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I Love my New Face!

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.

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Plastic Surgeon
Av. Acoyte 76, Buenos Aires,
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