T-Shaped Genioplasty and Jaw Contouring for Facial Feminization
This patient underwent facial feminization with multiple procedures. The procedures visible in these photos are listed below:
Jaw contouring
Osseous genioplasty (T-shaped)
This patient desired a reduction in the size of her chin and jaw. Prior to surgery, her lips did not close at rest due to the excess vertical height of the chin. There was also strain of the muscle at the chin that is responsible for closing the mouth.
A T-shaped osseous genioplasty was performed to reduce the height and width of the chin. The jaw was contoured to create a smooth transition from the chin to the jaw and to narrow the jaw. This combination of procedures is performed to produce a more defined, feminine chin and jawline after the procedure, as well as a more balanced and aesthetically pleasing facial profile.
The incisions for this procedure are all placed within the mouth, preventing any visible signs of surgery.




Facial feminization surgery (FFS) is a popular procedure that helps transgender women and cisgender women achieve a more feminine appearance. One of the key areas of FFS is jaw contouring and genioplasty, which involves feminizing the jaw and chin. Before and after photos of this procedure can show the transformation and importance of this surgery.
Jaw contouring is a surgical procedure that reshapes the jawbone to create a more feminine appearance. During the surgery, the surgeon may remove or reduce one or more sections of the jawbone and reshape the remaining bone to create a softer, more rounded jawline. Genioplasty, on the other hand, involves reshaping the chin to create a more feminine appearance. The surgeon may move the chin forward, backward, downward, or upward. He may change the shape by making it more rounded or pointed to create a more delicate, feminine appearance.
Before and after photos of jaw contouring and genioplasty demonstrate the transformation that occurs during this procedure. These photos show how the patient’s jawline and chin have been feminized and the change in their overall appearance. Before and after photos also give patients an idea of what to expect from the procedure and help them visualize the results they can achieve.
Before undergoing jaw contouring and genioplasty, it is essential for patients to have a consultation with their surgeon. During this consultation, the surgeon will examine the patient’s jaw and chin and discuss the patient’s goals for the procedure. The surgeon may also take before photos to document the patient’s current appearance and use these photos to plan the surgery.
After the surgery, the surgeon will take after photos to document the transformation that has occurred. These after photos can be compared to the before photos to show the dramatic change in the patient’s appearance. Before and after photos can also be used to showcase the surgeon’s skill and experience in performing the procedure.
It is important to note that before and after photos should not be the only factor patients consider when deciding to undergo jaw contouring and genioplasty. Patients should also research the surgeon’s credentials and experience, as well as the potential risks and complications associated with the procedure. Patients should also have realistic expectations for the results of the procedure, as every patient’s outcome will be different.
In addition to showing the transformation that can occur with jaw contouring and genioplasty, before and after photos can also help patients feel more confident about their decision to undergo the procedure. Seeing the results that other patients have achieved can help patients envision what they will look like after the procedure and feel more excited about the possibilities.
In conclusion, jaw contouring and genioplasty are essential aspects of facial feminization surgery, and before and after photos can demonstrate the transformation that can occur with this procedure. Before and after photos can help patients visualize the results they can achieve, feel more confident about their decision to undergo the procedure, and showcase the surgeon’s skill and experience. However, patients should also research the surgeon’s credentials and experience and have realistic expectations for the results of the procedure.

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.