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Facial feminization surgery requires addressing both the soft tissues components of the face as well as the bony facial skeleton in order to achieve a more balanced, feminine face. Rhinoplasty surgery utilizes techniques such as cartilage removal, nasal bone manipulation and/or tip shaping. Additionally, the reconstructed side is symmetric with the unaffected side. Happy for this patient and her transformation. You may be a good candidate for facial feminization if you are a female who believes your facial features appear too masculine, a male who wants to improve the attractiveness of your face, or if you are transitioning from male to female. This case highlights the advantages of a genioplasty versus a chin implant, a chin implant cannot lengthen and advance the chin to the same extent that a genioplasty can. Rush Otolaryngology, Head and Neck Surgery - Chicago 1611 W Harrison St Orthopedic Building - Suite 550 Chicago, IL 60612 (312) 942-6100 Get Directions Show Hours + Make an Appointment View Location Rush Plastic Surgery/Rush Craniofacial Center 1725 W Harrison St Professional Building - Suite 425 Chicago, IL 60612 (312) 563-3000 The patient was missing all three layers of the nose and if you look closely, you can see into the nose and visualize the septum. In the post-operative photos, the patient has maintained his natural facial features and anatomy, but just looks like a more youthful version of himself. To build a rapport with the doctor and learn more about Dr. Elliss experience with facial feminization and masculinization, please schedule a consultation by calling (312) 695-6022 today. 3 month follow-up on this patient who wanted improvement in the projection of her chin and definition of the jawline. Proud of our research team for getting this important manuscript published in the #1 plastic surgery journal in the world. While facial feminization surgery has many potential benefits, the decision to proceed . Up to 50% of Dr. Dorafshars patients are transgender or non-binary. A board-certified plastic surgeon will perform a facial evaluation and talk with you about the recommended procedures to achieve the appearance you want. This case was challenging because of the asymmetries of the nipples; trying to lift, augment, and level the nipples all at the same time is difficult. Facial feminization surgery (FFS) involves a comprehensive set of procedures to make your face appear more feminine. Male patient in his late 60s who was able to turn back the clock after undergoing a #facelift, #neck lift, #blepharoplasty, and #fattransfer. As you can see from the post-operative photos, the fat that is transferred stays and is permanent. Dr. Shifrin and Dr Rosett customize each surgery to artistically reshape your entire forehead region and provide a softer more feminine appearance that fits how you feel inside. In the post-operative photos, you can see a nice reconstruction of the nostril with restored form and function. We had expert panels and speakers from around the country and over a hundred abstract presentations from fellows, residents, and medical students. This patient underwent hi-def liposuction or abdominal etching to improve the contour of the abdomen and to define the abdominal muscles. Gender Affirming Surgery Chicago | Gender Affirmation Surgery The main exception is for procedures performed with dermal filler. 6 month follow-up on a mastopexy augmentation case. Want to use our data? In the post-operative photos, you can see the breast/nipples are lifted to a more aesthetic position and we were able to maintain volume, although smaller, with fat transfer alone. In this study, we looked at the published literature to develop guidelines on how to treat visual impairments related to droopy eyelids and excess skin of the eyelids. Cosmetic surgery can alter these features to provide a softer more feminine brow and forehead region. Based in Charlotte NC, he is very skilled at performing FFS as well as other feminizing surgeries: Breast Augmentation, Body Feminization, Buttock Augmentation and Hair Grafting. Gender Affirmation Surgery Program at Rush. On frontal view, there are asymmetries of the dorsal aesthetic lines and C-shape deviation of the nose. Facial feminization surgery encompasses a broad range of procedures to change the shape of the face to look feminine. #plasticsurgery #plasticsurgeon #craniofacialsurgery #FFS #facialfeminization #chicago #chicagoplasticsurgery 6 month follow-up on a mastopexy augmentation case. No patient has perfectly symmetric breasts, which is normal. Fortunately, the latest surgical techniques and technology have made gender reassignment more common than before. The cost of gender affirmation surgery depends on the combination of procedures the patient chooses to undergo. Happy for this patient and her transformation. The