Face feminization surgery (FFS) is a collection of procedures designed to alter typically male facial features to bring them closer in shape and size to typical female facial features. This set of surgeries is often pursued by transgender women as part of their transition, but can also be sought by cisgender women wanting to enhance or soften their facial features.

Common Procedures in FFS Include:

  1. Forehead Contouring: This involves reducing the bony ridge located above the eyes and reshaping the forehead. The frontal sinus may be modified, and the forehead is often reshaped to be smoother and more rounded.
  2. Hairline Lowering/Reconstruction: To reduce the typically higher male hairline and give it a more rounded or oval shape characteristic of females.
  3. Brow Lift: Elevating the position of the eyebrows to a more typically female location.
  4. Rhinoplasty: Reshaping the nose to make it smaller or more delicate in appearance.
  5. Cheek Augmentation: Implants or fillers might be used to give the face a fuller, more feminine appearance.
  6. Upper Lip Shortening: To reduce the length of the upper lip.
  7. Lip Augmentation: Enhancing the size of the lips, often using fillers or implants.
  8. Chin and Jaw Contouring: Reshaping or reducing the size of the chin and jaw to produce a softer, more feminine profile.
  9. Adam’s Apple Reduction (Tracheal Shave): Reducing the size of the Adam’s apple for a smoother neck profile.
  10. Mandible Angle Reduction: Altering the angle of the jaw to create a more tapered or oval face shape.

Factors to Consider:

  1. Personal Goals: Every individual’s goals and desired outcomes are unique. It’s essential to communicate clearly with the surgeon about expectations.
  2. Cost: FFS can be expensive, and not all insurance providers cover it. It’s important to understand the full costs, including recovery and potential follow-up procedures.
  3. Risks: As with any surgery, there are potential risks, including infections, scarring, and dissatisfaction with results.
  4. Recovery: Recovery times can vary depending on the procedures chosen. There may be significant swelling, bruising, and discomfort initially. Full healing and settling of the results can take months.
  5. Surgeon’s Expertise: Because FFS requires an understanding of both aesthetic and functional aspects of the face, it’s crucial to choose a surgeon with experience in facial feminization procedures.
  6. Psychological Impact: The change in appearance can have profound psychological effects. Some individuals experience an immense relief from gender dysphoria, while others may go through an adjustment period as they get used to their new appearance. Mental health support before and after surgery can be beneficial.

For those considering FFS, a thorough consultation with a qualified surgeon is essential. They can provide guidance on which procedures might be most beneficial and help set realistic expectations about the results.