Hi Girls!

So due to a couple of different reasons I am unable to fly from my country Australia to a FFS surgeon. We don't currently have FFS specific surgeons here as far as my research has shown however I have spoken with a few surgeons who would be more than happy to do a feminizing rhinoplasty.

This wouldn't be too costly and I think would do a great job in adding a little more femininity to my face.

Has anyone just gotten a rhinoplasty and not full FFS? As you can see in my DP and the pic below my nose has a bit of a bump and is pretty wide/big on my face. I think I could definitely benefit from this procedure.

Any advice let me know!

Much love. <3

The nose in my avatar is my after nose. The surgeon narrowed my nose, took a really nasty bump off the front of the nose and tilted the bottom up. I went to him for my adams apple and figured I might as well get my nose fixed while I was there. I felt my adams apple turned out ok but I was surprised as the swelling went down how much I liked my new nose. Your nose doesn't need much from what I can see but suspect the surgeon would narrow your nose give you a slight inward curve on the front of your nose.

Hi Rainecloude,

My concern with this approach is that you would have a smaller nose on a face that would suddenly look disproportionate. The perception of femininity is a combination of features which must be in proportion to be "beautiful".  There is something called the "golden ratio" (https://www.goldennumber.net/category/face-beauty/) and simply changing one feature of your face may not give you the effect you think.

The other issue is that if you do elect to have FFS down the road, it is preferred to do rhinoplasty and brow/forehead  contouring at the same time to get the best result.  That means you may end up paying for your nose to be done twice.

With kindness,

Terri

Hmm a lot of people seemed to think it was better to have your nose done by a specialist who only does noses rather than lump it with FFS. I am still researching myself

I am in a similar boat of having to decide to do the rhinoplasty first or all together with FFS later this year

Quote from: rainecloude on May 20, 2017, 05:03:04 PM
Hi Girls!

So due to a couple of different reasons I am unable to fly from my country Australia to a FFS surgeon. We don't currently have FFS specific surgeons here as far as my research has shown however I have spoken with a few surgeons who would be more than happy to do a feminizing rhinoplasty.

This wouldn't be too costly and I think would do a great job in adding a little more femininity to my face.

Has anyone just gotten a rhinoplasty and not full FFS? As you can see in my DP and the pic below my nose has a bit of a bump and is pretty wide/big on my face. I think I could definitely benefit from this procedure.

Any advice let me know!

Much love. <3

Hi rainecloude,

By doing a web search "site:virtualffs.co.uk forehead rhinoplasty" you can find some info on performing a rhinoplasty separately from forehead surgery. Specifically you might check out these pages...

http://www.virtualffs.co.uk/General_FFS_FAQ%27s.html
(Search page for "Can I have my forehead and nose done separately?")

http://www.virtualffs.co.uk/Nose.html
(Search page for "Nose and Forehead Together?")

I have no business affiliation with Virtual FFS but I did use her services a few times before having several different procedures performed separately over a 2 year period. If you can afford it, you might consider using her services for the following reasons:

• to get before/after simulations for feminizing rhinoplasty only (not other FFS).
• to include in that batch the same but with forehead/chin contouring.
• to get her general opinion and input.

I knew FFS was right for me when first seeing it and I had also managed to gain the knowledge that doing both forehead/rhinoplasty together was supposedly most optimum, but doing so much at once activated my overly cautious nature, leaving me in what seemed like an agonizing endless holding pattern for the longest time. My transition had been incremental to that point and now I was faced with a choice of "do all the boney work at once or be non-optimum." Not doing anything at all was a bit agonizing because there was no progress.

I eventually realized that I was never going to move forward without doing things incrementally so I got off the couch and got a feminizing rhinoplasty in 2015 which, on hindsight, I realized got me quickly past the rhinoplasty to not only appreciate it by itself, but to also realize it wasn't enough. That led to a lip lift which I also appreciated but realized wasn't enough, and finally 1.5 years after the rhinoplasty, I ended up getting forehead/chin done.

It seems considerations about the most optimum route were stalling me in a manner I'd not break past without risking being incremental in a supposedly non-optimum manner. I took the risk to be incremental in that supposedly non-optimum manner and was rewarded greatly with forward momentum to the destination I really wanted to reach.

On hindsight, I might have done it all at once, but that's hindsight, and I'm not 100% certain.

