Feminization

FFS SURGERY, WHAT CAN BE ACHIEVED TO FEMINIZE A MALE FACE?

There are basic differences between a male and a female skull – differences long appreciated not only by anthropologists studying skulls, but by artists as well. Females have a more pointed chin and less nasal prominence than males. The forehead is quite different, especially the areas of the brows and the mid forehead. The shape of the skull affects the drape and contour of the skin. Changing the shape of the skull will assist in changing one from distinctly male to female. Modifying the angle of the lower jaw and the prominence of the cheekSkulls can also help improve femininity.

Looking feminine is, of course, extremely important to you. First impressions are often based just upon your face. That which is first seen in an initial contact is frequently what defines you. It establishes not only who you are, but often what sex you are as well. As a transsexual, perhaps nothing is more important to you than appearing sexually the same as you feel emotionally. Facial feminizing surgery can help bring these two together.

Cosmetic (aesthetic surgery) of the face can be directed toward many aspects of facial appearance. The majority of facial aesthetic surgery in this country is to reduce the effects of aging – reducing wrinkles, lifting sagging skin, or removing fat deposits. Facelifts, brow (forehead) lifts, blepharoplasties (cosmetic surgery of the eyelids), and removing excess fat in the neck are among the most frequently completed aesthetic facial soft tissue procedures that I do. A great deal of my aesthetic surgery, though, is directed toward changing facial contours by modifying the basic bony supporting configuration of the face.

Surgery such as a rhinoplasty (nasal surgery), chin, cheek and forehead modifications (either reduction or augmentation), changing the shape of the mandibular angle, and – in certain patients – moving the upper and/or lower jaws are frequently completed by me as well.

I have edited the only medical book describing all of these different types of bony surgery that can be completed on the face. This book, titled Aesthetic Contouring of the Craniofacial Skeleton (Little, Brown and Company), also discusses another important aspect of facial contouring – Feminization of the Face.

The techniques used and the areas modified are individualized. Quite obviously some transsexuals are already much more feminine than others. What is completed is based upon a combination of skeletal and artistic evaluations, radiographs (x-rays), anthropological measurements, asymmetry gauges, facial masks and photographs. Patient self assessment is also very important to surgical planning. Based on all of the above, a treatment program is established.

The following is directed at various aspects of the surgical recontouring.

 

Scalp Advancement

Question:
What is a Scalp Advancement?

Answer:
Scalp Advancement is a procedure that addresses the distance between the eyebrows and the hairline.

Question:
What are the benefits of Scalp Advancement surgery?

Answer:
Scalp Advancement surgery offers a number of benefits such as: shortening the distance between the eyebrows and the hairline, reducing temporal hair loss, alleviating upper forehead wrinkling, altering the hairline (ex. eliminating or creating a widows peak). Patients can take advantage of one or all of the benefits of Scalp Advancement surgery depending on their aesthetic needs and desires. Scalp Advancement surgery is almost always included in Facial Feminization surgery as most male to female patients often wish to shorten forehead length and alleviate temporal hair loss.

Question:
How is Scalp Advancement surgery performed?

Answer:
Scalp Advancement surgery is performed under general anesthesia. An incision is made following the natural hairline. Doctor Ousterhout’s unique approach is to make the incision in such a way so that the underlying hairs will grow through the scar, thus hiding it.

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Forehead Contouring

Question:
What is Forehead Contouring?

Answer:
Forehead Contouring is a surgical procedure, performed to alter the shape or size of the forehead. 

Question:
What are the benefits of Forehead Contouring?

Answer:
The benefits of Forehead Contouring are that forehead prominence can increased or decreased, impressions can be filled and asymmetries improved.

Question:
How is Forehead Contouring performed?

Answer:
Forehead contouring is performed under general anesthesia.  Incisions are made on the scalp or within the hairline. 

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Brow Lift

Question:
What is a Brow Lift?

Answer:
A Brow Lift is a procedure that eliminates all of the wrinkles in the forehead while lifting the eyebrows.

Question:
What are the benefits of a brow lift?

Answer:
Brow Lift give a great amount of facial rejuvenation. Brow Lifts eliminate wrinkles in the forehead, in particular the corrugator muscle. The corrugator muscle is the muscle between the eyebrows that individuals often have Botox injections; having a brow lift severs the corrugator muscle eliminating the need for any more Botox injections and alleviating vertical wrinkling between the eyebrows that can not be addressed using Botox

Question:
How is a Brow Lift procedure performed?

Answer:
A Brow Lift is performed under general anesthesia. An incision is made either in the hairline or in front of the hairline, leaving little to no visible scarring.

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Feminizing Rhinoplasty

Question:
What is a Feminizing Rhinoplasty?

Answer:
A Feminizing Rhinoplasty is a procedure to reduce the overall size of the nose and alter the shape to make it appear more feminine.

