Facial Feminization Surgery – Before and After

This patient underwent the following procedures as part of Facial Feminization Surgery (FFS).
There procedures were done in two stages, according to the patient’s request.

Stage 1
– Genioplasty – The chin was narrowed and shortened to reduce the overall size of the lower face. It was advanced slightly to create a tighter neck and improve facial proportions. The reduction of the chin is most evident in the front view, three-quarter views, and front view with downward-tilted head. The advancement and effect on the neck are best observed in the lateral views.
– Jaw contouring

Stage 2
– Type 3 brow bone reduction – A brow bone reduction aimed to reduce the prominence of the brow bossing. Preoperatively, the patient wished to preserve a minor residual prominence. This was done according to the patient’s preference and is best seen in the lateral views.
– Orbital contouring
– Coronal brow lift

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 FFS. Because facial structure and personal goals vary, discussing your specific anatomy and expectations during a private consultation is essential.