Facial feminization surgery is a personal choice for individuals who want their facial features to reflect their gender identity. The best facial feminization surgery involves a range of facial plastic surgery techniques that reshape the face to create a more feminine appearance. Small changes can make a big difference, such as adjustments from the brow bone to the chin bone. These facial feminization operations are tailored to fit each person’s unique goals.
The surgery can involve multiple techniques to adjust the facial bones and refine soft tissue, helping shape feminine features. Procedures like forehead contouring, brow lift, and tracheal shave support that goal. Each surgical procedure is chosen based on what feels right for the individual. For many, this is a meaningful part of transgender health and gender affirmation.
About Facial Feminization Surgery FFS
Facial feminization surgery involves a series of procedures designed to reshape the face for a more feminine shape. Transgender women often use it as part of their gender affirmation, but nonbinary and other individuals can also choose the surgery.
The goal of facial feminization is to soften the features typically linked with male anatomy, such as a prominent brow bone, wide jaw, or strong chin, and bring them closer to those seen in cisgender women. Changes are made to both bones and soft tissue depending on the person’s needs.
People who want this surgery often describe it as an important step in aligning their outer appearance with their gender. The surgery can help reduce feelings of gender dysphoria and also improve comfort in everyday social interactions. The type of procedures performed during facial feminization depends on several factors, including facial structure, personal goals, and what makes the individual feel most like themselves.
Understanding Various FFS Procedures
There isn’t a one-size-fits-all procedure for facial feminization. The surgery includes a wide range of facial feminization methods, each specifically designed to change different facial features. Some procedures focus on the underlying bone structure, while others refine the tissue. The combination depends on the person’s facial anatomy and their vision of a more feminine appearance. Each surgical procedure is selected to support individual goals and create balance across the face. Let’s take a look at some of the most common procedures used during facial surgery.
Brow Bone Reduction
Brow bone reduction is a common part of facial feminization surgery, especially for reshaping the upper third of the face. The procedure reduces the size and projection of the bony ridge above the eyes, which is often more prominent in male skulls. During this procedure, the surgeon will contour the area and make the forehead smoother and less angular. This helps the forehead appear smoother, and it contributes to a more traditional feminine look.
The procedure may also involve reshaping the frontal sinuses in some cases or using a small incision inside the scalp to minimize visible scars. Brow bone reduction is often combined with a brow lift or forehead contouring to further soften the upper face and bring the brows into a more feminine position.
Forehead Contouring
Contouring the forehead helps to reshape the upper part of the face to reduce the sloped or prominent look often seen in male foreheads. The goal is to create a smoother, rounder shape that is often seen in females. To achieve a more feminine shape, the brow bone and the area around the frontal sinuses are typically reduced and reshaped.
The procedure may involve an incision at the hairline or on the scalp. The procedure can be paired with hairline lowering to improve the overall result. When combined, these two changes can help bring the forehead into a softer, more balanced shape.
Chin Surgery or Chin Reduction
Chin reduction is used to shorten or reshape the chin. It helps the lower face appear smaller and more refined. This procedure helps bring the chin into better balance with the rest of the face, resulting in a more feminine structure.
An incision inside the mouth or under the chin and bone is carefully reshaped or partially removed to soften the contour. Chin surgery is often done with jaw contouring. It helps create a smoother transition across the lower face.
Brow Lift
This procedure raises the eyebrows to a more feminine position, helping open the eyes and soften the upper face. In male anatomy, the brows often sit lower and flatter, while in female faces, they tend to arch higher and sit above the brow bone.
This procedure can be done on its own or combined with contouring of the forehead. The surgeon makes incisions either in the scalp or along the hairline, depending on the technique. It helps create a brighter, more alert look and brings the brows into better alignment with other facial features.
Fat Grafting
Fat grafting adds volume to areas of the face that may appear flat or hollow. It can add volume to the cheeks, temples, or under the eyes. Fat grafting creates softer contours and provides a more feminine look.
Fat is usually taken from another part of the body, then purified and carefully injected into the desired areas. It’s often used to enhance soft tissue and smooth transitions between facial features.
What to Expect at Your Facial Feminization Surgery Consultation
The consultation is your first step in planning facial feminization surgery (FFS). Your surgeon will review your physical health, discuss your goals, and assess whether you’re a good candidate for major surgery and general anesthesia.
A comprehensive facial exam may include scans to evaluate the forehead, upper lip, lower jaw, and nose. You’ll explore options like upper lip shortening, lip lift, lip augmentation, nose reshaping, and brow lift. Your surgeon may discuss other procedures, such as cheek augmentation, fat injections, or a tracheal shave to reduce the Adam’s apple or thyroid cartilage.
You’ll also talk about healing risks, like poor healing or severe pain, and how to prepare. You’ll discuss switching to softer meals or liquids before or after surgery. Pre-op steps may also include stopping hormone therapy or planning laser hair removal for areas like the upper lip or hairline forward.
Facial Feminization Surgery Recovery & Results
Recovery time depends on the number of facial feminization procedures you have undergone. Typically, you can expect bruising, swelling, and some discomfort for the first few days following the procedure. Black eyes and facial swelling may take up to six weeks to fade.
You’ll receive instructions on bathing, rest, and returning to normal activity. Avoid lifting or strenuous movement. Some patients go home with a drain to manage swelling. It’s best to stick to a liquid diet or soft foods if advised by your physician.
You’ll also have follow-up visits to track your progress and check for signs of infection or poor healing. Patients should note that swelling can persist for months, and the final results can take up to a year to fully settle.
Best Facial Feminization Surgery FAQs
How do I know if I’m a good candidate for facial feminization surgery?
You’re likely a good candidate if you’re in good physical health, have realistic expectations, and want your facial features to better align with your gender identity. See a surgeon for a personalized plan and to assess your readiness.
What is the average recovery time after FFS?
Initial recovery takes about two to four weeks. However, swelling may last several months. Most patients see final results within six months to a year.
Are the results of facial feminization surgery permanent?
Yes, the changes made to bone and tissue are permanent. Some minor adjustments may be necessary in the future, but most results will last forever.
What is the minimum age to get top surgery?
You typically need to be 18 or older to get top surgery on your own. Some surgeons may perform the procedure for 16- or 17-year-olds if they have parent or guardian consent and meet specific medical requirements. Age rules and requirements can vary depending on location and provider.
Ready For Your Facial Feminization Consultation?
Ready for the next step? Call Atlanta Plastic Surgery to schedule a consultation with Dr. CV Chegireddy, an experienced surgeon in facial feminization surgery (FFS).
References
- https://en.wikipedia.org/wiki/Facial_feminization_surgery
- https://healthcare.utah.edu/transgender-health/gender-affirmation-surgery/facial-feminization
- https://my.clevelandclinic.org/health/treatments/21574-facial-feminization-surgery
- https://mydoctor.kaiserpermanente.org/ncal/structured-content/facial-feminization-surgery-1755840
