Temporarily removed the 'random' feature since it needs to be fixedHEADmaster

1 files changed, 69 insertions, 0 deletions

diff --git a/ffs.md b/ffs.md
new file mode 100644
index 0000000..9e8f981
--- /dev/null
+++ b/ffs.md
@@ -0,0 +1,69 @@
+![lobotomy](/img/photo_2025-12-04_22-34-24.jpg)
+
+Quite a lot of people have asked me questions about my FFS experience, so I don't have to repeat myself,
+I write this detailed post about how it went for me, the questions to ask, and the recovery process etc.
+
+Once I'm more healed up I will consider adding before/after pictures, but for now there are no pictures.
+
+## Selecting your surgeon and what procedures to get
+
+For me, I was raised on transgender imageboards where surgeons are openly discussed, where people know
+every single FFS surgeon in the world, call them by their first name, and have opinions on every single
+one of them. It's almost funny that there is this group of people, who are extremely famous to this tiny
+niche audience. But for those of us who are unfamiliar with surgeons, and who don't know what to look for
+in their results, this section describes your options.
+
+I consider there to be three categories of surgeons:
+
+1. Big-name American surgeons who also do midface (maxillofacial/double jaw surgery work)
+2. European surgeons, and local (state-level/no-name) American surgeons
+3. South American surgeons
+
+With price reducing proportionally for each category. American surgeons are generally significantly more
+expensive, since the assumption is that they're being paid for by insurance. The top level surgeons
+could cost you $80-100k, and are thus basically out of reach unless you have an America-tier salary or an
+American insurance plan who agrees to pay for it. 
+
+If you're American, you can probably afford to shop round, and choose your surgeon in accordance to the results
+you like, but the rest of us (me) had to dictate their choice by budget. I knew my only real choice was to
+go to a European surgeon, but my personal choices are discussed later.
+
+How do you decide if a surgeon's results are good? I think most of us have an implicit, subconcious, vibes-based impression of facial sexual dimorphism, but if you're like me and spent too much time on /lgbt/, we can get more specific on the features that define how we are gendered.
+
+![skullzie](/img/1583581996540.jpg?h=400&w=5000)
+
+I wish I could use a real human face instead of a skull, but I feel weird about using someone else's picture,
+so for now a skull will do. In this picture above, we basically can't help A and E, unless we find some way of
+shrinking the brain, and C doesn't matter imo, but FFS surgery aims to fix the bone-based deviations of the others:
+
+- Orbitoplasty fixes B, by shaving down the orbital bones, which really help bring out the eyes, it is normally done in conjunciton with a frontoplasty
+- V-line genioplasty (right) and mandible angle contouring (left) fixes D, and is imo one of the most important procedures. A genioplasty shifts round bones and re-attaches them with metal plates, other times if chin projection doesn't need to be changed, surgeons simply just remove and cut away mandible bone, thus making a 'V' shape instead of a 'U' shape. The incision is made inside the mouth, at the gumline and thus their is no visible scar.
+
+![mandible angle contouring](/img/2684330373.jpg?h=400&w=400) ![v line (narrowing) genioplasty](/img/2209509307.jpg?h=400&w=400)
+
+- Frontoplasty reduces the browbone, which is especially obvious in profile. This can either consist of just shaving down the bone, or can be *Type-3 forehead construction* for cases in which there is a cavity/sinus in the browbone, in this case the bone above the sinus is removed completely, shaved down, and then reinserted and set with metalwork. The way this is achieved is rather scary- the incision is made at the hairline (some surgeons also do a "coronal" incision, in which the incision is made at the top of the head), and the skin is pulled almost as down as the eyes to expose the browbone. See the below pictures.
+
+![spoopy](/img/20251111_102045.jpg)
+
+- Not discussed by the top image, but important nonetheless is *midface*, by which I mean overall face length. Some tgirls can look uncanny if they get other aspects of their face fixed, but leave the midface untouched. It can be fixed with orthadontic techniques, like *Le Fort* by taking out bits of bone above the top jaw, but only a few American FFS surgeons do this, because it is usually considered a separate medical dicipline to the other stuff.
+
+![bdd fuel](/img/bdd_fuel.png?h=300&w=5000)
+
+So so far we've talked about bone differences, but what about soft tissue differences? What procedures are avaliable then? (I really wish I could use pictures to demonstrate here)
+
+- Forehead shape: The female hairline is different to the male hairline, the latter is more round, and less square. This is the case even if you don't have hair loss. You can essentially get this fixed for free if you're having forehead work done anyway, the surgeon just stitches your hairline back in a different shape.
+- Nose: despite what some wokescolds on twitter would tell you, yes, human noses are sexually dimorphic, and getting a rhinoplasty is not enforcing "western european beauty standards", especially if you happen to be a western european. The main sexual difference is nasal projection and the shape of the tip, the female nose is tipped up more at the end. If you're getting a rhinoplasty at the same time anyway, you might as well get other aesthetic improvements, such as dorsal hump reduction, width reduction, and nostril size reduction. American surgeons love to do this beverly-hills look, I call it a "ski slope nose", in which the nose is made completely concave, but unless you're lucky to have a tiny round face with zero midface, I think a simple straight nose is going to suit you better. European surgeons are better about this imo.
+- Cheeks: A rarer procedure that some people get is implants or fat grafting into the cheeks to make them look fuller. Perhaps this could help with midface, but this is just a theory of mine, the aesthetic improvements are besides this.
+- Blepharoplasty: Reduction of excess skin above the eyes. This is an age related surgery that you don't need to get done if you're young, but some people get it done at the same time as FFS.
+- Lip lift: An underrated dimorphic feature is the size of the lips, the top lift especially. Males have a bigger philtrum length (the space between the bottom of the nose and the top of the lip) and a lip lift can improve this, and make the lips look fuller. Lip injections can also help with this, but in this aspect you should be conservative imo unless you want to look like a bimbo. Just be tasteful with it. Things to look out for here are that the shape of the top lip is preserved, a nice "bow" shape.
+- Tracheal shave: Males obviously have a bigger Adam's apple. Some people are scared it affects voice and are nervous to get it done, especially after FFS, but personally my surgeon advised me that it deals with tissue far away from the tissue that affects voice and was extremely confident my voice would be unaffected. Nonetheless, it is under the area in which an ENT surgeon would be its speciality, thus FFS surgeons may not be as familiar with this region. I would advise that if you're getting VFS from an ENT surgeon anyway, you get a trach shave done by them instead. My VFS surgeon did offer this but I wasn't aware to ask for it at the time.
+
+Now we know what to look for in a surgeon's results pictures, we can better guage the surgeon we want to pick. But still, it is common to have consultations with multiple surgeons so you can decide which one you want to choose that way.
+
+## My FFS journey
+
+![the last pre-ffs picture of me that exists](/img/PXL_20251108_063442686.MP.jpg?h=400&w=5000)
+
+*The last picture of me that exists pre-FFS*
+
+This section discusses my personal experiences, which might be a good way of knowing what to expect during the recovery process. I write it in the first person present tense because I've been reading a lot of fiction like that recently. Nonetheless, my experiences remain personal, and your recovery could well be different.