Hi.

I had a consultation with Dr BArt last week and was surprised a bit that he suggested that forehead would be the most important thing for me (this I suspected already), but that he would only do some shaving of bones and not a complete reconstruction as I have read from almost everyone else. So now I am interested in knowing what could have been the reason for that - is he more conservative or are others maybe too ambitious trying to make a completely different face (I basically want the male stuff removed, not look like a different person). Under what circumstances can this really be a good option - I do not have a very masculine face - I do not have that typical brow bossing in the profile, but there is a little bit of it visible and the orbitals are protuding.

I also looked at Dr MDM and Facialteam as an alternative, MDM gave me a bit of a cryptic reply on my photos. Argentina is a bit too far to go to a consultation sadly and I had the feeling I got a template as a reply, listing all the procedures possible, albeit he wrote a personal comment putting most significance on the forehead. It sounded like hw would do the shaving of course, but he did not clearly state if he would also do a reconstrucion of the sinus.

Facialteam replied the same - priority on the forehead, the rest being secondary but would be good to do if I want to look very feminine. I think they are always doing a sinus reconstruction, at least it seemed to me like it.

So is there an advantage of not doing the reconstruction - when you are already under the knife - better do more than less, or is it worth considering to do only the "light" version? I read about these forehead types but could not really find out what it exsactly means.

Thanks.

Hi Anjaq,

Forehead contouring is something I've looked into and I'll be asking Dr Bart more of about that in September when I have a consultation. You say that that the only masculine trait you really notice is with regards to - 'I do not have that typical brow bossing in the profile, but there is a little bit of it visible and the orbitals are protuding'. If that's the case then maybe just shaving/burring of the brow ridge is  required. Type 3 procedure (probably what I require) is the most drastic and I think its quite well explained in this page of Dr Barts website www.facialfeminization.eu/procedures/forehead-recontouring/. You might be luck and you have distinctly female shape forehead and nose angle but just a bit of brow bossing 

Yes - I read on all FFS pages about this Type 3 procedure which seems to be standard. So I was a bit surprised that Dr Bart did not talk about it in my case.

Quote from: anjaq on August 18, 2014, 04:48:54 PM
Yes - I read on all FFS pages about this Type 3 procedure which seems to be standard. So I was a bit surprised that Dr Bart did not talk about it in my case.

Your sinus area - brow bossing is minimal, that is the reason he suggested type 1. Not because he's being conservative. the orbitals area is recontoured down without a full reconstruction as well. So even if that is more prominent it can be successfully taken care of with a type 1 Hun x

Quote from: samantha55522 on August 18, 2014, 09:54:20 PM
Hi Anjaq,
Yes Argentina is too far for a consultation, but If you want to do an on line consultion with MDM, I read in his site that you could schedule one by facebook.
Hugs.
S.

Hmmmm... you don't say.. lol.

Yes - I already sent him photos once, but that was some time ago and I look better now with proper hormone therapy. Still - photos or facebook is different from personal consultations - as I said, Dr Bart was the first in person consultation and he was also the first who did not simply give me a "full FFS" proposal with Forehead reconstruction, HAirline advance, Rhinoplasty, jaw and chin surgeries. So maybe to take a personal look can change the assessment.
Does MDM not travel to give consultations elsewhere? I guess he is famous enough to not have to do that...

So type 1 is just shaving some bone, type 3 is taking out bone and fitting it back again, what is type 2?

Quote from: anjaq on August 19, 2014, 05:41:55 AM
Yes - I already sent him photos once, but that was some time ago and I look better now with proper hormone therapy. Still - photos or facebook is different from personal consultations - as I said, Dr Bart was the first in person consultation and he was also the first who did not simply give me a "full FFS" proposal with Forehead reconstruction, HAirline advance, Rhinoplasty, jaw and chin surgeries. So maybe to take a personal look can change the assessment.
Does MDM not travel to give consultations elsewhere? I guess he is famous enough to not have to do that...

So type 1 is just shaving some bone, type 3 is taking out bone and fitting it back again, what is type 2?

Type 2 means shave down and filling in certain areas with bone cement for more roundness like in cases where people's foreheads have small sunken in areas, or if a certain area of the forehead is too far back. Type 4 is when there is a type 3 reconstruction and added bone cement for these issues too. That's about all The types I know of Hun.

Thanks - so lets see how the next consultations go about this topic. FacialTeam is next in person (interestingly Alexandra from VFFS will be there as well). Thats about all I can do in personal consultations, except maybe NvdD - for everythiong else I would have to travel far, so there it is only Skype or picture consultations, which I feel does not do it justice. Its like voice therapy over the phone.

Quote from: anjaq on August 18, 2014, 02:13:41 PM
Hi.

I had a consultation with Dr BArt last week and was surprised a bit that he suggested that forehead would be the most important thing for me (this I suspected already), but that he would only do some shaving of bones and not a complete reconstruction as I have read from almost everyone else. So now I am interested in knowing what could have been the reason for that - is he more conservative or .....

Hi Anjaq,
From personal experience, I can tell you that Dr Bart is anything but conservative. He transformed my face almost beyond recognition, necessarily so, and this included a type 3 forehead reconstruction.  Based on this, if he's telling you only needed shaving, you can be pretty sure you don't need any more than that. 
Wishing you all the best!
Donna

anjaq have you considered having a consultation with dr Buis in Paris? Like you I live in Europe and am also wondering which surgeons to consider. So far dr Buis and dr Bart are the ones on my list.