I've seen both stellar and not-so-stellar FFS surgeon rhinoplasty results so I don't think all FFS surgeons are necessarily the best rhinoplasty surgeons. You have to shop around and do research.

Each person is different, so perhaps my nose starting point was optimum for this non-optimum incremental approach of rhinoplasty first. I can't say this is right for everyone but many do get a rhinoplasty before doing anything else. I think it's important to do research... perhaps contacting Virtual FFS, or getting consults with FFS surgeons even though you're not immediately ready for full FFS... asking them what they think if you get a rhinoplasty now and FFS with them later. Many surgeons will perform Skype consults so just because nobody is local to you doesn't mean you cannot have a consult.

My understanding of the whole "rhinoplasty at the same time as forehead" is that the top of the nose needs to blend/join the forehead in a smooth/correct manner. I can't say this for certain, but I was under the impression that if a person has a nose that fits their face now (before forehead work), whether done with rhinoplasty or not, that a good FFS surgeon can work with that nose to fit the forehead work. I was under the impression that a good FFS surgeon didn't see a prior good rhinoplasty as a blocker in doing great forehead work... but maybe I'm wrong on that.

I was in a completely different state before getting any surgery. Majorly overly cautious. (Knowing now what would happen in the year following my rhinoplasty puts a smile on my face.) At the time I got my rhinoplasty I wanted to ensure it fit my face. I wanted a feminizing rhinoplasty, but not one that was too small for my face. I'd seen feminizing rhinoplasties that seemed too small for the remaining genetic male features. My desire was to feminize the nose in harmony with my otherwise untouched face. I felt this would lead to less work rather than too much work, where more could be done later (assumptive on my part). I wanted the most feminine nose I could have for my otherwise unchanged face. I exchange thoughts on my case with the surgeon and just did it.

The result was not incompatible with my recent forehead work... but I can't say that would apply to all.

I'd be careful about going to just any old surgeon without doing some research, at least some rhinoplasty research if not more FFS research.

Watch the effects of expected "glitz" on your considerations: I'd been researching a rhinoplasty for decades, and I've been in many surgeons' offices and consults. Some of them were top-notch, others not the best match for me. Prior to that hindsight understanding, in almost all consults, there was often a moment of "good feeling," "hope," that this doctor was the "nose god" for me, the one. (I can hear the romantic music ... LoL) I mean, you're in a nice office, nice scents are in the air, you're hearing all the acknowledgements of what you want, and all that... it can be a glitzy convincing experience in the right/wrong offices alike.

The point here: Not only learn to trust your gut, and then trust it, but don't be guided by superficial things, or mere feel good feelings and nice pristine clean offices with big smiles greeting you and all that. Don't get me wrong, first impressions matter, cleanliness and professionalism matter, so that first presentation should be nice. Who doesn't want to go to a glitzy office of high quality work? I expect to have a good experience in the top-notch surgeon's office. I've yet to see a surgeon's office that isn't classy looking, with big smiles, and you will feel like a princess (or prince, depending) in almost any interaction with a professional office. The thing is, the glitz, or classy offices, or nice people, if you're focused on it—I especially think this can happen if you're new to researching plastic surgery—can make it difficult to weed out the best for you, from the ones who may not be a good match. I can also get emotionally attached which is part of what sales does... so I recommend watching those sales-driven emotional attachments. Don't sign up on the same day. Walk away, think about things, all that.

For clarity let me say... not all great surgeons have such classy offices, yet some do. Same with the ones that are not a match for you. So I'm not against the sales pitches... doctors have to do that. I'm just saying, at the end of the day, you want the best work, so all of the nice things you feel as part of that sales pitching doesn't really matter aside from what your gut tells you, what you see in before/after photos, and lots of things that are unique to you which I can't call out. You are your life's driver so if you're easily moved by good sales and glitz then beware. I guess not all are moved by that, but I have a difficult time sometimes rejecting, saying no, disagreeing. I've gotten over that over the years but when you're new to some things you might be easily swayed. I'm just trying to give you a heads up on that just in case. You seem like you've got it under control but I mention it fwiw.

Always ensure there are many before/after photos that show "after" results you appreciate. No before/after photos, walk. My opinion but you don't want someone working on your nose who doesn't generally produce the results you're looking for.

