Javier Rossi, MD, FACS

I'm very happy with my FFS results at T-Change

Dr. Rossi and his team took great care of me. Amanda makes sure that goes well and would check on me as I recovered.

I think I got a very balanced set of changes that I think both look good, and shifted how both I and others perceive my gender. This was much intended and was according to my desired goals for the procedure.

I had my FFS (Facial feminization surgery) with Dr. Rossi in 2022. It's been an amazing 2 years so far. I would recommend him if you're considering this surgery. I also found the cost pretty affordable compared to other surgeons with similar results.

I'm now 5 months post op, and honestly I couldn't be happier with my results. Dr Rossi preserved alot of my facial features while simultaneously making them more feminine!
The whole process was very streamlined, and I am super grateful for all the help from the t change team.

This is a long review because I wanted to include everything I wish I knew before embarking on this journey but the TL;DR is I LOVE MY NEW FACE and I couldn't be happier with Dr Rossi's amazing work and Amanda's excellent organization. I want to encourage every transfem who wants FFS to get it if you can, and to choose T-Change and Dr Rossi.

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** Background **
I'm 15 months into transition. I first heard of FFS on this subreddit about 9 months ago and after doing some more research, I quickly decided that it was something I wanted. I'm 32 and had quite a prominent brow bone and a large, ugly nose. These features bothered me even while I was somewhat settled in my male presentation. My makeup skills are quite basic but with the exception of foundation to hide little flaws in my skin, makeup seemed to make me look more like a "drag queen", i.e. a man who was awkwardly going over the top to try to achieve a look that was never really going to happen, so I stayed away from make up.

One of the first decisions I made was that if I was going to transition, it would be to do everything I could to eventually pass and live a "cis life". I accepted that it might never happen but I would do anything I could to move in that direction because a cis female life was the prize that I was working toward.

** Research **

The results that I had seen and liked the most were from Facial Team and T-Change (Dr Rossi). I appreciated that both focused on giving patients the feminine version of their own face, so patients look like female versions of themselves ("what they should have looked like"). I sent emails to both. I liked Facial Team's dedicated facility and clearly defined process and recovery. It seemed like going on a little vacation and coming back different. But I was shocked that quotes I'd seen from about 3 years ago were about half the estimate that I received. Their results seemed very similar to T-Change's but with the added obligation to pay for their slick marketing and luxuries that wouldn't have much effect on the end result.

As it happened, I was due to visit Buenos Aires anyway, so I scheduled a consultation with Dr Rossi a few days after I would arrive. By the time the consultation came, I had already come to like Buenos Aires - in fact, of the 50 countries I've visited, Argentina is one of my favorites, so I was going into the consultation with a good impression already.

** Consultation **

I met him in his office. The consultation was quite brief as I only had a few questions for him. He was clearly one of the most capable surgeons for the task and having a scientific bakground myself, I appreciated his scientific approach of measuring every part of my face and determining where a few mm needed to be added or removed. I didn't express any special preferences apart from exactly how the shape of my nose bothered me.

Amanda from T-Change sent me a quote. They mark their quotes as confidential - I guess they don't want to get into a price war with their competition, and don't want to have to explain to every patient why their price is a bit different from someone else's. I can't state how much I appreciate their work so the least I can do is to honor the confidentiality of their quote. But I think it's safe to say that I had a very comprehensive package with all of the changes commonly associated with FFS including fat transfer and blepheroplasty, at a price similar to the pre-inflated Facial Team quote, once you account for the fact that accommodation is your own responsibility with T-Change (more about this later).

The waiting list was about 6 months. They let me pay in instalments over the 6 months which helped me manage my money - I just made a mental note than a certain % of my salary over the next 6 months was earmarked for the surgery.

As the date grew closer, Amanda gave me the area in which I would have to book accommodation, to be close to her so she can check in. It's one of the nicest parts of Buenos Aires with a lot to do in walking distance. I found a good Airbnb although I would suggest to anyone else to book your accommodation well in advance. I booked mine about 2-3 weeks before the surgery, and most of the local Airbnb's were taken, and hotels had raised their prices for those dates.

