Lately I have had a deluge of things happening, the biggest thing was my first Facial Feminization Surgery consult. It was with a well known/renowned Seattle surgeon and it went fairly well.
The first pro is I think he knows what he is doing. He has the typical smarmy “I know it all” that almost all surgeons have, but he comes across trying to be friendly. His office is gorgeous when you walk in, very high class, and he is very well known for soft work (muscles, fat, hair, etc). He talked about some of the facial bone stuff I need, and agreed to do stuff for me. He would do it in 2 surgeries to minimize how much it hurts.
Unlike the quick review I got by Ley, the local doctor focused more on my fat placement and face lift use as opposed to bone work (Ley wants to do a jaw shave, and more in depth brow work). I know it can be done multiple ways so that didn’t bother me.
The first con is his price. I got a partial consult back in May from Dr. Ley/Meltzer and it was super quick. The “quick” assessment was about $20k in a single surgery (plus 9 days recovering down there). This Dr’s price was almost three times that, close to $60k. That is about what I owe on my student loans. I think this doc is a little more money orientated, no shame in that, but the first thing he did was try and sell me on a nose job, whereas Ley/Meltzer both dismissed the idea of a nose job as a waste and mine was great.
I figured it was going to be more expensive because of locality costs and the fact that this local doctor likes to show off the famous people he works on. I assumed closer to 30k… but the almost 60k was a shock. There was no cut deal for combining several procedures together (Dr. Ley/Meltzer’s was a lot cheaper because they were already there working on me and the other procedures were just “time on the table”). He quoted me the same total price as if I did each procedure separately.
That slowed my roll immediately and right now I am not sure if I would do it. He does great work, however he is not quite the bone experience that Dr. Ley is (she was a cranial/facial reconstruction expert for children before doing this) and she was very informed about my bone structure. The local doctor mistook my forehead for muscle not bone (Ley knew it on sight) plus I have heard he doesn’t do much bone work, and he really pushed a lot of soft tissue/face lift instead.
However, I do need to say he does excellent breast implants. He also stated he could do them with my insurance coverage. He had me try on some implant prosthesis and I found it looks like 650cc boobs is great, but not overly huge on my chest.
I may very well go to him for my breast augmentation when my year has passed and insurance will pay. However, not so sure about the FFS. I am still withholding judgment until I see Dr. Ley/Meltzer for a complete/in-depth consult on December 3rd. They are wonderful surgeons and unless they stick me with another 60k bill I suspect they will be the winner. However, we will have to see.
Friday, the day after we met up with Dr. Meltzer and Dr. Ley, we headed into the one panel I was interested in. It dealt with surgery options for Facial Feminization Surgery, Breast Augmentation and Body Contouring. I realized I would probably know most of the stuff they would say, but I wanted to double check.
The commute into Seattle from Tacoma wasn’t the worst, but I slept poorly from my anxiety of meeting the docs the day before. I am really excited to do this, but it does make me anxious to think about them cutting open my brow and front of my sinus, cutting it into pieces and rearranging it, along with grinding my brow and jaw down and moving my scalp forward.
We arrived at the convention and I will admit I was intimidated. I am very fortunate to know some very awesome trans people, but I had never been around that many. That brought up a whole slew of anxiety that maybe I will talk about later, but this isn’t the time.
When we got there, just a few minutes before the panel, we found our case manager Raeylean… she is fantastic. I had brought her a flower to thank her, and she seemed overjoyed. She is incredibly huggy as a person and we got to talk for a little bit until it was time to go in to the panel.
The panel itself was very informative actually. Some of what I thought was no longer the case for surgical techniques, and even more importantly I found out that before coming to Meltzer’s office, Dr. Ley had been a pediatric craniologist who specialist in working on the skulls of small children… I have a huge head so that means I should be easy for her. Way more reassured I am going to be ok. The panel was worth it just for that.
We left and visited a little more with R, then headed out to pick up our friend straybits. He is as close as any family and we have been friends for decades. He just got back from Southeast Asia/India for the last year and will be going back for a few months. He was heading back up to Bellingham, so we told him we would take him up.
On the drive up we got caught up on everything and just enjoyed being with around each other. It was a nice drive with me, hubby and straybits. We got some food in Everett and 3 hours later were in Bellingham. During this time I came out to him and he just gave me a hug. I am not sure what I was worried about.
In Bellingham we dropped him off. We are really hoping we can see him before he leaves again, but if we don’t we know we will always be there with each other.
We then got to go see my brother. He is doing really well, sober and thinking straight. He seems to be accepting my transition and was very positive. We stayed with him for awhile before we moved on.
By now it was about 7pm, but we wanted to stop by my parents grave (both of them are together) and pay our respects. That only took a few minutes, but I realized we need to clean it up when we come back up in a few weeks.
We then drove the 120 miles home and went to bed. It was a really good day, but a really exhausting day. We are still recovering now, a week later from the trip. It was worth it to see family and get reassurances about my surgery.