. Lots of pain, lots of gain :) Time for some fun. Can't wait to see Charlotte again from these forums, so happy we got to hang out. Shout out to her; she's super nice, smart, and beautiful! Her tips for navigating the city have helped me a good deal, so anyone going read them all. I highly suggested meeting people on these forums if you go around the same time.

- Ruby Aliza

One more thing - I think I should give credit to Dr. Rossi's entire team. I met them and they are humble, but top-notch. The anesthesiologist is so good I actually had good dream during the surgery and Dr. Rossi's wife, an oral surgeon, plays an important role in making sure the incisions in the mouth are perfect and that there is no nerve damage to the chin/jaw. She even does dental work! She shaved down my two front teeth to make them shorter, rounder, and more feminine in general, which made a big difference in my smile.

When I hear of the Facial Team in Brazil and Spain, I think to myself that all these surgeons mentioned on this board are "facial teams." The surgeries are so highly complex that many talented people must be involved.

-Ruby Aliza

Your profile looks great- I mean, just perfect!!

The jaw can't really be seen, but judging from the facemask it should be of the perfect proportions.

There is some swelling in my neck and I only wear a compression band a few hours a night, so I won't be posting a profile anytime soon. My jaw is gross lol.

Anyway, I am also eagerly waiting to meet you again! Note to other forum readers: it is a lot of fun to make a friend on the forum, but even more so to meet in the real life! And Ruby, let me return the compliment: you're extra nice, smart and at least as beautiful! I am totally jealous of your frame, skin tone and texture :-)

May I inquire ballpark what you payed?

amazing result!!! What is the cost for all you have done?? :)

Hey All,

      For anyone wanting to know the price, please seek a simple consultation with Amanda at T-Change. She'll give you the most up to date prices. I will say it's very competitive, and in my opinion, the best deal you can get anywhere. Of course, when you are getting surgery, don't just look at the price, but the results. I am personally very happy with mine so far. However, I do understand that trans girls are often in a budget crunch so we need a good deal too :)

      Feeling even better today. The swelling goes down visibly every day, but it will still probably take 6 months to see the full results. Since my (real) hair is still super short, I will wait to post a day-to-day picture of myself.

Its good you are getting better.

Keep us posted, also about your excursions :) .


hugs

Amanda is very quick to reply.  Best thing to do is follow the directions on the t-change website.

Quote from: RubyAliza on June 09, 2015, 09:24:08 AM
Hey All,

      For anyone wanting to know the price, please seek a simple consultation with Amanda at T-Change. She'll give you the most up to date prices.

SNIP

Amanda is awesome and extremely efficient. The price from Dr Rossi was the best I've been quoted even though he has said he'll be the most aggressive of the 3 surgeons I've consulted. He's also cleared me for surgery based on my answers to the medical questionnaire Amanda sent to me. Let's see what Dr Z says later today and then I can make a decision

Hugs

Sorcha  ;D

Please do let us know what your decision is! Or you could PM if you have any specific questions regarding Rossi I might be able to answer. I'm interested that it is between these two. I would think the price difference is relatively large because of the strong dollar at the moment . Even though I live in the US, I still couldn't afford Zukowski, who is of course very good. Whatever choice you make, you're in good hands.

Quote from: RubyAliza on June 09, 2015, 06:41:07 PM

Please do let us know what your decision is! Or you could PM if you have any specific questions regarding Rossi I might be able to answer. I'm interested that it is between these two. I would think the price difference is relatively large because of the strong dollar at the moment . Even though I live in the US, I still couldn't afford Zukowski, who is of course very good. Whatever choice you make, you're in good hands.

I will definitely update you yes :) I have sent you  PM as well so thank you for the kind offer of help. I am really interested in how Dr Z can do the things he says without major incisions so I'm hoping he can enlighten me about that. His price may well be the stumbling block but we'll see in a few weeks when the quote comes. Right now I am fairly sure I know where I'll be going but I'm doing what many have advised and researching all my options

Hugs

Sorcha  ;D

Well, as he conveyed to be in conversation, Dr. Rossi also does everything with the minimal amount of visible incisions possible.  He may presently be cheaper, but from what I've observed, he's at level with the very best, and I'll be able to see that first hand when I have my own ffs in early August.

As promised an update from the chat with Dr Z, I won't publicly state the amount he quoted as that is unfair on him in case it puts folks off even seeking a quote.  :)

His opinion of my face was by far the most detailed of all I've received, He wants to do procedures I'd never heard of and he was really detailed in his explanation of how he'd perform them. He is the only surgeon so far to have mentioned the fault I know exists with my nose and he is also the only one who commented on what I believe to be my best facial feature. His work is designed to enhance that part as well as make my whole face and neck physically smaller.

I am considering writing a thread here explaining what has been suggested by the 4 surgeons and seeing what those who've been through it think is far enough for me to go. I am also considering asking the Dr I'd previously settled upon to give and opinion and a price for the extra work Dr Z mentioned because I'm rather tempted to wonder just how different I'd look.

Anyhow I will do some deliberating and keep watching the site and see what people say in their threads.

Hope recovery is still going well Ruby and you're feeling fit to go exploring soon

Hugs

Sorcha  ;D

Ruby, tomorrow will be two weeks right? how are things going?!

All the best!

Hi Ever,

       Nice to hear from you :) Today is two weeks and I've recovered pretty well. I am still swollen enough that I will wait until the two month mark to post more pictures. There is one more update I will mention; I am very happy Dr. Rossi chose a coronal, behind the hairline incision. Already, it's practically invisible and hair will go through the very thin scar. Unfortunately though I had a relatively bad M-shaped hairline that you can't see in my pictures and he could not pull the hairline forward while closing those up. There would be too much tension in different directions. I had to choose one or the other and I chose to close them up.

    The result is that my face looks great but the sides corners of my hairline read either male or make me look like I am 40. So I made a last minute decision to get hair transplants right before I leave. I have an appointment to do it tomorrow, but Amanda might be able to find me a better doctor for a better price :) The point is if you have the same problem I highly recommend you get hair transplants. The hairline is so much more important than I realized at first.

Other than that I am very happy :) I am now Ruby forever without having to get super dolled up. I am so excited for you and everyone who has this amazing opportunity. It may be the most painful experience of your life, but I am telling you, it's totally worth it :D Hopefully you're a masochist like me.

- Ruby

Hello,

     Thought I would post a minor update. As I mentioned in the previous posts, I am happy with my surgery. But the warnings doctors often give ffs patients about feeling depressed after surgery is true; I felt down because of all the pain, swelling, lack of energy/exercise, and normalcy of day-to-day life. Not sure if anyone else here felt the same after surgery but it's a very real phenomena that girls on this forum should not dismiss. especially if one has a history of depression or anxiety. Be diligent and remember you'll feel better very soon. Stay in touch with family, loved ones, and friends.

    I wanted to update my thread with info on my hair transplants. If the hair grows out just as it looks now (still scabbing), then it will have made an amazing difference. Seriously folks, consider it as an option to pulling the hairline down surgically. I asked Dr. Rossi to focus on rounding out the hairline and fixing the shape, so that the transplant surgeon could add a very feminine hairline that is a lot lower and naturally shaped. It looks great, better than possible through a hairline correction through ffs. The shape can literally be customized exactly the way you want it, unlike a surgical correction in which the hairline cannot be pulled in  ways that cause tension in multiple directions. Also, the scar behind the hairline is practically invisible. My transplant surgeon complement Dr. Rossi on his work. Transplants require a bit more patience though. The hair will fall out before it starts to grow again but should come back in 6 months. Here in Buenos there are many skilled transplant surgeons at affordable prices even less than places like Mexico (cheaper than Cardenas - I paid under $2000 for more than 1000 grafts).

    Dr. Rossi is coming by to see me one more time before I leave on Wednesday. I'm sad to be leaving, really. This city is incredibly beautiful. The food is great, the people are so nice, and the city feels like an eclectic mix of modern and old European style urban environments. Finally, I am going to miss Amanda so much. If I lived in this city, I would totally want to be good friends with her. She's so funny, honest, and full of wisdom. My partner and I have decided that we are definitely coming back to t-change which she runs with Dr. Rossi and his team. I will be getting body contouring, which one of Dr. Rossi's assistant surgeons, Dr. Angel Appiani, is highly skilled at doing (I met another girl here who got work done and she was very happy). Most likely I will want a second round of transplants too. So this will only be a temporary goodbye :) until next year hopefully, my budget permitting.

    I'll hopefully post more updates in the future but if anyone has any questions at all, feel free to message me. I've got quite a few messages already and I've answered every one as quickly as possible. So many nice people on this board :D Bye ya'll, until the next time!

- Ruby Aliza

   

Have a safe trip home! I also felt some depression after surgery because I wanted so badly to feel normal again, but also because in my heart (in my case) I knew the surgeon hadn't done what I really needed. I was happy things looked better, but not happy because I knew the mark had been missed. I'm glad that wasn't the case for you, I can't wait to see you all healed up! And don't worry, you'll be feeling back to normally after some months, it will go by, just live your life and let healing happen <3  -J

It WILL happen, don't worry!

Thanks J! Wishing you the best too. In time we'll both feel fully like ourselves. We still got some ways to go :) I'll think you're beautiful btw even if the mark wasn't hit. You're practically a model! For me, not so much, halfway decent guy to halfway decent girl hehe anyhow hope you're doing well :)

Thank you for all the information you posted.  Based upon your posts and posts from other people who went to t-change in the past year I've sent them a deposit for a date in September.  To be honest it feels strange to wire money to an account without anything to go on but faith regarding the recipient.

The other thing is this is probably just the beginning of a string of procedures.  My face has lots of sun damage from years of outdoor sports and working on my hobby farm, so LSR is on my list.  Also, to forewarn anyone with breast implants, the possibility of failure increases over time.  I had BA over 30 years ago, so another BA is on my list too.

Based upon your comments re: hair transplants I may try to schedule them in my Sept trip too.  It just depends on how well I recover from surgery.

thanks again for all your posts.

Quote from: RubyAliza on June 21, 2015, 06:56:45 PM
Hello,

     Thought I would post a minor update. As I mentioned in the previous posts, I am happy with my surgery. But the warnings doctors often give ffs patients about feeling depressed after surgery is true; I felt down because of all the pain, swelling, lack of energy/exercise, and normalcy of day-to-day life. Not sure if anyone else here felt the same after surgery but it's a very real phenomena that girls on this forum should not dismiss. especially if one has a history of depression or anxiety. Be diligent and remember you'll feel better very soon. Stay in touch with family, loved ones, and friends.

    I wanted to update my thread with info on my hair transplants. If the hair grows out just as it looks now (still scabbing), then it will have made an amazing difference. Seriously folks, consider it as an option to pulling the hairline down surgically. I asked Dr. Rossi to focus on rounding out the hairline and fixing the shape, so that the transplant surgeon could add a very feminine hairline that is a lot lower and naturally shaped. It looks great, better than possible through a hairline correction through ffs. The shape can literally be customized exactly the way you want it, unlike a surgical correction in which the hairline cannot be pulled in  ways that cause tension in multiple directions. Also, the scar behind the hairline is practically invisible. My transplant surgeon complement Dr. Rossi on his work. Transplants require a bit more patience though. The hair will fall out before it starts to grow again but should come back in 6 months. Here in Buenos there are many skilled transplant surgeons at affordable prices even less than places like Mexico (cheaper than Cardenas - I paid under $2000 for more than 1000 grafts).

    Dr. Rossi is coming by to see me one more time before I leave on Wednesday. I'm sad to be leaving, really. This city is incredibly beautiful. The food is great, the people are so nice, and the city feels like an eclectic mix of modern and old European style urban environments. Finally, I am going to miss Amanda so much. If I lived in this city, I would totally want to be good friends with her. She's so funny, honest, and full of wisdom. My partner and I have decided that we are definitely coming back to t-change which she runs with Dr. Rossi and his team. I will be getting body contouring, which one of Dr. Rossi's assistant surgeons, Dr. Angel Appiani, is highly skilled at doing (I met another girl here who got work done and she was very happy). Most likely I will want a second round of transplants too. So this will only be a temporary goodbye :) until next year hopefully, my budget permitting.

    I'll hopefully post more updates in the future but if anyone has any questions at all, feel free to message me. I've got quite a few messages already and I've answered every one as quickly as possible. So many nice people on this board :D Bye ya'll, until the next time!

- Ruby Aliza

Hope your recovery's coming along and your feeling better

Hi RubyAliza,

I have been very impressed with your info about your stay in BA and surgery with Dr. Ross and his Team. Wow. Since I'm in contact with him too, just yesterday I got an incredibly detailed mail explaining what Dr. Rossi wants to do with my face, he actually became my favorite to do the Job. By far the best explanation I got until now. From other places I got a mail telling what they would do. T-Change send me an info which took me literally 20 minutes to read. Amazing.
The most contact I had until now was with Dr. DiMaggio. I have a friend in Germany who did her FFS with him and was very happy. Also received an offer from FemiLife and next Tuesday morning I have a Skype Consultation with Dr. Simon from Facial Team. After that is done I will decide which Doctor will lay hands on my face.
I hope your recovery is going well and your look will be soon as you always have dreamed about.

Greta

Hi Greta :)

     You can't go wrong with any of the surgeons you mentioned. In fact, that would be a difficult choice. For me, I didn't have the money to afford more than 20k but I also like a good deal. Dr. Rossi and his team did a great job, and like I've said in previous posts, I just plain really like him as a person. Almost a month out now from the surgery and I very happy with most everything. Now that the swelling is going down around my jaw/chin, I can see how much smaller and v-shaped it is overall. My nose is looking great for a first time rhinoplasty, smaller, thinner, very nice shape. Maybe I'll get a revision to make it smaller in the future, as it was big to start with. I have the opposite swelling as a normal patient. Usually the jaw and chin are the most swollen and the forehead doesn't have much swelling. I have swelling on my forehead and eyebrows and not very much swelling on the jaw/chin. This was made worse by the hair grafts of course.

I've pretty much decided that I'm going back next year for body contouring. I "tried on" some 350 cc implants and they look pretty good. Through the armpit approach would leave very little scars. If you were interested in that at all, it wouldn't add too much to the overall price. Another Rossi girl I met in person had it with her ffs and was very happy with her breast augmentation. I'm also planning on getting lip around my body and transferring the fat to my hips. I've also considering my transition as three parts: face, then body, and finally grs (my consultation with Dr. Bowers is next month!).

Deeiche - You'll be happy with your decision. Like I said, be very specific in the consultation. He has a great sense of balance and beauty so you can trust him, but as is the case with all surgeons, you may have a specific conception of beauty that is (slightly) different than the surgeon. This is true especially with eyebrows. For example, do you want them higher, more curved, or more flat? For the forehead, do you want the focus to be on hairline shape or focus on pulling it forward for a smaller forehead (I chose the former so I had the coronal incision behind the hairline - no visible scar).

Before I left, My partner and I got to hang out briefly Amanda and her partner. By our departure, we felt close to her and thinking back, I'll randomly laugh at her jokes. Great personality :) And Buenos Aires was beautiful, excited to return, this time with some warmer clothes.

Hope everyone is doing well on the forums.!

- Ruby

Quote from: RubyAliza on June 28, 2015, 12:31:10 PM
SNIP
Deeiche - You'll be happy with your decision. Like I said, be very specific in the consultation. He has a great sense of balance and beauty so you can trust him, but as is the case with all surgeons, you may have a specific conception of beauty that is (slightly) different than the surgeon. This is true especially with eyebrows. For example, do you want them higher, more curved, or more flat? For the forehead, do you want the focus to be on hairline shape or focus on pulling it forward for a smaller forehead (I chose the former so I had the coronal incision behind the hairline - no visible scar).

Before I left, My partner and I got to hang out briefly Amanda and her partner. By our departure, we felt close to her and thinking back, I'll randomly laugh at her jokes. Great personality :) And Buenos Aires was beautiful, excited to return, this time with some warmer clothes.

Hope everyone is doing well on the forums.!

- Ruby

Ruby

Once again, thanks for the info.  Eyebrows, now that is an interesting topic.  My eyebrows have always been relatively thin.  I had red hair, including eyebrows, until I began to gray.  Now that I'm focusing on my facial features I realize my eyebrows are almost invisible because of the gray hair.  Oh, well, we all age.  :-)

Hi Ruby  :),

since your FFS several weeks have passed. I don't know if you care to show some pics of you now and before. Those pics on the first days I think don't really do justice because the face is still swollen and usually looks like one wine into a the Box ring.
In another Blog I posted that I am going to have Skype Consultations for the next three days. Then I'm sure I will decide whom I chose. Having compared the evaluations of Dr. DiMaggio and Dr. Rossi the only thing I can say that Dr. Rossi's procedure is much cheaper than from Dr. DiMaggio.

best wishes on your continued recovery, Greta

Ruby

I'm guessing you went with FUS hair transplant instead of FUE based upon the stated cost.  I conversed with Amanda and I may go with FUE, yes it involves shaving the back of my head.  But I've worn various short dyke haircuts over the years, hair grows back. 

