Rhinoplasty San Diego

Question:

I'm looking into facial feminization options. I'm passable but want to eliminate some "rough edges"
(nose, brow bossing, and chin/lower jaw tapering),

I hear Dr. Ousterhaut is the best in the world at this, but he is VERY expensive.

Does anyone have experience with Doctors who are on a par with Ousterhaut, but cost less money?

My therapist recommends Dr. Reardon in NY. Does anyone know of his work? I found his website but it concentrates on F2Ms. I want someone who is very experienced in this.

I'll likely wind up going to Ousterhaut and try to get a bank loan or charge it on plastic
(then figure out later how to pay it back!)

Dr. Sheila Kirk's TSMC center in Philadelphia also does facial feminization for ts clients but I don't really have any personal recommendations from people who went there yet.

Any feedback would be appreciated!
 

Answer:

As far as my info goes, Reardon is only minimally less expensive as Ousterhout. The little work I've seen from Reardon changed little in people's passability. Some gender therapists in the Boston area (your adress says UMASS) are not really focussed so much on passability, but more on the all important issue of self acceptance. Their thought may be: "you're passable when you think you are", and they may be so integrated in the TG community, and stand up so much for our rights, that they feel we should be able to assert ourselves without the picture perfect Revlon add faces that no real woman has. They're ever so right, and yet... so much help can be gotten from a really good surgical job. It's something we all have to battle out for ourselves.

Menard is hugely less expensive then either one. I had a respectable treach and rhinoplasty done by him, which improved my facial features greatly. The rhino was later on improved a thousand times by Ousterhout (he also did jaw and forehead stuff). Since that job, I do not have to guess so much about whether I pass. I know I do.

Every surgeon has his good and bad points. One bad point about Ousterhout is that he always leaves you with the impression that (if you have 'only' one or two things done) you'll never be as passable as you might be if you'd spend your whole fortune on his services. So he always leaves people with the idea that they have not really yet transitioned as well as they could were they only more 'committed'. That is a serious drawback. But then his work, according to this biased source, is the best.

On a financial note, maxing out all your plastic may be much more expensive than saving for a year. It's much nicer to accrue interest as it is to pay it. I did it on my home equity line which had a very low interest rate. Be a good financial planner. Debt can be as burdening as gender dysforia.

have been trying to learn all of the essential facial surgery info. and to figure out the best strategies for getting the procedures I want accomplished for some time now. I saw Ousterhout for a consult a couple of months ago. I had heard he was expensive but people writing about him usually just say he's expensive w/o actually giving examples of actual prices (I've read Andrea James' web site thoroughly). For me, he was going to charge $27,500 for forehead, chin, nose, tracheal shave (only $1,500 of that amount), and slight cuts to the rear of the lower jaw bone on each side. No cheekbone, lip, or jaw contouring (my jaw is very narrow) -- $27,000!! I have an extremely good health insurance plan, which has allowed me to see a lot of physicians in the time that has passed since my trip to San Francisco: endocrinologists, ear/nose/throat, oral/maxillofacial surgeons, etc. I explained my plans to all of them and mentioned that I had seen Dr. O. In one way or another, every one of them said "he's the guy", at least with regard to forehead (and perhaps the jaw). However, it seems to me that there must be many good plastic surgeons for nose work, and let's face it, most of the nose jobs they perform are on women.

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