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facial feminisation surgeons in Europe

Started by nina ange, May 15, 2018, 12:45:31 PM

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nina ange

hello my name is Nina and i am almost 18, i started HRT in december 2016 and feel like i need facial feminisation to pass. i have a lot of disphoria about my face especially with my nose and my parents are on board to start the facial feminisation with the nose and maybe the chin.

i live in Boston but unfortunately Dr Spiegel is out of reach for us, i will be looking for europeen surgeons probably as i am originally from France. i had a Skype consulation with Facial Team this month and one with Dr Lachiver in Paris.  i am just very worried about the results of the rhinoplastie as i had heard that sometimes ffs surgeons are not very good with noses :( i would love to get insights from girls who had their FFS in Europe or somewhere else
thank you
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anjaq

If you only want rhinoplasty, I would look for rhinoplasty specialists in Europe. I think there are plenty of them and certainly some of them will be good. I would not go to a FFS surgeon for rhinoplasty only, as their speciality is more about whole face feminization and noses are only marginally gender specific.
I had rhinoplasty with Facialteam, but to be honest I did that because I had full FFS with them and did not want to do a separate second surgery for the nose only, so I took the easy route and combined it - also my nose was not that difficult, I think. If there is a complex nose job to be done - like a big size reduction or additional functional aspects, I would seek a specialist. For example FacialTeam could not do anything about opening the sinus cavities a bit or correcting the deviated septum flly, as the surgeries they do asre apparently mostly cosmetic and less functional?

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Danielle M

How about Dr Bart Van De Ven in Belgium.
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Laurie

  Hi  Nina Ange,
 
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Things that you should read


April 13, 2019 switched to estradiol valerate
December 20, 2018    Referral sent to OHSU Dr Dugi  for vaginoplasty consult
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DawnOday

My friend Evie just got back from The Facial Team in Marbella Spain. It appears to have skype consultations. Evie is loaded though, so I don't think cost was too much of a consideration. She's kind of finicky and I am pretty sure she went there for the quality. The pictures she is showing are quite impressive.
Dawn Oday

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First indication I was different- 1956 kindergarten
First crossdress - Asked mother to dress me in sisters costumes  Age 7
First revelation - 1982 to my present wife
First time telling the truth in therapy June 15, 2016
Start HRT Aug 2016
First public appearance 5/15/17



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Ellement_of_Freedom

I would look into Dr van der Dussen of Belgium as he is apparently very good with noses. I will let you know more after my FFS in 3 months.


FFS: Dr Noorman van der Dussen, August 2018 (Belgium)
SRS: Dr Suporn, January 2019 (Thailand)
VFS: Dr Thomas, May 2019 (USA)
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nina ange

thank you all for your help

Anjaq i agree that a specialist in rhinoplasty may do a better job but i am worried that he wouldnt do so much in feminizing me or my nose as the nose surgeons usually operates way more cis people than transgender people.
that is one of the reasons i like dr lachiver in France is that he is a ear throat and nose doctor too and does a lot of noses.

i had consultation with facial team in spain and the surgeon Dr Bellinga was super nice but the price tag is quite high and read some negative comments about their nose jobs.

i havent looked at the doctors in Belgium yet but was thinking about dr Bart van der ven as he also does Skype consultations and has very good before after pictures on his site . i had never heard of dr van der dussen but his site looks very good with a lot of information, the only downside is that there is no before and after pictures  .
Element of freedom could you tell me if he does Skype consultation (don't have the impression he does )and also give me approx costs of what you are having if you dont mind . i would love to contact him

i see so many girls getting revisions on their nose , makes me very worried

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Ellement_of_Freedom

Quote from: nina ange on May 16, 2018, 06:45:21 PM
thank you all for your help

Anjaq i agree that a specialist in rhinoplasty may do a better job but i am worried that he wouldnt do so much in feminizing me or my nose as the nose surgeons usually operates way more cis people than transgender people.
that is one of the reasons i like dr lachiver in France is that he is a ear throat and nose doctor too and does a lot of noses.

i had consultation with facial team in spain and the surgeon Dr Bellinga was super nice but the price tag is quite high and read some negative comments about their nose jobs.

i havent looked at the doctors in Belgium yet but was thinking about dr Bart van der ven as he also does Skype consultations and has very good before after pictures on his site . i had never heard of dr van der dussen but his site looks very good with a lot of information, the only downside is that there is no before and after pictures  .
Element of freedom could you tell me if he does Skype consultation (don't have the impression he does )and also give me approx costs of what you are having if you dont mind . i would love to contact him

i see so many girls getting revisions on their nose , makes me very worried



Dr Noorman van der Dussen is very reasonable with pricing, I think you will be pleasantly surprised. He does do Skype consults as well.


