Facial Feminization Surgery Before & After Pictures - RealSelf Patients were stratified into 3 groups based on authorization process: Group A (standard approval, n = 26, 65.0%) including public and private insurances; Group B (extended approval, n = 10, 25.0%) consisting of private insurance plans that initially denied and required multi-level appeals for denial overturn; and Group C (denial, n = 4, 10.0%), including private insurance plans that denied even after multi-level appeals. FFS: paying and picking a surgeon. Freaking out and need advice. How Much Does Facial Feminization Surgery Cost? | RealSelf Read more about our Clinics Finance and Insurance Policy here. Plast Reconstr Surg. Lastly, the time consumption, costs, and difficulties to the patient were not assessed. Doctors and surgeons trained in facial feminization surgery are working to improve care for people living with gender dysphoria. In the rare instance that FFS Surgery is included in your health insurance policy, services may be incomplete or function only on a reimbursement basis. This study highlighted the successes and burdens associated with obtaining insurance authorization for FFS. In total, the time consumption of the insurance process was 12.0 1.6 hours and cost $988.38 101.76 per patient. Denver Health to Offer Facial Feminization Gender Confirmation Surgery In this work, we report the methods, time consumption, costs, challenges, and successes of our institutional experience on obtaining insurance coverage for FFS. Ann Plast Surg. 2010; 170:17281734. Health insurance Medical Policies - Trans Health Project Third, full-face, one-stage FFS is a highly time-consuming surgery due to the multiple anatomical areas addressed at once (averaging 8.5 hours in the senior authors experience). surgical techniques and analysis of results. Second, while complications are not high in FFS, they may occur. Resources in other locations are variable, but I'm attempting a general starter guide to FGCS through insurance. P < 0.05 was considered significant. Male-to-female (MTF) facial feminization. On average, Dr. Keojampa is booking 8-12 months out for Aesthetic Craniofacial Surgery and Facial Feminization Surgery. With a forehead reduction, our aim is to reduce a prominent brow or forehead bossing. Facial Feminization Surgery: What Is FFS, Hairline - Cleveland Clinic Plastic and Cosmetic Surgery. 2020 Deschamps-braly clinic. Dr. Satterwhite works exclusively with trans women, trans men and non-binary patients seeking Gender Confirmation procedures such as Vaginoplasty, Facial Feminization, and FTM Top Surgery. Facial feminization surgery, or FFS, describes a set of complex procedures designed to "feminize" the face. Received for publication February 2, 2021; accepted February 27, 2021. Facial Feminization Surgery Cost - American Society of Plastic Surgeons Read more on our Insurance and Finance page. Facial feminization aims to find balance and harmony of the face between shadow and light, masculine and feminine, natural aging and youthfulness. Facial Reconstruction: Gender affirming facial surgery is considered reconstructive when all of the following criteria have been met: The individual is at least 18 years of age; and Research that Matters. Insurance For Facial Feminization Surgery | Allure Esthetic Group B (extended approval) primarily encompassed all patients who were initially denied but, after undergoing a multi-level appeal process, was ultimately approved. In addition to administrative time, multi-level appeals required time from the attending craniofacial surgeon for peer-to-peer reviews, writing appeal letters, and patient counseling over the 6-month period, in total averaging 3.6 0.5 hours per patient. I can't guarantee that you'll achieve coverage, but depending on how your insurance benefits are regulated and the support resources you have access to, it's definitely worth trying. Location: Bangkok, Thailand. By browsing TransHealthCare.org, you consent to our use of cookies and other tracking technologies. I could go on about this, but I hate to further the expectation that you must be very mentally ill in order for the "extreme" treatment of FGCS to be warranted. 2018; 319:691697. Ask them how many FFS surgeries they perform within a year. During his plastic surgery residency, Dr. Esmonde worked in the Transgender Health Program at OHSU. Please try after some time. How to Pay for Gender-Affirming Surgery - NerdWallet Only if your insurance provider authorizes a Letter of Agreement. to maintaining your privacy and will not share your personal information without The time and costs necessary to achieve approval from insurance plans for FFS are not trivial. For patients anticipating insurance coverage for your surgery, we appreciate that you may wish to seek insurance reimbursement for the cost of some or all of your feminization procedures and have outlined some general guidelines below. Facial Feminization in Korea - Everything You Need to Know! Some people stress additional mental health conditions (anxiety, depression, ptsd) in these letters. Facial Feminization Surgery - A Complete Guide to FFS - DESCHAMPS-BRALY FFS can include hairline lowering, jaw reduction, rhinoplasty (nose reshaping), eyelid surgery, face or neck lift, and other facial changes. 