** Arriving **

I told Amanda when I would arrive and one of her staff was waiting at the airport for me. He was friendly and took me to my Airbnb. I chose to arrive about a week before the surgery so I'd have some time to enjoy Buenos Aires. About 3 days before, Amanda arranged for a cardiologist to visit my Airbnb to do an EKG (ECG). He was on time and friendly too. Then, I think the next day, I met Amanda for the first time at my Airbnb and she took me to get a blood test and x-ray of my head. Again, everything was well organized.

The day before, I got the time of my surgery. Amanda collected me from my Airbnb, we did some paperwork and I was shown to my room. It was a private room in an older (but not at all bad) hospital. The anaesthesiologist came in to introduce himself. He heard I have a fear of needles and reassured me he'd use the smallest one. Then Dr Rossi introduced himself and we recapped what would be done. Everything was well organized and there were no surprises.

In the 2 weeks before the surgery, I suddenly started to worry about whether I'd gone into enough detail with Dr Rossi in the original consultation, as I mostly just listened to what he wanted to do and didn't express many preferences of my own. I wasn't sure whether it would be best to just leave it up to their expert judgement or to try to control the procedure a bit more myself. I ended up talking about my main concern - the shape of my nose, which I had already talked to Amanda about by email, and upon explaining what I didn't like about it, Dr Rossi explained what he can do about it, which turned out to work well.

I also worried about whether there was anything I didn't know about the recovery, as most of the information I had was from random other patients' experiences and stumbled on something about losing feeling on top of your head after surgery which it felt like I should have known weeks before. I discussed it with Amanda and she explained it can happen and it's temporary.

We took a few "before" photos in the hospital room then I was wheeled into the operating theater. Besides myself, there were 5 other people there. Dr Rossi hadn't arrived yet. One of the doctors asked me what kind of music I liked and played some while the general anaesthetic kicked in. This was a really nice touch.

** Waking up **

When I woke up, I was very disoriented and struggled to control my body, but I wasn't in any pain. A nurse who spoke English was sitting on my couch reading a book. She introduced herself and was friendly and helpful. She soon switched with someone else who was also very friendly and helpful, to make sure I stayed in the correct position, and to help me eat and pee. After a few hours, I was able to stand up and use the actual bathroom. She made sure I could walk ok. After a few hours, one of the surgeons checked up on me and discharged me. We took a taxi back to my Airbnb. Amanda was waiting there with some ice packs, diclofenac, mouthwash and other essentials for the recovery period.

I spent 2 more weeks in my Airbnb. Amanda came every day for the first few days to make sure I was ok. She brought me some food one time when I didn't have much left.

About a week after surgery, Amanda took me to Dr Rossi's office where I had the consultation, to have the stitches and staples removed. The stitches hurt, especially the ones on the lip. There were a few tears and he had to stop for a minute but overall it wasn't that bad. Later, I found a few stitches he missed and removed them myself with tweezers.

Amanda saw me one last time when I checked out of my Airbnb. We took some more photos and she called me a taxi to take me to the airport. I had a chance to talk to her about her transition while we were waiting - I found her to be very open and it was really helpful for me to speak to someone who's been through it all.

At the point when I left, I was still very swollen all over, I had a bruise under my left eye, spots under each of my ears (not noticeable at all), a scar under my chin (not very noticeable), a scar along my top lip (a bit noticeable) and a large scar along my hairline (very noticeable). I found the best thing to cover the hairline scar is a headband.

I asked Amanda for a letter to say what was done and when. This gave me some reassurance while I'm travelling, in case I land on an immigration officer in a bad mood, and I put it in my file of transition stuff to show people to support a legal gender change etc. I have passed through about 10 airports since then and nobody's given me any trouble at airports so far (I still think it will happen at some point - law of large numbers).

The next stop on my trip was Mexico where I was meeting a friend. We ended up at a strip club where I was given the "girlfriend" experience by security before they saw my ID, and even after they saw my ID. I was wearing male/androgynous clothes and a hat to cover my hair. It spoke to the quality of Dr Rossi's work, and it was very affirming, but mostly it was just so funny that my first experience of being a passing woman was at a strip club with a male friend.

** 6 Weeks After **
Life has mostly returned to normal now. The scar along my hairline is still very noticeable on one side but everything else has faded into insignificance. The top half of my face isn't swollen anymore. The bottom half is but it's not too noticeable. I'm losing more hair than normal when I wash or brush it ("effluvium"). This is apparently temporary and not very noticeable.