Question:
What are the benefits of a Feminizing Rhinoplasty?

Answer:
A Feminizing Rhinoplasty benefits patients interested in enhancing their feminine appearance.

Question:
How is a Feminizing Rhinoplasty performed?

Answer:
A Feminizing Rhinoplasty must be performed under general anesthesia, to allow for maximum flexibility in size reduction.  Incision is made at the base of the nose, leaving little to no visible scarring.

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Cheek Enhancement

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Cheek Augmentation

Question:
What is a Cheek Augmentation?

Answer:
A Cheek Augmentation is a procedure in which implants are placed over the bone, under the skin, to increase the fullness of the cheeks while eliminating sallowness.

Question:
What are the benefits a Cheek Augmentation?

Answer:
Cheek Augmentation makes cheeks appear fuller and more prominent, while reducing the appearance of sallowness.

Question:
How a Cheek Augmentation performed?

Answer:
A Cheek Augmentation is performed under general anesthesia, with incisions made inside of the mouth. There are various sizes and shapes of implants to meet individual desires and underlying boney contours. Cheek augmentation leaves no visible scars.

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Cheek Reduction

Question:
What is Cheek Reduction?

Answer:
Cheek Reduction is a procedure that reduces the width and/or the prominence of the cheeks.

Question:
What are the benefits of cheek reduction?

Answer:
Cheek Reduction reduces the prominence of the cheeks, allowing those with excess fullness in this region to have more balanced facial features. 

Question:
How is Cheek Reduction performed?

Answer:
Cheek Reduction is completed under general anesthesia.  Incisions are generally made in the mouth and in the scalp, leaving no obvious external scars.

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Upper Lip reduction

Question:
What is an Upper Lip Reduction? 

Answer:
Upper lip reduction is a procedure performed to shorten the upper lip, improving upper tooth show. 

Question:
What are the benefits of Upper Lip Reduction?

Answer:
The primary benefit of Upper Lip Reduction is to improve facial appearance by showing more of the upper teeth, which is desirable in improving feminine appearance while contributing to an overall more youthful look. 

Question:
How is an Upper Lip Reduction performed?

Answer:
Upper lip reduction can be performed under local or general anesthesia, depending of the desire of the patient.  The incisions are hidden in natural creases just beneath the nostrils, leaving no obvious scarring.  Upper Lip Reduction can easily be combined with other surgical procedures, including Lip Enhancement and Rhinoplasty.

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Upper Lip Enhancement

Question:
What is Lip Enhancement?

Answer:
Lip Enhancement is a procedure performed to enhance the shape and fullness of the lips.

Question:
What are the benefits of a Lip Enhancements?

Answer:
The primary benefit of a Lip Enhancement is to increase fullness, giving a more youthful appearance to the mouth.

Question:
How is Lip Enhancement performed?

Answer:
Lip Enhancement is performed by making incisions into the corners of the mouth, and dermis is inserted to increase fullness and improve shape. Lip Enhancement leaves no visible scarring.

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Feminizing Genioplasty

Question:
What is a Feminizing Genioplasty?

Answer:
A Feminizing Genioplasty is a procedure in which the larger male chin is reduced in all dimensions to that of a female chin.

Question:
What are the benefits of a Feminizing Genioplasty?

Answer:
A Feminizing Genioplasty alters a large male chin, bringing it down to the smaller proportions of a female chin.  Asymmetries are generally eliminated. 

Question:
How is a Feminizing Genioplasty performed?

Answer:
Feminizing Genioplasty is performed under general anesthesia.  Incisions are made within the mouth, leaving no visible scarring.

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Jaw Contouring

Question:
What is Jaw Tapering?

Answer:
Jaw tapering also known as Jaw Contouring or Jaw Reduction is the modification of the lower jaw behind the chin. 

Question:
What are the benefits of Jaw Tapering?

Answer:
Jaw Tapering benefits the face by narrowing and refining angles, helping to better proportion facial features and to lessen the width of the face.  Patients with asymmetrical faces and those seeking to feminize their face receive maximum benefits from this procedure.

Question:
How is it Jaw Tapering performed?

Answer:
Jaw Tapering surgery is performed under general anesthesia.  The incision is made inside of the mouth with no outside skin incisions, leaving no visible scars.

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Tracheal Shave (Adam's Apple Reduction)

Question:
What is a Tracheal Shave or Adam’s Apple Reduction?

Answer:
A Tracheal Shave or Adam’s Apple Reduction is a reduction of the prominence of the thyroid cartilage.

Question:
What are the benefits of a Tracheal Shave?

Answer:
The benefit of a Tracheal Shave is a more sleek and feminine appearance of the neck. 

Question:
How is a Tracheal Shave performed?

Answer:
A Tracheal Shave can be performed under local anesthesia, on it’s own or is easily combined with other procedures.  A small incision is made behind the first crease under the chin and leaves little to visible scarring.

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