How much do consultations cost?
We highly encourage our patients to visit our office in beautiful Marina del Rey/Los Angeles or San Francisco Bay for an in-person consultation with Dr. Keojampa. In office consultations are $500 which includes a 3D CT scan. High-resolution 3D CT imaging (“CAT scan”) of the skull and face are performed during the consultation.
3D CT Imaging is important to provide 3D visualization of the facial bones and structures and what modifications can be performed. Computer imaging will provide a preview of the results along with accurate communication for the results you desire. For patients who are not local to our offices, Skype consultations can be scheduled and cost $500. Fees will be applied to surgery if you choose to proceed with Dr. Keojampa.
Where does Dr. Keojampa perform FFS?
Surgeries in Los Angeles are performed either at Admiralty Surgery Center, a Joint Commission-certified ambulatory surgery center. Surgeries in the San Francisco Bay area are performed at Austin SF Surgery Center, St Francis Memorial Hospital in San Francisco, and Alma at Addison Surgery Center in Palo Alto next to Stanford University. Only board certified anesthesiologists are used to provide anesthesia. This provides the highest level care and safety. Joint Commission certification is considered the gold standard.
How much does FFS cost?
Costs are determined after either an office or skype consultation and are based on the procedures recommended. Our office will provide you with a cost analysis after your consultation.
Does Dr. Keojampa accept medical insurance?
Our practice, Keojampa MD, is NOT contracted with any insurance providers and is considered out of network.
We are one of the few Aesthetic Craniofacial surgery centers that will accept health insurance if your health insurer provides coverage for craniofacial surgery. Your insurer MUST sign a letter of agreement or single case agreement to guarantee payment for services otherwise the full payment for surgery will be required in advance. A letter of agreement is a binding legal contract and will state the intent to pay for the agreed upon charges covered under the pre-approval.
We have had success obtaining insurance coverage for Facial Feminization Surgery from health plans of large technology companies such as Apple, AT&T, Amazon, T-mobile, Dell, Boeing, Oracle, Google, Microsoft, Starbucks along with select health insurance plans from Massachusetts. Most other insurance plans do not cover FFS and consider it as cosmetic surgery. Insurances are constantly changing and we cannot make any guarantees concerning insurance coverage or approval.
How soon can I book a surgery date?
On average, Dr. Keojampa is booking 12-18 months out for Aesthetic Craniofacial Surgery and Facial Feminization Surgery. Our practice is one of the busiest Aesthetic Craniofacial surgery centers in the world. Sometimes surgery cancellations do occur and at which time we can offer an earlier date.
Preoperative Exam and Necessary Testing
During your presurgery visit, a complete preoperative physical examination along with a personal, family, and medication history are reviewed. CT Scans of the Skull and Face are performed. CT scans are superior to regular X-rays as it allows 3D reconstruction and can be used during surgery for stereotactic image navigation. Depending on your age and medical history, further testing such as a CBC or EKG is requested along with medical clearance by your primary care physician.
What are medications to avoid before surgery?
We recommend stopping any medications that can increase the risk of bleeding 7 days before surgery. This includes aspirin, ibuprofen blood thinners such as coumadin, and herbal supplements such as Vitamin E and St John’s Wort. We also request patients to stop hormone replacement therapy 1 week before surgery as it increases the risk for DVT or deep vein thrombosis. Most patients can restart 2-3 days after surgery when fully ambulating and walking.
What to Expect on Surgery Day
Once arrived at the hospital or ambulatory surgery center, Dr. Keojampa will meet with you to review your goals and reaffirm the plan for surgery. You will meet our anesthesiologist who will keep you comfortable during surgery. Our anesthesiologist is in charge of delivering general anesthesia in the operating room and tracking your vital signs (blood pressure, heart rate, EKG, oxygen saturation, and etc.)
After Facial Feminization Surgery
After the completion of your facial feminization surgery, our anesthesiologist will wake you up from surgery. A head wrap will be placed and you will be transferred to the recovery room. Most patients recover over 2-3 hours and then transferred either to the hospital floor or acute surgical care facility.
Consultation with Dr. Keojampa
- First step of the consultation is reaching out to our office by either completing a consultation form or calling our office.
- Our experienced office staff will then promptly contact you by email or phone to schedule the desired consult type. We offer both remote skype consults for our out of town and international patients. We encourage patients to schedule an in office consultation to see Dr. Keojampa as CT Imaging of the Face and Neck can be performed before the consult to give the most detailed and accurate recommendations
- Costs and Fees are determined after the consultation. Costs vary with the procedures desired and with estimated operating room and Anesthesia time.
- In office consultations last 1 hour or more. During the consultation, CT scans of the Face and Neck are performed and results are reviewed immediately. Detailed facial measurements are taken.
- With advanced 3D scanning technology, we can get high-quality 3D images of your entire face and jaw. The images are so accurate that we can use them to create custom surgical guides and for real-time stereotactic image navigation during surgery.
- Benefits of 3D Scanning
Our 3D CT scanner offers a variety of benefits over traditional X-rays, including the following:- More detailed images
- Fewer surprises or complications during surgery
- More accurate treatment planning for face and jaw surgeries
- We discuss your desired goals in detail and take a complete history and examination
- Typical questions we ask during your consultation include
- When and how long have you been on hormonal replacement therapy?
- Have you had or considering sexual reassignment surgery?
- What do you expect from FFS surgery?
- What support systems do you have such as a therapist, family or friends to help after surgery?
- Typical questions we ask during your consultation include
- Dr. Keojampa will explain in detail all the procedures recommended along how each procedure is performed.
- Where do our patients come from?
- Our patients come from Los Angeles, Out of State, and Internationally.
- After surgery, for forehead only cases, most patients are able to return back to home or hotel room to recover.
- For longer cases lasting > 6 hours or involving Forehead, Midface, and Jaw surgery., patients are admitted to an Acute Surgical Care facility. All our nurses have extensive experience caring for transgender patients and will correctly address you by your correct gender.
Why Choose Dr Keojampa?
- Dr Keojampa is one of the few surgeons in the world trained in specifically Facial Feminization Surgery which is highly complex craniofacial surgery. This experience translates to intricate knowledge in the some of the most advanced surgeries performed anywhere in the world.
- Facial Feminization Surgery techniques work extremely well for both men and women. These same advanced techniques help to rejuvenate and make your results dramatic and natural.
- Dr Keojampa is board certified and specialized in Facial Plastic Surgery. He is a face specialist and does not dilute his expertise in any other area. Trust your face to a facial plastic surgeon.
- Dr Keojampa formerly served as a Clinical Assistant Professor and Clinical Instructor at both Harvard Medical School and Boston University School of Medicine. He has worked as an educator, teacher and involved with training future surgeons.
- What procedures does Dr. Keojampa offer?
- Facial Feminization Surgery
- Nasal surgery such as Rhinoplasty, Septoplasty, and Sinus Surgery
- Eyelid surgery
- Facelift
- Forehead and Browlift
- Chin Augmentation and Reduction including Asian V-line techniques
- Ear surgery such as otoplasty “ear pinning”
- Neck and chin liposuction
- Lip Lift
- Treatment of the Aging Face
- Aesthetic Orthognathic Surgery – Double Jaw Surgery