Quote from: RubyAliza on June 21, 2015, 06:56:45 PM
Hello,

SNIP

    I wanted to update my thread with info on my hair transplants. If the hair grows out just as it looks now (still scabbing), then it will have made an amazing difference. Seriously folks, consider it as an option to pulling the hairline down surgically. I asked Dr. Rossi to focus on rounding out the hairline and fixing the shape, so that the transplant surgeon could add a very feminine hairline that is a lot lower and naturally shaped. It looks great, better than possible through a hairline correction through ffs. The shape can literally be customized exactly the way you want it, unlike a surgical correction in which the hairline cannot be pulled in  ways that cause tension in multiple directions. Also, the scar behind the hairline is practically invisible. My transplant surgeon complement Dr. Rossi on his work. Transplants require a bit more patience though. The hair will fall out before it starts to grow again but should come back in 6 months. Here in Buenos there are many skilled transplant surgeons at affordable prices even less than places like Mexico (cheaper than Cardenas - I paid under $2000 for more than 1000 grafts).

SNIP

- Ruby Aliza

   I decided to post some pictures even though I was originally going to wait for more healing. The photographs on the left were taken right before surgery, and the ones on the left approximately 1 month after. I still have swelling everywhere, the forehead, brows, nose, upper lip, chin, jaw, and the neck (I seem to be particularly prone to swelling). An important detail: I opted to lower the hairline through hair transplants 2 weeks after my FFS. I did not want the incision in front of the hairline. With the coronal incision, the scar is nearly undetectable.

   Another detail worth mentioning is that my electrologist warned me that some facial hair would come back because of the extra blood flow to my face. She was right - it came back worse than I expected so I have a slight shadow around my upper lip and chin. I have to shave ever day again sadly so you can see it much in these pictures. I am wearing a bit of sunscreen in the after photos too so that helps cover it as well.


Profile
(https://www.susans.org/proxy.php?request=http%3A%2F%2Fs5.postimg.org%2Fqztdw6so3%2F1month_profile.jpg&hash=00ea7cd8a6166f17fe063ce2637b2a9ffebbb9c8) (http://postimg.org/image/qztdw6so3/)

Front
(https://www.susans.org/proxy.php?request=http%3A%2F%2Fs5.postimg.org%2Ff9fgeszvn%2F1month_front.jpg&hash=335e0c2ad2fe7dd28441b9ad15438d00b4e50fc9) (http://postimg.org/image/f9fgeszvn/)

   I am particularly happy with the profile before/after. As I've said before, I am going back to Dr. Rossi for breast augmentation and lipo/fat transfer to hips(very competitive prices!). As part of that surgery I may ask for a slight lift of the middle of my eyebrows to give them more curve, but since there is swelling behind them right now they may hopefully lift a bit on their own (they were higher before the swelling hit after surgery). Also, the lip lift was necessary because it was so long, but the sliding genioplasty was so successful in moving my chin up and forward that it actually pulled my lower lip down, making it harder to close my mouth (but closing my mouth has always been a problem with my big front teeth). I'm happy as is but I think it might be correctable with lip fat injections, which would also make my lips look nicer too :)

   I'm just happy the hard parts are over. I have my consultation with Dr. Bowers later this month but I hear that FFS is usually more intense in terms of pain and recovery time. I really just want this whole transition to be done. It's been quite a ride but I'm ready to put my time into other areas of my life. Still, I have to say that the reason I care so much to post all of this information is because other people in the forum have made such a difference in my transition. I never heard of T-Change, Dr. Rossi, and Amanda before coming here, and the tips, advice, testimonials, and pictures here have made a big difference. I even another girl from here (Charlotte) in Buenos Aires) so I can say that there really are some great people posting here :)

   Most likely I'll update this thread again at a later date as more swelling goes down. If anyone has any questions, don't hesitate to ask on here or through private messages.

Ciao,

- Ruby

Hi Ruby,

finally I am able to see your pics and they look really good. I'm glad you are happy with the results. In a different Blog I explained already that right now I have postponed my FFS for a while until I have enough money without it ripping a too big of a hole into my pocket. I had my three Skype Consultations, but actually wasn't very happy with Dr. Rossi's explanations. I don't know, there was no vibe between the two of us. First I thought it was because we talked in Spanish, but later when I talked to Dr. DiMaggio also in Spanish there was an immediate understanding plus he was able to go so much deeper on everything. That evening in my mind I chose Dr. DiMaggio ahead of Facial Team and Dr. Rossi. So, when I do have enough "spare" money I will certainly contact Dr. DiMaggio for my FFS.
I do wish you good luck with Dr. Bowers. When is your GCS happening?

hugs and thanks so much for posting your pics, Greta :)

Hi Greta,

   Different strokes for different folks, as they say. I got a great vibe from Dr. Rossi when I met him. Amanda, who knows him well, told me that he's worked with many trauma patients before and I got the sense that he is a very compassionate person. I'm sure Dimaggio is nice too, but I got an email back from someone who works for him in broken English that may or may not have been unintentionally rude. I was told that my face would be "a challenge" lol like thanks! I know I am ugly haha! Also, I really didn't like how he wanted me to get temporary lip fillers - I don't have the time or money to go back every few years to get my lips redone. The last thing is that I really didn't want to pay the extra $7000 he was asking for. Dimaggio costs a lot more, more than 60% more. Yes, he is more experienced (although Dr. Rossi has been doing maxillofacial surgeries for a very long time) but the difference in price is too much, especially considering Dr. Rossi did such a great job. I met another awesome girl here on the forums (Charlotte) who had surgery with Dimaggio at the same time as me and we came out the same. I don't know what to say, I think Dr. Rossi has become really good at FFS quickly and he's not exactly new at this either. And day by day, he's getting better with more experience.

  You're welcome with all the info :) I like to make sure people have as much knowledge about the different options as possible, especially for the girls here like me who work hard to pay for this important surgery out of pocket. Like seriously, Dr. Rossi was a godsend! Honestly, insurance should pay for this kind of surgery considering how much pain and dysphoria it causes. If that were the case, I would have gone to Dr. Deschamps-Braly (who took over for Dr. Ousterhout here in San Francisco where I live). As for my GRS, not sure exactly when that is happening because Dr. Bowers has a very long waitlist! Luckily my insurance will pay for the whole thing :) Not bad for one of the best surgeons in the world, up there with Suporn and Brassard. Can't wait for that. Also can't wait for my body contouring with Dr. Rossi next year using the money I saved by getting my FFS with him.

- Ruby
   

Your results are stunning. I really love your nose. I don't think you need any revisions at all as you mentioned in some previous posts. Congratulations on your successful surgery.

Sent from my LG-H220 using Tapatalk

Your profile looks great.  I'm looking forward to a similar change.  Plus your hair transplants haven't started to grow out.

After your posts regarding hair transplants I contacted Amanda and she quoted both FUS and FUE procedures.  I'm going with FUE and hairline incision, over time the incision should be covered behind my new hairline.  Yes, the back of my head has to be shaved for FUE, but since I'm an old dyke lesbian anyway it isn't the first time I've worn close cropped hair.   :)

One other procedure I need once I've healed from FFS is Laser Skin Resurfacing.  At 56 I've spent a lot of time outside, riding motorcycles, playing soccer & softball and farming.  I don't see many posts here regarding LSR, maybe because folks don't consider it related to FFS.  For us older folks I'd say it should be considered as something on your list, however it is definitely not necessary for transition.

Your thread and Firestarter's started me down the path to consider Dr Rossi.  My interactions with Amanda have been great.  She has answered my bazillion questions promptly.

Quote from: RubyAliza on July 03, 2015, 09:00:26 PM
   I decided to post some pictures even though I was originally going to wait for more healing. The photographs on the left were taken right before surgery, and the ones on the left approximately 1 month after. I still have swelling everywhere, the forehead, brows, nose, upper lip, chin, jaw, and the neck (I seem to be particularly prone to swelling). An important detail: I opted to lower the hairline through hair transplants 2 weeks after my FFS. I did not want the incision in front of the hairline. With the coronal incision, the scar is nearly undetectable.
SNIP
Ciao,

- Ruby

I am also seriously considering fat transfet to the butt and hips. What is Dr Rosi price and experience for that?

possessed - thanks! Quite a difference in the nose huh? That's actually where most of the swelling is now, at the bridge and tip. You may be right on not needing any revisions. Besides, I wouldn't want to go through that much pain again. As for the fat transfer, not sure if I should post prices up here. Let me PM you.

deeiche- Very happy that me and firestarter could help you in any way. My profile is a much bigger change than from the front but I look feminine enough. On the way back I tried to go as a guy lol and it didn't really work. Everyone at the three airports and different flights called me ma'am or senora.

  As for the hair grafts, you're right they haven't grown out yet and I wonder how thick the hair will look. Many patients often need a second round. The doctor said though that probably won't be necessary. Hope you like him. He's very nice, I liked him very much. Hopefully he becomes part of the t-change team. That's a really good combination - hair grafts and a front incision :) you'll be able to move the hairline really far forward. Very happy for you :)

   I agree with laser skin resurfacing as well - it's definitely important for many girls' transitions. I also spent a lot of time outside but I also have hereditary capillary breakages (Telangiectasia) so I tried getting IPL. It worked decently but it was expensive. I discovered a better way that you don't often hear about; electrologists can do the same, but can use the needle to target specific capillaries and zap them fast and efficiently. Took about 5 minutes to clear a bunch of them on my face. But not sure if that's relevant to you.

- Ruby

Hi Ruby, you have a fantastic result, and you look very pretty; your profile is awesome :)

I agree with Kittenpower. Your profile is awesome. I think you got one of the best forehead works that I've ever seen. Congratulations!

Thanks Celia! That means a lot especially considering I thought the same thing about your before/afters. I remember when I first saw them on the t-change website and I was like damn, she's pretty :) Jealous of your amazing eyebrows. I'm still healing though, I'll wait 6 months for the final result as you suggested in another thread. Lot's of swelling all around. Good to hear another patient had a good experience with Dr. Rossi!

Hi Ruby,

You look wonderful !!  You mention going back to Dr. Rossi for hip enhancement via fat grafting?  Does he have a good rep with this?  It is something I have dreamed of !!!

Lost Soul

Wow! Looking so much better! I absolutely love the profile of your nose, what a difference! I noticed your forehead bossing is nice and gone, although... maybe it's just the photo but it almost appears as if there is now an ever so slight concavity. It's really difficult to tell from the one photo. How do you feel about your forehead result? Tanks so much for posting more photos Ruby! :)

Hi J,

    When I first got out of the surgery, my partner took a photo before the swelling hit and there wasn't that "concavity." It looks that way because my eyebrows and middle forehead swelled. I was very worried of course but Dr. Rossi assured me it would go away in 2-3 months and he checked it twice after the surgery. Six and half weeks later and it looks like he was right :) The swelling and look of concavity have gone done significantly. Maybe I should have expected that to happen because I had multiple visible veins at that spot on my forehead before the surgery. Extra blood supply = more swelling. Also I got hair transplants two weeks after the first surgery so that practically doubled the swelling.That being said, I have very little chin swelling, so I guess I was the opposite of most patients. Kinda of balances it out I guess.

    I'm not a supermodel haha I was never going to be amazingly pretty but I don't get "clocked" anymore at all, probably because of my profile. The only revision I'm considering is raising my brows at bit when I go get body contouring surgery with him (Dr. Rossi has a good revision policy that I believe all surgeons should have - if you are really unhappy or their are complications, you only pay the operating room costs to revise). I remember in one of your posts you mentioned your eyebrows were too high/arched but I actually like that. Maybe we should trade eyebrows ;) That being said I haven't yet got my eyebrows shaped so they are still big and bushy. Maybe that will solve that problem.

   At this point, I think I've pretty much reached the limit of how feminine I can get through face surgery. I suppose I could try to push the limits by trying to make my jaw smaller, but might be too much of risk for nerve damage. I'll need to let the hormones work longer and grow my hair out (I've only been full dose for a year and a month and technically full time for about 3 months - still "young" in the transition process).

   I'll post more photos eventually but I need lots more time to heal and to let my hair grafts grow out. Most likely I'll post at the three month mark and hopefully the forehead swelling will go down. If it isn't down by then, I will get ultrasound treatments to break it down and dissolve it.

    Wanna hear something messed up though? My health insurance, San Francisco Health Plan, might start covering ffs! I found this out right after I got home :( Still though, at least I got to be myself sooner.

- Ruby

Hi Rubi,

I am sorry for giving you suggestions but I think your eyebrows are in perfect position. Some eyebrow shaping will  be enough. When I had my first FFS with Dr O I forced him to lift my eyebrows too high and after I ended up looking like a witch that lead me to revision. I think that Dr Rossi and his wife with her dental work had done an amazing job with your face and teeth. Enjoy your new face and the new life :)

possessed - Thanks, suggestions are definitely appreciated. How lucky you were to get your surgery with Dr. O :)  I'm sure he did a wonderful job. I hope brow shaping does make enough difference so I would have no reason to get a revision. Amanda said that the swelling in my forehead/brows are affecting their shape/height. Dr. Rossi did put them higher initially he said.  Also, I've heard it's normal for them to drop a bit. I'm a bit of a perfectionist but it's time to just let go and not be a control freak with my body. The less surgery the better, I'm thinking nowadays.

   A few more photos at 2 1/2 months post op. Recently had fat transfer to the lips here in San Francisco so Dr. Rossi doesn't get cred for that. No makeup, just a tiny bit of mascara. Sorry for the blurry 3/4ths photo:

(https://www.susans.org/proxy.php?request=http%3A%2F%2Fs24.postimg.org%2F79ddtgjf5%2FIMG_4464.jpg&hash=da2fecf85aca225b08c620b3cf30df44ff4425f6) (http://postimg.org/image/79ddtgjf5/)

(https://www.susans.org/proxy.php?request=http%3A%2F%2Fs24.postimg.org%2Fvnbo13gi9%2FIMG_4465.jpg&hash=9a59671926c273472309cd6da43a19d3a6bf1251) (http://postimg.org/image/vnbo13gi9/)

(https://www.susans.org/proxy.php?request=http%3A%2F%2Fs24.postimg.org%2Fs4zo4pfm9%2FIMG_4466.jpg&hash=8617a199ecf2d618462f43085dda04e9e15d3841) (http://postimg.org/image/s4zo4pfm9/)

   I'm very happy with the results, especially as the forehead swelling goes down. It's even flatter than before! My side profile is actually more feminine than my front nowadays, which is strange. In the photos you might be able to see the hair transplants growing in nicely. Talk to Amanda - I believe she's will be or is now offering hair transplants as part of T-Change at a very, very competitive price.  I'd say he's a fantastic surgeon, highly skilled. I believe he's top ranked at the military hospital where he works (he also works at a children's hospital too I believe).

   Here's a follow up on body contouring. I got lipofat transfer to hips/butt and lips at Glow Surgical Arts in Redwood City. The price was only a bit more expensive than Argentina but I'd rather not try to take a 16 hour flight after this kind of surgery so I did it here. Breast Augmentation later.

   I'll post again probably after more healing. Nice to be back on these boards after a few months away.

- Ruby

I noticed the hair was growing out along your hairline, that is good for 2.5 months. I know you were concerned about your brows but I think they look great.

Thanks for the update.

You are looking great :) Lovely results.

Thanks for sharing the new photo's

Hugs

Sorcha  ;D

Quote from: RubyAliza on August 18, 2015, 11:22:49 AM
   A few more photos at 2 1/2 months post op. Recently had fat transfer to the lips here in San Francisco so Dr. Rossi doesn't get cred for that. No makeup, just a tiny bit of mascara. Sorry for the blurry 3/4ths photo:

(https://www.susans.org/proxy.php?request=http%3A%2F%2Fs24.postimg.org%2F79ddtgjf5%2FIMG_4464.jpg&hash=da2fecf85aca225b08c620b3cf30df44ff4425f6) (http://postimg.org/image/79ddtgjf5/)

(https://www.susans.org/proxy.php?request=http%3A%2F%2Fs24.postimg.org%2Fvnbo13gi9%2FIMG_4465.jpg&hash=9a59671926c273472309cd6da43a19d3a6bf1251) (http://postimg.org/image/vnbo13gi9/)

(https://www.susans.org/proxy.php?request=http%3A%2F%2Fs24.postimg.org%2Fs4zo4pfm9%2FIMG_4466.jpg&hash=8617a199ecf2d618462f43085dda04e9e15d3841) (http://postimg.org/image/s4zo4pfm9/)

   I'm very happy with the results, especially as the forehead swelling goes down. It's even flatter than before! My side profile is actually more feminine than my front nowadays, which is strange. In the photos you might be able to see the hair transplants growing in nicely. Talk to Amanda - I believe she's will be or is now offering hair transplants as part of T-Change at a very, very competitive price.  I'd say he's a fantastic surgeon, highly skilled. I believe he's top ranked at the military hospital where he works (he also works at a children's hospital too I believe).