patient underwent a #breastaugmentation with gel implants. Posted with permission. Many variables to control but the post-operative photos demonstrate improved symmetry with all of the patients goals achieved. #plasticsurgery #plasticsurgeon #cosmeticsurgery #breastaugmentation #mastopexy #breastlift #gummybear #chicago #chicagoplasticsurgery 6 month follow-up on a challenging revision rhinoplasty case. #plasticsurgery #plasticsurgeon #cosmeticsurgery #breastlift #breastaugmentation #mommymakeover #fattransfer #chicago #chicagoplasticsurgery 1 year follow-up on a primary rhinoplasty. Posted with permission. #plasticsurgery #plasticsurgeon #MAPS #MidwesternAssociationofPlasticSurgeons #chicago #chicagoplasticsurgery Make sure your plastic surgeon is board certified by the American Board of Plastic Surgery. Look closely at the post-operative profile views and how the tip, nostril and columella appear. It is in a central position of the face, and when it is out of balance, it can create disharmony amongst other features. From the Midwest to across the globe, the compassionate and caring reputation of Shifrin Plastic Surgery being able to produce the best results is renowned. Dorafshar offers virtual and in-person consultations for a fee of $100. This site uses cookies to make the site simpler. The patient underwent explantation of the implants, a capsulectomy, a breast lift, and fat transfer to augment the breasts. More about Facial Feminization Surgery Narrow *Treatment results may vary *The member who uploaded this photo has read and agreed to the RealSelf Photo Rules Overall, still her nose but more refined and aesthetic. Decided to talk about my ffs experience. Posted with permission. Based in Chicago, Dr. Dorafshar is the Division Chief of Plastic & Reconstructive Surgery and Program Director of the Plastic & Reconstructive Surgery Fellowship at Rush University Medical Center. #plasticsurgery #plasticsurgeon #cosmeticsurgery #gynecomastia #liposuction #Renuvion #chicago #chicagoplasticsurgery Nasal reconstruction for a patient who had a full thickness defect or hole of the left nostril after Mohs surgery to remove a basal cell carcinoma. As you can see from the post-operative photos, the fat that is transferred stays and is permanent. Facial feminization procedures are individualized to the needs and desires of each particular patient. Rush University Medical Center accepts insurance from a wide range of insurance companies, as well as Medicaid and Medicare. The goal of facial feminization surgery, or feminizing facial surgery, is to transform the masculine features of the face to a more feminine or nonbinary appearance. Still have to perform the tracheal shave. #plasticsurgery #plasticsurgeon #cosmeticsurgery #genioplasty #chinaugmentation #craniofacialsurgery #chicago #chicagoplasticsurgery Gym or surgery? Your care is seamlessly coordinated to make the process as easy as possible. cess. On frontal view, there are asymmetries of the dorsal aesthetic lines and C-shape deviation of the nose. The Gender Affirmation Surgery Program at Rush University Medical Center offers the full range of state-of-the-art-procedures performed by surgeons who are global leaders in the field of Gender Surgery. This case was challenging because of the asymmetries of the nipples; trying to lift, augment, and level the nipples all at the same time is difficult. Posted with permission. Posted with permission. Posted with permission. Together youll come up with a surgical plan. This patient has a very natural result using only fat from her abdomen to restore volume. Surgery RequirementsDr. The patient had a previous augmentation with gel implants and wanted the implants removed, breasts lifted, and re-augmented with fat but downsized. Can you see the improved contour of the chin, jawline, and neck in the post-operative photos? In the post-operative photos you can see the dorsal hump was removed and the nasal bones narrowed, the tip was refined, rotated, and projected more. 1 year follow-up on a patient who wanted fuller and more symmetric breasts after having deflation with pregnancy. 2023 Plastic Surgery Clinic of Chicago - All Rights Reserved. Posted with permission. Specialists in Aesthetic, Craniofacial, and Reconstructive Plastic Surgery. For people in whom hormone therapy is not enough to achieve desired gender-affirming changes to the face, surgery can help. Posted with permission. Transgender women may choose FFS as part of their male-to-female transition process. #plasticsurgery #plasticsurgeon #cosmeticsurgery #abdominaletching #hidefliposuction #liposculpture #liposuction #chicago #chicagoplasticsurgery Long term follow-up on a revision mastopexy augmentation case. The choice of approach is dependent on the need for bone reshaping and hairline advancement or lowering. Our philosophy is to individualize each surgical procedure to your unique