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Voice feminization surgery is a procedure to help transgender women (male to female) obtain a more feminine sounding voice. The goal of the surgery is to change a perceived male-sounding voice to a female sounding voice. Voice feminization surgery focus on raising the habitual speaking pitch by decreasing the ability to produce a low-pitched voice, meaning it will reduce the overall pitch range of the voice. Most trans-women choose to have a voice feminization surgery because they are not satisfied with the results of voice therapy or they want a more authentic sounding female voice.
Several elements influence the price of Voice Feminization Surgery in Japan, making it fluctuate. The selected clinic, surgeon's proficiency, geographic setting, the procedure's complexity, and other expenses such as anaesthesia, hospitalization, and follow-up care all play a role.
One crucial detail to remember is that numerous insurance firms do not pick up the tab for Voice Feminization Surgery. Therefore, liaising with your insurance organization and the clinic is essential to grasp the full extent of the costs involved. Before proceeding, your healthcare provider should offer a comprehensive breakdown of expected expenses to assist in your financial planning.
There are several techniques to perform voice feminization surgery. The most common technique is called cricothyroid approximation, which involves elongating the vocal folds to increase vocal pitch. During this procedure, your surgeon brings the cricoid cartilage closer to the thyroid cartilage using metal plates or sutures. The cricoid cartilage is then shifted upward and backward, while the thyroid cartilage is moved downward and forward.
Another technique is called Wandler Glottoplasty. This technique connects the anterior 1/3 of your vocal folds using suture, while the remaining 2/3 act as female length vocal folds, which will yield a slightly higher voice. With this technique, no incisions are created in the neck since the entire procedure is performed through the mouth.
All techniques are performed under general anesthetic, so you will be asleep and comfortable throughout the surgery. The surgical reduction of Adam’s apple may be performed at the same time as voice feminization surgery.
Voice feminization surgery generally takes around 40 to 50 minutes to complete. The procedure is normally performed as an outpatient procedure, so you should be able to leave the hospital on the same day. However, you will need to stay in Japan for at least 8 to 10 days as you will have to attend follow-up checkups. During the follow-up checkups, your healing will be monitored and outer stitches will be removed.
It is strongly recommended that you organize for an individual to be present with you or to remain with you for, at minimum, the initial evening following your surgical procedure. Concerning the remainder of your stay in Japan, your course will be directed by the post-operation care strategy put together by your medical professionals who will monitor your recuperation journey prior to approving your departure back to your residence.
The total recovery time until the tissue completely heals may take as long as six months. However, you should be able to return to most of your normal activities within a couple of weeks. If your job does not require the use of voice, you may be able to go back to work within one week. However, if it involves the use of voice, you need to take two weeks off work. Your surgeon will give you a recovery timeline, including the time you can go back to work and do strenuous activity.
For the first week, you may not be allowed to speak (absolute silence). It is important that you drink enough water to moisturize the vocal cords. In order to prevent acid reflux, your doctor may advise you to avoid chocolate, caffeine, peppermint, acidic foods, fatty foods, alcoholic drinks, and soda.
You will have to attend follow-up checkups at the third, sixth, and twelfth month after surgery. If you cannot travel to Japan for these checkups, make sure to talk to your surgeon. In most cases, you should be able to do the checkups with your local doctor back at home. Since voice feminization surgery only changes your pitch, you may still need a voice feminizing therapy to work on other vocal behaviors. The therapy will help you adapt to your new voice. It normally targets your vocal pitch, prosody, and vocal resonance. The therapy will also address speech rate, phrasing, articulation, voice quality, and nonverbal communication (such as eye contact and facial expression).
Voice feminization surgery is a safe and effective procedure. Many patients who have had the surgery are satisfied with the results. In this instance, success is ordinarily marked by helping the patient cultivate a feminine voice that aligns with their personal identity.
Nonetheless, one must bear in mind that the efficacy of the operation is strongly linked to the competence of the surgical practitioner, the well-being of the person involved, and compliance with after-surgery care and instructions. Consistent after-surgery assessments, ample relaxation, and linguistic rehabilitation often carry significant weight in securing a successful outcome of the operation.
If you do not want to undergo surgery to feminize your voice, voice therapy alone can be the alternative. The therapy can help you change your vocal characteristics, such as pitch and intonation, as well as nonverbal communication, such as gestures and facial expressions. A speech-language pathologist will help you learn and practice techniques to feminize your voice. The process of voice therapy may be lengthy, necessitating repetition and resilience.