2016. Dr. Mundinger is a board-certified plastic surgeon with extensive training and expertise in craniofacial surgery, microsurgery and gender-affirming surgery. Plast Reconstr Surg. Surgery referral assessment requirements | Gender Affirming Health Program P. Daniel Knott, MD, and Andrea Park, MD from the UCSF Facial Plastic Surgery practice in the Division of Head & Neck Surgery. Only patients with insurance authorization decisions were included in this study (n = 40). A number of patients had multiple consultations, some consulted legal assistance, and, particularly patients in Groups B and C, some experienced significant distress over the repetitive denials and lack of clarity in the end result of the process. Your message has been successfully sent to your colleague. The objective is to soften the facial . In these circumstances, both complications and revisions are covered as reconstructive procedures, whereas self-pay patients may be responsible for secondary surgical costs. Based in Washington, D.C., Dr. Ramineni performs upwards of 600 surgeries a year and has a specialization in Gender Affirmation Surgery. It involves plastic surgery techniques in which the jaw, chin, cheeks, forehead, nose, and areas surrounding the eyes, ears or lips are changed to create a more feminine appearance. (link is external) for CGSP. Facial Feminization Surgery (FFS) is becoming more and more popular, but it can be hard to narrow down the surgeons who best perform these complex surgeries. However, this is starting to change. Gender-Affirming Surgery: Original Article. Dr. Ellie Zara Ley, MD is an accomplished board-certified plastic surgeon who had more than 15 years of specialized training in plastic, craniofacial and micro surgery before learning the art of Gender Confirmation Surgery. Are there transgender advocacy groups? A prior authorization is not a guarantee of payment, therefore, you should have funds available to cover all fees and costs related to your surgery should your request be denied. This document is a general guide to national resources, but because of the state-specific nature of most insurance regulation, I highly suggest you attempt to reach out to local experts who are better able to advise you to your situation. 13. See the list at the end of this article for surgeons who will accept some form of insurance benefits directly.What makes someone a FGCS surgeon anyway? Facial Feminization Surgery NYC | Board Certified Plastic Surgeon Surgical Staff: 13 surgeons, each specialized in surgery ranging from plastic to maxillofacial surgery. Dr. KathleynBrandstetter. Facial Feminization Surgery (FFS) Preparation Guide. We're gonna try really hard to get my insurance to cover it, but I'm not holding my breath. 1. Some error has occurred while processing your request. The Group C authorization process, which resulted in denial of services, consumed a 9-fold higher amount of time (P < 0.001) and 26-fold higher cost (P < 0.001) when compared with Group A (Fig. For trans men, women and gender-nonconforming clients in Los Angeles, Santa Monica, San Diego and elsewhere in Southern California, Dr. Youssef offers Top Surgery, Breast Augmentation and Facial Feminization Surgery. Los Angeles, CA: University of California, Los Angeles School of Law; 2019. Based on my conversations with friends who are very satisfied with their FGCS, I assure you that no surgery can completely resolve that anxiety. Publications See a list of publications about facial feminization by Mayo Clinic doctors on PubMed, a service of the National Library of Medicine. Get a bossy friend to make phone calls with you while you are dealing with the process. Dr. Charles Shih. Costs of health care administration in the United States and Canada. For people without local connections, the facebook group, FFS Facial Feminization Surgery / Transgender TG TS and the FFS Forums on susans.org are good places to seek community support as well. Using Insurance for Facial Gender Confirming Surgery or "FFS" This work was supported by the Bernard G. Sarnat Endowment for Craniofacial Biology (JCL) and the Jean Perkins Foundation (JCL). 816-305-0943 Insurance Note:Utilizing insurance for Facial Feminization and Breast Augmentation procedures - Our office is experiencing reimbursement issues (claims NOT being paid by insurance companies) when filing facial feminization procedures and breast augmentation to insurance. All data were analyzed using SPSS software, version 25 (IBM, Chicago, Ill.). These surgeries can reduce the size and shape of the forehead, alter and refine the nose, make the lips fuller and . FFS is ideal for trans women and non-transgender women who want a more feminine facial appearance. may email you for journal alerts and information, but is committed Facial Feminization Miami | The Maercks Institute San Francisco, CA 94108. (See table 1, Supplemental Digital Content 1, which displays requested CPT codes and associated terminology for facial feminization surgery. Facial Feminization Surgery under Insurance: The University - LWW