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Facial Feminization Surgery (FFS)

Facial Feminization Surgery

When we approach another person, one of the first things we notice is their face. With even a brief glimpse, a young child is able to subconsciously assess whether they see a male or female based on the very distinguishing features of male and female facial structure.

The first studies that identified what differentiates female features from male features were done in the early 20th century, and then in the 1970s specific measurements were defined. More recent studies, focused on the perception of human beauty and gender, show that feminine features increase what we see as an attractive face regardless of gender. A pretty face is appreciated by both men and women.

The shape of the forehead and eyes are two of the most telling differences that can be changed with Facial Feminization Surgery (FFS). Male noses tend to be larger and wider while female noses are usually somewhat concave with the tip slightly upturned, so a rhinoplasty (nose job) is often targeted. Other areas that might be treated are cheeks, chin and jawline, and augmenting lips for a fuller more feminine look. The surgery is not only for transgender women, but is also sought by women who have overly masculine features. Actually, FFS can be for anyone who wishes to harmonize or soften the underlying bone and soft tissue structure which creates the shape and features of their face.

Facial Feminization Surgery Techniques

FFS techniques include a number of surgical procedures used in maxillofacial and reconstructive surgery as well as general plastic and cosmetic surgery in order to create features that are more feminine in nature. Some of these are:

• Hairline correction
• Forehead recontouring
• Brow lift
• Orbital rim contouring/reduction
• Rhinoplasty
• Cheek implants
• Lip augmentation
• Chin and jaw contouring
• Adam’s apple reduction
• Face and eye lifts

While plastic surgeons can perform soft tissue procedures, only surgeons cross-trained in both plastic surgery and craniofacial/maxillofacial surgery (bone work on the facial skeleton) should perform Facial Feminization Surgery in order to achieve successful and long-lasting results. Besides surgical skill, the keen eye of an artist with a deep appreciation of facial aesthetic harmony is just as important.