So I spoke with Dr. Zukowski this morning. First I was left believing he really does know facial tissues and don't doubt his skills for FFS. However, I was left feeling like he was pushing for the maximum of all surgical options. I feel that my age, nearly 42, was definitely a determining factor in what he was suggesting to me should be done.
His thoughts, from what I remember: Upper face, arches and outer edges of eyes, other grinding across the forehead to smooth everything, hairline pulled forward, something about cutting the muscles above the center of the eyes like above the glabella maybe because it causes age lines. Nose and septum work of course. Chin grinding to narrow, shorten length and forward projection. Trimming muscles up under the jaw to define it. Sounded something like a inside necklift. He talked about grinding my jawline and angle and a tracheal shave. He had me tilt my head way back and feel for my tracheal bump. Fat grafts into the upper cheeks and upper lip. Fat removal from the cheeks to prevent future aging. looking at $40k for him to work on me.
My thoughts:
I have supraorbital arches yes. They come next to each other at the glabella but do not form a complete ridge. There is a bit of flare at the outer eye rims also. Yes I'd like those all taken down. I can live with my forehead but if I am going anywhere I'd like it taken down there. There are cis women with bigger brow ridges than me. I could live with it as is if I had to and be OK.
Nose and septum need worked on definitely.
Chin needs narrowed some with shirtening and forward projection reduced. I'd be sure happy about that. A neck lift would be nice but I could stand to loose weight as well. That would reduce my familiar turkey neck everyone in my family has.
What I'm not keen on, extra fat grafting into my cheeks or wherever. The tracheal shave need not be done. Plus if I end up budgeting it all right maybe I'll look into Dr. Thomas' Feminizing Larnynoplasty procedure for my voice in which case its better not to have had someone cutting on that.
My jaw, he talked about cutting down the jaw and jaw angle and reducing the masciter muscles. My jawbone has no flare at the corner and the angle is around 120 degrees not the common masculine 90 degree angle. I don't see any need to reduce my mandible bone.
All that leaves me scratching my head. For one I don't think I can budget $40k for FFS. Second I want to remove the extra stuff Testosterone did to me, I don't feel the need to be a perfect 10 as it were. I don't need to look different, just not masculine. I just got the impression he likes to do everything he thinks of and seemed resistant to just more basic level of things.
My jaw angle
My chin is forward, I also have an underbite that makes it worse.
At an angle you can see how that arch pushes out and see the lip at the edge of my outer eye rim. From front or side I don't feel too much dysphoria issues from the arches and eye sockets, but from that angle I do.