Facial Feminization Surgery (FFS) can potentially impact your ability to undergo facial fillers or injectables, depending on the specific procedures you’ve had and the type of fillers or injectables you are considering. Here are some factors to consider:

  1. Healing Time: After FFS, there will be a healing period during which you should avoid any additional trauma to the surgical sites. Healing time can vary depending on the extent of the FFS procedures performed, ranging from a few weeks to several months. It’s essential to follow your surgeon’s post-operative instructions to ensure proper healing before considering facial fillers or injectables.
  2. Scarring and Incisions: FFS involves making incisions on the face to access and modify the underlying facial structures. These incisions may result in scars, which may affect the placement or response to facial fillers or injectables. It’s crucial to wait until the scars have fully healed and matured before considering any injectable treatments in the affected areas.
  3. Facial Changes: FFS can significantly alter the structure and shape of your face. This may impact the positioning and aesthetics of facial fillers or injectables. For example, if you’ve had cheek implants or fat grafting as part of FFS, this can affect the distribution and placement of dermal fillers.
  4. Sensitivity and Sensation: FFS can cause temporary or permanent changes in facial sensitivity and sensation. The administration of facial fillers or injectables may need to be adjusted based on the sensitivity of the treated areas.
  5. Combination Treatments: In some cases, facial fillers or injectables may still be possible after FFS, especially if the procedures are performed in areas that were not directly affected by surgery. However, it’s essential to consult with both your FFS surgeon and the provider administering the fillers or injectables to ensure they coordinate and make appropriate decisions.

If you are considering facial fillers or injectables after undergoing FFS, it’s essential to communicate openly with both your FFS surgeon and the provider administering the treatments. They should be aware of your previous surgical procedures and medical history to provide you with the best advice and tailor the treatments to your specific needs.

Keep in mind that facial fillers and injectables are significant decisions, and you should carefully consider the long-term implications. Seek the expertise of qualified professionals who have experience in working with post-FFS patients to ensure your safety and optimal results.

FFS impact on fillers

The impact of Facial Feminization Surgery (FFS) on the ability to undergo facial fillers is a multifaceted consideration that depends on various factors. Here are details on how FFS can potentially impact the use of fillers:

  1. Pre-Existing Fillers:
    • If an individual has undergone facial filler treatments before FFS, the surgeon needs to assess the presence and type of fillers. Temporary fillers may need to be dissolved before surgery to ensure optimal results.
  2. Changes in Facial Structure:
    • FFS involves procedures such as brow contouring, rhinoplasty, jaw contouring, and lip augmentation, which can alter the overall facial structure. These changes may influence the need for additional fillers after surgery.
  3. Surgeon’s Recommendations:
    • The FFS surgeon will provide recommendations based on the specific procedures performed and the desired outcome. They may advise on the appropriateness of facial fillers for achieving additional refinements.
  4. Temporary vs. Permanent Fillers:
    • Surgeons may prefer temporary fillers due to their adjustability. Permanent fillers may not be ideal in areas where ongoing adjustments are necessary to complement the surgical changes.
  5. Dissolving Fillers:
    • If there is a need to adjust or remove existing fillers post-surgery, surgeons may use hyaluronidase, an enzyme that dissolves hyaluronic acid fillers. This allows for greater precision in achieving the desired facial contours.
  6. Recovery Period:
    • The recovery period after FFS is crucial for assessing the final results. Surgeons may recommend waiting until the facial structures have settled before considering additional filler treatments.
  7. Individual Variation:
    • The impact of FFS on the use of fillers can vary from person to person. Factors such as tissue healing, skin elasticity, and individual responses to surgery play a role in determining the outcome.
  8. Postoperative Support:
    • Accessing postoperative support is essential for individuals considering additional facial fillers. Surgeons may guide patients on the optimal timing and safety considerations for post-surgery fillers.
  9. Comprehensive Approach:
    • FFS and facial fillers can be part of a comprehensive approach to achieving desired facial aesthetics. Combining surgical and non-surgical interventions is common to enhance the overall feminization process.
  • Long-Term Planning:
    • Long-term planning is crucial for achieving and maintaining desired results. Coordinated discussions with the FFS surgeon and, if applicable, a qualified aesthetic professional can help create a cohesive plan for facial feminization.

