Revision Facial Feminization Surgery with Implant Removal and Type 3 Brow Bone Reduction – Before and After Photos
This patient underwent revision FFS with brow implant removal, brow bone reduction (type 3), orbital contouring, and brow lift. This was one component of her overall facial feminization surgery. Additional information is provided below the photographs.
If you would like to see additional before and after photographs by Dr. Mittermiller, please click the link below.
Facial Feminization Surgery (FFS) Before and After Photographs



These before and after photographs of revision facial feminization surgery (revision FFS) demonstrate the effects that can be obtained after revision brow surgery.
This patient previously had hard silicone implants placed by another surgeon at the junction between the middle forehead and the brow ridge. Presumably, the goal at the time of that operation was to camouflage the upper border of the brow ridge. This technique successfully blended the upper forehead to the lower forehead, but it did not feminize the transition from the brow ridge to the eyes. She continued to have deep-set eyes following this procedure.
A revision surgery was planned to enhance the patient’s forehead. During this operation, the silicone implants were removed and a type 3 brow bone reduction was performed. The implants that were removed are shown in the last image.
This operation dramatically feminized the upper third of her face. We are excited to continue to watch this patient heal!
These before after photos of revision facial feminization allow people to see what type of results can be obtained from a specific type of revision brow bone surgery.
Every person’s goals are different, so it is important to discuss your specific situation and expectations with your surgeon.

Dr. Mittermiller is a specialty trained plastic surgeon who primarily operates in the Los Angeles area. He is passionate about craniofacial surgery, gender-affirming surgery, and rhinoplasty.
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