Facial-feminization surgery (FFS) involves one or more plastic and craniofacial procedures that can transform a trans person’s facial features. Through facial bone and soft-tissue reconditioning, masculine characteristics are made more feminine and appealing.

FFS is a versatile technique and can be modified to suit individual needs and requirements. Many procedures fall under the umbrella of facial-feminization surgery.

Forehead Contouring

Reducing the shape and size of the forehead is probably the most significant facial-feminization procedure, because foreheads typically occupy one third of the face.

The procedure entails reducing the large brow bone and restructuring the bones around the eye socket so that they become more feminine. When done in combination with a hairline-lowering procedure, the aesthetic is automatically much more feminine. 

Scalp Advancement (Hairline Alteration)

Since traditionally feminine characteristics include a lower hairline, this procedure is designed to advance the scalp and its hair follicles lower down on the head. As a result of this surgery, the hair frames the face in a more feminine manner.

Brow Lift (Browplasty)

A brow lift is a surgical technique that transforms the shape and placement of the “tail” of the brow. In addition, any reduction of facial volume near the temples can be naturally restored through a fat-transfer technique using the patient’s own fat.

Nasal Contouring (Rhinoplasty)

Commonly known as a nose job, the rhinoplasty procedure involves transforming the shape of the nose and decreasing its size. Internally, the nose is made thinner and possibly smaller, while the nasal cartilages may be contoured and subtly shifted to deliver a more feminine aesthetic.

Chin Contouring (Genioplasty)

Also referred to as mentoplasty, genioplasty is a surgery where the chin is reshaped and decreased in size to render it smaller, less square, and more delicate. Usually, chin implants are not employed during this technique, as they would have an adverse effect on the overall facial structure by making the chin protrude out more.

A T-osteotomy is another technique used to reshape the chin. In this technique, the T-shaped chin bone is extracted and the remaining bones are fused together to diminish the masculine characteristics.

Jaw Contouring

Also called jaw reduction or tapering, jaw contouring is a procedure where the back end of the jaw is contoured and refined to appear more feminine. In addition, bone from the lower jaw is shaved off and chewing muscles are decreased in size. The goal is to reduce the width of the face and alter its shape, making it more feminine.

Adam’s-Apple Reduction (Tracheal Shave)

A thyroid-cartilage reduction includes shaving the thyroid cartilage to reduce its size so that the Adam’s apple is less prominent. This significantly diminishes the masculinity of the neck and throat.

Lip Lift

Depending on the patient’s age, features, and desires, there are several procedures that can be performed to make the lips more aesthetically feminine. They include:

  • Lip augmentation, or lip filling
  • Upper-lip lift and upper-lip reduction
  • Lifting the corners of the mouth

Cheek Augmentation

In order to deliver rounder and less masculine contours, cheeks can be enhanced with a fat graft. Fatty tissue is removed from another part of the body, typically the inner thigh, and then purified.

After purification, the healthy fat cells are then injected into the cheekbones. Many times, the transplanted fat rejuvenates the stem cells and the surrounding tissues, which helps to enhance circulation.

Find the Right Plastic Surgeon for You

The most essential factor if you are considering FFS is the plastic surgeon you choose. It’s vital that you choose a qualified and exceptionally experienced plastic surgeon. The entire aesthetic outcome fully hinges on their ability to determine your requirements and accurately deliver them.

Dr. Drew Schnitt is a board-certified and well-respected plastic surgeon with years of experience and numerous satisfied patients. To set up a consultation, contact us today.