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Is it too early for FFS?

Started by Danielle P, January 21, 2017, 10:54:44 AM

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Nina_Ottawa

HRT had nothing to do with how I look.
All those hours getting electrolysis paid off.
Seeing a professional makeup artist who defined my look helped.
Having a hairstylist create a look for me that framed my face worked.

I'm not against FFS, but more of RLE first and see how it goes.
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cej

HRT had no effect on my face. I got FFS as soon as I could and well before going full time; I would recommend this approach to anyone who has the resources and their bone structure requires it. Electrolysis and growing out hair are also easier to do in boy mode before going full time. I have no trouble passing as a boy when I want to. Feminine faces look good on men anyway. There are a few soft tissue procedures I might add on to push things more feminine when I'm ready for it, but trying to do RLE with my original bone structure would have been impossibly demoralizing.
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jentay1367

And for what it's worth, as long as Electrolysis has been brought up, I urge anyone on the path to do as much of that as possible prior to HRT. I did 30 hours prior to starting HRT and it was a blip on my pain radar. A minor aggravation at best. Once I got on AA and E, it went from a walk in the park to nearly intolerable. YMMV, but I've heard other Women complain of the exact same problem.  :(
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cej

Another electrolysis pro tip: ask your doctor for prescription painkillers, they work
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jentay1367

Glad they work for you.....I haven't responded at all to hydrocodone and it was making me nauseous in the end. I use the cream but it has minimal effect on me. I just kind of gut it out and deal with it...no fun though. Wish I'd have gotten it done ages ago....certainly before HRT
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Maybebaby56

Quote from: Sophia Sage on January 26, 2017, 10:58:10 AM
But I quibble with facial surgery being "irreversible" -- anything that's shaved down can be built back up, more or less (though once you've done your nose you should pretty much leave it alone), through bone cement and/or implants. 

More importantly, there are all kinds of steps that could be taken to regain male gendering.  Facial hair can regrow given the right impetus of testosterone, though a full beard is probably impractical.  Voice can be dropped back down into the male range.  Breast growth can be removed.  Bottom surgery (and top surgery for FTMs) is what can't be practically reversed.

Hi Sophia,

I have to agree with anjaq on this one.

In my opinion, reversing any of those procedures is hardly "practical".  First of all, who could afford it? Secondly, bone cement and implants are not a reversal of the procedure.  They are a surgical revision on top of a surgical revision, and you are going to be left with even more damaged nerves and muscles and skin that are never going to work or look the same again. I am still trying to recover from FFS. I can't feel parts of my forehead, neck and scalp, and I will have scars, however minor, that will be with me the rest of my life. I can't even imagine assaulting my face again, trying to make it look like it used to.

Hair follicles can't grow hair once they are destroyed so, yes, "impractical" is a nice way of saying that whatever facial hair you get back is probably going to look like crap.

Mastectomies leave scars and can result in permanent numbness of the remaining tissue.

I haven't had VFS, but that is a surgical alteration to your vocal cords, yes?  So if you cut your vocal cords again, to "reverse" the procedure you are left with additional scarring, which probably does not result in the voice you started with.

SRS, yeah, I agree, that's pretty irreversible in terms of form and function. But if you have any surgical alterations done, there is a financial and physiological commitment inherent to all these procedures.

With kindness,

Terri 
"How we spend our days is, of course, how we spend our lives" - Annie Dillard
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Maybebaby56

Quote from: cej on January 26, 2017, 03:54:52 PM
Another electrolysis pro tip: ask your doctor for prescription painkillers, they work

If I did enough pain meds to make a difference, I would have trouble walking, let alone drive home.

Quote from: jentay1367 on January 26, 2017, 03:59:34 PM
Glad they work for you.....I haven't responded at all to hydrocodone and it was making me nauseous in the end. I use the cream but it has minimal effect on me. I just kind of gut it out and deal with it...no fun though. Wish I'd have gotten it done ages ago....certainly before HRT

It took me almost two years of painful electrolysis to figure out how to get topical anesthetics to work for me.  I had to slather them on at least 90 minutes before show time, and by "slather", I mean applying multiple coatings so thick it almost looked like shaving cream.  Then I could get about an hour of relief, whereby white-knuckled, table-gripping pain was reduced to noticeable discomfort.

With kindness,

Terri
"How we spend our days is, of course, how we spend our lives" - Annie Dillard
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jentay1367

#27
Quote from: Maybebaby56 on January 26, 2017, 05:56:44 PM
If I did enough pain meds to make a difference, I would have trouble walking, let alone drive home.

With kindness,

Terri

Been there, done that and got the t-shirt, Terri! I drove home one day after my appt. and some fellow pulled me over, walked up to my window and told me to park the car before I killed myself or someone else. I was soooo embarrassed! :embarrassed:  Never again.

