I have found that taking care of your body ie: working out with light weights and cardio (treadmill or eliptical) and doing it on a regular basis, especially diet will help in giving you that "edge" not only with making your physical appearance more fem looking, but will increase your endorphins and help with your serotonin levels. It will help alot with your mental attitude and hormonal ups and downs. I recently had FFS done by the predominant FFS surgeon in San Francisco, CA just 6wks ago. Imo, you will not need and fillers in your lips as they are nice and full..Upper Lip reduction cost me $2500., you will prob need a chin implant..I have a titanium implant. Chin along with jawline feminiation ran me $10,000. You will imo will need scalp advancement, which cost me $3500. they will ususally do a forehead lift along with it, but because you are younger, you may not need it. Doesnt even look like you need a Tracheal Shave, as you dont have any noticable Adam's apple. You might want to considerr Rhinoplasty tho to help feminize the nose. That cost me $6,000. You will not need lower or upper eyelid surgery either, because you have great tightness and no loose skin. Might want to have the browline done as well. I know it is a costly procedure having FFS, but the results are so rewarding. I had to have alot of work done, but i am kind of a perfectionist with myself. I had two seperate OR days..one on the 6th of May to do all soft tissue work and alittle lipo on the abs and luv handle areas 4hrs total in the OR and then next day on the 7th at 7:30 went under for just over 10hrs for all the bone work and rinoplasty. I was there for a total of 11 days. If you were to go with the same Dr. i did with what i said it would cost you around $23, 000. I spent $53,000, but i needed the trach shave, forehead lift and under eye surgery, and lipo, which i do not think you need. If you truely feel that you are TS, i would first seek out a qualified therapist that is experienced with TS/TG and if indeed you are or are sure to go ahead with this, i would see an endo or dr that has experience with MTF hormones. I have been on female hormones for a yr now and that along greatly help with femnization,even without having any physical surgeries done, but seek out a qualified hormone dr or endo. Btw, please do not take what i say as a drs advice. I am just suggesting what i have gone through to get where i am at today. I am in the process of legal name change now, have scheduled a consult on cohesive implants, and am doing research on SRS Dr. Best thing is to do lots of searching on the internet, talking wih other Ts's and using sound judgement that is rational and well thought out. Good luck huh...you'll be ok..0x