Facial feminization surgery Los Angeles

Facial Feminization Surgery Los Angeles – FFS LA

Facial feminization surgery (FFS) describes a set of procedures used to feminize the face. These are performed for both transgender (MTF FFS) and cisgender women. Women often have softer, smaller features. Facial feminization aims to soften masculine features and enhance feminine features. Dr. Mittermiller is one of only a few surgeons in the states with specialty training in craniofacial surgery and facial feminization surgery.

Facial Feminization Procedures

FFS Los Angeles - Hairline feminization
Hairline FFS near me

Hairline modification

This can be an important procedure for women who have a high hairline or significant temporal recession. Hairline modification is often performed with a surgical hairline lowering (aka scalp advancement) or hair transplants.

Click here for more information on hairline feminization: Hairline FFS

Brow lift

Women commonly have higher eyebrows. An eyebrow lift feminizes the face by elevating the location of the eyebrows on the forehead. This is commonly performed at the same time as brow bone reduction and orbital rim contouring.

FFS Los Angeles - Brow Lift LA
Brow feminization near me
FFS Los Angeles - Brow bone reduction
Brow feminization near me

Brow bone reduction (forehead reduction, forehead setback)

Reducing the forehead prominence is a powerful surgical technique for feminizing the face. This can be performed with a type 1, type 2, or type 3 forehead reduction. Setback of the forehead reduces the brow ridge and feminizes the forehead.

Click here to learn more about a type 1 forehead reduction: Type 1 forehead

Click here to learn more about a type 3 forehead reduction: Type 3 forehead

Orbital rim contouring

Feminization of the face often involves setting back the forehead but also contouring the orbital rims. This brightens the eyes by removing shadows caused by the orbital rims.

Facial Feminization Los Angeles - Orbital rim contouring near me

Dr. Mittermiller is a friendly, passionate individual with a deep interest in serving the transgender community and advancing the state of facial feminization surgery. He is primarily located in Los Angeles, California and offers FFS in LA.

Click here to learn more about Dr . Mittermiller


Contact us today to schedule a consultation.

Facial Feminization Los Angeles - Cheek augmentation near me

Cheek augmentation (implants or fat grafting)

Enlargement or enhancement of the cheeks is performed through augmentation with fat or implants. This creates additional fullness in the middle of the face that increases feminine appearance.

Cheek feminization with fat transfer is performed by removing fat with liposuction from one area of the body and transferring it to the desired area. The fat can be removed from areas such as underneath the chin or the abdomen (stomach area) and transferred to the chin.

Click here to learn more: Cheek augmentation


A nose job, or rhinoplasty, can dramatically change the appearance of one’s face. These procedures can feminize the face and simultaneously improve breathing through the nose.

A feminizing rhinoplasty often involves removing the bump from the bridge of the nose, elevating the tip of the nose, and creating a more narrow nose.

Click here to learn more: Rhinoplasty

Faacial Feminization Los Angeles - MTF rhinoplasty
FFS LA - lip lift

Lip lift

Men commonly have a longer lip, less upper tooth show, and less visible amounts of the red portion of the upper lip. A lip lift feminizes the face by increasing tooth show and red lip show while decreasing the amount of skin on the upper lip.

Click here for more information on lip lifts: Lip Lift

Lip augmentation

A lip augmentation is commonly performed with fat grafts or artificial filling material. This rejuvenates and feminizes the lips. Lip feminization can involve a lip lift, lip augmentation, or both.

Jaw contouring

Jaw contouring is performed during facial feminization to reduce the width and angularity of the lower face and provide a more feminine jaw.

Genioplasty (chin surgery)

Chin surgery, or genioplasty, is performed to change the shape and appearance of the chin. Men commonly have wider, taller chins and women have shorter, narrower chins. A genioplasty is a powerful technique for feminizing the lower face.

Click here for more information on jaw feminization surgery: Jaw FFS

Click here for more information about genioplasties: Genioplasty

FFS LA - jaw contouring
near me
FFS LA - tracheal shave or trach shave

Tracheal shave (chondrolaryngoplasty, Adam’s apple reduction)

The Adam’s apple, or laryngeal cartilage, is frequently more prominent in men. Reduction of the Adam’s apple can be performed through multiple techniques for neck feminization.

mittermiller ffs insurance

Dr. Mittermiller is a plastic surgeon with specialty training in craniofacial surgery and facial feminization surgery. He is primarily located in Los Angeles, California and serves the broader Southern California area.

Contact us today to schedule a consultation.

Frequently asked questions

Why is facial feminization surgery performed?

Facial feminization surgery is performed for cisgender women to increase feminine appearance and for transgender women, gender non-binary individuals, and gender non-conforming individuals to relieve symptoms of gender dysphoria. Additionally, it has other protective effects for gender non-normative individuals by potentially reducing harassment and increasing safety in public.1 It has also been shown to decrease anxiety, anger, depression, and social isolation and to increase positive affect, meaning, purpose, and overall mental health for transfeminine individuals.2

Am I a candidate for FFS?

Facial feminization surgery (FFS surgery) is offered to cisgender, transgender, and nonbinary individuals who seek to feminize their face. It can be the correct choice for people who are hoping to remove or soften masculine features or enhance feminine features.

Candidacy for surgery depends on multiple variables. One may not be an ideal candidate if they have medical problems that can result in significant complications from anesthesia or a lengthy operation.

