4 Focus Areas of Facial Feminization Surgery

by | Jul 15, 2024 | Transgender Surgeons

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Feminization surgery for the face is a transformative procedure designed to alter masculine facial features to align more closely with feminine aesthetics. This surgery is pivotal for many transgender women and non-binary individuals seeking to achieve facial harmony that reflects their gender identity. While common areas of focus include the forehead, nose, and jawline, nuanced aspects of FFS can significantly enhance the overall facial feminization process.

Hairline Advancement and Scalp Repositioning

One less commonly discussed aspect of facial feminization surgery is hairline advancement combined with scalp repositioning. While hairline lowering is well-known, adjusting the scalp can significantly impact the framing of the face. By moving the scalp forward, surgeons can create a more rounded hairline and reduce the prominence of a high forehead, which is often perceived as a masculine trait. This procedure ensures a seamless transition from the forehead to the hairline, enhancing overall femininity.

Periorbital Soft Tissue Modification

Another critical yet overlooked area is the modification of the soft tissues around the eyes. While bone contouring of the brow ridge is common, subtle adjustments to the periorbital area can soften the eye region significantly. Techniques such as fat grafting or fillers can add volume to the upper eyelids and temples, reducing hollowing and creating a more youthful and feminine appearance. These modifications can enhance the overall balance and softness of the face.

Lip Lift and Vermilion Border Enhancement

Lip enhancement is more than just increasing volume. A lip lift, which shortens the distance between the nose and the upper lip, can reveal more of the upper teeth when smiling, a trait commonly associated with femininity. Additionally, enhancing the vermilion border (the line between the lip and the surrounding skin) can add definition and create a more pronounced cupid’s bow, contributing to a softer and more feminine mouth.

Mandibular Angle and Chin Recontouring

While jawline reshaping is a staple of facial feminization surgery, focusing specifically on the mandibular angle and chin contour can yield more refined results. Softening the mandibular angle can reduce the width and squareness of the jaw, while a slight advancement or rounding of the chin can enhance the lower face’s proportion. These adjustments, although subtle, play a crucial role in achieving a balanced and feminine facial structure.

Contact the International Center for Transgender Care to schedule facial feminization surgery.

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