What good is any of this if I killed me or someone else :embarrassed: :embarrassed:

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cej

#28
Quote from: Maybebaby56 on January 26, 2017, 05:47:57 PM
Hi Sophia,

I have to agree with anjaq on this one.

In my opinion, reversing any of those procedures is hardly "practical".  First of all, who could afford it?

My perspective is that if you enjoy the process of improving your body and have money/insurance to afford whatever, it can be psychologically easier to deal with making changes that are challenging to reverse instead of undergoing RLE while non-passing. RLE while non-passing won't teach you anything about what passing privilege is like, it's just needless hazing.

My insurance fully covered FFS. But I would have paid cash if I had to. If you can already afford $N for FFS, you can probably also afford ~$N to do FMS if you want detransition and can't handle having a feminine face as a guy.

Quote
Secondly, bone cement and implants are not a reversal of the procedure.  They are a surgical revision on top of a surgical revision, and you are going to be left with even more damaged nerves and muscles and skin that are never going to work or look the same again. I am still trying to recover from FFS. I can't feel parts of my forehead, neck and scalp, and I will have scars, however minor, that will be with me the rest of my life. I can't even imagine assaulting my face again, trying to make it look like it used to.

This is a risk that all FFS patients have to deal with, it's not great but we make make an informed choice that the benefits outweigh the risks. Personally, I had no problems with the scars and numbness, they are fading and totally worth it. You can't ignore the real financial, health, and safety costs of trying to navigate with world as female with a non passing face if that isn't something you're comfortable with.
Quote
Hair follicles can't grow hair once they are destroyed so, yes, "impractical" is a nice way of saying that whatever facial hair you get back is probably going to look like crap.

True, but most cis men shave their facial hair. I've have a cis male friend who lasered his face and wished that it had worked better.

Quote
Mastectomies leave scars and can result in permanent numbness of the remaining tissue.

A lot of people who transition are going to want BA so they're signing up for that anyway.
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cej

Knowing that detransition was possible and practical for me made me more comfortable doing FFS early in my transition when I was still figuring things out. I realize that it would be harder / not worth it for you and many other people, but I wanted to share my perspective in case it gives comfort to someone who wants to transition but can't be sure they won't want to detransition someday.
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Michelle_P

I'd love to be able to get FFS, or even a damn trach shave.  Nope.  My HMO apparently has some secret timing requirements. At least they won't share with me...

So far I've found that I had to be on HRT at least 6 months before they'd authorize a dermatologist to evaluate me for electrolysis or laser.  Yeah, like HRT is going to make a 63 year old's beard go away.

I've gotten hints of a one year or 18 month requirement before they'll consider evaluating me for any surgeries.  By the time the evaluation happens I will have been full time for over a year.  Add in the wait time for the actual surgery, and I'll have been full time for two years or more.

I HAD to go full time.  Waiting for FFS to get done first would have killed me.  I was given a hard deadline to leave the house, and I wasn't about to move out, on my own, and still try to get by cross-dressing as male. 

Meanwhile, I'm looking at another summer in turtlenecks because 'no trach shave for you.'  Gah.


Sent from my iPad using Tapatalk
Earth my body, water my blood, air my breath and fire my spirit.

My personal transition path included medical changes.  The path others take may require no medical intervention, or different care.  We each find our own path. I provide these dates for the curious.
Electrolysis - Hours in The Chair: 238 (8.5 were preparing for GCS, five clearings); On estradiol patch June 2016; Full-time Oct 22, 2016; GCS Oct 20, 2017; FFS Aug 28, 2018; Stage 2 labiaplasty revision and BA Feb 26, 2019
Michelle's personal blog and biography
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Sophia Sage

Quote from: Maybebaby56 on January 26, 2017, 05:47:57 PMIn my opinion, reversing any of those procedures is hardly "practical".  First of all, who could afford it? Secondly, bone cement and implants are not a reversal of the procedure.  They are a surgical revision on top of a surgical revision, and you are going to be left with even more damaged nerves and muscles and skin that are never going to work or look the same again. I am still trying to recover from FFS. I can't feel parts of my forehead, neck and scalp, and I will have scars, however minor, that will be with me the rest of my life. I can't even imagine assaulting my face again, trying to make it look like it used to.

Well, when we put it like that, transition itself isn't very "practical" when you think about it! 

Okay, a better word choice might be that facial surgery is technically reversible, however impractical, in a way that SRS really isn't.  By "technically" I mean it's possible from a technical perspective to more or less regain one's previous facial features, in more or less working order, such that male gendering is automatically and subconsciously conferred by the general public once again -- even without the beard shadow.  But sex organs, once we have SRS, can't ever fully regain certain functionalities, particularly that of procreation. 