   Here's a follow up on body contouring. I got lipofat transfer to hips/butt and lips at Glow Surgical Arts in Redwood City. The price was only a bit more expensive than Argentina but I'd rather not try to take a 16 hour flight after this kind of surgery so I did it here. Breast Augmentation later.

   I'll post again probably after more healing. Nice to be back on these boards after a few months away.

- Ruby

Wow, you look amazing. Really great results. Your eyebrows look great and any more lifting will lead to "plastic surgery" looks. It all looks very natural. I really like how your nose turned out. I find most of the FFS results to fail with noses. Your chin and jaw are totally feminine and I don't think you need any more work in those departments. You are right that your profile looks more feminine than the front looks. What I think it is you miss volume in your chicks and temporal areas. If you let the HRT work you will get it naturally especially after the SRS the fat distribution to the face seems to increase. In case you go for round 2 fat transfer you may ask the doctor to do some fat transfet to your chicks and the temporal areas of your forehead. But even without it you look passable, feminine and beautiful. A great selection of doctor.
How did the fat transfer go as I am considering one soon?
Did you see Dr Bowers for your SRS? How did it go?

Nice to hear from a few familiar forum goers :)

Deeiche: Transplants are growing quickly, aren't they? The doctor Amanda brought me to, Dr. Bruno Szyferman, is incredibly humble but certainly talented. I chose to go with the incision in the back method and it's almost invisible. My hairdresser who's seen plenty of these incisions said it was by far the best. I just love the shape he created too, no way it would have been this perfect with hairline lowering. From the looks of it, it'll be pretty dense too :) The price was crazy affordable, less than half what Dr. Arena's in Mexico was asking for (Dr. Arenas does transplants with Cardenas, who I was thinking of going to for FFS initially).

Sorcha: Hi! Hope you're doing well. Thanks for the complement :)

Possessed: Thanks again. You're right about the eyebrows, I think. Shaping helped. They are also swollen a bit still. Jaw and chin are perfectly fine, any smaller would not be proportional to my face. Dr. Rossi is particularly good with chins using the sliding genioplasty. His wife, an oral surgeon, helped too in the operating room. For some reason I had very little swelling in the lower section of the face.

   Before/afters on the nose show a very big difference. It flows smoothly from the forehead too. Of all the swelling, it's still the worst here. It's a bit asymmetrical if you'll notice, because of the swelling on one side. As for the front not looking as feminine, perhaps it's just how the chips fell. My upper lip is long in regards to my face as a whole, that's one possible issue. Can't do much more as my teeth are already showing. That's why I did the lip fat transfer. But you're right about the fat transfer. I was thinking the same about cheeks/temporals (we're on the same page there). However. I've only been on a full dose of hormones for a year and a few months. My testosterone levels are stubbornly high, my doctors says. Orchiectomy or GRS are the only way as medications don't work as well as I wish. They're still in high end for a female. I did see Dr. Bowers and the wait time is over two years. I'm going to wait as I have my heart set on her.

   Another reason I decided against fat transfer to the cheeks/temporals at this time is because I don't know how my body will reabsorb fat. Also, I am already doing so much else. Less than a week ago I did tumescent lipo from the upper arms, flanks, lower back, stomach, and a rather massive transfer to the butt/hips (smaller transfer to the lips as well). The doctor used smart lipo to finish it off making my recovery much better, while shrinking the skin from the inside with a laser. Right now, it looks incredible really, the doctor and I were kind of blown away at the difference it all makes. But I am crossing my fingers that my body won't just take most of it back. If it stays, I'll go forward with the fat to the cheeks/temporals. I'll go to Dr. Rossi for that and a breast augmentation as I trust him, would like to see Amanda again as well as explore the city of Buenos Aires.

    Hope this thread is useful for others. I chose to do it because I believe insurance should pay for it considering facial dysphoria is as bad as genital dysphoria, or at least was in my case. Since insurance doesn't pay, someone needs to go public with their experiences with high quality, aggressive, and affordable options in other countries. I'm not for one surgeon or another so much as I just want others to know they can trust Dr. Rossi.

- Ruby

   

Quote from: RubyAliza on July 03, 2015, 11:15:48 PM
Hi Greta,

   Different strokes for different folks, as they say. I got a great vibe from Dr. Rossi when I met him. Amanda, who knows him well, told me that he's worked with many trauma patients before and I got the sense that he is a very compassionate person. I'm sure Dimaggio is nice too, but I got an email back from someone who works for him in broken English that may or may not have been unintentionally rude. I was told that my face would be "a challenge" lol like thanks! I know I am ugly haha!
- Ruby

I was told my nose is difficult and my chin is a challenge :P
At the moment i took it personally and it was on of the reasons i didn't consider him anymore , i really think they could tell it in a different manner . Now i see maybe this is their standard terminology .
Maybe this is also for the patients to feel complexed and believe they are hopeless , so after an average result they wouldn't blame the doctor .

Quote from: Claudia_FF on August 19, 2015, 02:59:10 AM
I was told my nose is difficult and my chin is a challenge :P
At the moment i took it personally and it was on of the reasons i didn't consider him anymore , i really think they could tell it in a different manner . Now i see maybe this is their standard terminology .
Maybe this is also for the patients to feel complexed and believe they are hopeless , so after an average result they wouldn't blame the doctor .

   Glad I'm not the only one who felt that way. But it's just unnecessary to say that I am a "challenge." The broken English was disconcerting a bit, but wording or language would not have stopped me from going to Dr. DiMaggio. His office can learn and change that easily. I know he's a very good doctor, no doubts on that. However, the price for Dr. DiMaggio was significantly higher and at this point in my life as an English Instructor, I needed to take this step. Waiting another year to save was not an option. Furthermore, from the before/afters I saw, and verifying Dr. Rossi's credentials led me me to believe he would be a very good doctor. And he was - my thread is fair and balanced, just letting others know that he is trustworthy, highly skilled, and a very humble, kind person. No need to take down another doctor to make that point. Now people have two fantastic options in Buenos Aires - Dr. DiMaggio and Dr. Rossi. Everyone wins.

    As for the question of experience, Dr. Rossi is an experienced maxillofacial surgeon and getting more and more experience with every surgery. At this point, I would say he is now amongst the top-tier of surgeons. His team is fantastic as well, I had a chance to meet them. And my forehead, nose, and chin weren't too much of a "challenge" for him and I have proof from photos for that. To me, the results aren't just average but far exceeded my expectations. I may not look as pretty as some girls on this forum :) but I have no trouble passing in public even without any makeup, and that was the most important goal.

    Last thing I'll say ClaudiaFF is that you look great in avatar icon :D only wishing you the best!

- Ruby

Quote from: RubyAliza on August 18, 2015, 08:53:09 PM

Sorcha: Hi! Hope you're doing well. Thanks for the complement :)

Hi Ruby,

I'm going along reasonably well thank you :) I'm glad things are going well for you :)

Hugs

Sorcha  ;D

Wow ruby you really do look amazing and so pretty. I only see women when I look at these pictures.  I really want to thank you for doing this thread and giving us the opportunity to learn about your journey. Its only a week now until I fly to buenos aires. I will endeavor to do the same as you did. I honestly don't even feel nervous after reading all you had to say. Now I just feel impatient to get this next week over and done with (im working the next 6 days straight and then I fly out). Gotta keep that coin rolling in haha, being trans can be rather expensive! And all I see when I look in the mirror is male which really messes with my head. You've given alot of girls so much genuine insight and I thank you for that.



Chloe

Quote from: bamar86 on August 22, 2015, 10:13:11 AM
Wow ruby you really do look amazing and so pretty. I only see women when I look at these pictures.  I really want to thank you for doing this thread and giving us the opportunity to learn about your journey. Its only a week now until I fly to buenos aires. I will endeavor to do the same as you did. I honestly don't even feel nervous after reading all you had to say. Now I just feel impatient to get this next week over and done with (im working the next 6 days straight and then I fly out). Gotta keep that coin rolling in haha, being trans can be rather expensive! And all I see when I look in the mirror is male which really messes with my head. You've given alot of girls so much genuine insight and I thank you for that.

Chloe

I'll be getting there about two weeks after you.  There is another good set of Dr Rossi posts on a tumblr site, she had surgery with Dr Rossi about 10 days ago.  She posted a link to her tumblr page on the Yahoo FFS group.

good trip

Oh okay thank you very much. Its a shame we aren't going at the same time!

Is somebody of you girls getting the mandible angle reduction? My friend is having a problem to find an aggressive enough doctor for that surgery. I would love to see how that part of the surgery turns out

I'm not sure what dr rossi plans to do with my jaw yet. He just said he would be doing tapering of my jaw line.  But I'll keep you posted when I do find out. My before photos weren't very clear so I only got a rough idea which I didn't mind as I'd prefer to find out more when I have my consultation.

Quote from: bamar86 on August 23, 2015, 01:55:38 AM
I'm not sure what dr rossi plans to do with my jaw yet. He just said he would be doing tapering of my jaw line.  But I'll keep you posted when I do find out. My before photos weren't very clear so I only got a rough idea which I didn't mind as I'd prefer to find out more when I have my consultation.

I will be following your experience

Quote from: bamar86 on August 22, 2015, 10:13:11 AM
Wow ruby you really do look amazing and so pretty. I only see women when I look at these pictures.  I really want to thank you for doing this thread and giving us the opportunity to learn about your journey. Its only a week now until I fly to buenos aires. I will endeavor to do the same as you did. I honestly don't even feel nervous after reading all you had to say. Now I just feel impatient to get this next week over and done with (im working the next 6 days straight and then I fly out). Gotta keep that coin rolling in haha, being trans can be rather expensive! And all I see when I look in the mirror is male which really messes with my head. You've given alot of girls so much genuine insight and I thank you for that.



Chloe

Thank you Chloe, I'm happy to keep this thread updated for you and others. I'm excited for you and deeiche :) Being trans sure is expensive but Dr. Rossi/Amanda are really amazing for offering FFS for affordable prices. I wish you safe flights, a successful surgery, and a speedy recovery. When you look in the mirror, you'll finally see what was meant to be, after lots of healing of course.

Also, I finally updated my avatar pic. Usually I take terrible photos, like the one I posted here earlier, but this one looks more like I do on a day to day basis. Minimal makeup - bb cream mixed with a bit of moisturizer, light eyeliner halfway to the corner of my eye, and light mascara. I don't have time for an extended routine, only about 5-7 minutes. I never get clocked...

Until I open my mouth! Voice is an issue now. I don't have deep voice, it's just that sometimes out of bad habit, I'll slowly fade into my monotone guy voice. That'll take me a while to really get right.

At this point, I still will update in the future because I do have swelling and because my hair transplants have barely grown in. But I think from this point on, it would be nice to hear the experience of others with Dr. Rossi. Most people don't have a want or reason to make their experience public so I don't think we'll see too many public threads on the internet. The Yahoo FFS group might be good but I'm not a member. T-Change.com is pretty informative, especially with the before/afters which she does update from time to time.

Ciao ciao mi amigas,

- Ruby

You look lovely Ruby! your profile is stunning, and everything looks wonderful and feminine! thanks again for keeping things updated here!

(I don't use this site anymore, but just came back briefly when I heard from a patient, heard while while we were both in Argentina, that there was a worry on this forum about my abrupt leaving of this site.  I made a clarification post on my thread, to assure anyone who might've been made worried by my disappearance, and in the post I assured them about how great Dr. Rossi is and that everything with me had gone well. 

Bottom line, you're in great hands if you decide on t-change, as Ruby has also attested to from her personal experience, as well as from seeing other patients, including myself.  I've personally seen their work on me and two other contemporaneous patients, and yes, the t-change team is amazing in every respect. 

My decision to leave this site happened completely separate from the outcome of the surgery, my decision was unrelated to the possible outcome of the surgery, and in any case, I left the site nearly a month before my scheduled ffs date.  In my decision to leave, I simply wanted more privacy, and I would've left a message before I deleted my account, but I didn't anticipate anyone would notice.  My departure from here only had to do with privacy concerns and my personal comfort with interacting on such mediums.  I've come back only briefly to post an update and calm any worries others might've had.

In any case, my own ffs was a huge success, and I adore Dr. Rossi, and I wish everyone the best of luck in their transition.)

Quote from: RubyAliza on August 23, 2015, 07:37:13 PM
Thank you Chloe, I'm happy to keep this thread updated for you and others. I'm excited for you and deeiche :) Being trans sure is expensive but Dr. Rossi/Amanda are really amazing for offering FFS for affordable prices. I wish you safe flights, a successful surgery, and a speedy recovery. When you look in the mirror, you'll finally see what was meant to be, after lots of healing of course.

I appreciate being able to post here.  I come from a different era, who knows how many transitioned 30-40 years ago.  It was not a time to be public.
Oddly, this will be my first expense related to being trans.  In the mid-80's my employer, a very large semiconductor player to this day, self-insured and they made the decision to cover BA and GRS.  I did get laid off 3 days after returning from GRS, but then again so did several hundred other employees.  My previous rhinoplasties were covered by insurance too 'cause I was repairing work from a broken nose.

Quote from: RubyAliza
Also, I finally updated my avatar pic. Usually I take terrible photos, like the one I posted here earlier, but this one looks more like I do on a day to day basis. Minimal makeup - bb cream mixed with a bit of moisturizer, light eyeliner halfway to the corner of my eye, and light mascara. I don't have time for an extended routine, only about 5-7 minutes. I never get clocked...

I never wore makeup post transition.  Between working in a clean room and jock, dyke I did not need it in my social environment.  My opinion, I think everyone would be better off not wearing makeup.  It makes it easier to interact with folks at any time of day.

Quote from: RubyAliza
Until I open my mouth! Voice is an issue now. I don't have deep voice, it's just that sometimes out of bad habit, I'll slowly fade into my monotone guy voice. That'll take me a while to really get right.

At this point, I still will update in the future because I do have swelling and because my hair transplants have barely grown in. But I think from this point on, it would be nice to hear the experience of others with Dr. Rossi. Most people don't have a want or reason to make their experience public so I don't think we'll see too many public threads on the internet. The Yahoo FFS group might be good but I'm not a member. T-Change.com is pretty informative, especially with the before/afters which she does update from time to time.

Ciao ciao mi amigas,

- Ruby

Once again, I appreciate all your posts.  The Yahoo FFS group has seen more activity in the last week or so because of recent Dr Rossi threads.

take care

Quote from: Claudia_FF on August 19, 2015, 02:59:10 AM
I was told my nose is difficult and my chin is a challenge :P
At the moment i took it personally and it was on of the reasons i didn't consider him anymore , i really think they could tell it in a different manner . Now i see maybe this is their standard terminology .
Maybe this is also for the patients to feel complexed and believe they are hopeless , so after an average result they wouldn't blame the doctor .

It happened to me when operated. He spoke in front of my friend that my face was harder to move than hers. Thankfully, I am well settled and it did not shake me. But really it is not the correct way of speaking. Luck of those who received the message via e-mail, in my case it was even worse: because it was personally!

Well, DiMaggio is a good doctor for sure judging by your avatar photo :) I think overall its best to be positive about all these ffs surgeons, especially on these boards. I heed to the forum administrators to follow the rules so we can keep this forum alive and well. Besides, no one needs to ever say anything really bad about a doctor; my philosophy is that potentials patients make their decisions not by looking at the negative, but the positive.
- Ruby

Quote from: jhulyglow on August 24, 2015, 06:46:27 PM
It happened to me when operated. He spoke in front of my friend that my face was harder to move than hers. Thankfully, I am well settled and it did not shake me. But really it is not the correct way of speaking. Luck of those who received the message via e-mail, in my case it was even worse: because it was personally!

Even if your face was "difficult to move" he obviously "moved" it to perfect female position. Maybe it is just Argentinean way of speaking. I am not sure. I don't think he was rude. Maybe in Argentina they just use that kind of wording so translating it in English makes them sound rude. Still English is their second language, but you obviously didn't go there for linguistic but for FFS and you seem to have gotten very good results. I really believe that both Dr Rossi and MDM are very good doctors.

Locking for review.

 :police:
This thread is still being reviewed by admins. These rules apply to the problem that occurred in this thread. If you have problems with particular people then please let us know. The way things went down in this thread is not the way to handle it. Secondly, surgeon bashing is against TOS 10 and will not be tolerated. I will reopen it, but the next sign of any issue and it will be locked for good. You have also been warned that the forum admin will lock this section if these problems continue to occur. I would not enjoy seeing that happen so please lets all get along. Thanks
Mariah

Quote5. 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.

Members should immediately report any messages both public and private that they feel may possibly be abusive, inappropriate, unwelcome, or unsolicited contact attempts, to staff using the Report links in posts and personal messages.