Prior to the Voice Feminization Surgery, you'll meet with your surgeon to address your anticipations and any potential worries you may have. A vocal evaluation might also be part of the pre-treatment process. Following the procedure, it's essential to observe a time of complete vocal silence to ensure the proper mending of your vocal cords. Transient alterations in your voice may occur post-surgery.
Once the period of complete vocal silence has ended, you'll gradually begin to use your voice. Participation in speech therapy sessions might be recommended to aid in adjusting to your new voice. Keep in mind, the primary objective is to obtain a voice that is in harmony with your identity and feels comfortable, therefore, it is crucial for patients to remain compliant and dedicated to the post-operative care plan.
If you wanted to adapt your voice and communicate in a way that matches your gender identity, voice feminization surgery will help you achieve that. After the procedure, you can expect to have a more feminine voice with a higher pitch. It may be hard at first to maintain your new voice with loved ones or people who knew you before transitioning, and you might even fear comments about yourself or feel self-conscious about your new voice. Know that these feelings are valid and those who love you will always support you. Try to focus on enjoying what you are doing for yourself.
Just like any operation, there are potential hazards associated with the Voice Feminization Surgery such as:
Whilst the information presented here has been accurately sourced and verified by a medical professional for its accuracy, it is still advised to consult with your doctor before pursuing a medical treatment at one of the listed medical providers
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Japan is special in its own way; the culture, food, people, as well as technology are envied by the world over. With old Japan, comes the ancient tradition in the form of a geisha performance, onsen (hot spring) visit in the mountains, tea ceremony, or shrine visit. In contrast, there is modern Japan, full of smart systems and electronics, colorful advertisements and displays, and ultra-modern architecture. In recent years, Japan has become one of the top destinations in the world for oncology treatments and sees many tens of thousands of medical tourists each year. Many of these travel from within the region, including China and Korea, but they are unable to compete with the SE Asian nations with prices. Private hospitals are located across the country, with a particular focus in major cities like Tokyo, Kyoto, and Osaka. 25 of these facilities are JCI-accredited, with many offering Voice Feminization Surgery procedures.
Located in the Pacific Ocean, Japan is a stratovolcano archipelago. The four largest islands are Honshu, Hokkaido, Kyushu, and Shikoku. With a population of 127 million, 98% are ethnic Japanese. The country perfectly balances traditional with modern technology. Tourists will first see its exceptionally modern face, but after traveling around, they will find many opportunities to connect with the beautiful traditional culture.
Japan has four distinct seasons.
The main airport for international tourists is the Narita International Airport. It is located around 60km east of central Tokyo. It serves both domestic and international flights to almost every major city around the globe. There are several budget airlines that operate flights from this airport, namely Jetstar Japan, Eastar Jet, and Peach. There are other international airports such as Kansai International Airport, New Chitose International Airport, and Kyushu Saga International Airport.
To get to Tokyo from Narita Airport, tourists can use the rail, bus, taxi, or car rental. The most affordable train line is the Keisei Line that connects with the Toei Asakusa Subway Line and the Yamanote Line, it costs around ¥1,190 to ¥1,230 ($10 to $11.3). There’s also the Sky Access Express train that offers better access to Tokyo, a trip to Asakusa will cost around ¥1,290 ($11.9) and take about 58 minutes. The quickest way to get to Tokyo will be by the Skyliner train, it takes just 36 minutes to Nippori and will cost around ¥2,470 ($22.7). The airport introduced N’EX Tokyo Round-Trip ticket for foreign passport holders that provides round-trip travel from Narita to Tokyo and back for ¥4,000 ($37) for adults and ¥2,000 ($18.4) for children.
A regular taxi from Narita to Tokyo is very expensive, usually over ¥20,000 ($184). The best option is the shared minibus that starts with ¥6,180 ($57) per person. Buses are usually more affordable, the Limousine Bus costs ¥2,880 ($26.5) and the Tokyo Shuttle costs around ¥900 ($8) to ¥1,000 ($9).
Getting around Japan is fairly easy because the country has excellent public transportation. It is recommended to get a Japan Rail Pass. Japan’s bullet train is fast but expensive. There are cheaper train options. Buses are less expensive but will take more time than trains.
Citizens of 68 countries and territories can enter and stay in Japan for up to 90 days without a visa. Citizens of Indonesia, Brunei, and Thailand are granted a 15-day visa-free trip to Japan. Citizens of the United Arab Emirates are allowed to stay for 30 days without a visa. It is advisable to contact the nearest Consular Section of the Embassy or Consulate General of Japan for more information.