For those of you who had GCS plus FFS, BA or both:

In what order did you have the surgeries?  Was it a matter of personal convenience or were you specifically advised to do it this way?  How long did you take to heal between surgeries?

You could always do them all at the same time!

My wonderful surgeries SRS, BA and FFS at PAI Bangkok
https://www.susans.org/forums/index.php/topic,204651.0.html

But its probably not a good idea unless you have some help (and find a surgical team to do it).

I've heard quite a few women do BA and SRS at the same, but apparently the BA can make it painful to dilate.

Anony is abdolutely right. You need a clinic where a team of surgeons can work together to do all 3 at one time. Thats the ideal senario, as you want to keep your  hours under GA to a minimum.

The FFS takes the longest, can take up to 7 hours plus, depending on the work done. Remember you can have a rhinoplasty with a silicon insert done in a clinic and not under GA at a later date.  So some procedures can be done later. Im considering a siliocn nose with a slight upturn at the tip.

The BA, yes Anony is correct. It varies from patient to patient and where you have the incision, the implant beneth the muscle or nor and size of implant. You will not dilate until after 8 or 9 days post srs anf most patients will not have much pain from BA by then. Its the shortest surgery time wise.

Srs tends to take 3 hours. If you have the same surgeon and do ffs then you will be under GA for 8 to 10 hours. A long time under GA, and long hours for the surgeon, and not recommended. I had a consultation with Suporn before opting for PAI because he wanted a 2 stage operation for FFS and then srs, due to time needed.

PAI has surgeons that will work together. Im really happy with the results.

I had 11.5 hour FFS bone work stuff in January 2015

GRS 5 months later... May 2015

And... Another 11.5 of soft tissue facial work 6 months later in Novmber 2015

Yup!!!... 2015 was a workout!!!


No BA and glad I didn't .... Hormones did their thing, it just took a while!!!


Onward we go!!!!

Ashley

If I were doing a ba, I'd be waiting til I'd been on HRT for 3-5 years, that definitely puts it after GCS, which I didn't want to wait for

I had facial surgery first, and SRS/BAS eight months after that.

I went for the facial work first, because for me there was nothing more important than addressing my social presentation first and foremost.  As far as I was concerned, if I wasn't going to get female gendering on a reliable and consistent basis (verging on 100%) then there was no point in going forward with everything else. 

I felt pretty healed up at the three-month mark, and had revisions about a month after that.

After I had the facial work, everything changed.  It was the most life-changing experience I've ever had. I do believe it facilitated getting better care from a variety of medical personnel -- therapy, going to the doctor for a throat infection, even returning to hospital for bottom surgery.  It certainly made it possible for me to live a woman's life in a way that previously had been just out of reach.  Not that SRS/BAS didn't help, but it's my face that people see every day.  I'm so glad I've been able to enjoy these results for as many of my days as possible.

Quote from: AnonyMs on June 26, 2017, 09:27:15 PM
I've heard quite a few women do BA and SRS at the same, but apparently the BA can make it painful to dilate.

I found the pain of BAS to be slighter more sharp and difficult than my bottom surgery -- which may have helped with dilation, if only because it would distract.  But it was the facial work that was truly excruciating. 

Well, I requested both through Kaiser Northern California at the same time.  I've already had my initial meeting with the FFS surgeon.  The GCS/SRS initial meeting with a surgeon is late next month.  Once the initial meeting is done, in each case I go into the scheduling queue for those surgeries.  As each new year opens up for booking surgeries into facilities and OR teams, folks on the scheduling queue are assigned specific dates for their surgeries.  I'm hoping to get in when 2019 bookings open.

I'll take the surgeries in whatever order I can get them.

I have had to save and pay for every single thing out of pocket so unfortunately I couldn't just do mine all at once.  Nor do I think I would want to. 

I did trachea shave first because that was the literally most important thing to me since no matter how pretty you are or what size your boobs are, that's the biggest giveaway.  It was really rough- out of all of my surgeries I still consider it the worst!  This was end of 2013

BA in May 2014.
FFS in May 2016.
BA Revision April 2017.
Working on Scheduling GCS now.

Just my 2 cents- I had BA revision in April of this year, and 2 weeks later had a large volume full face electrolysis session and it was way too much to handle! I thought my body was going to shut down. I got so sick.  I am just now in almost July starting to feel normal, so I would definitely recommend waiting several months between any surgeries.  I know electrolysis isn't surgery but it is still tolling on your body.

I had / planning to have:

FFS 9/16/2016,  0% reimbursement
GCS 11/15/2016, 85% reimbursement
Hair transplants 3500 graphs March 2017, 100% reimbursement
BA scheduled 7/17/17, 85% reimbursement
VFS & FFS face Fat revision planning 9/2017, in process,
Hair round 2 planning 3/2018, in process

I had to wait a year for GCS. I went full time 11/13/2015. The first opening for GCS (McGinn) after 11/13/2016 going full time I took. I backed FFS to the first opening before GCS then had to wait 6 months after FFS for hair ( I had a forehead lowering procedure as part of my FFS and it is advised to do hair after that procedure). My BA had to wait 6 months after GCS. I had schedule the BA with GCS but due to complications I had to delay my BA. I plan to do VFS and FFS fat revision 9/2017 and Hair round 2 3/2018.

FFL was tough the third day, no narcotics and puking all day from oxi from the 2 day stay in the hospital. I had extensive FFS and could open my mouth a crack to puke. 

GCS was an absolute need. FFS/BA and Hair and were really important for me.

I went to the bathroom with a friend co-worker today. When I entered she squealed, this is the first time we are peeing together. Then the conversation during and after, it was really nice. I felt so good.

My overall transition order has always been a bit wonky compared to most girls here. 

To date:

Laser and electrolysis:  2008-present (occasional electrolysis touchups at this point)
Counseling: 2008-present
Legal name/gender change:  August 2014
HRT:  June 2015

My future plans are most likely:

FFS/BA September 2017
GCS  January 2018

I assume that will be enough time to heal in between.

Renae

Everybody has their own priorities. Some of us want genital surgery first and others want FFS or BA first. Doing too much all at once may lead to complications. First determine what needs to be done and discuss it with your surgeons.