Facial Feminization Surgery – Before and After

This patient underwent the following procedures in one stage as part of Facial Feminization Surgery (FFS).
– Hairline lowering – The hairline lowering is most clearly seen in the front, three-quarter, and lateral views. Observe the overall reduction in forehead size and the effect on facial appearance. One should also evaluate the visibility and quality of the scar.
– Type 3 brow bone reduction The brow bone reduction is most apparent in the lateral views. Note the smooth transition from the upper forehead down into the nose with elimination of the brow prominence.
– Orbital contouring
– Coronal brow lift
– Jaw contouring
– Genioplasty (chin reduction)
– Fat grafting to the face (cheeks, lips) – The addition of volume to the cheeks is most noticeable in the three-quarter views.
– Tracheal shave – The tracheal shave results are demonstrated in the front, three-quarter, lateral, lateral with upward-tilted head, and front with upward-tilted head views. A dramatic reduction in the size and visibility of the Adam’s apple is evident. Also, note the small size of the scar and its minimal visibility across all views when the head is held in a neutral position.

Dr. Mittermiller’s approach to facial feminization surgery is to create a result that appears inherently feminine and natural. These before-and-after photos allow patients to observe the significant visual transformation possible through targeted FFS. Because facial structure and personal goals vary, discussing your specific anatomy and expectations during a private consultation is essential.

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Dr. Mittermiller is a plastic surgeon with specialty training in craniofacial surgery and gender-affirming facial surgery. He is primarily located in Los Angeles, California.

Contact us today to schedule a consultation.