10. Bashing or flaming of an individual or group is not acceptable behavior on this website and will not be tolerated in the slightest for any reason.  This includes but is not limited to:

• 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.
• Suggesting or claiming that one segment or sub-segment of our community is more or less legitimate, deserving, or real than any others
• Posting any messages that engages in personal attacks and/or is actively or passively aggressive no matter the provocation.

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 the warning that posted in regards the last argument in this section.

Quote from: Cindy on August 22, 2015, 06:56:45 AM
I realise that FFS raises intense interest. I also know that there are malicious and unhelpful comments on this forum.

I find this so sad. Many women want or may need FFS and the people here can help each other in an open and honest way. I appreciate the posters who have revealed their professional relationship with teams. Thank you.

But I will not tolerate libel, trash talking, or other rude comments about various teams be you a client or a team member.

if such activity continues I will close this area down for a period. That would be a great sorrow and a bad outcome for the majority of women who want honesty and truth about their procedures.

Honesty and truth can be posted in a civil and helpful way without insult.

I will leave it to you if you want this area left open or if I close it.

I hope your posts and actions allow me to keep this area open for the benefit of all of you.

Cindy
Forum Admin

Thanks Mariah, that's certainly fair. This forum has been such an asset to me and many others and so I hope that it can remain free of negativity or bashing of any kind. I've worked hard to update this thread so others can have a detailed account of my ffs experiences, which many others have done as well. Furthermore my thread should be about my experiences with Dr. Rossi, not with any other surgeons. This is not the place for comparison or competition. My firm belief is that all doctors who perform this surgery are well-intentioned, compassionate human beings who deserve respect.

- Ruby

I thought I would update just for the hair transplants and to show the trichophytic coronal incision.

Hair is already growing through the scar at 3 months. It's becoming so camouflaged now that it took me a bit just to find it:

http://postimg.org/image/milopytk3/

http://postimg.org/image/vp3zd8ysj/

And the hair transplants. I got them done June 19th I believe. Less than three months and they're sprouting like crazy:

http://postimg.org/image/pydsziqsj/

http://postimg.org/image/6ukhj6dyb/

I really like their shape. Amanda, my partner, and Bruno were all in the room drawing and redrawing the hairline on me trying to figure out what looks best right before srugery lol That's what why I say transplants are the best way to create a hairline, you can get almost exactly what you want!

Still healing from surgery btw. It's gonna take a while, he took like a centimeter off my profile, nose bridge, and chin height haha probably gonna be a year for the final results.

(sorry that my upper lip looks bad - had electrolysis yesterday)

- Ruby

Concerning hair you could have a look here if you want:
https://www.susans.org/forums/index.php/topic,167887.msg1661891.html#msg1661891


hugs

Thanks for sharing those transplant pics, Ruby!  Now I know what to expect after mine are put in. :)

You have sparked my interest in Dr. Rossi. Looking great!

You're welcome KarmaGirl! I'll be posting here again when I'm back in Buenos Aires again to see Dr.Rossi one last time. I'm waiting to confirm a date in early June for a very slight revision to my brows/lips and some new procedures, specifically fat transfers to the cheeks and upper lip, and a breast augmentation. To be honest, I fell in love with the city.

Dr. Rossi is definitely worth looking into especially if you're not sure about going abroad for surgery. Having Amanda to support me throughout everything was amazing. She'll still answer any questions I have 8 months after my surgery :)

- Ruby

I see you updated your avatar photo too.  Looks like the hair transplants are growing in well, can't even see you had them done.  Thanks again for posting about Dr Bruno Syzferman, mine are almost 4 months and look similar to yours at 3 months.

Hope you have a great trip to BA.

Thanks Deeiche! Yeah, the grafts are looking really good. Glad yours are growing well :) The hairline makes such a difference in terms of femininity - more so than I though at first.

I'll be nice to come back to this thread in June and start updating again.

- Ruby

Hi Ruby, Deeiche and all others who posted on this thread. I've read through it from the beginning, for the last three hours with a couple of hot chocolates and have really enjoyed learning about your journey. First, Ruby, might I say, you look wonderful. I love your new nose! I am too considering FFS with Dr Rossi and made contact with Amanda last week to arrange a consultation soon. I'm very pleased to learn T-change can also offer a fat transfer to the hips and breast augmentation, as it is something I'm considering in future too. However, at present, I'd like to focus on FFS.

A few months ago I had vocal fold shortening at Yeson with Dr Kim and although my pitch didn't rise dramatically, it made a big difference to my confidence, and obviously, to my voice. I read, Ruby, on one of your posts you mention something about having a masculine voice at times, you may want to consider Dr Kim in future if that is something you have dysphoria around.

As many who have contacted Dr MDM have mentioned, I too had contacted his office initially before discovering Dr Rossi. The quote they have given me far exceeds what I can afford, however the results on his website show fantastic results! One thing which had disturbed me somewhat was when the man/woman responding to my emails at first seemed to compare their superiority over other surgeons, even at times claiming that other practices use photoshop. I thought that was highly unprofessional and for that reason above all, have pretty much made my decision not to go there. However, I have arranged for a consultation with Dr MDM as I believe it's better to speak directly with the doctor rather than those who work with him. In the end of the day, he is the one performing surgery, not his secretary. I'm not ruling anyone out yet, but I think after reading all the fabulous things posted about Dr Rossi, I'm inclined to learn more about him personally via consultation.

A friend sent me her quote, which had on it the cost of her FFS and list of procedures. I wish to basically have very similar procedures on me, which are: chin and jawline reduction, rhinoplasty and possibly forehead contouring or an orbital rim shave, to get rid of that part under my brow which is prominent, and not flat. I also have hair problems, as many of you can see, I wear a wig :) My hair is actually very thick, full and wavy, and is not thinning. I had a hair system fitted about a year ago, which involved shaving my head and my hair is taking forever to grow back since. It was a bad decision, a mistake I made, from being nervous about going full time without having full hair, and wanting natural looking results. But now I have a wig, so I've kind of done a double on myself... yay for being stupid
That said, I don't have a rounded hairline, in particularly at the corners, and therefore was about to book myself in for a hair transplant in Hungary next month. It is very cheap there too, if anyone is considering that. After having read your posts, Ruby, and seeing phenomenal results, I may just have the hair transplant with Dr Bruno whilst I'm there.

Can you give me a rough idea of how much this would add to my trip in terms of expense? If you don't mind sharing, how much did that procedure cost you? You can PM me if you like?

Also, could somebody post a link to the yahoo Dr Rossi FFS group pleeeez?

Hi Jenna,

Going somewhat off topic (apologies moderators), I intend to have Dr Kim at Yeson operate on my vocal chords next year.

Do you have a seperate thread on this experience of your's?

I used to be a singer and want to get back to it.

I sung once at "10CC's" Strawberry South Studio in Dorking, Surrey, UK back in 1981.

https://en.wikipedia.org/wiki/Strawberry_Studios

Hugs

Paula

PS. Ruby you look amazing ...  :)

Quote from: kitten_lover on February 06, 2016, 04:54:13 AM


A few months ago I had vocal fold shortening at Yeson with Dr Kim and although my pitch didn't rise dramatically, it made a big difference to my confidence, and obviously, to my voice. I read, Ruby, on one of your posts you mention something about having a masculine voice at times, you may want to consider Dr Kim in future if that is something you have dysphoria around.

Quote from: Paula1 on February 06, 2016, 07:39:24 AM
Hi Jenna,

Going somewhat off topic (apologies moderators), I intend to have Dr Kim at Yeson operate on my vocal chords next year.

Do you have a seperate thread on this experience of your's?

I used to be a singer and want to get back to it.

I sung once at "10CC's" Strawberry South Studio in Dorking, Surrey, UK back in 1981.

https://en.wikipedia.org/wiki/Strawberry_Studios

Hugs

Paula

PS. Ruby you look amazing ...  :)

Hiyas!

I don't have a thread on mine, there a couple of well documented ones on here by Ria and Jenny. Just search for Yeson Voice Feminization

If you wanted to hear what I sound like: click ----> http://vocaroo.com/i/s1D2EPMXyMgD

Wow, that's cool, my Dad was a fan of 10cc and I live over in London, used to live in Bracknell which is close to Surrey.

Anyhoo, if I were you I'd follow Jenny's thread, she tells it very well, just as Ruby has here.


Good luck!

Hi Jenna!

     I'm very happy that this thread was helpful to you. I can get pretty detailed in my posting sometimes. But the details matter especially when you're making such a big decision. Honestly, you can't go wrong with either Dr. Rossi or Dr. DiMaggio. They both stand by their work. Another girl, Charlotte, who I met on these boards, got surgery about the same time as me. She went to DiMaggio and I went to Dr. Rossi. We both kinda look alike in terms of forehead and chin :) We hung out in Buenos Aires before and after surgery. The results were very, very similar I think and I mean that in a good way. The technique is slightly different but the results are practically identical. Dr. Rossi is a humble confident person. I love all the work he did and the touch up I'm getting with him isn't a big deal. I think you'll like him when you meet him in your skype consultation. I can't vouch for Dr. DiMaggio but I hear he corresponds directly with patients and speaks English pretty well. The price difference between the two though was more than I could afford, especially considering I was going to need transplants. Good luck with whatever decision you make.

   I'm going to message you with all Dr. Bruno Szyferman's information. He's great and he's extremely affordable. One of the nicest doctors I've ever met. Speaks enough English to communicate with you but you can ask Amanda about him. She's the one who put me in contact with him in the first place. They know each other apparently.

   Thanks for the recommendation on Yeson! I'm currently having trouble deciding on this issue. I still have problems keeping a female voice - it takes so much effort, even with training. However, I just met a doctor at Kaiser where I go and he warned me that for many trans patients it can give them a permanently scratchy voice, which is draws more attention than a lower pitched female voice. But I had my heart set on Yeson because I though maybe there was less of a chance of that. Maybe you could message me more on your results :)

- Ruby

Hi Jenna,

Quote from: kitten_lover on February 06, 2016, 01:03:24 PM

Hiyas!

I don't have a thread on mine, there a couple of well documented ones on here by Ria and Jenny. Just search for Yeson Voice Feminization

Will do thank you ...  :)

If you wanted to hear what I sound like: click ----> http://vocaroo.com/i/s1D2EPMXyMgD

You sound great ...  8) How long did it take to recover and speak this well.

Wow, that's cool, my Dad was a fan of 10cc and I live over in London, used to live in Bracknell which is close to Surrey.

LOL ..   ;D ...  Now I am feeling old. Ohmigawd, I transitioned in Bracknell in 1988 and lived there from 1983 to 1992 before moving to here in Surrey !!! I liked it there. Sounds like we should meet up some time as I go into London fairly regularly .... Pm me if you wish ....  :)

My phone voice is very good and it's good talking to people as I had the usual speech therapy etc. But as I am getting older, my voice is getting strained. So vocal surgery is now a must and I intend to go to Dr Kim next year after my forehead revision and revision rhinoplasty and secondary upper lip lift have all settled down.

This surgery with Facial Team is on April 6th and cannot wait ... :)


Anyhoo, if I were you I'd follow Jenny's thread, she tells it very well, just as Ruby has here.

Good luck!

Thank you Jenna

Hugs

Paula

Quote from: RubyAliza on February 06, 2016, 05:11:14 PM
Hi Jenna!

     I'm very happy that this thread was helpful to you. I can get pretty detailed in my posting sometimes. But the details matter especially when you're making such a big decision. Honestly, you can't go wrong with either Dr. Rossi or Dr. DiMaggio. They both stand by their work. Another girl, Charlotte, who I met on these boards, got surgery about the same time as me. She went to DiMaggio and I went to Dr. Rossi. We both kinda look alike in terms of forehead and chin :) We hung out in Buenos Aires before and after surgery. The results were very, very similar I think and I mean that in a good way. The technique is slightly different but the results are practically identical. Dr. Rossi is a humble confident person. I love all the work he did and the touch up I'm getting with him isn't a big deal. I think you'll like him when you meet him in your skype consultation. I can't vouch for Dr. DiMaggio but I hear he corresponds directly with patients and speaks English pretty well. The price difference between the two though was more than I could afford, especially considering I was going to need transplants. Good luck with whatever decision you make.

   I'm going to message you with all Dr. Bruno Szyferman's information. He's great and he's extremely affordable. One of the nicest doctors I've ever met. Speaks enough English to communicate with you but you can ask Amanda about him. She's the one who put me in contact with him in the first place. They know each other apparently.

   Thanks for the recommendation on Yeson! I'm currently having trouble deciding on this issue. I still have problems keeping a female voice - it takes so much effort, even with training. However, I just met a doctor at Kaiser where I go and he warned me that for many trans patients it can give them a permanently scratchy voice, which is draws more attention than a lower pitched female voice. But I had my heart set on Yeson because I though maybe there was less of a chance of that. Maybe you could message me more on your results :)

- Ruby

Hey Ruby!!

Thank you so much, I had a look at Dr Bruno Szyferman's website, however it is all in Spanish, so I would really appreciate the info you send me.

Regarding Yeson, the good thing about it is, the results can't go in the wrong direction; as in, you won't get a negative result. Although you may be dissatisfied if you barely have any change in pitch after surgery. In fact, I've just come across a girl who sadly due a poor cough she had after surgery, hasn't had any change to her voice since she has been able to speak.

I found that my voice went quite raspy at first, for the first few weeks after I could speak and it felt like it wouldn't go. My voice has since improved, somewhat. You can hear for yourself, and judge how you think I sound on the link I posted a couple of posts ago.

Before surgery, the 'trained' or 'feminised' voice I used, which involved a conscious effort to elevate my pitch, but something that became like second nature, almost, was only slightly lower pitched than the lowest tone of my new voice. So without any effort, my default pitch is only very slightly higher than how I sounded pre-op.

This, for me, is a great relief, since it means I don't have to put in any effort to sound female. My pitch may not be in the mid or even lowest female range, and some will say more androygynous or gender-ambiguous sounding; however due to the 'colour' of my voice, and my speaking patterns, it comes across as female.

Quote from: Paula1 on February 06, 2016, 05:41:56 PM
Hi Jenna,

Hey Paula

I am now three months post op. The first month I could speak, which was a month after my silence, I did sound a bit lower. Then...I suddenly realised I could elevate my voice, just as I had used to when I was pre-op.

My speech therapist was trying to get me to speak in a higher tone, and I think, since I felt used to hearing myself as I was pre-op, I continued to speak like that, which was using the lower end of my vocal range. I can now speak slightly higher and with little effort it's becoming second nature to me now. So here's the recording I made was me elevating my voice slightly, Here http://vocaroo.com/i/s0Eh7stHnI3e

Hi Jenna,

Thanks so much for making the recording just now.

You are a late bird like me ...  ;)

Your voice really is excellent and it's interesting when you say it's false and hurts to drop your voice to a lower level whereas I have the opposite problem when I go higher and that hurts and sounds wrong.

I always had a wide vocal range but just can't hit the higher notes which I would like to in due course.

I can still sing down very low with a chest voice instead of a head voice.

Same with talking it can change from a chest voice low down and when I go higher it automatically changes to a head voice.

I can understand why Yeson want you to stay in Korea for 2 weeks. I feel that I would rather stay for a month to recover from this critical surgery. How long did you stay there and what was it like trying to communicate?

My Korean is rather limited .... ;) ;)

Ta

Paula

Quote from: kitten_lover on February 06, 2016, 06:08:01 PM
Hey Paula

I am now three months post op. The first month I could speak, which was a month after my silence, I did sound a bit lower. Then...I suddenly realised I could elevate my voice, just as I had used to when I was pre-op.

My speech therapist was trying to get me to speak in a higher tone, and I think, since I felt used to hearing myself as I was pre-op, I continued to speak like that, which was using the lower end of my vocal range. I can now speak slightly higher and with little effort it's becoming second nature to me now. So here's the recording I made was me elevating my voice slightly, Here http://vocaroo.com/i/s0Eh7stHnI3e

Hey All,

   I thought I'd post a video after hearing Jenna's awesome voice sample. Your voice is wonderful :) My voice starts off ok but then gets pretty terrible haha slowly it goes back to my normal talking. Honestly, I'm pretty shy so making a video is definitely out of the ordinary for me. First video ever posted on the interwebs ;) It's a short video review of my full ffs with Dr. Rossi (and hair transplants with Dr. Bruno Szyferman).

https://www.youtube.com/watch?v=m45qX4tglWo&feature=youtu.be (https://www.youtube.com/watch?v=m45qX4tglWo&feature=youtu.be)

   Oh and I hope to see you, Jenna, in Buenos Aires in June no matter which doctor you choose!

- Ruby

You look really good in the video, and I think your voice is really good also!

Thanks Kittenpower :icon_redface: you've always been really sweet and encouraging.

Totally agree with you Kittenpower.

Ruby looks and sounds great ...  8)

Can't wait to get my voice done now but firstly Facial Team in Spain this April and then Korea next year.