I still wear androgynous clothes. I still have a male hairline and a deep voice, even for a man. I only wear a tinted moisturizer. But despite those things, I'm now seen as a woman most of the time among people who haven't seen me before. My voice is the biggest barrier and I'm getting glottoplasty in February.

I'm still undecided about posting pictures for the world to see. On the one hand, I really want to showcase the amazing work that was done, tell you how much I LOVE my new face and encourage anyone who wants FFS to choose T-Change/Dr Rossi, but on the other, I don't want to make my personal life any more complicated than it already is, so I'm holding off for now.

I never liked my face before. I didn't associate all of the things I hated with being AMAB but guess what? They were, and in the past week, I've felt really happy to look in the mirror, for the first time in my life. Liking myself a bit more has inspired me to look after myself a bit more, socialize more and generally want to be "me" because I like the new me. I love to just look at myself in the mirror and feel good about myself.

Most people I know (all cis) think I look similar, better or prettier but haven't really paid much attention. People I see for the first time now also don't say anything, because they just know me as I look now. Really the only person who's shaken by this change is me and it's been a bit strange to have an experience like this that I can't share with anyone else IRL.

But by far the biggest change is in the lens through which I see life and make decisions. When you like who you are, it affects every decision you make from the moment you wake up to the moment you go to sleep, and this is something that's very new to me, and that I'm still getting used to, even at the age of 32.

FFS surgery had long been a dream of mine, but had always appeared to be just out of reach. The extensive time and effort I invested in conducting my research spanned several years, and the sense of relief I experienced upon discovering Dr. Rossi at T-Change was immeasurable. I had come across an abundance of glowing reviews regarding his work and had the opportunity to peruse excellent before-and-after photos. What really excited me was the fact that he managed to offer both affordability and top-notch quality, which was a pivotal factor for individuals such as myself who must carefully manage a limited budget.

Impressed with my findings, I made the decision to reach out to T-Change in March of 2023. My inquiries were met with a prompt response from T-Change's coordinator, Amanda, who instantly put me at ease. FFS surgery is a huge decision, and rushing it was not an option for me. That's why I was genuinely thankful for Amanda's patience in answering all my questions and her dedication to grasping the exact results I had in mind. I felt like I was being listened to throughout the entire process and at no point did I ever feel like I was being upsold on anything.

Upon receiving a quote for the recommended procedures, I took a moment to mull it over. After some thoughtful contemplation, I enthusiastically agreed and locked in my appointment for September of 2023. After arriving in Buenos Aires in late August, my first meeting with Dr. Rossi left a strong impression. Dr. Rossi's remarkable intelligence and profound surgical expertise became evident as he not only answered all my questions but also went above and beyond. His reassuring approach provided me with genuine comfort, for which I am truly grateful.

The day of the surgery proceeded seamlessly, lasting approximately seven hours due to the extensive range of procedures I underwent. These included Type III Forehead Reconstruction, Orbital Rim Reshaping, Hairline Correction, Brow Lift, Upper Blepharoplasty, Facial Lipofilling, Rhinoplasty, Upper Lip Lift, Chin Feminization, and a Trachea Shave. Upon waking, I was placed in the care of two exceptional translators, Sophia and Inês, who provided attentive support and facilitated communication with the nursing staff for my overnight stay at the hospital.

Upon returning to my Airbnb, Amanda maintained regular check-ins with me over the next several days and ensured all my transportation needs for the follow-up post-operative appointments with Dr. Rossi. Since then, my healing has progressed remarkably, and I'm already noticing outstanding results two months into my recovery. All of my friends and family have complimented my appearance, and even kind strangers have taken the time to express how beautiful they find me. With that said, I want to underscore that, at no point in this journey, did I ever feel alone. Amanda, Dr. Rossi, and the T-Change staff took excellent care of me, and I will be forever thankful to them for helping me embrace my truest and most authentic self. T-Change is the epitome of excellence in FFS surgery, and I wholeheartedly endorse their services.

