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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 Spain, 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 Spain 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 Spain, 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 Spain 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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Historic Spain is home to the third-highest number of UNESCO World Heritage Sites, after Italy and China. Part of the Iberian Peninsula, along with Portugal, Spain also shares borders with France and the less well-known, Andorra. The country itself is made up of several regions, both on the mainland and out at sea, with the Canary Islands closer to Morocco than Spain - they are located in the Atlantic Ocean, whilst the Balearic Islands are a little closer to home, in the Mediterranean Sea. On the mainland there is Central Spain, home to the capital, Madrid, Catalonia in the East, home to the second city, Barcelona, and the Basque Country in the North, to name but a few.
Spain sees an estimated 100,000 medical tourists each year, many of which travel for Voice Feminization Surgery procedures. The biggest target market is from the UK, accounting for one in four of Spain's 60m annual tourists. An excellent healthcare system combined with warm temperatures and competitive prices means that Spain is now one of the more popular destinations in Europe for medical tourism. The most popular procedures tend to be cosmetic surgery, fertility treatments, bariatric surgery, cardiac surgery, orthopedics, urology, and bone marrow transplants.
Spain has diverse landscapes, dynamic cities, influential art, and delightful food.
Spain has wonderful weather all year-round. Summer starts from June to August and tends to be nice. Tourists can expect warm and sunny weather. The temperature can get as high as 30 °C, sometimes even higher. Summer is the peak season for tourism so prices can increase by up to 50%.
Spring (April to May) and Autumn (September to October) are great times to visit. The weather is mild and perfect to do outdoor activities, although sometimes it can be unpredictable. The country is not as crowded as during summertime.
Winter in Spain is cold but the temperature does not drop too low. The average temperature is between 4 °C to 10 °C. Northern Spain and the mountainous areas sometimes experience snowfall and rain showers.
The main international airport in Spain is Adolfo Suárez Madrid-Barajas and Barcelona El Prat Airport. Madrid-Barajas is the largest airport in the country. It operates domestic and international flights. The airport connects Madrid with almost every country in the world. It serves several budget airlines such as Iberia Express, Ryanair, and EasyJet. It is the hub for Air Europa and Iberia.
Barcelona El Prat Airport also serves domestic and international connections with almost every country globally. Budget airlines such as Ryanair and WestJet operate flights from this airport. It is the hub for Level and Vueling.
To get to the city center, both airports provide taxis, buses, and metro. Taxis are the most convenient transportation mode but usually more expensive. Tourists who travel to Madrid are advised to buy the Madrid Tourist Travel Pass which can be used on any Metro, bus, or suburban train for just 5 EUR.
Spain has a well-designed public transportation network. Tourists can get around Spain by train. There are high-speed (AVE) and regular service trains (Talgo) for long-distance or medium distance travel, the fares are based on a 1st and 2nd class system. For short destinations, tourists can use local trains. It offers one class of seats and makes a lot of stops. 60-year-old and older travelers can get a discount between 25 to 40 percent for train tickets. Children under the age of 13 also qualified for discounts. Buses are another excellent option. Intercity buses are affordable, clean, and safe.
Renting a car gives more flexibility for tourists. International car rental agencies are widely available in the country. The highway system is easy for foreigners to follow. Parking can be quite hard in some cities and historic towns because it can get really crowded.
Taxis have a reasonable price. Spanish taxi drivers are usually trustworthy and don’t cheat. The taxi can be hailed on the street or from a taxi stand (parade de taxi). Available taxis have green lights or signs that say “libre” on them. Taxis run on meters, but if you’re traveling a long distance, you will have to agree on the fare in advance.
Citizens of the European Union, Norway, Liechtenstein, Iceland, and Switzerland can travel to Spain with their identity cards only. Citizens of Australia, Canada, Israel, Japan, the United States, and New Zealand are granted visa-free entry and can stay for up to 90 days. Other countries can check with their nearest Spanish embassy or consulate. Spain is a member of the Schengen Convention. If you hold a Schengen visa, you cannot extend it.