Facial feminization surgery (FFS) includes surgical procedures that alter the face to create more classically feminine characteristics, such as a higher brow, a more refined feminine nose, less pronounced Adam’s apple, and others.  For the transgender woman, facial feminization greatly enhances the socialization process as a woman.

       Note: Most people have a combination of male and female features.


Classically Feminine Features

  • Low straight hairline
  • Short flat forehead
  • High, arched tapered brows
  • Absence of frontal bone bossae
  • Large eyes, not deep set
  • Short upper lip with well defined philtrum complex   
  • Full everted vermilion
  • Non-projecting thyroid cartilages
  • Wide or narrow cheek and jaw bones
  • A more delicate nose

Classically Masculine Features

  • High, curved hairline with “widows peaks”
  • High obtuse/angled forehead
  • Low, straight, heavy brows
  • Frontal bone bossae
  • Prominent supraorbital rims
  • Small deep set eyes
  • Strong, long, prominent nose
  • Acute nasolabial angle
  • Long upper lip
  • Narrow lip vermilion
  • Square straight teeth
  • Prominent chin
  • Prominent thyroid cartilage
  • Adam’s Apple
  • Facial hair
  • Wide or narrow cheek bone and jaw  



Non-Surgical Options

  • Hormones
  • Restylane
  • Juvederm
  • Artefil
  • Hair removal
  • Laser
  • Electrolysis
  • Cosmetics
  • Hair styling or wig

Surgical Options

  • Hair transplantation
  • Scalp advancement
  • Frontal bone contouring
  • Reduction of bossae and supra-orbital rims
  • Chin augmentation or reduction
  • Mandible contouring
  • Thyroid cartilage ("Adam's Apple") reduction 
  • Rhytidoplasty (face lift)
  • Blepharoplasty (eyelid modification)
  • Rhinoplasty (nose modification)
  • Upper lip shortening
  • Lip augmentation and reduction

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