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Facial Feminizing Surgery


Facial Feminization surgery is a highly sophisticated surgery. The exact procedures required for the transformation of the facial features from male facial features to the female facial features requires a lot of personalized discussion and planning. Sometimes facial profiling may be required. It does mean thus, the procedures may be less and simple in some patients and more and complicated in some, depending on the preoperative contour.
The Surgeries involve Feminine Brow line creation / Reconstruction

This includes two types of techniques: Surgery on the bones of the skull or Work on the soft tissue that covers the bone. Bone reconstruction in FFS is based on the differences between the average male and female skull.

The Soft tissue work is less invasive

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Forehead surgeries includes the following procedures:

Brow shaving or osteoplastic bone surgery to recontour the forehead bone 

Trimming down the upper edge of the eye sockets to remove brow bossing.

Forehead implant to round out a flat forehead.

Hairline reduction surgery which can be done by either removal of the skin from the forehead to bring the hair line down or it may be done by hair transplant. The options may be discussed with the doctors.

Scalp advancement:

Advancing the hairline is a procedure to help shorten the distance between the eyes and the start of the hairline.
A recessed hairline is associated with an aging look and masculine features.
Advancing the hairline yields a more youthful and feminine appearance.

Brow lifting: Tightening the skin on the forehead and raising of eyebrows.

Chin reshaping:

Removing bone from the chin and reshaping to make it more tapered.

Chin augmentation:

Receding chin can be augmented using implants, fat or filler.

Nose reshaping / reconstruction:

To change the appearance of the nose, surgical changes to the nose in FFS can include-

Micro-fat grafting / fillers or dermal-fat grafting:

To make cheeks and lips look fuller.

Tracheal shave:

Surgical procedure works on to reduce the size of the laryngeal prominence also known as the Adam’s apple. 

The outcome is a smoother neck with a less prominent Adam’s apple.

Mandibular shave Surgery

Those patients who have a broad angle of Mandible or jaw line may require mandibular angle shave or jaw shave surgery. In this surgery, the pointed jaw bone, the outer surface of the jaw, is removed.

Additional Botulinum toxin injection to the masseter muscles may be required to make a V- shaped jawline

Cheek Augmentation

Female faces have high cheekbones. These can be achieved by either fat injection or fillers injection or by Malar implants which are put through intra oral incision.


  • Adverse reaction to anaesthesia
  • Blood clots
  • Excessive bleeding
  • Wound infection
  • Slow healing
  • Numbness (mostly temporary)
  • Scar problems.

Fortunately, these side effects are not very common and hardly any patient has had any major issues

Words of wisdom: 

It is very important to go step for these surgeries after meticulous planning and discussion. Please try and visualize yourself in the new face as much as possible and discuss extensively with the doctor.


An Overview-

Estrogen can significantly change breast size and shape in some MtFs. While breast growth starts soon after taking estrogen, it is slow and gradual, and takes two or more years for breasts to reach their maximum size.

 If you can take hormones, it is recommended that you wait at least 12 months, to give your breasts time to develop with hormones. Hormones will help your nipples grow, and will also stretch out the skin of your chest so you can have a more natural looking implant. 

In this way the Implants look more natural if they are used to augment existing breasts, rather than implanted into a flat chest.

In some cases, if hormones are contraindicated medically or if the patient chooses not to have hormones, still the implants can be done with a smaller size that will look balanced with the size of the nipples.

Breast surgery can be done as a single standalone surgery or in combination with genital surgery to avoid a repeat of general anaesthesia.


  • Periareolar – around the areola
  • Transaxillary – in the armpit
  • Inframammary – Incision under the breast.


  • Type of breast implant 
  • Shape of the implant
  • Texture of the silicone shell
  • Placement of the implant
  • Size of the implant – 100 cc to 1000 cc


These surgeries are generally simple and usually no major problems occur. But at times some problems may happen

  • Reaction to anaesthesia
  • Bleeding
  • Wound infection
  • Scarring issues
  • Asymmetry
  • Problem with the implant: leakage, rupture, infection, capsule contracture etc
  • Less or more intense sensation in the nipples.

 Post operative swelling and pain generally improves in a few days’ time and one is fit to resume duties in a few days. The doctor will counsel you regarding the do’s and don’ts. 

BODY FEMINIZING SURGERIES like lipo-sculpting may be required in some patients. 

Along with this the mannerisms and voice tutorials may also be required for a good result

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