It’s important to have open communication with both the FFS surgeon and any healthcare professionals providing facial filler treatments to ensure a personalized and well-coordinated approach that aligns with individual goals and overall well-being.

FFS and injectables

Facial Feminization Surgery (FFS) and injectables are components of gender-affirming care aimed at helping transgender individuals achieve facial features that align with their gender identity. Here are details on the relationship between FFS and injectables:

  1. Facial Feminization Surgery (FFS):
    • FFS comprises a set of surgical procedures designed to feminize facial features. Common procedures include forehead contouring, rhinoplasty, jaw contouring, tracheal shave, and lip augmentation.
  1. Injectables:
    • Injectables, such as dermal fillers and neurotoxins, are non-surgical procedures that involve injecting substances into the skin to address specific aesthetic concerns. Dermal fillers add volume, while neurotoxins like Botox temporarily relax muscles to reduce wrinkles.
  1. Complementary Approaches:
    • FFS and injectables can complement each other to achieve comprehensive facial feminization. While surgery addresses structural changes, injectables can fine-tune specific areas or provide temporary enhancements.
  1. Common Injectable Procedures:
    • Dermal Fillers: Used to add volume to areas such as lips, cheeks, or temples. This can enhance femininity by creating softer contours.
    • Neurotoxins (Botox): Can be used to reduce the appearance of dynamic wrinkles, like those around the eyes or forehead.
  1. Timing of Procedures:
    • The timing of injectable procedures in relation to FFS depends on the specific surgeries performed and the surgeon’s recommendations.
    • Some individuals may opt for injectables before FFS to address certain concerns, while others may choose them as part of post-surgical refinements.
  1. Pre-Existing Fillers:
    • Individuals considering FFS who have previously received dermal fillers may need to discuss this with their surgeon. Temporary fillers may need to be dissolved before surgery to ensure optimal surgical outcomes.
  1. Post-Surgical Refinements:
    • After FFS, individuals may choose injectables for post-surgical refinements. This could involve addressing residual asymmetry, enhancing specific features, or adjusting to the final aesthetic outcome.
  1. Surgeon’s Recommendations:
    • FFS surgeons may work collaboratively with aesthetic professionals to create a cohesive treatment plan. The surgeon’s recommendations and the expertise of injectable providers are crucial for achieving harmonious results.
  1. Temporary vs. Permanent Fillers:
    • Surgeons and injectable providers may prefer temporary fillers due to their adjustability. Permanent fillers may be less suitable, especially in areas where ongoing adjustments are necessary to complement surgical changes.
  1. Safety Considerations:
    • Safety is paramount in combining FFS and injectable procedures. It’s essential to choose qualified healthcare providers with expertise in both surgical and non-surgical interventions.
  1. Long-Term Planning:
    • Individuals should engage in long-term planning with their FFS surgeon and injectable provider to ensure that treatments align with overall aesthetic goals and well-being.

Ultimately, the decision to undergo injectables in conjunction with or following FFS is highly individual. Open communication with healthcare providers and a collaborative approach can help individuals achieve the desired facial feminization results.

 

Facial feminization surgery fillers

Facial feminization surgery (FFS) and fillers are often considered together to achieve comprehensive facial feminization for transgender individuals. While FFS involves surgical procedures to alter bone structure and facial features, fillers can be used to add volume, enhance specific areas, or provide additional refinements. Here are details on the use of fillers in facial feminization:

  1. Objective of Facial Feminization Surgery (FFS):
    • FFS aims to feminize facial features, including the forehead, nose, jaw, chin, and other areas. It often involves surgical interventions to reshape bone structure and soft tissues.
  2. Role of Fillers in FFS:
    • Fillers play a complementary role in FFS by addressing aspects that may not be fully addressed through surgery alone. They can add softness, volume, and contour to enhance femininity.
  3. Common Areas Addressed with Fillers:
    • Cheeks: Dermal fillers can be used to enhance cheek volume, creating a more feminine and lifted appearance.
    • Lips: Lip fillers can add volume to the lips, creating a fuller and more feminine pout.
    • Temples: Fillers may be used to address concavity in the temples, creating a smoother and more rounded appearance.
    • Under-Eye Area: Fillers can reduce the appearance of hollows or bags under the eyes, contributing to a more youthful and feminine look.
    • Nasolabial Folds: Dermal fillers can soften nasolabial folds, the lines that run from the nose to the corners of the mouth.
    • Jawline: Fillers can be used to create a softer and more rounded jawline.
  4. Types of Fillers:
    • Hyaluronic Acid Fillers: Commonly used for their versatility and reversibility. Examples include Juvederm and Restylane.
    • Calcium Hydroxylapatite Fillers: Provide longer-lasting results. Examples include Radiesse.
    • Poly-L-Lactic Acid Fillers: Stimulate collagen production and are suitable for adding volume over time. Example: Sculptra.
  5. Timing of Filler Procedures:
    • The timing of filler procedures in relation to FFS depends on the specific surgeries performed and the overall treatment plan. Some individuals may opt for fillers before surgery, while others may choose them for post-surgical refinements.
  6. Surgeon’s Recommendations:
    • Collaboration between the FFS surgeon and the provider administering fillers is crucial. The surgeon’s recommendations and the expertise of the filler provider contribute to achieving a harmonious and natural-looking result.
  7. Temporary vs. Permanent Fillers:
    • Temporary fillers are often preferred for their adjustability and reversibility. Permanent fillers may be less suitable, especially in areas where ongoing adjustments are necessary to complement surgical changes.
  8. Safety Considerations:
    • Safety is a paramount consideration. Both the FFS surgeon and the provider administering fillers should be experienced and knowledgeable in transgender healthcare and facial aesthetics.
  9. Post-Surgical Refinements:
    • Fillers can be used for post-surgical refinements, addressing any asymmetry or fine-tuning specific areas to achieve the desired aesthetic outcome.
  • Long-Term Planning:
    • Long-term planning with both the FFS surgeon and filler provider ensures that treatments align with the individual’s overall aesthetic goals and well-being.
  • Individualized Approach:
    • The use of fillers in FFS is highly individualized. Tailoring the treatment to the specific needs and goals of the individual helps achieve optimal and natural-looking results.

Individuals considering FFS with the addition of fillers should engage in thorough discussions with both their FFS surgeon and the filler provider to create a comprehensive and personalized treatment plan.

Surgical changes and fillers

Surgical changes and fillers are often considered together to achieve comprehensive facial feminization or other aesthetic goals. While surgical procedures address structural aspects, fillers can be used to refine and enhance specific areas. Here are details on the interaction between surgical changes and fillers:

  1. Surgical Changes in Facial Feminization:
    • Forehead Contouring: Surgical procedures may involve reducing brow bossing, reshaping the frontal bone, and lifting the eyebrows to create a more feminine forehead.
    • Rhinoplasty: Procedures to refine the nose, such as reducing the size, altering the shape, or addressing a prominent nasal bridge.
    • Jaw Contouring: Surgery to feminize the jawline by reshaping the mandible or reducing the squareness of the jaw.
    • Chin Contouring: Procedures to soften a prominent chin, reduce its size, or achieve a more tapered appearance.
    • Tracheal Shave: Surgery to reduce the prominence of the Adam’s apple, contributing to a more feminine neck profile.
  2. Role of Fillers in Post-Surgical Refinements:
    • Volume Enhancement: Fillers can add volume to areas that may not have been addressed surgically, such as the cheeks or temples, creating a softer and more youthful appearance.
    • Softening Features: Fillers can be used to soften nasolabial folds, marionette lines, or other facial lines that may persist after surgery.
    • Lip Augmentation: Enhancing lip volume and definition through fillers can contribute to overall facial balance and femininity.
    • Contour Adjustments: Fillers allow for fine-tuning and adjusting contours to achieve optimal aesthetic results.
  3. Timing of Fillers Post-Surgery:
    • Fillers are often considered after the initial surgical recovery period. The timing may vary based on the specific surgeries performed and the individual’s healing progress.
    • Surgeons may recommend waiting until the surgical changes have stabilized before introducing fillers for refinements.
  4. Types of Fillers:
    • The choice of fillers depends on the goals and the areas being addressed:
      • Hyaluronic Acid Fillers: Versatile and reversible.
      • Calcium Hydroxylapatite Fillers: Provide longer-lasting results.
      • Poly-L-Lactic Acid Fillers: Stimulate collagen production for gradual volume enhancement.
  1. Surgeon’s Recommendations:
    • Collaboration between the surgeon and the provider administering fillers is crucial. Surgeons may provide specific guidance on areas that can benefit from fillers and the optimal timing for introduction.
  2. Temporary vs. Permanent Fillers:
    • Temporary fillers are often preferred for their adjustability, allowing for fine-tuning over time. Permanent fillers may not be ideal in areas requiring ongoing adjustments.
  3. Safety Considerations:
    • Safety is paramount, and individuals should choose experienced providers who understand the nuances of working with surgically altered structures.
  4. Long-Term Planning:
    • Long-term planning involves discussions with both the surgeon and filler provider to ensure a cohesive approach that aligns with the individual’s aesthetic goals.
  5. Individualized Approach:
    • The use of fillers in conjunction with surgical changes is highly individualized. Tailoring treatments to the specific needs and goals of the individual helps achieve optimal and natural-looking results.

