3 month follow up FFS with Deschamps-Braly

55
u/Klafka612
Sat Oct 24 00:23:32 2020 UTC
*
(10 comments)

Someone had asked me about doing a follow up of my last post about FFS so I thought 3 months seemed fitting as this is the point at which I'm cleared for all activities from my surgeon. I know I've posted about my experience throughout the sub so hopefully this isn't too much noise but it has certainly helped me to talk about my experiences.

So to recap. I had FFS with Deschamps-Braly on 7/23/20. I had the following

  • forehead feminization including type 3 brow ridge reduction and contouring of the orbital bones
  • brow lift
  • hairline advancement
  • reduction rhinoplasty
  • sliding genioplasty (chin reduction) consisting of 11mm height reduction, 8mm width and 8mm advancement
  • mandible/jaw contouring
  • thyroid cartilage reduction (trach shave)
  • fat grafting to my lips, cheeks, infraorbital rim, nasolabial folds, and temples.

I'm incredibly pleased with every aspect of my FFS and with my experience with Deschamps-Braly. I'm so happy with my nose, something I did not put a lot of stock in previously, I feel like it has feminized my face and aesthetically enhanced it a tremendous amount. Another thing that I had asked about during my consult with Deschamps-Braly was the fat transfer which he thought would be helpful for me and I'm super glad I got it. I let him decide where and how to place the fat and I'm really pleased. I believe I've retained a significant amount of the fat and I think it has added a nice fullness to my cheeks, my lips are subtly plumper without being "done" and I previously had a gummy smile that this less gummy because of my lower lip. With the sliding genioplasty my lower tooth show has been reduced which I really like with my smile as well. I feel like my eyes are really opened up and my forehead advancement feels so wonderful. Previously, my hairline was probably one of the areas of my face that I hated *the most* and I feel like the difference is stunning. I feel like as my voice improves that even with my mask on, despite being 6' 1" I still get gendered femme, which is what I want from strangers.

So here are a few pics of me now my hair is a little wet so these aren't my favorite but I was getting laser on my face later so I didn't want to take pictures with my face all swollen:

image complete somewhat messy room

off angle face close up

front view

side profile

Also my friend mentioned that these pics don't look as good with wet hair so I've added a few older ones with better hair.

https://preview.redd.it/l7cenp3xuxu51.jpg?width=4608&format=pjpg&auto=webp&s=ab917dc4005d9df3245113d9c02d73b5bbae3724

https://preview.redd.it/zubf8mgxuxu51.jpg?width=3456&format=pjpg&auto=webp&s=e7d46b8383ddcc8110a371a8409f70dc68649ed9

Here are a few before pics

very severe front profile view for surgery consult

side profile I used for surgery consult pics

what I actually looked like more commonly pre FFS

At this point in time I feel mostly recovered. I have feeling back throughout my jaw, though there is still a bit of sensitivity when I say put a significant amount of weight on it (like for instance if I press my chin against the ground in yoga) and I can feel that the gumline incision scar is still there. Similarly, while I have all feeling back in my forehead and some feeling back throughout all of my scalp I do not have all scalp sensation back - I am still actively regaining it. Also the tip of my nose still feels a little stiff - it is not painful but it does not fully feel like my tip did pre-surgery. My understanding is that all of these are common for this stage of the recovery period and it does not bother me.

How has recovery been over these intervening 3 months? As many people have mentioned, the first 3-6 days kind of sucks. There was some pain, but more so, I was just extremely tired, swollen, and had to do lots of upkeep to myself like making sure I ate on a strict schedule (I'm very happy I did not lose any weight during FFS, something I feel may be useful in retaining fat from the fat transfer). After about 2 weeks I occasionally had headaches and low energy but pain had largely subsided. I returned to work after 4 weeks and still had low energy and was still working on fully opening my mouth as I continued to stretch my jawline incision and lower jaw swelling reduced. By 6 weeks I feel like a significant amount of swelling had gone down

Also here are some pictures of what my scars look like at +3 months. I had a hairline incision as well as a submental incision with two small endoscopic scars for my thyroid cartilage reduction ( trach shave ) as well as a scar on my columella for my rhinoplasty

https://preview.redd.it/9yf9t351rxu51.jpg?width=4608&format=pjpg&auto=webp&s=1d97da94dc92fe3c99ba47fc4f94594119378a2f

https://preview.redd.it/c28iq151rxu51.jpg?width=4608&format=pjpg&auto=webp&s=7441f8808ec531aa2159bd4d01fcf6ec4d66aa56

it is very faint but there was an incision made on the middle of my nose (columella)

If you're interested in seeing in detail all the phases of my recovery I have it documented on my instagram as well from day of surgery, through first post op, second post op, and once I felt like less crap pretty much every day for several weeks with lesser frequency after that, starting from this post and moving upwards https://www.instagram.com/p/CDC14zUn9P7/ or just from my profile .