To bring this back into the actual subject of where this fits in the context of RLE...  Anjaq is right, it's certainly better to fully sure of what one wants before having surgery.  I do think it's possible to know that without RLE in the first place.  I certainly knew I wanted it and needed it before I even started HRT; facial surgery was always on my radar when it came to planning my transition.  The "technical" aspects of potentially reversing facial surgery were never a consideration for me. 

The only reason I brought that up was because of the question of whether it made sense to have it before or after starting RLE.  Now, RLE is ostensibly required to make sure we are willing and able to receive our desired gendering before SRS -- which is not only irreversible, but was extremely taboo (and really still is taboo, if not to the same extent), not to mention coming right up to that line of medical ethics.  It was a ritual requirement, and if you couldn't hack it (bad pun) you wouldn't get your SRS. 

But facial surgery isn't treated the same way by the medical establishment, despite its being just as profound (if not more so) than bottom surgery itself.  We can get facial surgery before going full time, and for very good reasons it's often wise to do so, though by no means is it always necessary -- many don't need it to get properly gendered, and really it's voice work and electrolysis that are just as if not more important in the short run (which isn't short at all, it's all a marathon in the end).

So what, really, is the point of RLE in this day and age?  Besides a ritual requirement, I mean.  Well, it can be treated as a ritual requirement, just passing the time after performing certain changes in documentation... or it can be treated as an opportunity to immerse one's self in a female life, which necessarily requires (I think) actually getting properly gendered consistently throughout that period. 

Back in the day, the transitions I recall getting derailed (in the sense that the goals of consistently receiving female gendering and/or getting to SRS were thwarted) were typically transitions where someone jumped into RLE far too soon -- before getting enough electrolysis, voice work, and facial surgery -- and then failing to adapt to the mixed gendering received, leading to heightened dysphoria... and with that psychological distress the loss of one's job.  Without that job, there's no money to finish electrolysis let alone get facial surgery, and being visibly in-between (not to mention continually dysphoric) makes it extremely difficult to find new work.  This can turn into a vicious circle... and one that's "practically" irreversible. 

And sure, it's a lot better today than it was a couple decades ago, but I think the point still stands -- in many cases, if not most, assuming facial surgery is in one's future, I think it's better to get it (and the electrolysis) before going full-time at work.  If the workplace doesn't pan out, for one reason or another, at least one can present reasonably well enough to get a new job and hence secure the funding for bottom surgery, but at least now one is in the same boat as any other woman who's lost her job. 

Surely this is a more "practical" approach?  :)

There's no one right way to transition... but I do think there are plenty of "wrong" ways to go about it, too...

Quote from: Michelle_P on January 27, 2017, 01:04:23 AMI HAD to go full time.  Waiting for FFS to get done first would have killed me.  I was given a hard deadline to leave the house, and I wasn't about to move out, on my own, and still try to get by cross-dressing as male. 

Meanwhile, I'm looking at another summer in turtlenecks because 'no trach shave for you.'  Gah.

Okay, maybe "wrong" isn't the right word, either.  Rather, some transitions are more "impractical" ;) than others, at least in terms of getting what we ultimately want.

And sometimes circumstances beyond our control force us onto the impractical path, and we just have to make do with what we got.  At least you've been able to keep your head afloat, Michelle!
What you look forward to has already come, but you do not recognize it.
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anjaq

Well - GRS is technically also a thing that can be done again - just like with FtM. Doing this on the face would be similar. I guess though most who would decide against a transition even after having FFS would just leave it that way and go with a feminine face, which is after all something more acceptible for a man than a masculine face for a woman.

I think deciding on FFS has not much to do with doing RLE before. It has to do with being sure about the whole transition thing - if that needs RLE to get to that decision, ok. Otherwise it is just like all the other parts of  transitioning - each decision is to a degree irreversible - although some have more impact and others are possibly correctible. I understand that especially in some places in the USA and other more dangerous countries it makes sense to only transition fully and openly once all the things like HRT, electrolysis, FFS, voice have been done, to minimize risk of being attacked.

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AnonyMs

I like what Warlockmaker did, and I'll do something similar if/when I fully transition.

Wonderful transition without any RLE
https://www.susans.org/forums/index.php?topic=209027.0

I'm having a hard time understanding why people do what they do. Coming out worries me as its irreversible and could have a serious impact on my life. FFS would worry me a bit as it makes the coming out even harder to reverse, except by then I'd have had electrolysis and that's going to out me anyway. GRS worries me not at all because I don't have to tell anyone, and it would have no practical impact of my life.

I intend to do everything in reverse order to everyone else. If I have social problems at the end of it that's too bad, because being trans is the problem, not the ordering of things.

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