needs and anatomy using the latest state of the art techniques. Dr. Amir Dorafshar, MD is a plastic, reconstructive and craniofacial surgeon who specializes in gender-affirming facial surgery. Dr. Amir Dorafshar - Facial Feminization Expert in Chicago One year follow-up on a #BBL or Brazilian butt lift. A surgery date can be scheduled within four to six weeks of your consultation. As these procedures are quick and require no downtime, most patients have no complaints. #plasticsurgery #plasticsurgeon #cosmeticsurgery #gynecomastia #liposuction #Renuvion #chicago #chicagoplasticsurgery Nasal reconstruction for a patient who had a full thickness defect or hole of the left nostril after Mohs surgery to remove a basal cell carcinoma. Many variables to control but the post-operative photos demonstrate improved symmetry with all of the patients goals achieved. This patients goals were a straighter profile, smaller and more refined tip, and a nose that was not drastically different. Best Plastic Surgeon Chicago | Plastic Surgery Clinic of Chicago We also had the largest overall attendance in recent memory. This patient is transfemale who underwent facial feminization. Dr. Dorafshar has played a pivotal role in the development of craniofacial microsurgery, virtual surgical planning in craniofacial surgery and bone tissue engineering. Training, board certification and expertise matter when choosing your plastic surgeon. Dr. Marco Ellis is a top cosmetic & reconstructive surgeon in the Chicago area who provides patients with a variety of surgical & non-surgical cosmetic procedures. The patients goals were to have her breasts lifted and the volume restored after pregnancy. The patient was missing all three layers of the nose and if you look closely, you can see into the nose and visualize the septum. In this case I performed liposuction, removed the breast tissue through a nipple incision, and performed #Renuvion to facilitate contraction of the skin. The other incisions that plastic surgeons use include an incision underneath the breast, at the breast fold, or the armpit. Fat grafting, synthetic implants or bone implantation can create a sharp, defined jawline, Dermal filler (like Juvederm or Restylane) adds cushiony fullness to the lips. He was a critical member of the team that performed the pioneering facial transplant at the University of Maryland. Still have to perform the tracheal shave. Jaw or mandible contouring is performed through scars hidden in the inside of the mouth. In the post-operative photos, the patient has natural washboard abs. This case highlights the advantages of a genioplasty versus a chin implant, a chin implant cannot lengthen and advance the chin to the same extent that a genioplasty can. Dr. Ellis practices all aspects of plastic surgery but has expertise in reconstructive surgery of the face. Gender-Affirming Care | Rush System I would give him 10 stars if they were available! Lauryn, his patient coordinator at the office downtown, is very welcoming and warm too!! Many ways to do a breast augmentation but the periareolar incision is a great option because the scar becomes imperceptible as the scar matures. Offering a Full Scope of Feminizing and Masculinizing Surgeries Our plastic and reconstructive surgeons, urologists, gynecologists and laryngeal surgeons can perform a wide range of feminizing and masculinizing operations to enhance your appearance and help you achieve harmony with your gender identity. #plasticsurgery #plasticsurgeon #cosmeticsurgery #facelift #necklift #blepharoplasty #chicago #chicagoplasticsurgery We had a great time hosting the 60th Annual Midwestern Association of Plastic Surgeons (MAPS) meeting in Chicago this past weekend, where I finished my tenure as president. Posted with permission. This patient has a very natural result using only fat from her abdomen to restore volume. - Patient, Google Reviews. Common facial feminization procedures in transgender patients include; feminizing rhinoplasty, brow lift, hairline lowering, brow bone reduction, jaw bone contouring and tracheal shaving. Facial Feminization: Before & After Photos Procedures performed by Board Certified Plastic Surgeon, Dr. Parit Patel, who specializes in aesthetic, craniofacial, and reconstructive plastic surgery in Chicago, IL. Posted with permission. Many variables to control but the post-operative photos demonstrate improved symmetry with all of the patients goals achieved. Surgery Requirements We specialize in transgender feminization procedures, as well as breast augmentation, Brazilian butt lift, micrograft hair restoration, and liposculpting to name a few. Dr. Amir Dorafshar - Facial Feminization Surgery in Chicago Dr. Amir Dorafshar Highly Distinguished Facial Surgeon In Chicago Dr. Amir Dorafshar, MD is a plastic and reconstructive surgeon with fellowship training in craniofacial surgery who specializes