FFS: Dr Noorman van der Dussen, August 2018 (Belgium)
SRS: Dr Suporn, January 2019 (Thailand)
VFS: Dr Thomas, May 2019 (USA)
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reborn

Quote from: Ellement_of_Freedom on May 16, 2018, 07:30:40 PM
Dr Noorman van der Dussen is very reasonable with pricing, I think you will be pleasantly surprised. He does do Skype consults as well.

He is one of the leading nose job specialists in Europe. You will be in great hands with him.
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HelloKitty

Quote from: Ellement_of_Freedom on May 16, 2018, 03:03:17 AM
I would look into Dr van der Dussen of Belgium as he is apparently very good with noses. I will let you know more after my FFS in 3 months.

Hello,
Are you going to have a FFS surgery with Dr. Noorman van der Dussen ?
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Ellement_of_Freedom

Quote from: reborn on May 17, 2018, 12:29:01 PM
He is one of the leading nose job specialists in Europe. You will be in great hands with him.

That's really nice to hear, thank you. Only 3 months to go!

Quote from: HelloKitty on May 17, 2018, 06:22:13 PM
Hello,
Are you going to have a FFS surgery with Dr. Noorman van der Dussen ?

Yes. :D


FFS: Dr Noorman van der Dussen, August 2018 (Belgium)
SRS: Dr Suporn, January 2019 (Thailand)
VFS: Dr Thomas, May 2019 (USA)
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jessica1981

Hi Nina

After an event in my early life and wanting to do something positive, I have spent many years advising MtF's on surgery and have spent considerable time with many FFS specialists who mostly all agree with how important it is for teen MtF's to consider the growth stages of 7 year spans.

Put simply, there are definitive growth patterns 0-7, 7-14, 14-21.../
You may have noticed that friends specially males, show in some cases quite strong facial changes from their teenage years towards the early 20's which is a result of the culmiantion of puberty on the bone structure (brow bones, bossing, esp)

If you started HT December 2016, i would have advised you if one of my wards not to consider FFS until you are 21 as the influence of HT at such a young but perfect age will greatly affect the direction of the surgeon (if he/she are of good repute).
Most surgeons advise a full 2 year span of HT before considering surgery.

Just my opinion but i started HT at a very young age also and was given the same good advice at the time. Unfortunately transition was halted at the start of my journey as my introduction post explains.

Very brave at such a young age xx
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Alexa Ares

For What its worth, Dr Inglefield in London is excellent.
If you read his reviews on Realself, everyone has good things to say and the work he did that was Televised via Transformation Street speaks for itself.
Ive consulted with him, and am provisionally booked in for later in the year. He clearly has a lot of FFS experience and is cautious and caring.
He tends to get back to questions on Realself pretty soon, so This was how I initially made contact.

With the consultation, he was on time (rarer than you think) He took on board what I had to say, and did not suggest procedures that are not needed. He is not pushy at all either, and has a good team with him. X Rays were taken, and everything was done in a professional manner.

Facial team, I spoke to and found them to be good. Living in the UK, gives Inglefield the nod for me, as well as a feeling as a Brit he Gets what I want to achieve more than an Iberian surgeon would. There are small cultural differences.

Bart Van Ven - some good reviews, some bad. Seems A Marmite type of Guy. I decided to not see.

I spoke to some other surgeons admins and did not feel they really got what I wanted to do, so I passed on them.