Quote from: kittenpower on February 06, 2016, 08:17:51 PM
You look really good in the video, and I think your voice is really good also!

Quote from: RubyAliza on February 06, 2016, 07:51:00 PM
Hey All,

   I thought I'd post a video after hearing Jenna's awesome voice sample. Your voice is wonderful :) My voice starts off ok but then gets pretty terrible haha slowly it goes back to my normal talking. Honestly, I'm pretty shy so making a video is definitely out of the ordinary for me. First video ever posted on the interwebs ;) It's a short video review of my full ffs with Dr. Rossi (and hair transplants with Dr. Bruno Szyferman).

https://www.youtube.com/watch?v=m45qX4tglWo&feature=youtu.be (https://www.youtube.com/watch?v=m45qX4tglWo&feature=youtu.be)

   Oh and I hope to see you, Jenna, in Buenos Aires in June no matter which doctor you choose!

- Ruby

Hi Ruby,

Just watched your video. First of all, your voice sounds higher than mine, and you haven't had surgery yet! You mentioned it hurts when you speak like that. It's probably putting a bit of strain on your voice if so. What I can tell you surgery at yeson will do if it goes successfully, is take that away. At min, I would expect your comfortable pitch to be at the level it is now and your overall pitch will most likely increase slightly.

Thanks for the update on your face. Looking great! I can obviously see there's a big difference :)

Just out of curiosity - why didn't you just fill the corners of your hairline, what was the reason you also had the transplants implanted to shorten the height of your forehead? By the looks of it, your natural hairline was already good.


Jenna XoX

Hi Jenna,

   Thanks again for helping me with the voice recommendations. As for the hairline question, that's a good one! Amanda said my hairline was good enough without lowering it, even Dr. Syzferman said it was good enough, but I was stubborn and insisted anyways because I wanted a slightly lower hairline. The main reason was that I wanted to reduce the height of my face, or at least how much of my faceyou can see. And it worked. The problem was I didn't know much about female/male hairlines. I was thinking under the older principle that a lower hairline is more feminine. Turns out, Dr. Ousterhout might have been wrong on that one. Had I read Alexandra's thesis (virtual ffs) I probably wouldn't have done this. I would have taken the higher, rounder hairline.

  The behind the hairline brow lift revision is going to change the side hairlines and make it look less round, so I was going to need more transplants anyways. I've already scheduled another round of transplants for June 24th. This time, I'm going to make sure it looks rounder and more natural - not lower from the center anymore.  This time I've been careful enough to use photoshop to "test" the new hairline lol to make sure it looks good before I go through with the surgery. Lesson learned.

    That being said, the shape of the hairline is so important because it frames your new forehead and eyes. So I encourage anyone to do it. Too bad it's so damn expensive in everywhere in the States.

- Ruby

After my FFS in 2004 by Dr Z, I had three hairgrafting sessions with the brilliant Paul Cotterill in Toronto, Canada.

http://www.drcotterill.com/

I was recommended to him by the dermatologist who I was seeing at London's St Thomas's Hospital for hairloss as being one of the best hairgrafting surgeons in the world.

I paid £3000 a session which was well worth it - Total £9000.00

Because my scalp had severe hairloss, typical 'M' patten, Dr Z removed a lot of non hair bearing tissue during the scalp advance because if he hadn't then I would not have had enough donor hair to fill in the baldy bits.

Also I had hairloss in the crown.

Dr Z and Dr Cotterill worked in concert together on this one and it's been an awesome success.

In fact this part of my whole transition process has been the most successful .

It also achieved like your hairline Ruby a lower hairline which I love. I don't like over high hairlines on any woman. In fact when I am out shopping, I often think to myself, that woman needs her hairline lowering by hair grafting or she needs a nose job or both !!!  ..  ;) ;)   Mind you we girls are perfectionists and what we put ourselves thru any genetic woman would shudder at .. :icon_yikes:

Another result of Dr Z removing a lot of this non hair bearing tissue, is that I still have enough donor hair for another session which is remarkable if you were to see my scalp and hairloss before my transition started.

The only slight negative of my scalp advance with Dr Z is the height of my eyebrows but it had to be a compromise with the hairloss that I had. When the inappropriate PEEK implants were inserted in my forehead in 2014 at London's Chelsea & Westminster Hospital, this raised the eyebrows a bit more but hopefully when they are removed by Facial Team in April, the eyebrows will drop down a bit.

I used to have to wear a hairpiece/wig for years but over the last 11 years I have been able to swim and play sports once again.

I will be getting another hairgrafting session done when all my forehead reconstruction is finished this April because there is some slight hairloss along the incision line since my 2014 forehead revision and there might be more after the next coronal incision with Facial Team this April.

Quote from: RubyAliza on February 07, 2016, 09:56:54 PM
Hi Jenna,
SNIP
  The behind the hairline brow lift revision is going to change the side hairlines and make it look less round, so I was going to need more transplants anyways.
SNIP
- Ruby

I was wondering how the brow lift revision was going to be done.  It sounds like there will be new incision(s) behind your hair line.  Will it be one incision, or two?

take care and may your Buenos Aires visit go well.

Hi Deeiche,

    Hey whatsup? Hope all is well with you :) My trip has been delayed to early August so the ffs revision/breast aug won't be happening too soon (got my SRS date bumped up and I'm doing that first). Dr. Rossi isn't sure yet how the brow lift will be done. He needs to see what went wrong.  I have a large area of undergrown hair behind the hair implants on the side my left eyebrow is, which is the eyebrow that fell very far. Bruno couldn't put transplants because it's a bunch of vellus hairs. My guess is that it will work out so that Dr. Rossi will do a temporal brow lift in that area, giving it a lift while removing that skin on that sparse spot. He probably do a behind the hairline temporal brow lift on the other side as well.

- Ruby

Quote from: RubyAliza on February 27, 2016, 06:10:49 PM
Hi Deeiche,

    Hey whatsup? Hope all is well with you :) My trip has been delayed to early August so the ffs revision/breast aug won't be happening too soon (got my SRS date bumped up and I'm doing that first).

Good to hear your date got moved up for SRS.  Is it with Dr Bowers?

Quote from: RubyAliza on February 27, 2016, 06:10:49 PM
Dr. Rossi isn't sure yet how the brow lift will be done. He needs to see what went wrong.  I have a large area of undergrown hair behind the hair implants on the side my left eyebrow is, which is the eyebrow that fell very far. Bruno couldn't put transplants because it's a bunch of vellus hairs.

You know, I'd noticed there was a thinner area behind my hair transplants.  I'm sure Dr Syzferman concentrates on providing a new hairline, based upon the number of FU available.  Isn't it cool though that you can have a hair style where the hairline shows?

Quote from: RubyAliza on February 27, 2016, 06:10:49 PM
My guess is that it will work out so that Dr. Rossi will do a temporal brow lift in that area, giving it a lift while removing that skin on that sparse spot. He probably do a behind the hairline temporal brow lift on the other side as well.

It is my left side too which the brow is not quite as high, and where the hair is less dense behind the hair transplants.

Quote from: RubyAliza on February 27, 2016, 06:10:49 PM

- Ruby

Plastic surgery procedures are so complex, especially when a lot of procedures are done at the same time.  I'm really amazed at the surgeon's skill.

Hi again Deeiche,

    Sounds like we had a similar experience then. Yes, it looks like we're both happy but also aware that these procedures are very complex. Your fat transfers, did they still make a difference? I'm wondering because I'm getting the same thing done. Should I tell Dr. Rossi to be more aggressive on that? And how much has your left brow fallen? Just curious. Interesting how it happened to both of us.

    Oh and my GRS is being done by Dr. Satterwhite, who is actually quite good. The overall wait time for Dr. Bowers is close to 4 years. No way I'm waiting that long! I'm starting a thread in the GRS forums to show my experience with tis doctor. His results look very good :)

- Ruby

Quote from: RubyAliza on February 28, 2016, 03:19:51 PM
Hi again Deeiche,

    Sounds like we had a similar experience then. Yes, it looks like we're both happy but also aware that these procedures are very complex. Your fat transfers, did they still make a difference? I'm wondering because I'm getting the same thing done. Should I tell Dr. Rossi to be more aggressive on that? And how much has your left brow fallen? Just curious. Interesting how it happened to both of us.

Fat transfers are interesting, you really don't know how much of the fat will remain.  I'd read it can take several fat transfers to get the desired effect.  I knew about the uncertainty regarding fat transfers, but I still think it was worth it.  My cheeks are definitely fuller than they were before.  The only reason I'm considering further fat transfer is to do it when I get any additional surgery.  I would not consider them as a standalone procedure.

I can't really quantify how much my left brow has fallen, I just know it is a little saggy on the outer side.  Amanda was very clear to me, best results would be achieved by separating bone work from soft tissue work.  I fully understood this when I chose the list of procedures to have.  I would have to do as much as I could in one trip.

Having said all that I am very happy with the results.  FWIW, when I visited my parents a couple weeks ago my mother even told me "I looked attractive".  In 30 something years post transition my mother has never commented on my appearance.

Quote from: RubyAliza on February 28, 2016, 03:19:51 PM
    Oh and my GRS is being done by Dr. Satterwhite, who is actually quite good. The overall wait time for Dr. Bowers is close to 4 years. No way I'm waiting that long! I'm starting a thread in the GRS forums to show my experience with tis doctor. His results look very good :)

- Ruby

Then your SRS surgeon is close by, both in time and distance.  I wish you the best.

Hi Ruby,

4 years .. That's crazy .... she must be only doing a relatively small amount of ops each year, unless many hundreds of girls are going thru SRS now....  :o

Hugs

Paula

Quote from: RubyAliza on February 28, 2016, 03:19:51 PM


The overall wait time for Dr. Bowers is close to 4 years. No way I'm waiting that long!


- Ruby

Quote from: deeiche on February 28, 2016, 08:06:15 PM
Fat transfers are interesting, you really don't know how much of the fat will remain.  I'd read it can take several fat transfers to get the desired effect.  I knew about the uncertainty regarding fat transfers, but I still think it was worth it.  My cheeks are definitely fuller than they were before.

     I'm glad he did a good job. In your opinion, did the fat transfer to the cheeks help with feminization?

Quote from: deeiche on February 28, 2016, 08:06:15 PMI can't really quantify how much my left brow has fallen, I just know it is a little saggy on the outer side.  Amanda was very clear to me, best results would be achieved by separating bone work from soft tissue work.  I fully understood this when I chose the list of procedures to have.  I would have to do as much as I could in one trip.

   Yeah, but it was probably nice to get it all done and over at the same time. Amanda is pretty honest about outcomes. And she's nice for agreeing to fix my eyebrows. Generally, Dr. Rossi's patients don't have a problem with this procedure but I guess I got unlucky.

Quote from: deeiche on February 28, 2016, 08:06:15 PMHaving said all that I am very happy with the results.  FWIW, when I visited my parents a couple weeks ago my mother even told me "I looked attractive".  In 30 something years post transition my mother has never commented on my appearance.Then your SRS surgeon is close by, both in time and distance.  I wish you the best.

   So awesome to have your mom tell you that you look attractive. FFS can be a huge confidence booster.

Quote from: deeiche on February 28, 2016, 08:06:15 PM4 years .. That's crazy .... she must be only doing a relatively small amount of ops each year, unless many hundreds of girls are going thru SRS now....  :o

    Hi Paula, actually she does SRS every day - there's a crazy demand in the bay area. Dr. Bowers has reached celebrity status practically. Personally, even though I'm sure she's amazing, most other surgeons are catching up with her in terms of skill. I don't think it's worth the wait. That's why I chose Dr. Satterwhite. Super excited :)

- Ruby

Quote from: RubyAliza on March 05, 2016, 04:47:34 PM
     I'm glad he did a good job. In your opinion, did the fat transfer to the cheeks help with feminization?

Hmmm, that one is a hard question for me to answer.  As you know I transitioned >30 years ago, my forehead was my major concern.  However I decided to get additional age related procedures to deal with the fact I am an older woman, 56 @ surgery.  Diminished facial fat is one attribute of aging, it happens to cis women too.  So I can say that all the procedures I had done helped with feminization and aging. 

Quote from: RubyAliza on March 05, 2016, 04:47:34 PM
   Yeah, but it was probably nice to get it all done and over at the same time. Amanda is pretty honest about outcomes. And she's nice for agreeing to fix my eyebrows. Generally, Dr. Rossi's patients don't have a problem with this procedure but I guess I got unlucky.

I haven't talked to Amanda since shortly after my return.  She was concerned about the infection that occurred after surgery, I told her I recovered fine.  I may be returning to BA to replace my >30 year old breast implants, it depends on whether I can get insurance to pay for that procedure.

Quote from: RubyAliza on March 05, 2016, 04:47:34 PM
   So awesome to have your mom tell you that you look attractive. FFS can be a huge confidence booster.

To bad FFS was not available in me mid-80's.  I know at that time there were rumors about forehead reduction in the trans community newsletter I subscribed to.  I asked the plastic surgeon who did my nose, breast and tracheal shave procedures about forehead reduction and he said it could not be done.

Quote from: RubyAliza on March 05, 2016, 04:47:34 PM
    Hi Paula, actually she does SRS every day - there's a crazy demand in the bay area. Dr. Bowers has reached celebrity status practically. Personally, even though I'm sure she's amazing, most other surgeons are catching up with her in terms of skill. I don't think it's worth the wait. That's why I chose Dr. Satterwhite. Super excited :)

- Ruby

Hi Ruby,

Wow that's a lot of surgery she does.

I  have met her a couple of times at Be-Alls in Chicago in the past and she is lovely.

Good luck with Dr. Satterwhite

Hugs

Paula

Quote from: RubyAliza on March 05, 2016, 04:47:34 PM


    Hi Paula, actually she does SRS every day - there's a crazy demand in the bay area. Dr. Bowers has reached celebrity status practically. Personally, even though I'm sure she's amazing, most other surgeons are catching up with her in terms of skill. I don't think it's worth the wait. That's why I chose Dr. Satterwhite. Super excited :)

- Ruby

Hey Everyone,

I liked the T-Change facebook page and this popped up in my feed. It's a picture of Sil, a beautiful girl I met in Argentina. https://www.facebook.com/FacialFeminizationSurgeryArgentina/?fref=nf (https://www.facebook.com/FacialFeminizationSurgeryArgentina/?fref=nf) I remember seeing her and thinking how amazing she looks after her surgery with Dr. Rossi. This is a really good example for those thinking of going to Dr. Rossi :)

- Ruby

Hi all, I'm booked to have FFS (forehead Type-III, rhinoplasty, revision upper lip lift) with Dr. Rossi next month (April 20)! I'm grateful everyone sharing their experiences and have just joined this site to share mine. I'm happy to answer questions before/after and delve into my decision-making process (it wasn't too overly systematic as I find decisions like these can be overwrought IMHO). :-)

I started a new thread but perhaps the moderators should move it here for organization? I'm fine either way!

Cheers!
Rebecca
Toronto, ON
35 years old
Transitioned socially 1997
Hormones since 2002
GAS (vaginoplasty) Montreal (Brassard) 2008
FFS (forehead/nose) Buenos Aires (Rossi) April 2016

Quote from: RubyAliza on July 03, 2015, 11:15:48 PM
Hi Greta,

   Different strokes for different folks, as they say. I got a great vibe from Dr. Rossi when I met him. Amanda, who knows him well, told me that he's worked with many trauma patients before and I got the sense that he is a very compassionate person. I'm sure Dimaggio is nice too, but I got an email back from someone who works for him in broken English that may or may not have been unintentionally rude. I was told that my face would be "a challenge" lol like thanks! I know I am ugly haha! Also, I really didn't like how he wanted me to get temporary lip fillers - I don't have the time or money to go back every few years to get my lips redone. The last thing is that I really didn't want to pay the extra $7000 he was asking for. Dimaggio costs a lot more, more than 60% more. Yes, he is more experienced (although Dr. Rossi has been doing maxillofacial surgeries for a very long time) but the difference in price is too much, especially considering Dr. Rossi did such a great job. I met another awesome girl here on the forums (Charlotte) who had surgery with Dimaggio at the same time as me and we came out the same. I don't know what to say, I think Dr. Rossi has become really good at FFS quickly and he's not exactly new at this either. And day by day, he's getting better with more experience.

  You're welcome with all the info :) I like to make sure people have as much knowledge about the different options as possible, especially for the girls here like me who work hard to pay for this important surgery out of pocket. Like seriously, Dr. Rossi was a godsend! Honestly, insurance should pay for this kind of surgery considering how much pain and dysphoria it causes. If that were the case, I would have gone to Dr. Deschamps-Braly (who took over for Dr. Ousterhout here in San Francisco where I live). As for my GRS, not sure exactly when that is happening because Dr. Bowers has a very long waitlist! Luckily my insurance will pay for the whole thing :) Not bad for one of the best surgeons in the world, up there with Suporn and Brassard. Can't wait for that. Also can't wait for my body contouring with Dr. Rossi next year using the money I saved by getting my FFS with him.

