Facial Feminization Surgery (FFS)

Facial feminization surgery (FFS) describes a set of procedures used to feminize the face. These are performed for both transgender and cisgender women. The operations commonly consist of the procedures listed below:

Hairline modification (surgical hairline lowering or hair transplants)
Brow lift
Forehead reduction (brow bossing reduction, brown bone reduction)
Orbital rim contouring
Cheek augmentation (cheek implants or fat grafting)
Rhinoplasty
Lip lift
Lip augmentation
Jaw contouring
Genioplasty (chin surgery)
Tracheal shave (chondrolaryngoplasty, Adam’s apple reduction)

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 or hair transplants.

Brow lift

Women commonly have higher brows. Performing a brow lift helps to feminize the face by lifting the location of the eyebrows at the forehead. This is commonly performed at the same time as brow bone reduction and orbital rim contouring.

Brow bone reduction

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.

Orbital rim contouring

Feminization of the face often involves setting back the forehead but also contouring the orbital rims.

Cheek augmentation

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

Rhinoplasty

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

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.

Lip augmentation

A lip augmentation is commonly performed with fat grafts or artificial filling material. This rejuvenates and feminizes the lips.

Jaw contouring

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

Tracheal shave (chondrolaryngoplasty)

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.

Dr. Mittermiller is a craniofacial-trained plastic surgeon with a specialty focus on gender-affirming facial surgeries. Call or contact us today to schedule your free consultation.