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Facial Feminization

We see people everyday who come to either rejuvenate, enhance or even change facial features they are not happy with. Facial feminization surgery refers to the transformation of a ‘male’ face to a more ‘female’ face. Because this transformation is rarely accomplished with one procedure, multiple surgical procedures are performed to enhance the result and more definitively complete the feminization. Surgical procedures performed vary from patient to patient dependent on their individual needs.

Hairline Correction

In males the hairline is often higher and receding when compared to females. The hairline can be moved forward and given a more rounded shape either with a procedure called a scalp advancement or even hair transplantation. In addition to hairline modification, hair transplants can also be used to improve male pattern baldness. If too much hair has been lost, it will not be possible to correct hairline problems.

Forehead Contouring

Males tend to have a horizontal ridge of bone running across the forehead just above eyebrow called the “brow bridge” or “brow bossing” while female foreheads tend to be smoother and flatter. The technique of choice includes just grinding or ‘sanding’ down the bone bridge. In select cases, this technique needs to be modified or even abandoned for a more aggressive procedure. Indentations, which are common on male foreheads, can be contoured with bone cement to give a more smooth and rounded appearance. Additionally, to enhance the final result, forehead contouring offers the advantage of being performed simultaneously with a brow lift or scalp reduction if indicated.

Brow Lift

Because females tend to have higher eyebrows than males, a brow lift is often used to place the eyebrows in a more feminine position. For more information, refer to Eyebrow and Forehead Lift.

Nasal Reshaping (Rhinoplasty)

Males tend to have larger and wider noses than females. Also, if you look at a female nose from the side, the base often points slightly upwards while on males it tends to point more straight ahead or slightly downwards. Standard rhinoplasty procedures are generally used to feminize a masculine nose. Noses with a slightly concave “scooped” bridge are thought by many to look particularly feminine. Additional maneuvers also address nasal width, nasal profile, and nasal tip characteristics for further refinement.

Cheek Augmentation

Females have a more forward and higher projection in their cheekbones as well as fuller cheeks overall. Additionally, cheek fullness is perceived as exotic and associated with youth and happiness. Today, with the advances in filler technology, there are many options available for cheek augmentation in addition to traditional implants. Furthermore, fat transfer is becoming more and more frequently used for facial augmentation.

Lip Contouring

Feminine lips are more striking than masculine lips. For instance, the female nose is usually shorter, the vertical height of the red lip is usually fuller, and there is a mild show of the front teeth in a relaxed female mouth. When considering feminizing male lips, one first must consider the distance of the nose to the lip, followed by the lip fullness, and finally by lip shape. The distance of the upper lip to the nose is shorter in females rendering a lip lift an effective treatment for feminization. Additionally, lip volume and shape may be further refined and enhanced with augmentation of areas of deficiency with office-based, injectable fillers or fat grafting.

Chin and Jaw Contouring

Males chins tend to be taller with a squared flat base compared to female chins which tend to be shorter and rounded. The chin height and prominent flat corners can be softened by bone grinding or ‘sanding’. Additionally, sanding can be performed on the entire jaw to decrease the prominence while neck liposuction can improve and sharpen the neck angle.

Adam’s Apple Reduction

Males tend to have a much more prominent Adam’s apple when compared to that of females. Due to it’s important function, the Adam’s apple can be reduced and softened but not completely eliminated. An Adam’s apple reduction, also known as a ‘tracheal shave’, can be performed simultaneously with other neck procedures to further soften and feminize the neck.

View Before & After Photos Here