What to know about Facial Feminization Surgery

By: Dr. Paul Mittermiller, craniofacial plastic surgeon specializing in gender-affirming facial surgery at Align Surgical Associates

What is facial feminization surgery? 

Facial feminization surgery (FFS) encompasses a range of procedures designed to soften and feminize the facial features of transgender women and nonbinary and gender-diverse individuals. The goal is to enable patients to live as their most authentic selves. FFS can involve reshaping the forehead, brows, nose, cheeks, lips, and chin to create a more feminine facial structure.

What makes someone a good candidate for this procedure?

Good candidates for FFS are trans women or gender diverse individuals whose embodiment goals are to feminize their facial features. They should be in good overall health, non-smokers, have realistic expectations, and understand the risks and recovery time involved with surgery. A consultation with your surgeon can determine if FFS is right for your unique anatomy and goals.

What are the risks/benefits?

As with any surgery, facial feminization does carry some risks, including bleeding, infection, numbness, scarring, or dissatisfaction with results. However, in the hands of an experienced surgeon, major complications are rare. The benefits can be life-changing – improving mental health and quality of life.

What can someone do to prepare for facial feminization surgery? What can one expect post-op?

To prepare for surgery, patients should be close to their ideal body weight, eating a healthy diet, avoiding blood thinners, and arranging for a caretaker to help during the initial recovery. Your surgeon will provide detailed pre-op and post-op instructions. Recovery varies based on the procedures performed, but most patients take at least 1-2 weeks off work and some will opt for 3-4 weeks. Swelling gradually resolves over several months, and the final results can take 6-12 months.

At Align Surgical, we believe transgender, nonbinary and gender diverse people deserve to experience the simple but profound dignity of living as their true selves. We provide compassionate, personalized FFS as part of our comprehensive gender-affirming surgical care. We are committed to excellent outcomes, innovation, and supporting patients throughout their transition journeys. With tailored FFS, our patients move forward with renewed confidence as the person they’ve always been.

To schedule a consultation, visit www.alignsurgical.com/contact/.

Learn more about Dr. Mittermiller at https://alignsurgical.com/dr-paul-mittermiller/

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