Deciding to undergo transsexual surgery is not a decision that should be made lightly. Once you determine that having transsexual surgery is something you would like to do for yourself, then you are ready to proceed with planning for your operation.
The first step is to find a Los Angeles or Beverly Hills cosmetic surgeon surgeon who will best serve your needs. Dr. Pincus is an individual who understands that this is an important decision in your life. Los Angeles plastic surgeon, Dr. Stephen Pincus offers transsexual surgery at his private practice.
If you are considering transsexual surgery, Dr. Pincus wants you to be thoroughly informed about the procedure before making a decision. Important information includes:
There is much more one should be aware of before undergoing transsexual surgery.
A personal consultation with Dr. Pincus is the best way to obtain the information you need. If there is anything you don't understand, you will be able to ask Dr. Pincus at your personal consultation.
Male foreheads differ from female foreheads by having a bony prominence (supra-orbital ridge or brow bossing) over the eyebrows. In other words, the bone over the eye sockets projects farther forward than the bone in female foreheads. Additionally, the forehead above this prominence is usually flatter or occasionally tilted backwards compared to the female forehead, which is usually more vertical or even slightly rounded or convex. Located behind these ridges are the frontal sinuses. However, they are absent in 5% of the population and only on one side in 15%. To reduce the brow bossing, an incision is made in the scalp which allows the forehead skin to be elevated for access to this area. It is then burred down with an electric drill. In patients with very flat or posteriorly directed foreheads, a synthetic material (methyl methacrylate) is occasionally used to produce the more feminine, rounded contour. And, finally, if the frontal sinuses are very enlarged, the anterior wall may, at times, have to be set back.
The female eyebrow is arched compared to the flat eyebrow in the male. The ends of the eyebrow (the club and the tail) are at the same level, and the highpoint of the arch is between the outside of the iris (lateral limbus) and the corner of the eye (lateral canthus). Since many MtF TS patients have their supra-orbital ridges reduced, the eyebrows can be elevated at the same time by pulling the forehead skin upward in this “open” approach. On the other hand, if brow bossing is not an issue, endoscopic (closed) browlifting or even brow elevation through an upper eyelid incision can be performed. This latter technique would be a good approach if upper eyelid surgery was also being performed and most of the elevation that was needed was on the outside or lateral aspect of the eyebrow without significant drooping of the inside or medial aspect of the eyebrow.
It has always been my impression that a good looking, balanced face is more of a square than an oval. This necessitates having well developed cheeks and angles to the jaw. For a face to look more feminine, the cheeks are stronger than the angles. And vice versa for a face to be more masculine. To this end, we usually place cheek implants in MtF patients. Though there are many synthetic materials used, as well as a person’s own fat, I have been very happy using the silicone variety and stabilizing them in place with a tiny titanium steel screw. The approach is under the upper lip, and I usually use implants that either just enhance the cheek area (malar implants) or those that enhance both the cheek and sub-cheek area (combined implants).
Dr. Pincus has two locations in the Los Angeles area, one in Beverly Hills and one in Marina Del Rey, ready to serve your needs. For more information on transsexual surgery or to schedule a consultation with Dr. Pincus follow the link below to use our online form to contact the doctor.