in gender-affirming facial surgery. It is flatter in shape than a feminine brow and has a strong projection created by an underlying bony ridge. #plasticsurgery #plasticsurgeon #cosmeticsurgery #abdominaletching #hidefliposuction #liposculpture #liposuction #chicago #chicagoplasticsurgery Long term follow-up on a revision mastopexy augmentation case. | Website designed & developed by Ceatus Media Group, LLC. Facial feminization surgery is a series of procedures that can reshape the face and its features to achieve a more feminine appearance. Facial Feminization Surgery - American Society of Plastic Surgeons This patient underwent hi-def liposuction or abdominal etching to improve the contour of the abdomen and to define the abdominal muscles. We had expert panels and speakers from around the country and over a hundred abstract presentations from fellows, residents, and medical students. In the post-operative photos you can see the dorsal hump was removed and the nasal bones narrowed, the tip was refined, rotated, and projected more. Sitemap | HIPAA | Privacy Policy | Terms of Use Marketing and SEO by NKP. No patient has perfectly symmetric breasts, which is normal. Posted with permission. Dr. Ellis reviews several factors during the consultation phase to confirm a persons candidacy. Before deciding to undergo facial feminization, consult with your board-certified plastic surgeon in Chicago and make sure you understand the process of each individual procedure. Posted with permission. Warning: You do not have JavaScript enabled. In the pre-operative profile views, you can see a dorsal hump, under-projected tip, and abnormal alar-columellar relationship. Facial Feminization Chicago | Shifrin Plastic Surgery Facial feminization surgery (FFS) encompasses a series of surgical interventions designed to make your face appear more feminine. Posted with permission. Additionally, the reconstructed side is symmetric with the unaffected side. Can you tell what surgeries were performed? Can you see the improved contour of the chin, jawline, and neck in the post-operative photos? Challenging #gynecomastia case where the patient had grade 2/3 gynecomastia or male breasts with excess skin and significant asymmetries. In the pre-operative photos, you can see the chin is short and recessed and therefore I moved the chin forward and down. How much younger does he look now? Overall, still her nose but more refined and aesthetic. Posted with permission. Rush University Medical Center was the first hospital in Illinois to offer this coverage. Dr. Eric Emerson The patient had 3 prior rhinoplasty surgeries by another surgeon and was not happy with the aesthetics of the dorsum or tip. THE MINI FACELIFT: ALL YOU NEED TO KNOWDid you know that a mini facelift is one of the most popular procedures available today for facial rejuvenation? To make an appointment, call 1-888-824-0200 and ask for the Trans CARE clinic, or email us at TransgenderCARE@bsd.uchicago.edu. #plasticsurgery #plasticsurgeon #skincancer #nasalreconstruction #nosejob #rhinoplasty #chicago #chicagoplasticsurgery A 1 year follow-up on a patient who wanted a rhinoplasty to remove the dorsal hump and improve the aesthetics of her tip. In the post-operative photos, you can see the breast/nipples are lifted to a more aesthetic position and we were able to maintain volume, although smaller, with fat transfer alone. This patient had a full thickness nasal defect of the left nostril after a skin cancer was removed by our Dermatology colleagues. Facial Feminization Surgery under Insurance: The University - LWW Additionally, the reconstructed side is symmetric with the unaffected side. Dr. Dorafshar is available for both virtual and in-person consultations for a fee of $100. This patient is 6 months out from a breast augmentation and the access incision we made was at the bottom border of the nipple areolar complex. Schedule Your Consultation Today CALL TODAY: (312) 695-6022 Removing cartilage and bone creates a smaller nose, with a round nasal tip that points slightly upward. Transgender Surgery | Dr Turowski - Plastic Surgery Chicago Candidates for gender affirmation surgery should be physically and mentally healthy and have a strong desire to have their outward appearance better correspond with their gender identity. The Transgender and Intersex Specialty Care Clinic (TISCC) provides integrated medical, psychosocial and surgical intervention to individuals with gender dysphoria/incongruence and to those with differences of sexual development (intersex). Dr. Amir Dorafshar, MD is an internationally recognized plastic, reconstructive and craniofacial surgeon who specializes in Facial Feminization Surgery. The procedure is performed as an outpatient and can have drastic changes in the facial appearance. Also, nipple sensation is unaffected after surgery. At Shifrin Plastic Surgery in Chicago, common facial feminization procedures in transgender patients include; feminizing rhinoplasty, brow lift, hairline lowering, brow bone reduction, jaw bone contouring and tracheal shaving. In the post-operative photos, the patient has natural washboard abs. We had expert panels and speakers from around the country and over a hundred abstract presentations from fellows, residents, and medical students. 