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FACIAL GENDER AFFIRMATION SURGERY

FACIAL FEMINIZATION SURGERY (FFS)

FACIAL GENDER AFFIRMATION SURGERY

Facial feminization surgery (FFS) includes a range of procedures designed to create a more traditionally feminine facial appearance. These procedures can reshape the forehead, brow, cheekbones, lips, jaw, and chin. They may also involve hair transplants or adjusting the hairline to create a smaller forehead. FFS can be performed on individuals of any gender and is often sought by those experiencing distress when their gender identity does not align with their assigned sex at birth or sex-related physical features. By refining facial contours, FFS can help individuals achieve facial harmony that better reflects their gender identity.

Facial Feminization Surgery (FFS)
Why it is done

Facial features such as the forehead, brow, jaw, and chin often reflect sex-related differences. Unlike other parts of the body that can be covered or concealed, the face is always visible. For individuals whose gender identity differs from their sex assigned at birth, adjusting facial features can be a crucial step in aligning their appearance with their identity and affirming their sense of self.

What you can expect
During the procedure

The female skull has a more rounded, smooth forehead that does not project over the eyes, and a shorter, tapered lower jaw

During the procedure

The male skull has a pronounced brow ridge, and a taller angular lower jaw

What FFS May Include
Forehead Contouring

Male-pattern foreheads often have a more prominent brow ridge, while female-pattern foreheads tend to appear higher, smoother, and more rounded. Forehead contouring reduces brow ridge prominence, softens the forehead profile, and improves eyebrow definition.

Orbital Rim Contouring

Modifies the brow bone and the orbital bones to create a more open, rounded, and feminine look while maintaining the structural integrity of the eye socket. This procedure is often performed alongside forehead contouring to achieve a balanced and natural result.

Cheek Augmentation and Reduction

Cheek augmentation or reduction helps create a softer, more traditionally feminine facial structure. Feminine faces often have fuller, higher cheekbones, while masculine features may appear flatter or more angular. We can enhance with implants or fat grafting or reduce prominent cheekbones for a smoother look. This procedure varies based on individual anatomy and ethnic features to ensure natural, harmonious results.

Jaw Angle Reduction

Jaw angle reduction is a procedure that softens the angular appearance of the lower jaw, often seen in individuals assigned male at birth. By shaving down the bony prominences at the jaw’s angle, this procedure creates a more rounded and feminine jawline, helping to balance the overall facial proportions.

Chin Width Reduction

Chin width reduction is performed to create a narrower, more delicate chin. For those with a wider, squarer chin, reducing the width can enhance facial harmony by softening the jawline and contributing to a more traditionally feminine silhouette.

Chin Advancement

Chin advancement is a surgical procedure that moves the chin forward to create a more balanced and proportionate appearance. For individuals whose chin is recessed or underdeveloped, advancing the chin can improve the profile and enhance overall facial femininity, often complementing other procedures like jaw contouring.

Other head and neck surgeries to create a more feminine look include:

Tracheal Shave

A Tracheal Shave (Chondrolaryngoplasty) is a specialized procedure designed to reduce the prominence of the thyroid cartilage, or "Adam’s apple." By carefully contouring the thyroid notch, we create a smoother, more refined neck profile that aligns with your aesthetic goals.

Precision & Safety

Our center employs a Hidden Scar Technique. Rather than placing an incision directly over the larynx, we utilize a cervicomental incision placed strategically within the natural crease where the chin meets the neck. As shown in the illustration, this allows the incision to be visible only when the neck is extended; in a neutral, forward-facing position, the resulting scar is completely concealed.

To ensure the highest standard of safety, we perform a meticulous anatomical evaluation of the laryngeal structures. The vocal cord attachments are precisely identified and marked on the cartilage prior to any reduction. This allows us to shave the thyroid notch to its maximum safe limit while strictly protecting the integrity of your voice and airway.

Tracheal Shave
Hair Transplantation

Hair transplantation in facial feminization surgery (FFS) helps create a more traditionally feminine hairline by filling in receding areas or lowering the forehead. This procedure involves transferring hair follicles from denser areas, such as the back of the scalp, to the desired regions. It can soften a high or masculine-patterned hairline, enhance facial harmony, and provide a natural, fuller appearance, contributing to a more feminine overall look.

Lowering the Hairline

During hairline-lowering surgery, a cut is made at the edge of the hairline. Then the scalp is moved and fixed to bone lower on the forehead. Extra forehead skin is removed.

You also might consider non-surgical facial enhancements such as lasers, Botox and Dermal Fillers which may complement Facial Feminization Surgery(FFS).


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