Re: Face/Off or Recovering from FFS
CW: Body stuff
As of today, it’s been just over a week since I had facial feminization surgery (FFS). Leading up to the procedure, I felt very isolated. Not many people undergo FFS in the first place and most of the people I spoke with that had undergone the procedure were far removed from the anxieties I was, and am still, feeling. Luckily, I did have the chance to talk to some people who had journaled in the weeks leading up to their procedure and shared their thoughts during that time. So now I’m writing this down so that maybe I can pay that forward to someone else.
FFS is an umbrella term for a number of procedures. Specifically, I underwent a forehead reduction, hairline advancement, brow bone reduction, mandibular angle reduction and chin reduction. My surgeon assured me that recovery would be significantly easier than vaginoplasty recovery, but that didn’t help my nerves. I was so anxious that I asked for an additional meeting before the procedure so we could touch base again just so I could feel a little more secure in my decision. It didn’t help. In the weeks leading up to my surgical date, I barely slept most nights and had a hard time focusing on anything during the day.
The image of walking into the operating room stuck with me more than anything else. The wording of my pre-op instructions made it sound like I would have to walk into the OR instead of being wheeled in like my last procedure. There was something about that idea of having to open the door myself and place myself on the bed that was so much scarier than anything else. It would be like strapping myself into a Tower of Terror ride; a leap of faith that I had to take myself. For the record, I hate thrill rides for this exact reason.
Even if everything went right, I might still not be happy with my outcomes and $20,000 USD for the worse. There is always the chance of a negative reaction to anesthesia or things healing poorly. Nevermind how some portion of the outcome is going to be up to the aesthetic preferences of the surgeon. With all that in mind, I still knew that I would regret it if I didn’t go through with the procedure.
When the day came, my partner and I were up at 3am. I say we were up, but I was too nervous to sleep. All the same worries about outcomes, complications and the cost of the procedure kept knocking around in my head. I ended up going with the same surgeon that did my vaginoplasty a few years ago. He is still working out of the same hospital so it felt oddly familiar walking back into the same waiting room. My partner and I ended up sitting on the same bench where I had cried years ago. Sitting there, I clearly recalled how it felt asking my caretaker if she thought I was doing the right thing as if that was a question anyone could answer for me. This time, even if I didn’t know if I was making the right choice, I found comfort in knowing I wasn’t making a bad choice.
Everything else from there to the OR was routine. I winced as the anesthesiologist put the IV in my arm and tried to look unbothered when one of the nurses kept calling me a man. Mercifully, they wheeled my bed into the OR. I was a wreck of nerves as I passed the point of no return and then the lights went out. I woke up hours later in the recovery room. All that work researching the likelihood of waking up during surgery for nothing.
My eyes were almost swollen shut, my head was wrapped in bandages from the brow up, my mouth was full of painful sutures, my threat was irritated from the breathing tube and to make it all worse I immediately threw up. The combo of existing irritation and vomiting was worse than anything from the actual surgery. My body was producing flem to try to soothe the irritation but that ended up making it difficult to breathe. Coughing to clear the flem irritated the sutures and…you probably get the picture.
Back at home, I spent the rest of the day in bed communicating with my partner via text messages because it hurt too much to talk. I couldn’t bear to look at myself in the mirror and my partner astutely covered up all the mirrors I was likely to walk past. An eyewitness told me that the bruising was extensive around my eyes and my face was so swollen that it looked like a perfect sphere. Eating anything but ice chips was painful. Did you know Pedialyte makes popsicles now? They rule.
The surgery was on Friday and the following Monday morning my doctor removed the dressings and gave me a chin bra to wear for the next four weeks. It’s a weird looking compression wrap that goes under my chin to support it while it heals. According to him, my healing was going great but I still refused the mirror when he tried to show me what I looked like.
Despite my best efforts, I did end up seeing my face eventually. Our brains have a very advanced neural network for recognizing our own faces. Between the still painful swelling, incision marks tracing my hairline and (still) black/bloodshot eyes, my brain popped an error message. Yes, I could touch my face and feel it. I knew I was looking at myself. Emotionally, it just didn’t click. I didn’t want it to.
Physically healing has been fine for the most part. I can’t smile or laugh too much before my jaw hurts or eat solid food just yet, but every day is a big step forward. At this rate, my sutures and incisions should be healed in another week or two as I’m getting ready to head back to work.
But even as things get better in the short-term, FFS is a long and complicated healing process. Things will continue to shift and settle for up to a year before I really know what my face will look like. I’m sure that at some stage of the healing process, I’m going to look in the mirror and feel disappointed before things shift again.
Everyone I’ve talked to has told me that they’ve ultimately been happy with their results, but what if I’m in that small percentage that isn’t? What if those nerves never reconnect and large parts of my face will always be numb? Those are all possibilities right now.
There is a happy ending for now at least. Despite my best efforts, I caught myself in the mirror again this morning. It wasn’t long enough for me to recognize the incision, bruising or swelling, but my brain did see the stranger in the mirror and think “she’s kinda cute.”