19-250, Chicago, Illinois, 845 N Michigan Ave., Ste. Call us today to schedule a consultation, or use the Contact page to send us a message. Rush proudly provides the following: In addition to surgery, Rushs gender-affirming services include Cognitive Behavioral Therapy, Endocrinology Services and Professional Voice Services. Dr. Amir Dorafshar Highly Regarded Expert in Facial Feminization Surgery. Long term follow-up on a revision mastopexy augmentation case. Posted with permission. Surgeons Who Perform Gender-Affirming MTF Surgery MARCO ELLIS MD | COMPREHENSIVE FACIAL SURGERY, 2023 Marco Ellis M.D. #plasticsurgery #plasticsurgeon #skincancer #nasalreconstruction #nosejob #rhinoplasty #chicago #chicagoplasticsurgery A 1 year follow-up on a patient who wanted a rhinoplasty to remove the dorsal hump and improve the aesthetics of her tip. Posted with permission. In the post-operative photos, you can see the breast/nipples are lifted to a more aesthetic position and we were able to maintain volume, although smaller, with fat transfer alone. At Johns Hopkins, he served as the co-director of the facial transplantation program and as director of the craniofacial fellowship program. The other incisions that plastic surgeons use include an incision underneath the breast, at the breast fold, or the armpit. Also, you have to make the area strong enough so that the nostril doesnt collapse as the area heals and scars. Now to be honest I thought he was going to be a great choice but I was wrong. #plasticsurgery #plasticsurgeon #craniofacialsurgery #FFS #facialfeminization #chicago #chicagoplasticsurgery 6 month follow-up on a mastopexy augmentation case. The challenging part of this case relates to how to manage the excess skin and achieve a symmetric result. Happy for this patient who underwent full facial rejuvenation surgery, which included a brow lift, upper/lower blepharoplasty, facelift, neck lift, and facial fat transfer. Facial Feminization Surgery Before & After Pictures - RealSelf For a better experience, please enable JavaScript. Methods: FFS consults (n = 40) at the University of California, Los Angeles (2018-2020) were reviewed for time and cost to definitive insurance authorization decision. Proud of our research team for getting this important manuscript published in the #1 plastic surgery journal in the world. Posted with permission. This patients goals were a straighter profile, smaller and more refined tip, and a nose that was not drastically different. Posted with permission. In the post-operative photos, you can see the breast/nipples are lifted to a more aesthetic position and we were able to maintain volume, although smaller, with fat transfer alone. Dr. Patel is one of a few Chicago-based plastic surgeons fellowship-trained to specialize in the field of craniofacial surgery to repair facial differences acquired from trauma, cancer, or at birth. In this study, we looked at the published literature to develop guidelines on how to treat visual impairments related to droopy eyelids and excess skin of the eyelids. Shaving down the jawbone gives the jawline an oval shape, rather than a sharp, masculine one. Widening the forehead can be achieved by flattening the ridge above the brows and adding distance between the brows and hairline. Pay close attention to the bags underneath the eyes, the jawline, and neck. Financing options are available for patients who would prefer to make payments toward the total cost of their procedures. Your plastic surgeon in Chicago will discuss all aspects of the procedure, including associated costs, during your consultation. Gallery Home > Face Procedures > Facial Feminization Patient 1 Before After Before After Case #3340 - Facial Feminization Aesthetic and Reconstructive Surgery of the Face, Breast, and Body. Rush University Medical Center accepts insurance from a wide range of insurance companies, as well as Medicaid and Medicare. Also, nipple sensation is unaffected after surgery. (An in-person consultation is required prior to surgery.). Board Certified Plastic Surgeon, Dr. Parit Patel of Chicago, IL, specializes in facelift, rhinoplasty, blepharoplasty, brow lift, breast augmentation, tummy tuck, and brazilian butt lift. 30 Facial Feminization Surgery doctors in Chicago, IL CareCredit credit card can help finance cosmetic surgery, minimally invasive procedures, dermatology expenses and more. All rights reserved. Even though the wound is relatively small, this is a challenging reconstruction