Careful coordination between the surgical and non-surgical aspects of facial enhancement is essential to ensure harmonious and satisfying outcomes. Individuals should engage in open communication with both their surgeon and the provider administering fillers to create a comprehensive and personalized treatment plan.

Consultation with FFS surgeon

The consultation with a Facial Feminization Surgery (FFS) surgeon is a crucial step in the process of gender-affirming care. This initial meeting allows individuals to discuss their goals, understand the available surgical options, and establish a personalized treatment plan. Here are details on what to expect during a consultation with an FFS surgeon:

  1. Research and Selection:
    • Research potential FFS surgeons, considering their experience, expertise, and patient reviews.
    • Schedule a consultation with a surgeon who specializes in FFS and has a proven track record in transgender healthcare.
  2. Patient Goals and Expectations:
    • During the consultation, patients will have the opportunity to discuss their gender identity, specific goals for feminization, and expectations regarding the outcome of the surgery.
  3. Medical History and Evaluation:
    • The surgeon will review the patient’s medical history, including any pre-existing conditions, allergies, medications, and previous surgeries.
    • A physical examination may be conducted to assess facial features, bone structure, and overall health.
  4. Discussion of Surgical Procedures:
    • The surgeon will explain the available FFS procedures based on the patient’s goals. Common procedures include forehead contouring, rhinoplasty, jaw and chin contouring, tracheal shave, and more.
    • Surgeons may use computer simulations or imaging software to help visualize potential outcomes.
  5. Customized Treatment Plan:
    • The surgeon will develop a personalized treatment plan that addresses the specific needs and goals of the patient.
    • The plan may include a combination of surgical procedures to achieve a harmonious and natural-looking result.
  6. Potential Risks and Complications:
    • The surgeon will discuss potential risks and complications associated with each procedure. It’s essential for patients to have a clear understanding of what to expect during and after surgery.
  7. Recovery Process:
    • Detailed information about the recovery process, including expected downtime, postoperative care, and follow-up appointments, will be provided.
    • Patients will receive guidance on managing discomfort, swelling, and any potential side effects.
  8. Cost and Financial Considerations:
    • The surgeon’s office will provide information on the estimated cost of the procedures, including surgeon’s fees, facility fees, anesthesia costs, and any additional expenses.
    • Patients may discuss payment options, financing, and insurance coverage if applicable.
  9. Preoperative Requirements:
    • The surgeon will outline any preoperative requirements, such as medical tests, lifestyle adjustments, and restrictions on certain medications.
  • Questions and Clarifications:
    • Patients are encouraged to ask questions, seek clarifications, and voice any concerns they may have.
    • Clear communication is essential for building trust and ensuring that both the surgeon and patient are aligned in their understanding of the desired outcomes.
  • Review of Before-and-After Photos:
    • Surgeons may share before-and-after photos of previous FFS patients to illustrate potential results.
    • This visual aid helps patients gain a realistic expectation of the surgeon’s capabilities.
  • Follow-Up Consultations:
    • Subsequent consultations may be scheduled to address any additional questions, finalize the treatment plan, and ensure that the patient feels fully informed and comfortable moving forward.
  • Decision-Making Process:
    • Patients are encouraged to take the time they need to make an informed decision. They should feel confident in their choice of surgeon and the proposed treatment plan.

A thorough and transparent consultation with an experienced FFS surgeon is crucial for a successful and satisfying gender-affirming surgical experience. Patients should feel empowered to advocate for their goals and ask for any information needed to make informed decisions about their care.

