Top 6 FFS Surgeries Popular Among Transgender Females

 Transgender females who wish to live as women, but were assigned male sex at birth, usually opt for facial feminization surgery (FFS) to achieve a harmonious, aesthetic, feminine facial appearance. FFS encompasses every surgical intervention that aims to feminize the facial features- the nose, chin, lips, cheeks, and forehead, which typically look masculine. It is undertaken by transgender females for gender affirming purposes. The procedures for Transgender Facial Feminization Surgery in India that become a part of some transgender female during their facial feminization journey are decided based on the transgender needs and desired outcome.

 

Here are the top 6 facial feminization surgeries that are most sought-after by transwomen.

 

1. Feminizing rhinoplasty/nose job

 

The main focus of this surgery is to modify the masculine nasal features like substantial nose tip, a prominent nose bridge, a wide nose base, and an acute angle between nose and upper lip to create a more delicate, proportionate nose appearance. Using either an open or closed surgical approach, the surgeon performs techniques including dorsal hump reduction, narrowing of the nasal bone, tip refinement, and alar base reduction. The approach and technique are chosen by the surgeon based on the patient’s current nose anatomy, aesthetic goal and expectations of the patient, and the surgeon's preferences.

 

2. Forehead lowering/contouring

 

This surgery aims for forehead reduction/reshaping, hairline lowering, or scalp advancement to create a softer, smoother, and more rounded forehead like that of a typical female. It modifies the masculine forehead features like a prominent brow ridge, wider/higher forehead, and backward sloping brow line. The surgeon uses either an open approach (with scalp or hairline incision) or a minimally invasive, endoscopic approach to reshape the frontal bone and advance the hairline of the patient.

 

3. Cheek augmentation

 

This surgery aims to volumize and redefine the cheeks with osteotomy, cheek implant, or fat grafting, and create a heart or oval-shaped feminine face. It modifies the masculine cheek features like raised, more angular, prominent cheekbones, giving a leaner mid-face and more sculpted, chiseled cheeks due to lack of fat pads/fullness. Solid cheek implants are placed through oral incision to permanently augment the cheekbones, osteotomy is done to cut and reposition the cheekbone and sculpt the cheek, and autologous fat grafting is executed to volumize and contour the cheek. Sometimes, buccal fat pad removal is also done to further improve cheekbone definition.

 

4. V-line jaw shaving

 

This jaw reduction surgery focuses on reshaping or shaving down the excess jawbone to reduce the jaw width and prominence and create a more tapered “V-shaped” jawline. It involves chin reshaping, where the chin is shifted forward and reduced in size. The surgeon provides the seamless, feminine curve to the patient's jawline by smoothing the transition from the patient’s cheekbones to the chin. Sometimes, the surgeon includes masseter muscle reduction in the operation to further slim the lower face. Overall, the surgery modifies the masculine jaw features- the robust, square jaw to produce a softer, more rounded jawline.

 

5. Feminizing blepharoplasty

 

In this surgery, the extra skin, fat, and muscles from heavy and drooping upper eyelids and/or prominent lower eyelid bags are removed to create a more open, expressive, and rejuvenated eye, which are the typical traits of female eyes. The surgeon even modifies the eyelid crease, which is positioned lower and is less prominent in the patient.

 

6. Feminizing lip surgery

 

This surgery involves surgical techniques lip lift, lip augmentation, and lip contouring to make lips align with a more feminine aesthetic. The surgeon modifies the masculine lip features- the flatter, thinner, and wider lips positioned far below the base of the nose and having less defined Cupid’s bow. With lip lift using the bullhorn technique, the surgeon reduces the distance between the upper lip and base of the nose up to the extent featured in a typical female face. As females have fuller and voluptuous lips, the surgeon performs lip augmentation using fillers or fat grafting. Lastly, the surgeon creates a more pronounced Cupid’s bow and redefines the vermilion border by refining the lip shape.   

 

For more information on any of the above-briefed surgeries or to avail FFS benefits for yourself, consult Dr. Parag Telang, a reputed and Best Surgeon for Facial Feminization Surgery in India.

 

Along with performing facial feminization surgeries, he also specializes in breast and body contouring procedures for people looking for body feminization procedures. Book an appointment for further details on these procedures with Dr. Parag Telang.