- Ruby

Hi Ruby,

I really appreciate your posts about your surgery. As I've iterated in a thread that I started for my surgery, I'm seeing Dr. Rossi in 3 weeks time (April 20, flying from Toronto to Buenos Aires on the 16th) and am pretty excited!

I also considered Dr. DiMaggio. I know that he is going to be performing and mentoring some surgeons in NYC at Mt. Sinai later this year with respect to FFS and has a good reputation and great results. The cost difference was significant between the two but the main reason why I chose Rossi, as you have also iterated, was that his results were also good but there was a vast difference in the whole experience, starting with Amanda. Though I pass as a cis woman 99.9% of the time, I was told that I had a "very masculine" face and that Dr. DiMaggio was the "only surgeon in the world" who could help me. As a nurse myself, red alarm bells go off when a practitioner has a lack of reflexivity around his or her practice and thinks, truly believes, that they are the best (or only) person in the world who can "help" someone. Anyhow, ultimately like anything it will be what it will be but it's nice to read the experiences of someone else who has gone through this.

Many thanks,

Rebecca

Rebecca
Toronto, ON
35 years old
Transitioned socially 1997
Hormones since 2002
GAS (vaginoplasty) Montreal (Brassard) 2008
FFS (forehead/nose) Buenos Aires (Rossi) April 2016

Hi Rebecca,

    I got a good vibe from Dr. Rossi too. If this thread was helpful to you then that  lmakes me happy indeed. If you ever wanna message me too, maybe I can be supportive or helpful. You're a nurse though so I'm sure you aren't too nervous. It will be a much easier recovery since you're not doing your chin or jaw. Well best of luck, let us know how it goes, on your thread, or even post here on my thread if you want. Three week :) so soon! Best wishes :) As I always say, tell Amanda I said hi.

-Ruby

Hi Ruby

Just wanted to say thanks again on starting the conversation about hair transplants with Dr Szyferman.  My new hairline has grown out 2-3 inches, has filled in well too.  I had not really thought about hair transplants until you posted about your results.

take care

Hi deeiche! Nice to hear that you are happy. I hope that's the case with Dr. Rossi's work as well. I'm also really happy about getting the transplants. The hairline makes a world of a difference. It's nice to have no visible scar and a round feminine hairline. Can't recommend it enough. Dr. Szyferman actually emailed me too on his own accord, asking how I was doing. The hair transplants look pretty dense and the funny thing is, there's actually more growing in at 10 months. Crazy.

  Might as well do an update since I have some news and a CT scan. I'm really happy overall with how passing I am, considering how masculine I looked before. I'm not super feminine and still feel like I need some makeup to look decent, but everyone I tell about my male past stares in disbelief.

   I am, however, having some problems regarding the forehead contouring. I don't think it's what Dr. Rossi did, but rather what my body did in response to the osteotomies or breaking of my frontal sinus plate in order to move it back. I have what looks like a bone spur around the fused bone, what the radiologist called a "cortical defect" on the lower left part of my front sinus bone. See for yourself the bone spur growing over my orbital ridge on the middle left side on the CT scan. I also have some kind of bone bump too on the left side. Originally, I thought something was only something wrong with the brow lift on that side but there was actually bone regrowing too! Maybe there's a male part of me that keeps trying to come back ;)

   I also, oddly, have persistent mild swelling from the titanium screws and plates. It's a rare complication. The CT scan confirmed this. Something else very interesting - I have a plate/screw on the bridge of my nose. No wonder Dr. Rossi was able to move my forehead so back so far.

   The reason I'm not worried is because Dr. Rossi stands by his work and has agreed to make sure I am happy. They aren't just treating me like I'm $$, they really do care. As part of my revisions, they will take out all the now unnecessary titanium screws/plates from my forehead  (and nose bridge) and recontour it all as necessary, removing the bone spur and cortical defect. In other words, they agreed to basically fix everything :) I love Dr. Rossi. No hassle, just "we think you'll be happy." I asked another surgeon about how difficult this would be and they said "possibly very difficult." Dr. Rossi seems very confident and at this point, I have no reason not to believe him.

   I'm super excited to get the revision. As a writing teacher, I have it in my head that revisions are often necessary to improve original work. I take that philosophy to my FFS. It was a highly complex procedure and sometimes the best thing to do is go back and tweak it or make little changes in response to unpredictable healing. That's just me though, I'm a perfectionist.

   And boobs. I want my boobs. I've heard nothing but amazing things from other patients about Dr. Rossi's augmentation work. Fantastic price too :)

  Hey, I started a thread on my GRS too on the other forum but nobody seemed to care much. Maybe the FFS board is just more active or something. I'm happy I got FFS first though - I hear the pain for GRS is not as bad. Let's hope it's not.

- Ruby

P.S. On the CT scan, bone cement oftentimes doesn't show up. That's why there appears to be "holes" everywhere.

(https://www.susans.org/proxy.php?request=http%3A%2F%2Fs32.postimg.org%2F48ztsv8pd%2FIMG_7549.jpg&hash=9a97a9a524cf3976790c49b883456eb16f4b081e) (http://postimg.org/image/48ztsv8pd/)

Quote from: RubyAliza on May 02, 2016, 08:14:11 PM
Hi deeiche! Nice to hear that you are happy. I hope that's the case with Dr. Rossi's work as well.

Oh, definitely happy with Dr Rossi's work.  It is such an immediate effect, I have forgotten what I looked like before, until I look at my work ID.  I really need to get a new picture for the ID.

Quote from: RubyAliza on May 02, 2016, 08:14:11 PM
I'm also really happy about getting the transplants. The hairline makes a world of a difference. It's nice to have no visible scar and a round feminine hairline. Can't recommend it enough. Dr. Szyferman actually emailed me too on his own accord, asking how I was doing. The hair transplants look pretty dense and the funny thing is, there's actually more growing in at 10 months. Crazy.

I understand it can take up to 2 years to see the full effect of hair transplants.  You have to be REALLY patient.  :-)

Quote from: RubyAliza on May 02, 2016, 08:14:11 PM
  Might as well do an update since I have some news and a CT scan. I'm really happy overall with how passing I am, considering how masculine I looked before. I'm not super feminine and still feel like I need some makeup to look decent, but everyone I tell about my male past stares in disbelief.

I think we are our own harshest critics.  No need to be "super feminine", just feel comfortable in your own body.  You look like a cute lesbian to me.  ;-)

Quote from: RubyAliza on May 02, 2016, 08:14:11 PM
   I am, however, having some problems regarding the forehead contouring. I don't think it's what Dr. Rossi did, but rather what my body did in response to the osteotomies or breaking of my frontal sinus plate in order to move it back. I have what looks like a bone spur around the fused bone, what the radiologist called a "cortical defect" on the lower left part of my front sinus bone. See for yourself the bone spur growing over my orbital ridge on the middle left side on the CT scan. I also have some kind of bone bump too on the left side. Originally, I thought something was only something wrong with the brow lift on that side but there was actually bone regrowing too! Maybe there's a male part of me that keeps trying to come back ;)

Sorry to hear about the bone growth.  Our bodies react to injuries in all manner of ways.  :-(  Fortunately Dr Rossi stands behind his work.

Quote from: RubyAliza on May 02, 2016, 08:14:11 PM
   I also, oddly, have persistent mild swelling from the titanium screws and plates. It's a rare complication. The CT scan confirmed this. Something else very interesting - I have a plate/screw on the bridge of my nose. No wonder Dr. Rossi was able to move my forehead so back so far.

I was really worried about allergic reactions to titanium and bone cement as I have so many allergies, but no evidence of allergic reaction.  I do still have swelling from the nasal repair surgery.  It has only been the last month or so that I could breathe easily through my right sinus, then I'll have a bad day where it doesn't work as well.  It is still much better than before surgery.

Quote from: RubyAliza on May 02, 2016, 08:14:11 PM
   The reason I'm not worried is because Dr. Rossi stands by his work and has agreed to make sure I am happy. They aren't just treating me like I'm $$, they really do care. As part of my revisions, they will take out all the now unnecessary titanium screws/plates from my forehead  (and nose bridge) and recontour it all as necessary, removing the bone spur and cortical defect. In other words, they agreed to basically fix everything :) I love Dr. Rossi. No hassle, just "we think you'll be happy." I asked another surgeon about how difficult this would be and they said "possibly very difficult." Dr. Rossi seems very confident and at this point, I have no reason not to believe him.

It is good to hear Dr Rossi fully backs his original work.  I believe he has the proper skillset, based upon the initial work he did.  I also can feel some small bumps on either side of my nose, along the brow line.  Perhaps they are screws?  I guess I'd need a CT scan to get more information.

Quote from: RubyAliza on May 02, 2016, 08:14:11 PM

   I'm super excited to get the revision. As a writing teacher, I have it in my head that revisions are often necessary to improve original work. I take that philosophy to my FFS. It was a highly complex procedure and sometimes the best thing to do is go back and tweak it or make little changes in response to unpredictable healing. That's just me though, I'm a perfectionist.

   And boobs. I want my boobs. I've heard nothing but amazing things from other patients about Dr. Rossi's augmentation work. Fantastic price too :)

So he is going to do BA along with the facial procedures?  I'm still working on getting mine replaced under health insurance, because of their age.  The perspective on trans procedures coverage is changing in our favor, though not fast enough for us to take advantage of it.

Quote from: RubyAliza on May 02, 2016, 08:14:11 PM

  Hey, I started a thread on my GRS too on the other forum but nobody seemed to care much. Maybe the FFS board is just more active or something. I'm happy I got FFS first though - I hear the pain for GRS is not as bad. Let's hope it's not.

Can't remember any short term effects of GRS, I've slept to many times to remember much about GRS recovery.  :-)

Quote from: RubyAliza on May 02, 2016, 08:14:11 PM

- Ruby

P.S. On the CT scan, bone cement oftentimes doesn't show up. That's why there appears to be "holes" everywhere.

(https://www.susans.org/proxy.php?request=http%3A%2F%2Fs32.postimg.org%2F48ztsv8pd%2FIMG_7549.jpg&hash=9a97a9a524cf3976790c49b883456eb16f4b081e) (http://postimg.org/image/48ztsv8pd/)

I wonder if I should get a 3d CT scan, I am curious what everything looks like underneath it all.

take care and have a safe and uneventful trip

diana

QuoteI think we are our own harshest critics.  No need to be "super feminine", just feel comfortable in your own body.  You look like a cute lesbian to me.  ;-)

Thanks, you've always been so nice to me. I'm so tired of chasing an impossible image of what it means to be female. I'm starting to just lean towards the queer crowd, hanging out with people who will be and look however the f*** they want, just being kind to each other. In the end, there is no surgery for happiness (maybe for relieve but not total dissipation of dysphoria, at least for some of us).

QuoteI also can feel some small bumps on either side of my nose, along the brow line.  Perhaps they are screws?

I think they might be. I've seen other CT scans where he did the same thing. It could also just be the nasal bone as well. I need to talk to him about what happens when he removes the screws/plating on the nasal bone for me. Unique situation I guess.

QuoteSo he is going to do BA along with the facial procedures?

Yeah, seems like a good idea. I met another girl from Brazil who had it done at the same time and she was really, really happy with how they did them. I also recently added a small thing to the revision - fat transfer around the eyes and the temples. I'm still curious about the effects of fat for facial feminization. Worked for you I remember. Maybe it's one of those underrated procedures too often overlooked.



Oh and here's another result that looks great. Saw it on my Facebook feed. https://www.facebook.com/FacialFeminizationSurgeryArgentina/photos/pcb.374422766061679/374422652728357/?type=3&theater (https://www.facebook.com/FacialFeminizationSurgeryArgentina/photos/pcb.374422766061679/374422652728357/?type=3&theater)

I'll do a last one year update before my ffs revision/breast aug on August 10th.  I've been on here recently, updating my GRS thread which is kind of like this one if you want to check it out.https://www.susans.org/forums/index.php/topic,207241.0.html (https://www.susans.org/forums/index.php/topic,207241.0.html).

Went out for coffee this morning and my partner took some candid photos without my consent :) They turned out okay so I thought I'd use them as one year post op photos. I put some minimal makeup on because, to be honest, I feel pretty androgynous without it. That's one reason, aside from from taking the titanium out, that I'm going back to Dr. Rossi. I'm hoping the fat transfers and slight revisions to the original work makes somewhat of a difference. I'm sure the new cleavage from the breast aug will help :)


Today. I don't look bad! I'm just a perfectionist. Glad Dr. Rossi is willing to help me achieve my goals.
(https://www.susans.org/proxy.php?request=http%3A%2F%2Fs33.postimg.org%2Fkk1zfq2p7%2FIMG_8077.jpg&hash=b2e6fd22cac0ce1c30c7c59c387812209634593d) (http://postimg.org/image/kk1zfq2p7/)

Using an app called FaceTouchUp, I've made a mockup of some of the possible changes, which include smoothing out the bumps on my forehead that you can't see in the photos, correct the eyebrow asymmetry (more apparent in avatar photo), bring them up a bit, especially the tails, slight secondary lip lift, and fat transfers around my eyes, temples, cheeks nasiolabial folds, and lips. In their own right, each one of these doesn't make too much of a difference, but together I hope it's just enough to feel more comfortable, especially without makeup:

(https://www.susans.org/proxy.php?request=http%3A%2F%2Fs33.postimg.org%2Fl1jedw0mj%2FIMG_8078.jpg&hash=b0a5908a87dcc124b5d5979d6fa19305d3179d74) (http://postimg.org/image/l1jedw0mj/)

Maybe some people won't be able to see the difference unless they are side by side. It's a marginal improvement. Luckily the 375 CC breast aug will be a less marginal difference.

If anyone is in Buenos Aires around July 26th to August 26th, whether you are going to Dr. Rossi or Dr. DiMaggio, let me know if you want to hang out. I know the city well enough from my last visit. I made a cool friend last time there who went to Dr. DiMaggio :)

Here's one more pic of me looking down. This one really shows the grown out transplants:

(https://www.susans.org/proxy.php?request=http%3A%2F%2Fs33.postimg.org%2Fdwlyu4tgr%2FIMG_8079.jpg&hash=9c75ea4f5b283350441e4533d3c2e91601f7a45f) (http://postimg.org/image/dwlyu4tgr/)

- Ruby

Just wanted to say thanks for this thread! The updates and pics have been helpful for me! =) I'm having my (hopefully last) consult with Dr Deschamps-Braly in SF in 2 weeks!

Quote from: Debra on June 02, 2016, 07:09:59 AM
Just wanted to say thanks for this thread! The updates and pics have been helpful for me! =) I'm having my (hopefully last) consult with Dr Deschamps-Braly in SF in 2 weeks!

Please let us know how it goes - I am really interested to know more about his work!

Quote from: Debra on June 02, 2016, 07:09:59 AM
Just wanted to say thanks for this thread! The updates and pics have been helpful for me! =) I'm having my (hopefully last) consult with Dr Deschamps-Braly in SF in 2 weeks!

I agree with Element_of_Freedom, let us know how it goes. Very excited for you, Dr. Deschamps-Braly is so good, I've seen his results in person. I would have gone to him in a heartbeat. Glad this thread was helpful!

- Ruby

    Well...I've been back in Buenos Aires for the last week and half, enjoying the sights. It's almost time for my second surgery with Dr. Rossi. I had my consultation with him last night and we decided on what revisions and new procedures are going to be done. He gave me a lot of time and Amanda was very helpful too. As always, he's kind, humble, yet super confident.

    First, Dr. Rossi said that bone already grew over all the titanium and that it would be very difficult to take out. He doesn't think that it's necessary but he will do a coronal incision to shave down the extra bone growth that happened above my left eye which looks like slight bump. He's going to do a browlift revision as well but he's mainly going to give them shape by raising the corners. He really doesn't want them to look unnaturally high and I agree.

   I love my profile but for some reasons which I couldn't figure out, I look much more androgynous from the front. Amanda took some pictures and Dr. Rossi took a few days to analyze my facial features as whole. His decision surprised me; he's going to do a closed rhinoplasty to make the bridge of my nose thinner, which should help open up and feminize my eyes. I'm so happy about this :) No extra charge.

   He's also going to take a screw out of my chin, which he does think should be taken out. He's going do an incision through my mouth. Since he's doing that, he says he's also possibly going to shave my jawline to make it even more symmetrical and feminine. Again very happy about that :)

    I was concerned about lip lift but Dr. Rossi made good points about that. He refuses to do any more than a 2 mm revision because he doesn't want it to look unnatural. He'll do the 2 mm lip lift but he thinks fat grafts to my cheeks, nasiolabial folds, and around the sides of my upper lip will balance out the muscles around my mouth. So far so good.

