Facial Feminization Surgery (FFS)

FFS Surgery: How do we Feminize a Male Face?

Facial Feminization Surgery (FFS) or Male Feminization Surgery is a set of reconstructive and aesthetic surgical procedures that make male facial features closer in shape and proportion to female facial features.

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 gender 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.

Some, or all of the following surgical procedures may be undertaken during Facial Feminization Surgery (FFS):

The Difference between Male and Female Faces

There are basic differences between a male and a female craniofacial skeleton – 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 cheeks can also help improve femininity.

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 we do. A great deal of our 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 us as well.

Dr. Douglas K. Ousterhout has edited the only medical book, Aesthetic Contouring of the Craniofacial Skeleton (Little, Brown and Company), describing all of the different types of bony surgery that can be completed on the face. The book 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 custom treatment program is established.