I have had a great experience with Dr Rossi and T Change. They were recommended to me by a friend who was planning to go to them (and since has) and in researching them I was struck by how positive all the reviews and results posted here were. I opted to go to them in October 2022. Amanda from T Change coordinated all the logistics for my stay in Buenos Aires and preoperative tests before surgery. I met Dr Rossi at his offices in Buenos Aires, he was very personable and answered all my extensive questions, it was very reassuring!
Everyone at the hospital was so friendly and I felt hugely supported on the morning of surgery when I was feeling very nervous. I have had one of the most pain-free FFS recoveries of any of my friends and healed very quickly. I feel like the FFS I have had with Dr Rossi and T Change has revealed the true me and it has been transformative, I'm so glad I chose them!

My experience with Dr Rossi was one of the most safest and Caring Dr. I was put at ease when the Dr showed me what was going to happen. I never felt unprepared or scared as he was also very reassuring. A big shout out to Amanda his assistant. She kept
Me company when I needed. I Recommend Dr Rossi and his team over anything

I’ve been waiting for two years for this surgery thanks to covid. All worth it though. I’m still a swollen mess and trying to recover but it’s clear the results will be incredible. You can see what we was able to accomplish with the bone work alone.
Everything about t-change has been amazing. Huuuge shoutout to amanda (the founder), who has worked with me for two years of scheduling and rescheduling. Now that I’m here she’s even more amazing.
I will post more pictures once the swelling comes down. I’m such a mess but every day it has been better.
I had full FFS - type 3 brow work, orbital rims, rhinoplasty, chin and jaw work, fat injection across my face, liposuction underneath the chin. I also had breast implants and fat transfer to my hips.
A truly amazing transformation. :)

I had FFS with Dr Rossi, including scalp advance, type 3 forehead reconstruction, orbital rim shaving, rhinoplasty, lip lift, chin and jaw contouring, and fat transfer to lips and under eye. I also had hair grafts to the temple area by another physician, as recommended by the staff.

Results are what matters most, and I couldn't have imagined how well it was going to turn out. I had very strong, masculine features before. Now, I am living as myself, stealth, and have never been questioned once about my past. It's the primary goal for FFS, and I am so happy.

Aesthetically, my results are also positive. I see my face as very pretty, and I receive compliments from friends and dates that are genuine.

The process was fairly straightforward. I emailed the team my photos, and we agreed on most of what I would need. The price was significantly better than any other team. I made my deposit, and flew to Buenos Aires.

Here is where I met Amanda, who does everything not involving a scalpel. She is amazing, and would get her own review just to list all the ways she helped make this possible.

Dr Rossi visited the day before the surgery and we scanned my face. He used specific measurements to bring my face into feminine proportions, without losing the natural, balanced look I had. We went over everything that would be done and why.

I had a little trouble with the anesthesia, as in I was scared about it going in. They relaxed me, and I woke up with everything done, in what was a very uncomfortable feeling, as expected.

The next two weeks I recovered in my apartment. Amanda would visit every day. The doctors would visit regularly. I had my hair transplant a week after surgery. It was all very difficult, but that's to be expected considering how much work was done on me.

It took about three months to really start seeing my new face accurately, and continued to slightly adjust up to six months as discussed.

As I said from the beginning, the results are perfect. The team truly loves and cares for their patients. And they all are amazingly talented. My results exceeded my expectations. I'm very happy to be alive in the face I was meant to have!

I had a choice of any doctor in the world, but the moment I had my consultation with Dr. Rossi, I knew who was going to perform my Facial Feminization Surgery. His charm and wit is only surpassed by his knowledge and skill. I felt a connection with him immediately that put any reservations or fears I had to ease.

For me, the entire process moved quickly; less than six weeks from consultation to surgery, and it would not have been possible without Amanda. She was amazing in coordinating all the pieces and making sure I had everything I needed both in preparation for my trip to Buenos Aires and after my arrival. She delivers a point of personal care during the recovery process that puts you at ease and helps you heal in the best way.

I could not be happier with my results. I went in only with the expectation of becoming the best feminine version of me I could be...and Dr. Rossi delivered! My features went from hard and chiseled to soft and feminine. Now that the recovery time has passed (ten months at the time of writing this), I am no longer misgendered.

Thank you Dr. Rossi, Amanda, and the entire T-Change team. You made me look like the woman I knew I was!