Surgical Facial Feminisation

Facial Feminisation Surgery (FFS) is a group of procedures designed to soften and refine facial features in a way that aligns with your gender identity. Surgery may involve targeted changes to the forehead, brow, nose, jaw, chin, cheeks, or other facial structures, depending on personal goals and anatomy.

FFS is highly individual and carefully planned to create balanced, natural-looking results while preserving facial harmony, function, and long-term wellbeing.

Procedures

  • Line drawing of a woman's side profile with arrows indicating skin tightening and lifting on the neck.

    Chin Reshaping

    The size, shape, or projection of the chin is adjusted to create a smoother, more proportionate appearance. The procedure may involve reducing, narrowing, or repositioning the chin bone to enhance facial harmony and soften the lower face.

  • Side profile of a person's face with a shaded area of the jawline indicating a surgical or cosmetic treatment area.

    Jaw Contouring

    The jawbone is reshaped to reduce width or prominence and create a softer, more tapered lower face. This involves refining the angles of the jaw to achieve a more feminine facial outline.

  • Illustration of a face with a focus on the mustache area, showing the placement of a mustache tattoo with arrows indicating the grooming direction.

    Upper Lip Lift

    The distance between the nose and upper lip is shortened to create a fuller, more defined, and youthful-looking lips. This contributes to a softer and more feminine appearance of the mouth area.

  • Illustration of a face with markings indicating forehead massage or facial treatment areas, with closed eyes and relaxed expression.

    Forehead & Brow Contouring

    The forehead and brow bone is reshaped to reduce prominence and create a smoother, more rounded contour. This procedure can also adjust brow position to achieve a more traditionally feminine upper facial profile.

  • Line drawing of a person's face with closed eyes and a detailed nose.

    Rhinoplasty

    Rhinoplasty reshapes the nose to refine its size, shape, or angle in proportion to the rest of the face. In FFS, the goal is often to soften nasal features while preserving natural structure and function.

Frequently Asked Questions

  • No. Hormone therapy is not required before facial feminisation (FFS). Some patients choose to have FFS before starting feminising hormones, while others may decide not to pursue hormone therapy at all. However, it may be recommended in some cases, as it can influence soft tissue changes and overall facial appearance. This will be discussed during consultation.

  • Yes. In line with WPATH guidelines, a referral letter (1) from a qualified professional is required before proceeding with FFS. This ensures the surgery is appropriate for you and that you are fully supported throughout your care.

  • Yes. Many patients choose to combine procedures during a single operation. This depends on clinical suitability, overall surgical time, and individual treatment planning.

  • Your treatment plan is developed following a detailed consultation and facial assessment. Recommendations are based on your facial structure, goals, and the procedures most likely to achieve balanced, natural-looking results.

  • You will be supported throughout your journey, including pre-operative assessment, surgical care, and structured post-operative follow-up up to one year after your surgery.

  • The cost of facial feminisation varies. Pricing depends on your individual treatment plan, including the procedure(s) you choose and your specific clinical needs. For this reason, an exact quote can only be provided after an initial consultation.

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