Also, I think it's wise to realize all plastic surgery is risky and imperfect. I'm a better patient because I'm not seeking perfection rather than a good result. I once heard that good rhinoplasty doctors need to perform revisions about 5% to 10% of the time. Or that great rhinoplasty surgeons need to do revisions about 5% of the time, 10% being too much. I can't say what's accurate... but the point here is you don't want a revision but you also can never guarantee you won't need one. I feel this is another reason I'd want to see many before/after photos in line with my goals, and also generally seek a doctor who performs a lot of nose work, if not exclusively nose work (unless getting it with other FFS where I like the surgeon's overall results).

Treat yourself well in the research and selection... the nose seems easy to get wrong by the inexperienced, if not occasionally by those who are experienced. Again, Virtual FFS may be able to offer you some good info in this area... I'd recommend checking it out. Also, can't hurt for you to try to get a Skype FFS consult with some top FFS surgeons.

Best of luck with it.

Oh side note... I was in a little disbelief that your profile photo was the same person in the photo in your first post above... you are apparently very talented in making things work. That's a great talent to have as I don't think the need for it ever goes away, even for ciswomen. You gotta be able to see yourself and make things work... so you're already in a great place considering you've not had any surgery yet.

Cheers,
Ashley

I saw these names on another site as surgeons who do FFS in Australia. I've no idea if they are any good, as they can't have too much practice at it.

Ian Carlisle

Professor David David in Adeliade

Edit: Also this

FFS in Australia
https://www.susans.org/forums/index.php?topic=203749.0

Quote from: AnonyMs on May 21, 2017, 06:57:50 PM
I saw these names on another site as surgeons who do FFS in Australia. I've no idea if they are any good, as they can't have too much practice at it.

Ian Carlisle

Professor David David in Adeliade

Edit: Also this

FFS in Australia
https://www.susans.org/forums/index.php?topic=203749.0

Thanks AnonyMis! I was in contact with a surgeon in Syndey (Dr Paul Gerarchi from the Face Institute) and was quoted 20k-30k AUD. These are "reasonable" prices but the reality is that a Rhinoplasty is only 6-8k AUD and I actually can gather the money for that in the foreseeable future whereas I don't know if I could ever see myself saving 20-30k AUD. <3

Quote from: Ashley3 on May 21, 2017, 06:35:52 PM
Hi rainecloude,

By doing a web search "site:virtualffs.co.uk forehead rhinoplasty" you can find some info on performing a rhinoplasty separately from forehead surgery. Specifically you might check out these pages...

http://www.virtualffs.co.uk/General_FFS_FAQ%27s.html
(Search page for "Can I have my forehead and nose done separately?")

http://www.virtualffs.co.uk/Nose.html
(Search page for "Nose and Forehead Together?")

I have no business affiliation with Virtual FFS but I did use her services a few times before having several different procedures performed separately over a 2 year period. If you can afford it, you might consider using her services for the following reasons:

• to get before/after simulations for feminizing rhinoplasty only (not other FFS).
• to include in that batch the same but with forehead/chin contouring.
• to get her general opinion and input.

I knew FFS was right for me when first seeing it and I had also managed to gain the knowledge that doing both forehead/rhinoplasty together was supposedly most optimum, but doing so much at once activated my overly cautious nature, leaving me in what seemed like an agonizing endless holding pattern for the longest time. My transition had been incremental to that point and now I was faced with a choice of "do all the boney work at once or be non-optimum." Not doing anything at all was a bit agonizing because there was no progress.

I eventually realized that I was never going to move forward without doing things incrementally so I got off the couch and got a feminizing rhinoplasty in 2015 which, on hindsight, I realized got me quickly past the rhinoplasty to not only appreciate it by itself, but to also realize it wasn't enough. That led to a lip lift which I also appreciated but realized wasn't enough, and finally 1.5 years after the rhinoplasty, I ended up getting forehead/chin done.

It seems considerations about the most optimum route were stalling me in a manner I'd not break past without risking being incremental in a supposedly non-optimum manner. I took the risk to be incremental in that supposedly non-optimum manner and was rewarded greatly with forward momentum to the destination I really wanted to reach.

On hindsight, I might have done it all at once, but that's hindsight, and I'm not 100% certain.

I've seen both stellar and not-so-stellar FFS surgeon rhinoplasty results so I don't think all FFS surgeons are necessarily the best rhinoplasty surgeons. You have to shop around and do research.