because all layers of the nose have to be rebuilt without making the reconstructed area bulky and noticeable. Skin-tightening surgery, such as a face-lift, is another option. Her new nose fits her face without overtly changing the ethnic features of her face. Her new nose fits her face without overtly changing the ethnic features of her face. #plasticsurgery #plasticsurgeon #MAPS #MidwesternAssociationofPlasticSurgeons #chicago #chicagoplasticsurgery Make sure your plastic surgeon is board certified by the American Board of Plastic Surgery. Dr. Dorafshar is an international leading expert in microvascular reconstruction and craniofacial surgery. Address: Rush Plastic and Reconstructive Surgery1725 W. Harrison St., Suite 425, Chicago, IL, 60612, US. Each incision has their pros and cons but the periareolar is my preferred approach. Patients were stratified into 3 groups based on authorization process: Group A (standard approval, n = 26, 65.0%) including public and private insurances; Group B (extended approval, n = 10, 25.0%) consisting of private . Dr. Dorafshar has played a pivotal role in the development of craniofacial microsurgery, virtual surgical planning in craniofacial surgery and bone tissue engineering. 6 month follow-up on a mastopexy augmentation case. The surgeon's purpose with all transgender surgeries is to make your appearance match your true personal, physical identity. Early follow-up on a #facialmasculinization surgery for a trans male who wanted to improve the contour of the lower 1/3 of the face and neck. This guides us in avoiding the vocal chords and allowing us to remove and contour the trachea cartilage. The goal of the surgery was to make the nose straighter, improve the dorsum and tip proportions, increase tip projection, and improve the alar-columellar relationship. Happy for this patient and her transformation. Dr. Patel is a board certified plastic surgeon who specializes in procedures of the face, breast, and body. Look closely at the post-operative profile views and how the tip, nostril and columella appear. The distance from the top of the eyebrow to the front of the hairline is longer in men than women. In addition to surgery, Rush's gender-affirming services include Cognitive Behavioral Therapy, Endocrinology Services and Professional Voice Services. In this case the dorsal hump was removed, the nose made straighter, the tip refined, and the tip rotated and projected more. Pay close attention to the bags underneath the eyes, the jawline, and neck. Injectable treatments are temporary and need to be performed every several months to maintain the results. In this case the dorsal hump was removed, the nose made straighter, the tip refined, and the tip rotated and projected more. Search by U.S. State, Procedure and Insurance Search by Country and Procedure Browse the Global Surgeon Maps. Lets begin with a definition Read More, EVERYTHING YOU NEED TO KNOW ABOUT A BROW LIFTNaturally, as we get older, gravity and age can cause our skin and soft tissue of the eyebrows and forehead to droop and sag. Individualized Care and a Full Range of Gender-Affirming Procedures Our surgeons can perform a wide array of masculinizing and feminizing procedures to affirm your identity and enhance your appearance. In this study, we looked at the published literature to develop guidelines on how to treat visual impairments related to droopy eyelids and excess skin of the eyelids. Posted with permission. A 1 year follow-up on a patient who wanted a rhinoplasty to remove the dorsal hump and improve the aesthetics of her tip. Posted with permission. Posted with permission. The MAPS organization is great hands and I am excited about its future! Learn more about the surgery and process. Still have to perform the tracheal shave. Each incision has their pros and cons but the periareolar is my preferred approach. Posted with permission. Challenging #gynecomastia case where the patient had grade 2/3 gynecomastia or male breasts with excess skin and significant asymmetries. Facial Feminization Surgery Photos Browse Facial Feminization Surgery before & after photos shared by doctors on RealSelf. 2335 South Michigan Avenue Floor 2, Chicago, IL 60616, 2335 South Michigan Avenue Floor 2, Chicago IL 60616, 2023 Shifrin Plastic Surgery | All Rights Reserved | Sitemap | Privacy Policy | Accessibility. To give some background, I had brow bossing/brow lift done by another doctor first. In addition, the downside from the first surgery was {{ filterCtrl.yearsExperienceTitle }} yrs exp, 845 N Michigan Ave., Ste. The MAPS organization is great hands and I am excited about its future! Rush hospitals have been recognized as a Leader in LGBT Healthcare Equality in the Healthcare Equality Index (HEI) for 11 consecutive years. This patients goals were a straighter profile, smaller and more refined tip, and a nose that was not drastically different.