There is no one feature that defines a “feminine” or “masculine” face. Rather, the degree of femininity expressed in a human face is typically the result of the combination of multiple facial features, and the ratio of feminine to masculine features. Facial features traditionally considered masculine include brow bone bossing, a prominent nose and chin, thick eyebrows, a square jaw, a long face, and a visible Adam’s apple. In short, men tend to have chiseled, more angular features. In contrast, women usually possess softer, rounder facial characteristics—a smooth forehead without bossing, a pointed chin, a more delicate nose, fuller cheeks, and an arched brow. Generally, facial feminization is achieved through bone reduction and changes to the skeletal framework.

Because every patient is unique, the surgeons at the International Center for Transgender Care don’t believe in a “one-size-fits-all” approach. Instead, we opt to work with each patient to design a unique treatment plan tailored to your individual needs. Our surgeons are not only highly skilled technically, but have the aesthetic and artistic awareness to know what constitutes a feminine face. During a consultation appointment, your surgeon will meet with you to assess your facial structure, discuss your needs, and answer any questions you have about FFS and the recovery process. Most transwomen elect to have all facial feminization procedures performed at once, or in two phases (upper face and lower face). If performed all at once, FFS usually takes between 6-12 hours. In general, patients who undergo FFS will stay overnight after their procedure and return home the following day. Some swelling and discomfort is expected, but this typically resides after about 7 days, with full recovery expected within 3-4 weeks.