Quote from: Yasmine on August 19, 2014, 07:58:23 AM
anjaq have you considered having a consultation with dr Buis in Paris? Like you I live in Europe and am also wondering which surgeons to consider. So far dr Buis and dr Bart are the ones on my list.

Hi Yasmine,
Purely from intellectual curiosity, I'd be interested in seeing someone provide a comparison between Dr Buis and Dr Van de Ven, both in terms of overall impression and price.
Just based on the amount of work they do and the types of procedures they master eg. type 3 forehead reconstruction, agressive chin recontouring...  I don't believe they box in the same category but it would still be interesting to get some first hand feedback.
Hugs
Donna

I have never heard of Dr Buis... so I have not considered him yet. I was trying to stick to the surgeons that seem to have quite a reputation in the community and this name did not yet show up - is it because he mostly works with French or is he not that established yet?

Quote from: Donna E on August 19, 2014, 07:37:58 AM
From personal experience, I can tell you that Dr Bart is anything but conservative. He transformed my face almost beyond recognition, necessarily so, and this included a type 3 forehead reconstruction.  Based on this, if he's telling you only needed shaving, you can be pretty sure you don't need any more than that. 

Interesting. Although if you really needed it, I would assume that he would not be conservative there. I mean - if a Type 3 is really really needed as with you, I would not expect him to leave that out. The question would more be what he would do if it is a "could be done, but maybe it works without" situation. I was a bit surprised as I was told that basically everyone needs a type 3 if it is supposed to be really female and not just an approximation. If its not needed - I am happy to skip that, it only is more expensive and has more complications if the sinus is destroyed and reconstructed like that . The other thing was - he was the only surgeon up to now who did not recommend a rhinoplasty and actually upon reequest said that it would not really be needed. So at least in terms of the suggested procedures in my case, he seemed to be more conservative to me, but it may well be that this is because he was the only one to have me in a face to face consultation.

So either he is a bit conservative in my case - or consultations with photos only do not work properly as the result is vastly different.

I'm considering dr Buis because I met a girl irl who had ffs with him. She showed me her before pics and wow.. There's another French girl here on susans who had ffs with him and again wow.. I believe her name here is margeaux. She'll probable send befores and afters if you ask her. From what I understand it is not allowed in France to advertise for ffs surgeons so I guess that's why dr Buis isn't that well known outside of France. That's all I know really. What I saw is enough reason for me to want to go to Paris for a consultation with him.

Yes I think in France it is as in Germany, it is not allowed to promote "beauty surgery" - which IMO is a misclassification. But mainly it is about doctors not promoting their work as supposedly this would distort the image by some people having better PR capabilities than others and a lot of surgeries are insurance covered.
Anyways - I can check in ffs-support if he is mentioned there, that is a community based thing which does not fall under the advertisement law. So if he is good, I suppose some people who went there will have posted something there.

Paris is not that far - so I could go there, but I guess important to me is to see a lot of people who are happy with the results and have little bad results or nerve damage or corrections later on. I find it always a bit hard to just believe the surgeons, they all claim they are the best

https://www.susans.org/forums/index.php?topic=158250.0

Quote from: anjaq on August 19, 2014, 07:17:19 AM
Thanks - so lets see how the next consultations go about this topic. FacialTeam is next in person (interestingly Alexandra from VFFS will be there as well). Thats about all I can do in personal consultations, except maybe NvdD - for everythiong else I would have to travel far, so there it is only Skype or picture consultations, which I feel does not do it justice. Its like voice therapy over the phone.

Hi Anjaq

I am almost four weeks into recovery from my FFS with Facial Team. Truly, I can only say good things about them.  I did two Skype consultations with Dr Capitan, together with a quite substantial number of photos I sent them.  Skype video was fine for me.   I also sent them my wishlist, and they proposed fewer items, which I regard as a good sign.  The day prior to the surgery we did a deep dive face-to-face, discussing each intervention in detail.  And my recovery has been very rapid.

I did a blog of my FFS, which you can find here. https://www.susans.org/forums/index.php/topic,169753.0.html

I did however remove the photos as I am careful about photos in the public domain.  Will happily share stuff with you offline if you want.

Hugs
Julia

PS - my avatar is pre-FFS

She seemed so happy with the results of her first ffs when I last spoke with her.. I guess I'll be doing my research for a long long time. I'll have a hard time finding money for a first ffs, let alone for a second one..

Quote from: samantha55522 on August 19, 2014, 09:22:51 PM
Dear Anjaq,
Margaux did a second complete FFS with fantastic results, but with Dr Di Maggio.....the result with dr Bui was poor and then she did another round of forehead & orbital & jaw & chin second remodeling with MDM.

Below you can see Margaux pictures at FFS-support group and also in MDM facebook site......

Another example that "Samantha" dont need to do any promotion....because MDM have a lot of patients anytime from all the world...
Hugs.
S.

First, if "Samantha" doesn't need to do any promotion, why does "she" keep popping up all the time?

Second, Samantha, how did you get to know that Margaux got a first FFs with Dr. Bui? I don't see her mentioning this anywhere. Do you have access to Dr. Dimaggio's patients confidential information? Are you allowed to make it public?