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Extensive bony work or persistent swelling can extend this to 4+ weeks."},"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Any postoperative complication, mostly minor (hematoma, infection, numbness, hardware issues); serious ones are uncommon."},"contraindications":["Unstable serious conditions making general anesthesia unsafe","Active smoking or nicotine use (usually must stop)","Active infection in the surgical area","Untreated severe psychiatric illness affecting decision-making","Bleeding disorders or inability to stop anticoagulants safely","Pregnancy"],"days_in_clinic":{"min":1,"max":2,"unit":"nights","qualifier":"Typical hospital or clinic stay after a multi-procedure FFS under general anesthesia; extensive combined surgery may require longer."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":8,"unit":"weeks","qualifier":"Light walking early; strenuous exercise and contact activity resume later, depending on bone work and surgeon clearance."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Swelling resolves gradually; soft tissue refinement may take up to a year."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"Usually cleared at first check around day 7, once dressings or drains are removed. After bony work, closer to 14."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"Early postoperative check and dressing or splint review."}},{"purpose":"suture_removal","requirement":"conditional","after":{"min":7,"max":14,"unit":"days","qualifier":"Removal of external sutures where used."}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":60,"unit":"days","qualifier":"Check of healing and swelling."}},{"purpose":"result_review","requirement":"routine","after":{"min":180,"max":365,"unit":"days","qualifier":"Review of the final result."}}],"indications":["Gender dysphoria with facial features causing distress","Prominent masculine forehead, brow, jaw, chin, nose or hairline"],"main_risks":["Swelling and bruising, prolonged in some cases","Bleeding or hematoma","Infection","Numbness or nerve injury (e.g., chin, forehead, facial nerve branches)","Asymmetry or contour irregularities","Scarring, including hairline scars","Bone or hardware problems requiring revision","Frontal sinus complications after forehead setback","Airway or voice changes after tracheal shave","Anesthesia-related risks","Need for revision surgery","Dissatisfaction with aesthetic outcome","Temporary or permanent hairline hair loss or poor growth"],"pain":"Moderate pain and facial tightness for the first several days, controlled with oral analgesics; swelling and numbness are more bothersome than pain afterwards.","preparation":["Consultation with 3D/CT facial assessment and surgical planning","Medical evaluation and routine pre-operative labs","Stopping smoking and nicotine as advised","Review medications with surgeon; only prescriber changes blood thinners","Fasting before general anesthesia","Arrange help at home and time off work","Discuss hair, hormone therapy and documentation requirements"],"recovery_timeline":[{"phase":"Days 0-7","description":"Peak swelling and bruising, rest with head elevated, dressings and drains if used removed early.","restrictions":["Keep head elevated","No bending or lifting","Soft diet if jaw surgery done"]},{"phase":"Weeks 2-4","description":"Sutures removed, bruising fades, return to desk work as swelling allows.","restrictions":["No strenuous exercise","Avoid contact and sun exposure to scars"]},{"phase":"Weeks 4-8","description":"Gradual return to normal activity, numbness improves.","restrictions":["No strenuous exercise until surgeon clearance","Avoid contact sports until cleared by the surgeon"]},{"phase":"Months 3-12","description":"Residual swelling resolves and final contours settle.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Light daily activities usually possible within 1–2 weeks. Swelling and numbness linger; strenuous exercise restricted for 4–8 weeks."},"result_longevity":"Skeletal and structural changes are generally permanent; soft tissue ages naturally over time.","revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Secondary surgery for contour irregularity, hardware problems or aesthetic refinement within about 1-2 years."},"scars":"Scars are mostly hidden: within the hairline or scalp, inside the mouth, and at the nasal base or under the nose; a hairline scar is usually well concealed once healed.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Typically a single combined operation; staged surgery is an option for some patients."},"stages":[{"code":"ffs_surgery","label":"Combined facial feminization surgery under general anesthesia","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the procedure."}}],"qualifier":"Typical single-stage multi-procedure FFS; follow-up checks are not counted as stages."},"success":{"metric":"Patient satisfaction with facial appearance and gender congruence","value":90,"unit":"percent satisfied","horizon":"12 months after surgery","population":"Adult trans women after combined FFS under general anesthesia","evidence_status":"limited"},"techniques":[{"name":"Frontal cranioplasty with brow bossing reduction and hairline advancement","suits_whom":"Patients with prominent brow ridge or high forehead/hairline.","recovery":"Swelling and forehead numbness for weeks to months; scalp scar hidden in hairline."},{"name":"Mandible and chin contouring (angle reduction, genioplasty)","suits_whom":"Patients with a wide jaw or square or long chin.","recovery":"Soft diet for a couple of weeks; swelling and lip numbness may last weeks to months."},{"name":"Rhinoplasty","suits_whom":"Patients wishing to refine nasal shape and proportion.","recovery":"Splint about 1 week; swelling settles over many months."},{"name":"Tracheal shave (thyroid cartilage reduction)","suits_whom":"Patients with a prominent Adam's apple.","recovery":"Throat soreness and temporary voice changes for days to weeks."},{"name":"Lip lift","suits_whom":"Patients with a long upper lip.","recovery":"Swelling for 1-2 weeks; scars fade over months."},{"name":"Cheek augmentation","suits_whom":"Patients with a flat midface or hollow cheeks.","recovery":"Swelling for 2-4 weeks; implant or fat graft settles over months."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":6,"max":10,"unit":"hours","qualifier":"Typical combined multi-procedure FFS in one operation; shorter for limited procedures."},"initial_assessment_documents":["Front, side and oblique face photos","Profile photo with hair pulled back","Facial or craniofacial CT scan (if available)","Neck photo showing Adam's apple","List of blood thinners and hormone therapy"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage combined surgery; stay about 7-14 days until first check and surgeon clearance to fly."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=brazil/city=porto-alegre/procedure=feminizacia-lica/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false}