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Video games saved her. Sometimes the incision is made right at the Adams apple. However, some insurers are beginning to cover FFS from select surgeons. In one sense, I expect to see the person I always wanted to be, to be comfortable, to feel euphoria, a relief from dysphoria. The MRI on the lightbox showed Drake had a large sinus cavity with a thin wall; the challenge was to saw the bone down without perforating the sinus, and the best way to do this was to remove part of her forehead entirely. She no longer sat with her arms across her chest or played with her jewellery. People who have undergone facial procedures say they can make an equal, if not greater, difference to a trans persons life, as the face is where gender is first read. She then went on to have cheek implants to highlight her cheek bones and add more volume to her face. Each face is unique. For Keith Altman, the maxillofacial surgeon, it is the removal of bone, skin and cartilage. Its goal is to reconstruct the face, not to improve it aesthetically. Drake had to take out a bank loan to cover two-thirds of the 14,500 cost of her facial feminisation surgery. On our procedure pages we explain in detail which are the feminization procedures we can recommend, what their objectives are and what surgery consists of. This patient had prominent bossing of her forehead which required an osteotomy of the frontal sinus and recontouring together with a rhinoplasty to lengthen the nose and jaw recontouring with a genioplasty to advance the chin. People who are proud to be trans, and those people who cant afford the surgery, fall into a separate category. . Holford has been. He considered mathematical takes on beauty, the golden ratio of pleasing proportions first theorised in ancient Greece. It costs twice as much as genital surgery, which used to be considered the standard procedure for gender reassignment, and has been available on the NHS since 1966. The removed bone is then contoured separately and replaced, so it lies flat.