Facial feminization refers to a specific set of plastic and craniofacial surgical procedures used to reshape masculine facial features in order to make them appear more feminine. These procedures are typically included in gender confirmation surgery for transgender people. The same procedures, however, may benefit cisgender women (female assigned female at birth) with masculine-looking faces who want to appear more feminine.
If you believe your face is too masculine, you may be a good candidate for facial feminization. The following are the most common complaints from women who are ideal candidates for this type of surgery:
. My forehead is too high or too "bold"
. My brow sticks out too far; it's too prominent or "heavy"
. My eyes look "dark" or "deeply set"
. My jawline and chin is too wide, too angular or too sharp
It all depends on your existing facial features and the area of your face you think is too masculine. Following a thorough consultation, your surgeon may recommend a combination of plastic and craniofacial procedures, or a single procedure, to make your face appear more feminine. The following are examples of common feminization procedures:
. Forehead reduction and contouring
. Scalp advancement
. Brow lift (browplasty) or temple lift
. Rhinoplasty (nose surgery)
. Lip reshaping (upper lip lift, lip filling, corners-of-mouth lift)
. Cheek enhancement
. Chin recontouring (genioplasty)
. "Asian" V-Line surgery (suitable for all ethnicities)
. Jaw contouring and tapering
. Adam's apple reduction
. Earlobe reduction
What Happens During Facial Feminization? How Is the Surgery Performed?
Facial feminization surgery is most commonly undertaken in one "long format" surgical session with the surgeon performing sets of procedures depending on the surgical site: upper-, mid- or lower-face.
For example, if your surgeon is reducing a heavy brow and overly prominent forehead, he may also need to perform a rhinoplasty (nasal surgery) because the forehead and the nose are inextricably linked; physically and aesthetically. So if you change the shape of any significant feature, such as your forehead and brow, you will most probably need to change the profile of your nose to keep your face in aesthetic harmony and balance.
Depending on the number of feminization procedures you may need, you will be in the operating room for 3-10 hours. This type of long format surgery is made safer by the use of a very light general anesthesia--limiting the body's exposure to narcotics and other anesthetic agents which also improves the recovery process.
You may also choose to have your surgery broken up into two phases: an "upper" and "lower face" phase. These phases may be performed a few days, weeks, or even years apart. But most patients choose to have all of their feminization procedures completed during one session to save on downtime and expense.
Most of the facial feminization procedures described above should result in minimal visible scarring. A skilled and board-certified surgeon will ensure that any scarring is carefully hidden, for example inside the hairline, behind the ears, or inside the nose or the mouth.
Most feminization patients spend the night after their surgery in hospital but usually recover well enough to head home the next day. During the first few days you may experience facial swelling and also mild discomfort. Within about seven days after your surgery, most of the swelling and bruising will resolve. After about three to four weeks you should have a full recovery and be able to resume your usual activities and wear makeup.
The results of your feminization surgery will continue to improve over the following months, with the final optimal result being evident at six-to-twelve months. Ideally, if your surgery is performed by a board-certified surgeon trained in plastic, craniofacial, and maxillofacial surgery, your face will appear as a more feminine version of you, but you should still look like "you."
Not many plastic surgeons are qualified to perform facial feminization. Bone work on the facial skeleton must be performed by a highly skilled surgeon with craniofacial and maxillofacial surgery experience for a successful and long-lasting outcome. Surgeons with advanced skill sets in both general plastic surgery and craniofacial surgery can successfully perform facial feminization. Finally, your surgeon should not only have the technical skills to feminize your face, but also a thorough understanding of what constitutes a "female face" and the artistic eye to enhance your natural, inherent feminine beauty.
Iranian surgery is an online medical tourism platform where you can find the best doctors and plastic surgeons in Iran. The price of FFS in Iran can vary according to each individual’s case and will be determined by an in-person assessment with the doctor.
For more information about the cost of Facial Feminization Surgery in Iran and to schedule an appointment in advance, you can contact Iranian Surgery consultants via WhatsApp number 0098 901 929 0946. This service is completely free.