Facial Feminization Surgery (FFS)

Also known as a tracheal shave, Adam’s apple reduction minimizes the prominence of the thyroid cartilage. A small incision is typically made under the chin or in a natural neck crease, allowing the surgeon to shave down the cartilage and create a smoother, more feminine neck contour to minimize gender dysphoria related to the throat and profile view.

Blepharoplasty, or eyelid surgery, focuses on rejuvenating the eye area. For facial feminization, the goal is often to create a softer, more open expression. This may involve removing excess skin or fat from the upper and/or lower eyelids and addressing puffiness, drooping, or under-eye bags. The result is a refreshed appearance that complements other feminizing features.

A brow lift elevates the eyebrows to a higher, more arched position—typically associated with feminine facial anatomy. The procedure also smooths horizontal forehead lines and reduces heaviness over the eyes. There are multiple brow lift techniques available, and your surgeon will select the most appropriate method based on your hairline, skin quality, and goals.

High, full cheeks are often considered a hallmark of feminine beauty. Cheek augmentation enhances this feature by using either facial implants or fat grafting to add volume and contour. This creates a lifted, youthful appearance and contributes to the softening of facial structure. The procedure is tailored to each patient’s natural cheekbone for balanced, elegant results.

Chin and jaw contouring involves reshaping the lower face to reduce angularity and create smoother, more refined lines. This may include reducing the height, width, or projection of the chin, softening the jawline, or both. Bone reshaping tools and precision contouring techniques help achieve a more tapered, traditionally feminine profile while maintaining facial harmony.

Forehead contouring, or frontal bone reduction, addresses one of the most gender-signifying areas of the face. Masculine foreheads often have a prominent brow ridge (supraorbital bossing), while feminine foreheads are smoother and more vertical. During this procedure, the bone is reshaped or recessed to reduce protrusion and create a more delicate silhouette.

Hairline lowering, also called forehead reduction surgery, adjusts the position of the hairline to reduce forehead height and enhance facial proportion. This is especially useful for individuals with a high or M-shaped hairline. The procedure involves making an incision along the hairline, then advancing it forward while preserving hair follicles and minimizing visible scarring.

A lip lift shortens the space between the nose and the upper lip (the philtrum), which tends to be longer in masculine anatomy. This procedure enhances the visibility of the upper teeth and gives the lips a fuller, more youthful shape. Lip reshaping can also involve direct lip augmentation with fat grafting or fillers for additional volume and definition.