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10301 Bolsa Avenue, Suite 101, Westminster, CA 92683

GCS

ORANGE COUNTY, CA

male to female (mtf) – female to male (ftm)

Transgender is an umbrella term that describes those who do not identify with their assigned gender at birth.  Although such labels may sound abruptly broad, each individual may identify themselves with a rather specific gender that can be permanently transitioned into with gender confirmation surgery (GCS), also known as gender-affirming surgery or sex reassignment surgery (SRS). This type of surgery uses a combination of different techniques from plastic surgery and reconstructive surgery to achieve the final result. In an attempt to guide our patients through this intricate, yet compelling process, we have identified major benefits and key differences in surgical options of Gender Confirmation Surgery that can best express your unique gender identity.


Testimony

Dr. Tran forever change my life I am transgender female to male. He did a fantastic job on my top surgery. I definitely recommend other transgender’s out there or anyone.

Kai Sullivan


WHAT IS GENDER-

CONFIRMATION

SURGERY?

Gender confirmation surgery and hormone therapy significantly alters the patient’s physical appearance which serves as an important medical component in treating gender dysphoria. Read below to find out more about essential surgical options for male-to-female (MTF), female-to-male (FTM) and non-binary gender to achieve an appearance in congruence with their gender identity.

BENEFITS

Research shows that gender confirmation surgery is associated with an overall improvement of mental health in individuals with gender dysphoria. The studies have found that mental health treatments were reduced on average by 8% every year in correlation to receiving gender-confirmation surgery within a 10 year follow up period. This can include a decrease in mood or anxiety disorder, use of antidepressant or anti-anxiety medications, and hospitalizations of suicidal attempts.

MALE TO FEMALE

    • CHEEK RECONSTRUCTION

      Patients undergoing facial feminization can greatly benefit from cheek recontouring. Since, feminine faces often have cheeks that are rounder and more prominent than those found on men. Cheek augmentation can be performed to add more fullness to the cheekbones.  Cheek reduction may be suggested to smooth out excessive fullness in certain area, while increasing volume in another to achieve a rejuvenated and feminine look.   

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    • FOREHEAD CONTOURING

      Forehead contouring is a type of craniofacial surgery that involves reconstructing the protruding brow bone and reshaping the orbital bones to achieve a softer, more feminine appearance. It can often be performed in conjunction with brow lift and hairline lowering/scalp advancement procedure for an overall aesthetically pleasing result.   

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    • JAW RESHAPING

      Do you feel that the masculine contours of your face prevent you from having the fine, delicate features you desire? Hormone levels and medical conditions can leave you with more squared or prominent features. Facial feminization surgery (FFS) performed by Dr. Tran can re-contour your features and help reduce squareness in the jawline,  turning it to a V-shape. The overall lower third of the face will be more slender, attractive and harmonious to fit the feminine features.

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    • TRACHEAL SHAVE

      Tracheal shave surgery is commonly referred to as Adam’s apple reduction. This procedure is often done as part of facial feminization surgery in transwomen and non-binary trans people to achieve a more feminine appearance.  For people transitioning from male to female, or male to non-binary,  Adam’s apple reduction can be a liberating and empowering.  

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    • BREAST AUGMENTATION

      Transwomen (male-to-female) may undergo a breast augmentation to enhance the size, shape and fullness of their breasts to achieve a more feminine figure.  You can choose from various types and sizes of saline or silicone implants to best fit your body frame and achieve your desired results.  Other techniques such as fat transferring can also be done to achieve the best aesthetic outcome.  

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    • VAGINOPLASTY

      Transgender and intersex people follow different paths to express their gender identity. Some may choose to pursue gender confirmation surgery (GCS), also known as sex reassignment surgery (SRS) or bottom surgery to better identify with their gender expression.  Dr. Tran offers bottom surgery for assigned male at birth (AMAB).  Male-to-female, or male to non-binary people may elect to undergo vaginoplasty to obtain female genital.