   I'm also getting body contouring. Last year I had lipofat transfer to the butt/hips and it looks pretty good overall. However, some fat reabsorbed on my left hip making a visible dent. Dr. Rossi is going to redo the hips and make them look better, while making my stomach more flat. Finally, I'm getting a 375 CC moderate profile breast augmentation. Just got back after trying them on and buying them. It's going to be done through armpit incisions (transaxillary) and placed under the muscle. I hear it's going to be very painful. Not looking forward to that. Normally I wouldn't want any silicone in my body but after "trying" them on, they completely balance out my slightly wider shoulders. They look beautiful. Apparently Dr. Rossi and Dr. Appiani, his assistant plastic surgeon, are experts on this type of breast augmentation. I've heard really good things about their breast augs. We shall soon see.

    Surgery is next Wednesday, August 10th. Wish me luck! Hopefully this is one of last surgeries I ever have. I'm so sick of surgery!

- Ruby

how long will you be in Argentina.
I am arriving on the 30th and it would be wonderful to see the person that gave so much information and inspiration of their journey to all of us.
Dami

I just read your post, I wish you the best.

Regarding your planned fat transfers, they sound like a good idea.  I had fat transfer to the same areas when I was there last year.  At first I thought a lot had been reabsorbed, due to all the swelling I experienced.  However in looking at my face over time I can see a difference where the fat transfers occurred.  I lost about 10% of my body weight while I was in Buenos Aires, I ate really poorly while I was there.  I pretty gaunt when I returned home, even some co-workers commented about my weight loss.  .  Since then I've gained back some of the weight and my face looks "plumper" where the injections were made.  When I eventually have BA to replace my >30 year old implants I'll probably have more fat transfers done.

More to post, but have to get back to morning chores.

Does anyone have any info about getting a passport? I'm not sure where to get one exactly and will they give you trouble for applying for one?

Wow Ruby. This post took off in a big way and there is plenty of life in it yet... ;) Bit of an information overload at the moment but wow, some really useful information and your results are amazing.. I did a search on FFS but I must have done it wrong.. Danielle M thankfully pointed me in the right defection.. I have been reading it for ages.. I am a bit lost with Doctors with names like Dr.Z or Dr.O etc.. I do not know all of them.. But your Dr. seems to be amazing.. I am seriously considering having him do my entire FFS... Not looking forward to the first few days after surgery but.. I am looking forward to seeing the women I should be.. None of these options were available to me when I was in my twenties.. or even thirties.. I am so looking forward to the future me.. Your Post has provided heaps of good information and feedback.. My issue is time.. and money .. Oh well.. Its all very exciting...!

Tess...

Quote from: clawdeenwolf on August 06, 2016, 08:33:25 PM
Does anyone have any info about getting a passport? I'm not sure where to get one exactly and will they give you trouble for applying for one?

In the United states, some post offices offer them by appointment and federal building may provide them. Outside the country you would have to check the laws of your country. A little work with google might uncover a location near you.

Hi Ruby.. With regards to your hair implants, can you please explain the procedure you had.. Did they take a strip of skin from the back of the head and then remove the individual hair follicles, or did they just remove each individual hair follicle and re-imlant it..??

Re Passport.. Most of the time that is the easy bit.. You need to check on if you need a Visa to stick into your passport for the county you intend to travel to.. I have just found out that I can change my gender anytime on my Aus Passport. I just need to fill in a form when I renew my passport.. Since its less then two years before it expires, I have to pay but after I change my name, I can get a new passport for free... It all changed this years.. Making things a lot easier... :)

Tess...

Quote from: Tess2016 on August 06, 2016, 09:45:07 PM
Hi Ruby.. With regards to your hair implants, can you please explain the procedure you had.. Did they take a strip of skin from the back of the head and then remove the individual hair follicles, or did they just remove each individual hair follicle and re-imlant it..??

SNIP
Tess...

not RubyAliza but we both went to the same hair transplant surgeon, Dr Syzferman.  I believe RubyAliza had FUS (strip of skin) while I had FUE ( individual follicle units ).

Ruby, wow girl! You're really going for it. I thought you were just doing a little revision work. I've got faith in your doctors and your wife to take care of you(she is pretty awesome). Lots of love to you two awesome ladies 😷💞🤕💞 and hoping for speedy recovery

Hi.. I think Ruby said with regards to her hair transplant she had 1000 graphs for $2000.. That is so cheap in comparison to Australia... The Strip cost $7,150, which I hate the look of, where as the View FUE (ARTAS) cost $9,900 which I would love to have done. http://www.knudsen.com.au/fue-artas Thats a stupid price. I sure hope Ruby's doctors adopt the ARTAS one day... but.. there is one in Argentina.. http://www.artashair.com/location/medical-hair/ But the FUE can be done without the robot so will will look at both options..

In Australia we are sooo screwed for everything.. DVD's, Furniture.. everything.. Its often been on the news.. Its no wonder transgender girls look to other countries for their needs.. I would like some small moles removed but @$60 each, I will pass on that and have them removed in Thailand for $12 each using CO2.. I am happy to have my SRS done in Thailand but as for my FFS, Ruby has made me very optimistic about my own FFS.. I can see some light..

Tess...

Hey Everyone,

     Thanks for helping keep this thread active. Also, Jenna and Deechie have great threads as well, very detailed writing about their experience that provide even more information. Another poster named Diane also posted about her experience. You might find more resources elsewhere too, including the T-Change website. I thought I'd put some links below for convenience. It's not easy making a decision to go abroad for surgery. It's important to know what you're getting yourself into.

Jenna: https://www.susans.org/forums/index.php/topic,211711.0.html

Deechie: https://www.susans.org/forums/index.php/topic,196400.0.html

Diane: https://www.susans.org/forums/index.php/topic,208007.0.html

See this amazing blog by Arielle: http://ffs-argentina.tumblr.com/post/126705061554/fss-surgery-with-dr-javier-rossi-and-his-team

                                                                     ******

Dami - Oh I wish I was still here at that time! I would have loved to meet you :) I'm leaving August 26th. Going back to work ASAP. Kinda worried that I'll still be a mess because I have to teach at the university. Crossing fingers for no complications. Best of luck to you though. Amanda will be there for you. Feel free to message me at any time too.  I'd love to be helpful in any way possible.

Deeiche - Yes, thanks for giving the extra info on fat grafts. I can also vouch for what you're saying. After I had lipo fat transfer to the butt/hips, I gained weight and my butt and hips got way bigger. The fat cells expanded I believe. So that was awesome. However, fat kept redistributing to my love handles, especially after my GRS which I had recently. I gained 15 lbs after my GRS because I ate too much and didn't walk enough haha all is well, I'm going to get that fixed again. But I'm glad it all worked out for you too. I'm still skeptical about what facial fat transfers can do for feminization. Dr. Rossi thinks it will help a lot, especially for me. I've got a big mouth muscle, the orbicularis oris, which looks masculine. The fat is supposed to compensate for it. Hormones weren't enough. Here's a good website I found for some info on this so called "muscle mustache" and why fat grafts can be helpful.
http://www.virtualffs.co.uk/Lips.html

Thanks again for helping me keep this thread active :)

clawdeenwolf - Tess had a really good reply to this. It shouldn't be too much trouble getting one. The first time I came here with a male passport and left Buenos Aires with it. Even though I was getting ma'am-ed, no one said anything. Also, if you are from the US, Argentina just got rid of the $160 reciprocity fee. Too bad I paid it before  they made the announcement.

Tess- I read about your story! I'm so happy that you're finally on course to completing your transition. Your avatar looks pretty and even though you can't wind the clock back fully, you're going to be amazed at what ffs can do. Dr. Rossi was the most affordable surgeon I could find who I trusted. He really transformed a lot of trans women's faces. I know even more who haven't posted on here. I can vouch for him obviously. There are many other amazing surgeons. Dr. DiMaggio is great too, right here in Buenos Aires. Just make sure you go for a type 3 brow contouring if you have a significant brow ridge that goes across your entire forehead, especially the middle, above and between your eyes. You can't just shave that down. The bone is too thin and there is a sinus cavity right behind it. It needs a different, more aggressive procedure (type 3 - named by Dr. Ousterhout who invented ffs - he's Dr. O).

For my transplants, I got FUS, like Deeiche said. The scar is completely hidden. Dr. Syzerfman can do either procedure, with the strip of hair or when he takes out the follicles individually. That would be more expensive but not by too much. You could ask Deeiche more about hers since she got FUE without the incision. If you want to go the same transplant surgeon, tell Amanda. She handles that as well, although it's not on the T-Change website (not yet at least).

Also the price has since changed so now I feel comfortable posting my price. I paid $1600 for 1400 grafts. I think I was one of his first patients to have had grafts after ffs with Dr. Rossi. Maybe it was an intro price? It's not significantly more expensive now I think. I'm going to see Dr. Syzferman on Monday. He wants to see the results in person.

TC- Hi! Thanks for always being so supportive :) Yeah, this turned into a bit more than I thought. But it'll make a difference I hope. Maybe you'll be able to see the difference? ;)

Well that's all for now. We'll see if I have enough energy to post soon after surgery. Also, I'll probably post pics but they never seem to work out too well. Either I make a dumb pose or the lack of depth makes me look so much worse. I made a video once and posted it as a private youtube video. I might do that again so you can see the difference in motion :)

Hope everyone has a wonderful upcoming week.

- Ruby

Ruby,
I think that the nose job and the fat transfer to your face will make a huge difference to your front looks. I am wishing you a successful surgery and I am so much looking forward to see the results.

xxxx

Re. The reciprocity fee, are you sure about it being abolished or maybe only abolished fro USA?
I got a response from the consular on thursday last week and they still mentioned the reciprocity fee (For Australia at least)
can you point me to where you might have some alternate information on this?

this website where it is paid still mentions Australia, Canada and USA as requiring to pay the fee.
http://www.migraciones.gov.ar/accesibleingles/
(Hope i am allowed to post links)

Hi Dami, yes only for the US. Sorry about the confusion. Obama got rid of the fee for Argentinians to enter the US and Macri likewise did the same. But Australia still has the fee :(

And thank you Reborn :) I hope so! Yes, I'll post back on here whether success or not haha but regardless it's nice to have such supportive people on here, like you <3

-Ruby

The reciprocity fee is a tourist visa. So many countries have them but many countries you only need to pay if you stay over a few weeks, like Thailand.. Its all a bit of a grab for money.. Thats ok.. I will just spend a bit less to make up for it..  ;D and depending on the country you visit, and your own country, depends on if you have to pay it or not..  An Australian does not need a visa to go to Japan but a Thai person does.. but I think that might have changed...

Tess..

Quick update before the surgery:

       I saw Dr. Szyferman to do a one year post op hair transplant appointment. He was very pleased with the work and said he could technically make my hairline more dense, but that it wasn't necessary. Just wanted to do a shout out to him. He's a great guy! Here's me and him.

(https://s10.postimg.org/62rh0w4px/Dr_Syzferman.jpg) (https://postimg.org/image/62rh0w4px/)

    Here on some photos of two weeks of exploring the city:

      Retiro:
(https://s9.postimg.org/8mprmdd6z/Retiro.jpg) (https://postimg.org/image/8mprmdd6z/)

      San Telmo:
(https://s9.postimg.org/bjx5fqja3/San_Telmo.jpg) (https://postimg.org/image/bjx5fqja3/)

       Palermo:
(https://s10.postimg.org/5d2uhl4x1/Palermo2.jpg) (https://postimg.org/image/5d2uhl4x1/)

       Recoleta:
(https://s10.postimg.org/nqs3vd2qt/Recoleta.jpg) (https://postimg.org/image/nqs3vd2qt/)

        Floralis Generica (Metal Flower):
(https://s9.postimg.org/k5pumr4a3/Floralis_Generica.jpg) (https://postimg.org/image/k5pumr4a3/)

        Puerta Madero:
(https://s9.postimg.org/ygn45lyjf/Puerta_Madero.jpg) (https://postimg.org/image/ygn45lyjf/)

       If you want to see more photos, please check out my facebook album:
https://www.facebook.com/ralizafrischer/media_set?set=a.1096356620430512.100001685521384&type=3&notif_t=shared_album_add_photo&notif_id=1470711983802999

It's a wonderful place. Might as well make a vacation out of it :)

- Ruby

 

Hi Ruby, just a quick message to let you know I'm thinking of you. Wishing you good luck for your surgery today and for a safe and happy outcome and a fantastic result. Sending you love and positive thoughts. xxx

good luck with the surgery girl!!! =)

Good luck love!!

Thanks :) heading out to the hospital right now.

Quote from: RubyAliza on August 10, 2016, 09:19:24 AM
Thanks :) heading out to the hospital right now.

Good luck Ruby:) you look beautiful now, you will look even more beautiful after this procedure :)

second time is the charm; best wishes for amazing results and a fast recovery 😊

Ruby, how did the surgery go? I wish you a speedy recovery

Hi RubyAliza

I know it's soon, wish you the best on recovery.

Thanks everybody, your uplifting posts really do make me feel better. I'm well enough for now to say what when down:

•Coronal incision at the old hairline (right behind the transplants). The original incision healed really well and I didn'twant to touch it. The hair in between should be fine as their is a lot of blood flow. Coronal incision closer to the hairline = more effective brow lift.

•Round and slightly higher feminine hairline, instead of the flatter lower one. The transplants came in handy.

• Grinding down of the all the extra bone that grew around the titanium and the left brow ridge.

• Perfect brow lift in my opinion. It will still fall once the swelling decreases.

•Closed rhinoplasty to make the bridge of my nose thinner and open up my eyes, hopefully. Can't wait to see what it looks like when the cast is off.

• Fat transfer to the cheeks, nasal-labial folds, and right above the outside corners of my lips. The fat lifted the lip (at least for now)

• 2 mm lip lift. That small lift, along with the fat transfers, helped  bring the upper lip distance and chin into better proportion. Subject to swelling though.

• Grinding down of hardware around the chin which bone grew around unevenly. Also he surprisingly redid the jaw tapering all the way up the corners so it looks much thinner  now.

• Breast augmentation. Luckily I chose the perfect size :)

• Body contouring. Lipo from the back, flanks, stomach, to be used in the hips and the face. Got a big discount for doing with with face.

I was brave and curious enough this time to ask for video clips of various procedures. A little difficult to watch so soon after surgery but it's was both scary and fascinating. The bone completely grew around the titanium in my forehead - It looked like it completely disappeared.

I think that's it for now. There's been a lot of discomfort but not terrible pain this time. I'm only on Ibuprofen post op day 3. I feel so couped up in this apartment, Can't wait to finally get out, do some walking.

(https://s9.postimg.org/6uk99x32j/IMG_20160812_130118.jpg) (https://postimg.org/image/6uk99x32j/)

Unbelievable!. Your FFS is becoming an epic.. Its a great leap of faith to put all your trust in the hands of the doctors.. I really hope it all turns out as you imagined..  It just amazes me what surgeons can do these days... The risks must be very high.. How much pre-op planning and discussion did you have..? Do they provide any visuals to show you what might happen..??

I look forward in seeing the final results after your face has settled down.. I am sure it will all turn out great for you...

Tess....

it looks very good so far. Your front looks has improved a lot. Can't wait to see your new nose. I wish you a swift healing.

xxxx

Oh my goodness. Bone growing? Will this happen again and how common is this? I'd hate to have gotten FFS only to have to keep having it redone due to the bone regrowing.

But you look great anyhow! Hope for a speedy recovery!

You look great for 3 days post op, you're definitely swollen but not overly so, so hopefully you will have a fast recovery.

yay! thanks for the update. Good for you girl! You look great for only a couple days post-op. Can't see the hairline scar at all either

Well done Ruby ..  :)

hi Ruby,

How is your healing progressing? Did you get the cast of your nose removed? I am so much interested in your progress...

Hi,

   Thanks Paula :) it's good to hear you're doing well too. And I'm healing quite well reborn, in fact my bruises are nearly gone, under my eyes. The swelling is almost gone on my forehead and eyelids too. Less then a week and it doesn't really look like I had major surgery. The only things are the chin swelling, lip lift incision with sutures, the nose cast (off on Thursday, excited! But expectations low cause I hate being disappointed).

Went for my first walk yesterday and it felt so good to feel the breeze. I couldn't care less what anyone thinks about how I look haha and now that this revision is done and the worse is over, my mind is free to pursue bigger questions and quests in life. What's next? Well voice surgery at Yeson but I'm hoping to make some friends, have some adventures, work on my teaching career or find a new one, make a home with my partner with some little ones running around. This transition was never meant to be more than that: a transition to a better life :)

-Ruby

The dysphoria is a terrible thing to have. It constantly occupies your mind and prevents you from working on your goals in life. I am so happy it is over for you and you can now concentrate your full energy on your career and private life. Now when your mind is clear of that terrible feeling of having the wrong body you can set goals and work towards achieving them. I am very happy for you. I believe that our desires come through when you truly desire something. Now, only the sky is the limit for you. lots of love and healing thoughts.

xxxx

Ruby, thank you so, so much for being so open and sharing in this thread. It has been simply amazing.