I'm obviously happy to answer any questions about this too of course!

Oh yeah as for what's next:

November I'm getting lipoabdominoplasty with autologous fat transfer for primary breast augmentation with Dr Zeidler

January I'm getting hair grafting with Dr. Pak at New Hair Institute

February I will probably get a second round of fat grafting for boobs or if I'm satisfied with that I will get fat transfer to my hips.

all 10 comments



4
u/Boltarrow5
Sat Oct 24 03:34:58 2020 UTC
(2 children)

How much did something like this cost? I've been looking towards Deschamp for awhile but their cost seemed incredibly high last I checked.

4
OP
Sat Oct 24 04:34:17 2020 UTC
(1 child)

So I would prefer to not say precisely what mine cost but having seen quotes from folks like keojampa and mardirossian they seemed very comparable in price to be honest.

3
Sat Oct 24 04:58:42 2020 UTC
(0 children)

Can you give me a range then? Just so I know what to keep an eye out for. If its too ritzy then maybe in DMs?

u/[deleted]
Sat Oct 24 01:18:52 2020 UTC
(1 child)

[deleted]

1
OP
Sat Oct 24 01:53:35 2020 UTC
(0 children)

thank you! you just have to give yourself time to heal.

u/[deleted]
Sun Oct 25 00:57:15 2020 UTC
(1 child)

[deleted]

1
OP
Sun Oct 25 03:33:58 2020 UTC
(0 children)

Yeah I definitely preferred the submental approach.

1
u/throwaway9832663
Sat Oct 24 01:35:13 2020 UTC
(1 child)

Congrats - I had surgery with Dr D a week or two after you did, as i am at 11 weeks post op.

For me we did nothing on the bottom half of my face: no jaw or chin work. All the doctors I consulted with said, “Don’t touch your jaw!” The chin was a close decision, and I ended up making a call to be conservative and skipping it. Sometimes I wonder if I should have done it but oh well...

But we did everything from the nose up including fat transfers, with particularly significant work on the forehead and hairline. The before-after photo comparison of the brow ridge was mind-blowing. Huge difference.

My recovery has been very similar to yours, easier in fact given that we didn’t do chin or jaw work. And that of course meant that I could eat anything I wanted and I did in fact have a good appetite even starting the day I was discharged, which also further helped recovery.

One question for you: did you have any hair loss around the incision? I did especially in the right side of my head. Not something that really shows day-to-day but there are meaningful patches with no hair on my scalp. I’m hoping it does grow back...not a given since I am 48 years old...

But besides that, I too am very satisfied with the outcome. In particular, I’m glad that Dr. D took into account my desire not to change my face so much as to be unrecognizable. In particular, I pushed back on his proposed nose design, because it looked like no noses in my family. And although my nose isn’t the most feminine, it looks much like every other nose in my family - exactly what I wanted.

At this point I think this is the only cosmetic procedure I’m going to do. Pretty happy with my appearance.

2
OP
Sat Oct 24 02:00:08 2020 UTC
(0 children)

I had some shock hair loss in the space between my ear and the incision - which they warned about. I used foam minoxidil and it may have helped? I am noticing regrowth. I even got hair growth in the vertices of my forehead which initially had no hair https://imgur.com/a/ixDSvr7 that being said I'm going to get hair grafts to fill this area out.

It's good to hear that he worked with you to get the nose you wanted!

1
u/rainbowlolipop
Sat Oct 24 03:35:44 2020 UTC
(2 children)

Congratulations!

Would you mind sharing how much this all cost?

5
OP
Sat Oct 24 04:34:44 2020 UTC
(1 child)

So I would prefer to not say precisely what mine cost but having seen quotes from folks like keojampa and mardirossian they seemed very comparable in price to be honest.

1
Sat Oct 24 05:33:21 2020 UTC
(0 children)

Fair! Appreciate you sharing. Thanks