Each person is different, so perhaps my nose starting point was optimum for this non-optimum incremental approach of rhinoplasty first. I can't say this is right for everyone but many do get a rhinoplasty before doing anything else. I think it's important to do research... perhaps contacting Virtual FFS, or getting consults with FFS surgeons even though you're not immediately ready for full FFS... asking them what they think if you get a rhinoplasty now and FFS with them later. Many surgeons will perform Skype consults so just because nobody is local to you doesn't mean you cannot have a consult.

My understanding of the whole "rhinoplasty at the same time as forehead" is that the top of the nose needs to blend/join the forehead in a smooth/correct manner. I can't say this for certain, but I was under the impression that if a person has a nose that fits their face now (before forehead work), whether done with rhinoplasty or not, that a good FFS surgeon can work with that nose to fit the forehead work. I was under the impression that a good FFS surgeon didn't see a prior good rhinoplasty as a blocker in doing great forehead work... but maybe I'm wrong on that.

I was in a completely different state before getting any surgery. Majorly overly cautious. (Knowing now what would happen in the year following my rhinoplasty puts a smile on my face.) At the time I got my rhinoplasty I wanted to ensure it fit my face. I wanted a feminizing rhinoplasty, but not one that was too small for my face. I'd seen feminizing rhinoplasties that seemed too small for the remaining genetic male features. My desire was to feminize the nose in harmony with my otherwise untouched face. I felt this would lead to less work rather than too much work, where more could be done later (assumptive on my part). I wanted the most feminine nose I could have for my otherwise unchanged face. I exchange thoughts on my case with the surgeon and just did it.

The result was not incompatible with my recent forehead work... but I can't say that would apply to all.

I'd be careful about going to just any old surgeon without doing some research, at least some rhinoplasty research if not more FFS research.

Watch the effects of expected "glitz" on your considerations: I'd been researching a rhinoplasty for decades, and I've been in many surgeons' offices and consults. Some of them were top-notch, others not the best match for me. Prior to that hindsight understanding, in almost all consults, there was often a moment of "good feeling," "hope," that this doctor was the "nose god" for me, the one. (I can hear the romantic music ... LoL) I mean, you're in a nice office, nice scents are in the air, you're hearing all the acknowledgements of what you want, and all that... it can be a glitzy convincing experience in the right/wrong offices alike.

The point here: Not only learn to trust your gut, and then trust it, but don't be guided by superficial things, or mere feel good feelings and nice pristine clean offices with big smiles greeting you and all that. Don't get me wrong, first impressions matter, cleanliness and professionalism matter, so that first presentation should be nice. Who doesn't want to go to a glitzy office of high quality work? I expect to have a good experience in the top-notch surgeon's office. I've yet to see a surgeon's office that isn't classy looking, with big smiles, and you will feel like a princess (or prince, depending) in almost any interaction with a professional office. The thing is, the glitz, or classy offices, or nice people, if you're focused on it—I especially think this can happen if you're new to researching plastic surgery—can make it difficult to weed out the best for you, from the ones who may not be a good match. I can also get emotionally attached which is part of what sales does... so I recommend watching those sales-driven emotional attachments. Don't sign up on the same day. Walk away, think about things, all that.

For clarity let me say... not all great surgeons have such classy offices, yet some do. Same with the ones that are not a match for you. So I'm not against the sales pitches... doctors have to do that. I'm just saying, at the end of the day, you want the best work, so all of the nice things you feel as part of that sales pitching doesn't really matter aside from what your gut tells you, what you see in before/after photos, and lots of things that are unique to you which I can't call out. You are your life's driver so if you're easily moved by good sales and glitz then beware. I guess not all are moved by that, but I have a difficult time sometimes rejecting, saying no, disagreeing. I've gotten over that over the years but when you're new to some things you might be easily swayed. I'm just trying to give you a heads up on that just in case. You seem like you've got it under control but I mention it fwiw.

Always ensure there are many before/after photos that show "after" results you appreciate. No before/after photos, walk. My opinion but you don't want someone working on your nose who doesn't generally produce the results you're looking for.

Also, I think it's wise to realize all plastic surgery is risky and imperfect. I'm a better patient because I'm not seeking perfection rather than a good result. I once heard that good rhinoplasty doctors need to perform revisions about 5% to 10% of the time. Or that great rhinoplasty surgeons need to do revisions about 5% of the time, 10% being too much. I can't say what's accurate... but the point here is you don't want a revision but you also can never guarantee you won't need one. I feel this is another reason I'd want to see many before/after photos in line with my goals, and also generally seek a doctor who performs a lot of nose work, if not exclusively nose work (unless getting it with other FFS where I like the surgeon's overall results).