Dissolving fillers after FFS

  1. Reasons for Dissolving Fillers:
    • Pre-Surgery Fillers: If a patient has previously undergone dermal filler treatments before FFS, the surgeon may recommend dissolving the fillers before surgery. This is often done to ensure accurate surgical planning and optimal results.
    • Post-Surgery Adjustments: In some cases, individuals may choose to dissolve fillers after FFS to make adjustments to the results. This could involve refining the contours, addressing asymmetry, or achieving a more customized outcome.
  2. Dissolving Agent – Hyaluronidase:
    • Hyaluronidase is an enzyme that is commonly used to dissolve hyaluronic acid-based dermal fillers. Hyaluronic acid is a naturally occurring substance in the body and is a common component of many temporary fillers.
    • Hyaluronidase works by breaking down the hyaluronic acid molecules, allowing the filler to be absorbed and eliminated by the body.
  3. Procedure Process:
    • The dissolving procedure is typically performed in the surgeon’s office or a medical spa setting.
    • A small amount of hyaluronidase is injected into the areas where the filler needs to be dissolved.
    • The dissolving process is relatively quick, and patients may experience improvement shortly after the injection.
  4. Considerations Before Dissolving Fillers:
    • Consultation with Surgeon: Before deciding to dissolve fillers, it is essential to consult with the FFS surgeon. They will assess the need for dissolution based on the surgical plan, desired outcomes, and any issues with pre-existing fillers.
    • Temporary Fillers: Dissolving is most effective for temporary hyaluronic acid-based fillers. Permanent or semi-permanent fillers may require different approaches.
    • Overall Treatment Plan: The decision to dissolve fillers should be part of an overall treatment plan. Surgeons will consider how dissolving fillers aligns with the broader goals of FFS and post-surgical refinements.
  5. Recovery and Results:
    • Recovery after filler dissolution is generally minimal. Patients may experience some mild swelling or redness at the injection sites, but these effects are temporary.
    • Results of the filler dissolution may be noticeable within a short period, allowing for subsequent adjustments if needed.
  6. Post-Dissolution Adjustments:
    • After filler dissolution, the surgeon and patient can reassess the facial contours and discuss any further adjustments that may be desired.
    • Additional filler treatments can be considered after the dissolution to achieve the desired aesthetic outcome.
  7. Communication and Collaboration:
    • Open communication between the patient and surgeon is crucial. Patients should express their goals and concerns, and surgeons should provide clear explanations of the potential outcomes.
    • A collaborative approach ensures that the overall FFS journey is tailored to the individual’s needs and preferences.

Dissolving fillers after FFS is a strategic approach to fine-tune and customize the results. It allows for greater precision in achieving the desired facial contours and ensuring that the surgical and non-surgical components of the overall treatment plan align seamlessly.

 

Recovery period and fillers

  1. Immediate Aftercare:
    • After the filler injection, the treated area may be gently massaged by the provider to ensure even distribution of the filler and reduce the risk of lumps or irregularities.
    • Ice packs or cold compresses may be applied to minimize swelling and discomfort.
  2. Swelling and Redness:
    • Mild swelling and redness at the injection sites are common and usually subside within a few hours to a day.
    • Avoiding strenuous activities, excessive heat, and alcohol for the first 24 hours can help reduce the likelihood of increased swelling.
  3. Bruising:
    • Bruising may occur at the injection sites, especially in areas with thinner skin or increased sensitivity to bruising.
    • Arnica cream or supplements may be recommended to help minimize bruising.
  4. Resuming Normal Activities:
    • Most individuals can resume normal activities immediately after receiving fillers. However, it’s advisable to avoid vigorous exercise, saunas, hot tubs, and direct sunlight for the first day.
  5. Longer-Term Results:
    • While some immediate improvement is visible, the full results of the filler treatment may take a few days to settle.
    • Hyaluronic acid fillers attract water, so the treated area may initially appear slightly swollen. This resolves as the filler integrates with the surrounding tissues.
  6. Follow-Up Appointments:
    • Providers may schedule a follow-up appointment to assess the results and make any necessary adjustments.
    • If additional filler is needed to achieve the desired outcome, this can be discussed during the follow-up visit.
  7. Avoiding Certain Substances:
    • Patients are typically advised to avoid taking aspirin, non-steroidal anti-inflammatory drugs (NSAIDs), and blood-thinning medications for a few days before and after the procedure to minimize the risk of bruising.
    • Alcohol consumption should also be limited in the days leading up to and following the filler treatment.
  8. Normalizing Sensations:
    • Tingling, tenderness, or sensations of fullness at the injection sites are common but usually resolve within a week.
    • Patients are encouraged to contact their provider if they experience persistent or severe discomfort.
  9. Gradual Enhancement:
    • The filler continues to integrate with the tissues over the first few weeks, leading to a natural and gradual enhancement of the treated area.
  • Adhering to Post-Treatment Instructions:
    • Following all post-treatment instructions provided by the healthcare provider is crucial for optimal results and a smooth recovery.
  • Maintenance and Touch-Ups:
    • Depending on the type of filler used, the results can last anywhere from several months to a couple of years.
    • Maintenance sessions or touch-ups may be recommended to sustain the desired outcome.