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    FEMALE TO MALE (FTM)

      • CHEEK RECONTOURING

        There are two different pathways to cheek recontouring: malar augmentation and malar reduction.  If protrusion or chubbiness of the lower cheeks is also a concern, you can read more on jawline recontouring to learn about available options for trimming down the lower third of the face to achieve a more chiseled, v-shape jawline.  

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      • JAW RESHAPING

        Jaw reshaping surgery is a combination of multiple surgical techniques used to reconstruct and feminize or masculinize the lower third of the face.  Facial masculinization involves augmentation of the mandibular angle, mandibular body and the chin.  The results will look natural and provide balance and harmony to facial proportions to achieve the goals of facial gender confirmation.

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      • MASTECTOMY

        Transmen (female-to-male) and female to non-binary may elect to have a subcutaneous mastectomy to remove their natural breast tissue to achieve the firm and masculine chest they desired. Top surgery can play an important role in relieving gender dysphoria for transgender men and women to significantly improve their quality of life. 

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      FREQUENTLY ASKED QUESTIONS

      WILL MY INSURANCE COVER MY SURGERY?

      Different procedures associated with gender-affirming surgery can be covered under your insurance. At Tran Plastic Surgery, our staff will request for your surgery approval and work with you and your insurance representative to maximize your coverage. However, it is crucial to keep in mind that your health insurance may cover fully, partially or none of the cost of surgery. Deductibles and out-of-pocket copay should also be taken into consideration before moving forward with these procedures as with any surgery.

      HOW DOES CAL-OPTIMA COVERAGE WORK?

      Cal-Optima covers for many members undergoing gender-affirming surgery, including chest masculinization and facial feminization.  As of 2020, Dr. Tran was appointed to be the sole provider for top and facial surgery under Cal-Optima in Orange County.  As with any health insurance, our team at Tran Plastic Surgery will assist you throughout the process of attaining surgery authorization and through your follow up visits post-surgery.

      CAN I STILL UNDERGO SURGERY IF I SMOKE?

      Those who smoke should not undergo elective surgery as their ability to recover from surgery is highly inhibited and can lead to serious complications. Patients are required to quit smoking at least 1 month prior to surgery and at least 2 months post surgery for safe recovery.

      STEP-BY-STEP GUIDE (As of June 2021)
      READ FOR MORE INFO BELOW
      • 1.

        REFERRAL TO PSYCHIATRIST

        Office visit with a Primary Care Provider (PCP) who determines your diagnosis of transgenderism, gender dysphoria or other diagnoses and refers you to a psychiatrist.

      • 2.

        OBTAIN PSYCHIATRIC LETTER & SPECIALIST REFERRAL

        Counsel with your psychiatrist or psychologist and obtain two psychiatric evaluation letters as well as a referral to see a plastic or reconstructive surgeon who performs gender confirmation surgery (GCS) like Dr. Tuan Tran.

      • 3.

        SUBMIT CLEARANCE & PSYCHIATRIC LETTERS

        Submit primary care clearance for surgery and psychiatric evaluation letters to your GCS surgeon.

      • 4.

        CONSULT WITH PLASTIC SURGEON

        Consult with your GCS surgeon and determine specific procedures and requirements needed to achieve your desired outcomes. Insurance authorization will be requested accordingly.

      • 5.

        COMPLETE ALL PRE-OP TESTS & PAPERWORK BEFORE SURGERY

        Complete pre-op tests, including blood work and any other tests necessary for your scheduled surgery.

      • 6.

        BOOK POST-OP VISIT

        Post-op appointment: your first post-op appointment is between 5-7 days after surgery, where your surgeon will often remove non-dissolvable sutures and/or drains.

      • 7.

        RETURN FOR FOLLOW UP

        Follow up with your surgeon consistently in 1 week, 1 month, 3 months, 6 months, 12 months and/or as recommended by your surgeon.

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