Treat yourself well in the research and selection... the nose seems easy to get wrong by the inexperienced, if not occasionally by those who are experienced. Again, Virtual FFS may be able to offer you some good info in this area... I'd recommend checking it out. Also, can't hurt for you to try to get a Skype FFS consult with some top FFS surgeons.

Best of luck with it.

Oh side note... I was in a little disbelief that your profile photo was the same person in the photo in your first post above... you are apparently very talented in making things work. That's a great talent to have as I don't think the need for it ever goes away, even for ciswomen. You gotta be able to see yourself and make things work... so you're already in a great place considering you've not had any surgery yet.

Cheers,
Ashley

Thanks for sharing your experience. I think I will go ahead and get the Rhinoplasty separate as while it is not ideal I think it will be a good step for me in the mean time before I can afford FFS which may be 10-20 years down the track with affordability considered.

And thank you for the comment about the display pictures! Angles make a huge difference. And in the picture I uploaded I hadn't started HRT yet, I was a bit heavier, and I hadn't grown my hair out.

Much love. <3

IMHO is pretty safe to have a nosejob before doing any further FFS.

Even in a very unlikely scenario it would just take either tissue removal or graft placement to even things out.

Quote from: rainecloude on May 21, 2017, 07:59:51 PM
...
a Rhinoplasty is only 6-8k AUD and I actually can gather the money for that in the foreseeable future whereas I don't know if I could ever see myself saving 20-30k AUD. <3
...
I think it will be a good step for me in the mean time before I can afford FFS which may be 10-20 years down the track with affordability considered.
...

Hi rainecloude,

I asked FACIALTEAM what their thoughts were on rhinoplasty before forehead surgery and here is their response (shared with their permission... I added emphasis below)...

Quote from: FACIALTEAM Patient Relations Manager
"... if the person plans to have FFS in the future, it would be fundamental that their Rhinoplasty surgeon be given a few pointers to keep in mind to avoid a future revision surgery.  The frontal bossing and the transition to bridge of the nose is very important in FFS.  I'd recommend that she book a consultation with us BEFORE her rhino to discuss the fact that she is doing this now and later will be having FFS and if there are any special considerations she should pass on to her provider. ... She has nothing to lose by doing this...  there is no charge, no obligation... a whole lot to gain since we are talking about the success of her facial surgeries and undoubtedly a great financial investment. ... We are here to inform.  It doesn't matter if the person can't have surgery or decides to go elsewhere.  The orientation is important."

Disclaimer: I recently had surgery with FACIALTEAM so I am a patient of theirs.

I had my first consult with them in January 2016 along with several others throughout 2016 until surgery in 2017 a few months ago. I had not signed up until June 2016. Early on, before I'd signed up, FACIALTEAM gave me a free assessment, and helped me navigate a couple of other procedures here in the US as part of incremental steps... I wanted to be certain about getting forehead and I'm overly cautious as mentioned earlier. The point being they gave a lot of time before I'd even signed up. They are generous like that and truly want to offer their input regardless of where you go. They really have a mission to help folks transition and are there for both info and surgical needs.

I'll also add that other FFS surgeons may offer free consults as well... maybe others can share experiences in this area. Where you can get a free consult, I wouldn't hesitate if I were you to maximize the info you receive. It's only a price of your time to schedule consults via Skype which you can do from your home in Australia. Sometimes connecting can really enlighten and even bring about unexpected changes in direction.

If interested, you can sign up for a free consult with them at facialteam.eu click the Contact button, then the button for a Skype consult.

I don't know why I had personally hesitated so long... plenty of folks recommended I touch base... there's a weird thing I think happens when I feel something is out of my realm where don't even look into something relating to a life-goal, even if there's a free consult. I'm starting to change that because I'm learning that when you connect with others regarding life-goals, even if it seems like nothing will come of it, you actually find out things happen... maybe not immediately but positive things often do arise, maybe just info, maybe more... point is it's hard to predict and I think I can sometimes be too negative about possible outcomes just by connecting because I feel like I'm troubling someone or whatnot. ... but I'm finding sometimes just "showing up" (i.e., to the party, consult, meeting, whatever) is as important as people say it is. Wish I'd known that when younger! 

Anyway, give it a thought.

Cheers and Hugs,
Ashley