I think you look great, by the way. That one photo where you are sitting back and smiling you look so happy and pretty! Your photos and your story have helped to convince me that Dr. Rossi is a great choice for FFS and I've made contact with Amanda this week.

Without women like you sharing these experiences, the rest of us would be wandering around in the dark.

I hope that you have a fast recovery and that this revision turns out exactly as you hoped it would.

Hugs,
Rhonda

Quote from: reborn on August 16, 2016, 03:54:09 PM
The dysphoria is a terrible thing to have. It constantly occupies your mind and prevents you from working on your goals in life. I am so happy it is over for you and you can now concentrate your full energy on your career and private life. Now when your mind is clear of that terrible feeling of having the wrong body you can set goals and work towards achieving them. I am very happy for you. I believe that our desires come through when you truly desire something. Now, only the sky is the limit for you. lots of love and healing thoughts.

xxxx

Thanks, you're very sweet. Everything you said is exactly what I've gone through. I am currently in a major self-reflective moment - when the dypshoria dissipates, it leaves a vacuum of thoughts and feelings. I feel a bit empty and directionless. I can't decide if it's a good or bad feeling hehe I don't know if you've seen the movie Castaway but I feel like Tom Hanks' character in the last scene. I was lost, then found, thanked those who been there for me, and know I am looking at the different roads in life I can take from this point :)

Glad I could help in some way Rhonda. You look wonderful in the pictures on your thread. Whatever choice you make for your surgeon, I'll be so happy for you.

So quick update - Dr. Rossi took out a bunch of my stitches everywhere, left the staples in my head from the coronal incision, but left the nose cast on. He said that since it's a revision rhinoplasty to the bridge of my nose, it needs two weeks of healing in the cast. The suspense builds - I just want to see what I looks like. At this point though I'm extremely happy with the revision. I thought I looked good before this surgery - many people said his original work was very good including Dr. Ousterhout before he retired - but now I look even better. This is all considering where I started from, very masculine.

If I were to use Alexandra's masculine-feminine scale (http://www.virtualffs.co.uk/My_Facial_Feminisation_Thesis_Part_8_How_Feminine_is_Feminine_Enough.html)
M5 --> Gender Neutral <-- F5

  I would say that I started off as a M3. The original surgery with Dr. Rossi made me gender neutral, GN on her scale, from the front. Oddly though I looked very feminine from the profile! So that was something I didn't expect, to look so different from side angle compared to the front. But I wanted to look better from the front but I needed makeup and female hairstyle to push me over the edge to comfortably passing. With makeup after surgery, I was only maybe F1 or a F2. Basically I had still had dysphoria without makeup, probably a similar kind to some cisgender women.

    This revision was about pushing my from gender neutral over into F1 or F2 without any makeup - from the front. My expectations were low because ffs can't always do that. My goal was to able to walk out the door without any makeup without looking androgynous. From that standpoint, it succeeded. I feel a huge boost in confidence! However, Dr. Rossi did a much more aggressive surgery than I expected in all aspects (except my nose - don't know about that yet). I can say now that facial fat grats make a tremendous difference. I recommend it now without hesitation. My forehead is completely smooth now, My brows are in the perfect position/shape, my upper lip looks much more feminine, but perhaps the must unexpected change was my jawline and chin. Dr. Rossi knocked it out the park with this one. Big difference now :)

    For my breast augment ion, I love it. Dr. Appiani, Dr. Rossi's right hand man, deserves much of the credit for this one. Seriously folks, if you're getting ffs and you're want a breast augmentation, pay the extra 3.3k to get it done. Perfect natural shape and small, hidden scars in your armpits. It adds some extra pain for sure, but worth it. I have slightly above average shoulders for a female but the boobs balance it out. Finally, for the lipofat transfer to the hips, it looks really good as well. I definitely have that hour glass shape going now. Some fat will reabsorb of course.

    I'll be back on here in a few months to post better pictures and change my avatar photo. Other than that, I will have taken this thread as far as it can go. I'd like to hear from people about Dr. Rossi and even about those from Dr. DiMaggio, since they're both in Buenos Aires. Even though I've come to love this city, I miss home! Wish I could click my ruby red slippers and be home :)

P.S.  quick tip - to help bring down the swelling after ffs, try this.: https://www.youtube.com/watch?v=QA-wi0d7-Ro This video is only the basics and a random video from youtube, so do some of your own research on lymphatic massage. It's good stuff. I had it done professionally after the first surgery, was taught how to do it myself, and used it after my revision. It really helped drain the swelling.

- Ruby

Quote from: RubyAliza on August 16, 2016, 09:27:28 AM
I'm hoping to make some friends, have some adventures, work on my teaching career or find a new one, make a home with my partner with some little ones running around. This transition was never meant to be more than that: a transition to a better life :)

-Ruby

Thanks for putting things in to such beautiful perspective. You remind us all that there is life to live.

Joanna

Quote from: RubyAliza on August 19, 2016, 10:05:09 AM
Thanks, you're very sweet. Everything you said is exactly what I've gone through. I am currently in a major self-reflective moment - when the dypshoria dissipates, it leaves a vacuum of thoughts and feelings. I feel a bit empty and directionless. I can't decide if it's a good or bad feeling hehe I don't know if you've seen the movie Castaway but I feel like Tom Hanks' character in the last scene. I was lost, then found, thanked those who been there for me, and know I am looking at the different roads in life I can take from this point :)

The package and the crossroads! A perfect metaphor. :) I think I get it. You've been so focused on this goal and it's been so all-consuming. Now you that you've arrived, you have nothing but choices ahead. I hope that you can stop and smell the roses for a while. Life is actually pretty good when we can love ourselves and have people around us who also love us for who we are.

Quote from: RubyAliza on August 19, 2016, 10:05:09 AM
Glad I could help in some way Rhonda. You look wonderful in the pictures on your thread. Whatever choice you make for your surgeon, I'll be so happy for you.

Thank you, Ruby. And I'm enjoying following your journey.

Quote from: RubyAliza on August 19, 2016, 10:05:09 AM

[...]
If I were to use Alexandra's masculine-feminine scale (http://www.virtualffs.co.uk/My_Facial_Feminisation_Thesis_Part_8_How_Feminine_is_Feminine_Enough.html)
M5 --> Gender Neutral <-- F5

  I would say that I started off as a M3. [...]

    This revision was about pushing my from gender neutral over into F1 or F2 without any makeup - from the front.  [...]

The scale is very interesting and helpful. And you're right, you might get a different score from different angles. Also, different features might be more on one side or the other. For example, your nose after the first surgery seemed very feminine to me.

Many healing thoughts!
Rhonda

Hi Ruby,

How did the nose cast removal go? I am sure you are amazed by your face now.

Hey reborn, Dr. Rossi took off the cast the same day I left Buenos Aires. I like it a lot - I'm surprised at how much a difference the nose bridge makes for feminization :) I'm in a layover right now, so tired and ready to be home. I'm going to post some before/afters eventually, once I'm well rested and settled in back home. Going right back to work. Yay :(

- Ruby

Have a nice flight honey, and get back home safe. I am very happy that the nose work is also a success for you. Looking forward to see the difference. Kiss

Quote from: RubyAliza on August 26, 2016, 07:33:14 AM
Hey reborn, Dr. Rossi took off the cast the same day I left Buenos Aires. I like it a lot - I'm surprised at how much a difference the nose bridge makes for feminization :) I'm in a layover right now, so tired and ready to be home. I'm going to post some before/afters eventually, once I'm well rested and settled in back home. Going right back to work. Yay :(

- Ruby

Great to hear! Hope you have a safe flight home.

Hey Everyone,

     This is my last post on this thread. My transition has drained so much energy out of me emotionally and physically. It's time to move on, at least when it comes to thinking about facial feminization. Maybe in the future I'll get Fraxel laser skin treatments, and even further down the line, a mid face lift or something like that, but I can't even think of surgery without feeling a bit sick :(

   Here are some before/after initial surgery/after revision. I still have swelling everywhere, forehead, brows, the bridge of my nose, upper lip (from the lift and fat transfer), and especially the chin/jaw. There's some bruising under my right eye. Also, I let my eyebrows grow out so the browlift is a little better in reality, particularly at the tails. I'm sure it will look a different in 6 months but these are good enough, even if the final result will be a little better:

(https://s9.postimg.org/8ppmyd08b/04_Triptych_profile.jpg) (https://postimg.org/image/8ppmyd08b/)

(https://s11.postimg.org/ys1mnszmn/06_Triptych_front.jpg) (https://postimg.org/image/ys1mnszmn/)

The difference is subtle and I'm no good at taking photos. Profile is basically the same, except for the upper lip and more refined jaw/chin. I feel much more comfortable going out without makeup and that was the main point, aside from the breast aug, for going back to Buenos Aires. So nice to be home again!

- Ruby
   

Even though the changes may seem subtle to you, analyzing the pictures the difference in your face is huge. Your nose looks so perfect. I really love the work done and it has contributed a lot to feminizing your face. The chin and jaw work look also very good and your new chin gives you more refined and noble looks. I don't see any difference in your forehead bone work but your eyebrows look natural and higher. Beautiful position of your eyebrows. The lip lift scar will fade away soon but having a shorter distance between your upper lip and nose has contributed to feminizing your face further. The fat transfer did an amazing job especially in the temples and around your eyes. I think that in case it gets reabsorbed you should redo it with dermal fillers. So before the surgery you looked 80% cis. Now you look 100% cis. I could never tell you are a trans based on your face. I don't think any doctor would get you better results than this. You have achieved the maximum from FFS. I am so happy for you. And yes. enough of surgery. It is the time to enjoy life. You are now a beautiful woman, hopefully the surgeries have boosted your confidence to follow your dreams. Enjoy the life of a beautiful and confident woman and hopefully soon a successful one. kisses

Quote from: RubyAliza on August 28, 2016, 11:19:19 PM
Hey Everyone,

     This is my last post on this thread. My transition has drained so much energy out of me emotionally and physically. It's time to move on, at least when it comes to thinking about facial feminization. Maybe in the future I'll get Fraxel laser skin treatments, and even further down the line, a mid face lift or something like that, but I can't even think of surgery without feeling a bit sick :(
SNIP
The difference is subtle and I'm no good at taking photos. Profile is basically the same, except for the upper lip and more refined jaw/chin. I feel much more comfortable going out without makeup and that was the main point, aside from the breast aug, for going back to Buenos Aires. So nice to be home again!

- Ruby
   

I am so happy for you. 

You look great.  I don't see any reason why you would need makeup.

Now it is time for you to live your life.

Put off the LSR for awhile, you've had a lot of surgeries over the last 18 months or so.

take care and be well.

Quote from: deeiche on August 29, 2016, 01:09:30 PM
I am so happy for you. 

You look great.  I don't see any reason why you would need makeup.

Now it is time for you to live your life.

Put off the LSR for awhile, you've had a lot of surgeries over the last 18 months or so.

take care and be well.

Thanks Deeiche, life must go on :) Oh I forgot one last photo of me and Dr. Rossi right before we left.

(https://s18.postimg.org/5tho7zc9x/IMG_3704.jpg) (https://postimg.org/image/5tho7zc9x/)

Quote from: RubyAliza on August 28, 2016, 11:19:19 PM
Hey Everyone,

     This is my last post on this thread. My transition has drained so much energy out of me emotionally and physically. It's time to move on, at least when it comes to thinking about facial feminization. Maybe in the future I'll get Fraxel laser skin treatments, and even further down the line, a mid face lift or something like that, but I can't even think of surgery without feeling a bit sick :(

   Here are some before/after initial surgery/after revision. I still have swelling everywhere, forehead, brows, the bridge of my nose, upper lip (from the lift and fat transfer), and especially the chin/jaw. There's some bruising under my right eye. Also, I let my eyebrows grow out so the browlift is a little better in reality, particularly at the tails. I'm sure it will look a different in 6 months but these are good enough, even if the final result will be a little better:


The difference is subtle and I'm no good at taking photos. Profile is basically the same, except for the upper lip and more refined jaw/chin. I feel much more comfortable going out without makeup and that was the main point, aside from the breast aug, for going back to Buenos Aires. So nice to be home again!

- Ruby
   

Hi Ruby,

Congratulations on making it through your 2nd surgery and on getting home. You've been through a lot. From what I can see, it was worth it.

I also thought that the differences between the second and third set of images were subtle. However, I think part of that is because the difference between the first and second image is very dramatic. Perhaps your mind tricks you into thinking that the 2nd and 3rd images aren't different in comparison. Your mind says, #2 and #3 are the same but #1 is different.

Once I covered up the the first image to eliminate the distraction, then I could really see the difference! Yes, the shape of the nose both from profile and from the front is already starting to show a difference even with the swelling.  Also the the narrower jaw is definitely more feminine than before. I think that the change to your lips are going to be a really big part of your new look! They look great!

Honestly, I think Dr. Rossi did a wonderful job on this revision. To my eye, you absolutely look like a girl without any makeup on.

Enjoy being out there girl!!
Rhonda

So Happy you're done and back! Get some much needed rest! I know these ops can really tire you out, not to mention the trip back home! HUGS!!!!

Hi Ruby

You look so great! I'm really interested to know if you've had much fat re-absorbsion from your hip procedure. I'm really impressed with your hip/thigh proportions in the pic that you posted of you and dr Rossi. Oh- and was it just your hips you had done, or your butt too?

Hi Taylor,

  Thank you for the complement :) For the fat transfers to my hips, pretty much all of it stayed. Same with my cheeks. I've had great success with these procedures. Dr. Rossi didn't transfer fat to my butt. I had my butt and hips done in 2015, with lots of lipo to my back, flanks, and tummy. Much of that fat stayed but I gained some weight and decided to get more fat transferred to the hips with Dr. Rossi. That stayed too and that's why my hips look pretty curvy. As far as getting fat to the butt with ffs, it's not recommended at all since you're not suppose to sit or sleep on your back for up to a month afterwards..

   Might as well do a quick update. I've continued to heal and now I feel comfortably passing even without makeup, although I prefer to always go out with some on. I really love what he did in my forehead contouring revision. He shaved down my orbital rims even more which, along with the bone paste he used in the middle to fix a small indentation, made my forehead smooth and ever so slightly curved. The fat transfers to my cheeks not only stayed, but when I gain some weight during the holidays, really look cute haha.

  I will say one thing to the ladies going to Dr. Rossi, which I may have said already somewhere in this thread; if you really don't want your hairline raised, and you really want to make sure your eyebrows stay high, get the incision done at the hairline. That's the only thing I regret. Just get  hair transplants to cover the scar later if you want. Really, it's better not to lose the hair anyways (they'll just throw all that precious strip of skin and hair from the coronal incision in the garage - so sad).

   All in all I'm pretty happy though. But before getting procedures done, just make sure to do tons of research and ask around on these wonderful forums. Ask a million questions during the consultation, don't just agree with the surgeon, but at the same time, don't push the surgeon to do something they aren't comfortable with. Be proactive!

- Ruby

Hi Ruby, I love your new avatar pic; you look absolutely gorgeous! 😊

I saw your revision pics on the website, I think shortly before I flew to Argentina. It's definitely a huge improvement - it was like having another FFS on top of the first one!

Thank you, Ruby.

I've actually tried to contact Rossi's office through their web page form ( on t-change.com), but never heard back. Would you know of an email address that I could try? No luck with info@t-change.com (a guess) either.

- Taylor

Hello again, Ruby

I did finally hear from Amanda at t-change, so please disreagatd my request for contact info.

Glad she got back to you! I wouldn't necessarily recommend them for body contouring over any other place, because it's not a specialized surgery like ffs. However, Dr. Rossi and Dr. Appiani both do excellent transaxillary breast augmentation with cohesive silicon gel through the armpits. I had the head of the plastic surgery department at Kaiser NorCal check them yesterday and he said the results were extraordinary. I agree, the placement is amazing, and scar invisible. And it wasn't much extra $$ as well. Also, I had him comment on my ffs, saying he wouldn't change anything at all :) Super glad I got the revision. Thanks Corvidia! You're right, it made a huge difference. Thanks for posting your experience as well!

- Ruby

Hi Ruby

I got my assessment back from Dr. Rossi, after sending the required photos. His recommendations (and costs for that matter) were about the same as DiMaggio. However DiMaggio seems to prefer silicone cheek implants as opposed to the lipofilling preferred by Rossi. I will be seeing both DiMaggio and Facial Team in person while they're in LA for the WPATH conference in a few weeks, but Rossi will have to be via skype, I'm afraid.

Your post-revision pics are fabulous, however do you feel that Dr. Rossi could have achieved similar results the first time? Perhaps you had fewer procedures done? I recall you saying that you wished that you had done a few things differently on the first go. Of course everyone's results vary and I mean no disrespect at all. I'm just trying to benefit from your experience, specifically with Dr. Rossi.

Thanks!

- Taylor

Hi Ruby

After re-reading your thread I found the answers to my questions. No further response requested.

- Taylor