Insurance companies sometimes cover facial feminization for the treatment of gender dysphoria, which results when there is an incongruence between one’s physical traits and one’s gender identity.

Can cisgender women get FFS?

Yes! The same procedures performed for transgender women (MTF FFS) can be performed for cisgender women to remove masculine features or enhance feminine features..

How much does it cost to have facial feminization surgery near me in Los Angeles, California?

The cost of facial feminization can be extremely variable and it depends on multiple factors. These factors include those listed below:

Whether insurance is covering all or part of the operation
The number and types of procedures being performed during the operation
The duration of the operation
Variations in pricing between individual surgeons

The best way to get an estimate for the cost of facial feminization surgery is to contact a facial feminization surgeon to discuss your specific situation. Costs will vary between LA and other cities or states.

There are multiple insurance programs that cover facial feminization surgery in California and Los Angeles. Dr. Mittermiller and his office have experience helping patients to work with their insurance company to help them afford these procedures.

It can be possible that a patient’s insurance does not cover FFS or that a patient does not want to wait for the insurance approval process. In this scenarios, self-pay options are permitted.

Click here for more information on Dr. Mittermiller’s financing options: Financing Surgery

Click here for additional information on whether specific insurance companies cover facial feminization surgery (FFS): Insurance Coverage of FFS

Can I travel to Los Angeles for FFS?

Our office in Marina del Rey, Los Angeles is familiar with helping out of state patients find the best surgeon and the best location for their operations.

Los Angeles has multiple options for staying near the clinic and operating suites.

Los Angeles has clear, sunny weather year-round, which makes it easy for patients to navigate to appointments and creates an enjoyable experience for patients who want to enjoy the fresh air while recovering.

There are many patients who try to take advantage of traveling to LA for surgery by adding experiences to their trip. Arriving early offers the chance to enjoy some of the many nearby sites in California.

A recent study by Hauc et al. evaluated multiple factors surrounding FFS and noticed that 50% of FFS procedures occurred in the Western Region of the United States.3 This is important to patients who are looking for surgeons who perform a large volume of facial feminization operations.

What happens during an FFS consultation?

During your consultation, many items will be discussed. Your surgeon will first want to know whether there any facial features that are particularly concerning to you. Your health and any medical issues will be reviewed. The possible surgical options will be discussed with you and the advantages and disadvantages of these procedures will be explained.

During the consultation, the surgical process and the recovery period will be discussed. If it is indicated, a CT scan may be performed. Photo simulations of the surgical results may also be performed to help discuss the procedures.

How is the recovery from FFS?

Recovery from FFS is based on the number and types of procedures that are performed.

The recovery can be minimal when it involves minor procedures such as lip lift, cheek augmentation, or fat grafting. The recovery becomes more involved when larger procedures are performed, such as jaw contouring and genioplasty. It is best to look at each individual procedure to see how the recovery will be after that procedure.

Many of the effects from FFS will be seen immediately after surgery. There will likely be swelling and bruising after the operation that can last for a few weeks. There is subsequently minor residual swelling of the face that can persist for over a year.

Is FFS permanent?

The procedures performed during facial feminization surgery will produce results that are permanent. Your body will continue to age though and affect the areas of the face that were surgically modified.

How do I find the best facial feminization surgeon near me in Los Angeles or Long Beach?

It is important to do research on facial feminization surgery and the surgeons who offer these procedures as part of their practice. Finding the best facial feminization surgeon may require speaking with friends or other physicians. You will want a surgeon who has the appropriate training for facial feminization surgery and who is dedicated to their patients.

Dr. Mittermiller is a fellowship-trained craniofacial surgeon with experience in facial feminization surgery. He can be seen at the practice’s offices in Marina del Rey and Long Beach.

mittermiller ffs insurance

Dr. Mittermiller is a plastic surgeon with specialty training in craniofacial surgery and facial feminization surgery. He is primarily located in Los Angeles, California and serves the broader Southern California area.

Contact us today to schedule a consultation.



WPATH Standards of Care

LA LGBT Center

Transgender Health Program

St John’s Community Health

Transgender Health Program

The LGBTQ Center Long Beach

Transgender Wellness Services


  1. Parker AC, Brydges HT, Kimberly LL, Blasdel G, Rodriguez ED (2022) Facing Violence: The Protective Impact of Facial Gender-Affirming Surgery. Plast Reconstr Surg 150 (4):934e-935e. doi:10.1097/PRS.0000000000009509 https://pubmed.ncbi.nlm.nih.gov/35960918/
  2. Caprini RM, Oberoi MK, Dejam D, Chan CH, Potemra HMK, Morgan BJ, Weimer A, Litwin MS, Mendelsohn AH, Lee JC (2022) Effect of Gender-affirming Facial Feminization Surgery on Psychosocial Outcomes. Ann Surg. doi:10.1097/SLA.0000000000005472 https://pubmed.ncbi.nlm.nih.gov/35786682/
  3. Hauc SC, Mateja KL, Long AS, Glahn JZ, Acuna Higaki AR, Rivera JC, Ihnat JMH, Mukherjee T, Oh SJ, Alperovich M (2022) Limited Access to Facial Feminization Geographically Despite Nationwide Expansion of Other Gender-Affirming Surgeries. Plast Reconstr Surg Glob Open 10 (9):e4521. doi:10.1097/GOX.0000000000004521 https://pubmed.ncbi.nlm.nih.gov/36148027/