As ever, its really about how YOU feel about the surgeon. Inglefield GOT me as a person, and I feel confident he can give me the results I want.
I would speak to at least 3 surgeons.
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nina ange

thank you all for your comments , i definitely wants to get a Skype consultation with dr Van der Dussen, i checket out his site and videos on utube and i like it. it is too bad there are no before after pictures on his website though :(  i have never heard of dr Inglefield in London , i will check him out but for me London is more complicated as England is not in the euro zone and is a very expensive city :( but beautiful :) . so far the best price quote is the one from France as the operating and anesthesia fees in France are very cheap compared to Spain or the US.

Jessica i agree with you that it is better to wait 2 years after starting HRT to get FFS and it will almost be 2 years when i will have it at the end of this year .  but i Don't quite understand why it would be better to wait til i am 21 years old, i am taking strong blockers since 14 and a half  , unfortunately i had puberty at 12, and i dont think i will have growth spur . at least i hope so :) i have very bad disphoria and want to start with my nose and chin , i will have the brow bossing done later in a separate surgery .
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anjaq

The ose itself is not a strong gender marker. There are men and women with beaked oses, large noses, tiny noses, sloped noses. My boss has a small and sloped nose, one of my female co workers has a large nose, some iranian women have really humped noses... so i would not really believe that it makes sense to search out a FFS surgeon just for the nose. If the rest of your face is feminine already, you can as well just go for a surgeon that is a really great rhinoplasty specialist for cis women, because there is nothing he cannot do that FFS surgeons can. If you have a good image on what you want the nose to look like, there is no reason he could not do it.

If you want other things done, it makes sense to look for FFS surgeons of course. There are several options and restrictions there - the nose can in some cases only be changes so much if you dont adress the forehead. If your forehead is a bit protuding and the transition to the nose is not separated enough, you may need to get them both done at the same time. If they are separated well, as was in my case, you can first do the FFS and later the nose. I would not advise it the other way around, do the nose last - otherwise the surgeon may not be able to do enough to the nose because he may try to match it aesthetically to the rest of the face - which will have to be re-done later if the face changes.

I think you will find bad reports about nose surgery from all FFS surgeons - including of course Dr van der Veen, Facialteam, Spiegel, van der Dussen and even Ousterhout. Thats because noses are a vers delicate thing and often heal unpredictably and also because people have very specific images of how their noses should look like - and will find even minute differences to that and declare it a failure...

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Allison S

Quote from: anjaq on May 22, 2018, 02:04:58 PM
If they are separated well, as was in my case, you can first do the FFS and later the nose. I would not advise it the other way around, do the nose last - otherwise the surgeon may not be able to do enough to the nose because he may try to match it aesthetically to the rest of the face - which will have to be re-done later if the face changes.


What do you mean by seperated nose and brow ridge? My only issue with my nose is that it's droopy and slants downward... This was due to a fall when I was a toddler I fell flat on my face breaking my nose [emoji20]
My mom is 65 and has a brow ridge that sticks out too a bit. So I want mine fixed but I'm scared of any scars on the forehead.

Sent from my VS501 using Tapatalk
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anjaq

This is an axample where the nose transitions into the forehead - this kind of nose could not be changed sirgically significantly without also adressing the forehead at the same time and vice versa. It would pose limitations on what can be done in each of the two separate procedures because setting back one of them would cause a "notch" at the transition.


This on the other hand is a separated nose - it could be changed independently of the forehead without issues as the root of the nose is already set back.

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Allison S



Quote from: anjaq on May 23, 2018, 12:05:50 PM

They're both very pretty. Thank you! I'm closer to the 2nd one. I still feel like in my case both my nose and forehead should be done together in surgery. The only thing I'm concerned about is my brow/forehead being reduced and pushed will make the upper part of my face look even more sunken than it already does. I hope a ffs surgeon can explain how this works for me. I want a more flat forehead, but I don't want to compromise the proportions of my face either.

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anjaq

Thats hard to say then. Yes of course forehead reduction will make the forehead set back a bit, so if you feel that would be "sunken in", then its likely that this is what you will have. The FFS can make the forehead more rounded, sometimes a bit more flat as well. But few surgeons would use fillers to make it stick out more int he upper part, if that is what you would want. I believe this is the "type 2" forehead? Using fillers to round it instead of taking away bone.

The point about the nose images was not if they are beautiful, yes they both are, but to show the difference between two types of nose to forehead transition, which makes a difference regarding if they can be done separately or should be done in one go to avoid limitations.

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