It’s important for individuals to communicate openly with their healthcare provider, follow post-treatment guidelines, and attend any scheduled follow-up appointments. This ensures a positive experience, satisfactory results, and ongoing support for their aesthetic goals.

FFS and facial aesthetics

Facial Feminization Surgery (FFS) is a set of surgical procedures designed to alter facial features, creating a more feminine appearance for individuals assigned male at birth. These procedures not only address physical attributes but also consider overall facial aesthetics to achieve a harmonious and natural result. Here are details on FFS and its impact on facial aesthetics:

  1. Consultation and Individualized Planning:
    • FFS begins with a thorough consultation between the patient and the surgeon. This involves discussing the patient’s goals, concerns, and expectations.
    • The surgeon evaluates the patient’s facial anatomy and provides expert guidance on which procedures will enhance overall facial aesthetics.
  2. Common FFS Procedures and Their Aesthetic Goals:
    • Forehead Contouring: Addresses prominent brow bossing, reducing the forehead’s slope to create a smoother and more feminine contour.
    • Rhinoplasty: Refines the nose to achieve a more delicate and feminine shape, addressing concerns such as a prominent nasal bridge or tip.
    • Jaw and Chin Contouring: Softens the jawline and reduces the width of the chin to create a more oval and feminine lower face.
    • Tracheal Shave: Reduces the prominence of the Adam’s apple, contributing to a smoother and more feminine neck profile.
    • Cheek Augmentation: Adds volume to the cheeks for a softer and more youthful appearance.
    • Lip Augmentation: Enhances lip volume and shape to create a fuller and more feminine mouth.
    • Hairline Advancement: Raises the hairline to reduce the appearance of a high forehead, contributing to overall facial balance.
  3. Harmony and Natural Results:
    • FFS aims to create facial features that harmonize with the patient’s gender identity while maintaining natural aesthetics.
    • Surgeons consider the patient’s facial proportions, symmetry, and the balance between different features to avoid an overdone or artificial appearance.
  4. Computer Imaging and Simulations:
    • Surgeons often use computer imaging and simulations during the consultation to help patients visualize potential outcomes.
    • This technology aids in communication between the patient and surgeon, ensuring a shared understanding of aesthetic goals.
  5. Recovery and Healing:
    • After FFS, the recovery period allows for the gradual emergence of the final aesthetic results.
    • Swelling and bruising are typical in the initial weeks, and patients follow postoperative care instructions to support healing.
  6. Postoperative Adjustments:
    • Some individuals may choose additional non-surgical treatments, such as injectable fillers, to fine-tune facial contours and achieve further aesthetic refinement.
    • Postoperative adjustments, when needed, contribute to personalized and satisfying outcomes.
  7. Emotional and Psychological Impact:
    • FFS not only addresses physical appearance but also has a profound impact on the emotional and psychological well-being of transgender individuals.
    • Achieving facial features that align with one’s gender identity can enhance self-esteem and contribute to a more authentic and fulfilling life.
  8. Collaboration between Surgeon and Patient:
    • Successful FFS outcomes result from a collaborative approach between the surgeon and patient.
    • Open communication, clear expectations, and mutual trust are essential for achieving the desired facial aesthetics.

FFS is a highly individualized process that takes into account both the science of surgery and the artistry of aesthetics. A skilled surgeon’s ability to balance technical precision with a nuanced understanding of facial beauty contributes to the success of the procedure in achieving natural, feminine, and harmonious results.