Facial Feminization Surgery (FFS)

 We offer the following services for facial feminization:

• hairline advancement & reshaping,
• brow bone reduction & contouring,
• direct brow lift,
• corrugator muscle resection (muscle that bulks up your brow bone),
• fat grafting (for cheeks, lips, or temples),
• rhinoplasty (nose job),
• upper lip shortening,
• mandible (jawbone) angle reduction,
• reduction genioplasty (chin surgery),
• tracheal (windpipe) shave,
• *facelift, and
• *upper and lower blepharoplasty (eyelid surgery).

 *Only needed for older patients who have excess skin of face and/or eyelids 

Hairline Advancement & Reshaping

We will make an incision (cut) that hides just behind the hairline. We will lift and move the hairline forward to give it a rounder, more feminine shape and shorten the forehead.

Brow Bone Reduction & Contouring

We will access the bone of the forehead through an incision (cut) that hides behind the hairline. The technique we use for brow bone reduction depends on the severity of prominence of the bone and the results of the facial X-rays. During this procedure, we will remove and reposition a portion of the bone. We may even sand the bone down, if necessary. If we need to remove the brow bone and set it back, we  will use small titanium plates and screws to reposition the brow bone.

Direct Brow Lift

This procedure is also done using an incision that hides just behind the hairline. We will release the deep tissues that attach your eyebrows to the underlying bone, which allows us to raise the brows into a more feminine position. 

Corrugator Muscle Resection

The corrugator muscle adds bulk across the middle part of your brow bone and allows you to furrow your eyebrows. During this procedure, we partially remove the corrugator muscle to decrease the fullness over your brow giving a softer, more feminine look.

Fat Grafting

We perform fat grafts on your cheeks, lips, or temples. We will harvest fat from the abdomen through a gentle liposuction technique and inject it into the cheeks and lips through very small incisions (cuts). This  will increase the fullness of your cheeks, temples and lips to create a more feminine appearance of the face. 

Rhinoplasty

We will make an incision (cut) across the skin of your columella (part between the nostrils) and inside your nostrils to access the cartilage (soft tissue) of the tip and middle of your nose. We will generally narrow the bony base of your nose and refine the tip to feminize it. Your nostril size may need to be reduced as well to fit your new nose.

Upper Lip Shortening

Through an incision that hides around the base of your nose, the upper lip will be shortened to allow your upper teeth to show more when your mouth is at rest and to create increased fullness to your upper lip.

Mandible (Jawbone) Angle Reduction

We will make an incision on the inside of your mouth between the gums and the lower lip to remove any excess jawbone to create a more narrow lower jawline that is shorter.

Reduction Genioplasty

We will reshape and shorten your chin through an incision on the inside of the mouth between the gums and the lower lip. We will use small titanium plates and screws to secure the bone of the chin in its new position.This will create a more oval-shaped chin with a shorter distance between the lower lip and chin.

Tracheal Shave

During this procedure, we will remove any excess thyroid cartilage (your Adam’s apple) from your throat. This is done through an incision that hides in the crease between the underside of your chin and neck. We will place a camera down your breathing tube to locate your vocal cords and prevent any injury to them.

Facelift

We will remove any excess skin and tighten the skin of your lower face and neck.

Upper and Lower Blepharoplasty

We will remove excess skin and fat from your upper and lower eyelids.