Facial Feminization Surgery

ART Surgical and Dr. Angela Rodriguez provide trans women in San Francisco and across the country with gender-affirming care. Dr. Rodriguez talks to each patient to learn what they want for their facial feminization surgery. Then, she makes a personalized plan for them that may include both surgical and non-surgical options.

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What is Facial Feminization Surgery?

Facial feminization surgery includes several procedures that make the face more feminine. These procedures can include forehead contouring, adjusting the hairline or a tracheal shave. Other procedures include eyelid surgery, nose reshaping, facelift, lip enhancement, and more.

To align their physical appearance and gender identity, transgender individuals often start with hormone therapy. Feminine features can be further enhanced through facial feminization surgery.

Dermal fillers, Botox, and facial feminization with makeup or prosthetics are temporary. However, feminizing facial surgery permanently alters facial features.

Facial Feminization Surgery Options

Hairline Advancement:

This procedure shortens the forehead for a delicate, feminine look.

Frontal Sinus Setback:

The anterior wall of the frontal sinus is receded to soften the face's bone structure.

Rhinoplasty:

As one of few gender surgeons who are active members of the Rhinoplasty Society, Dr. Rodriguez has a unique philosophy and approach. She performs endonasal or closed rhinoplasty. This procedure reduces trauma and swelling and creates more predictable results than traditional rhinoplasty.

Forehead contouring:

Reshaping the ridges and orbital rims of the masculine forehead create a smoother, rounder appearance.

Lip Lift:

Upper lip reduction and mouth corner lifting can make a smile more feminine.

Lip Augmentation:

Lip augmentation can be done with dermal fillers, fat transfer, or customized lip implants.

Genioplasty:

The chin can be moved forward, backward, or side to side. It can also be made shorter, longer, narrower, or wider depending on the patient's desired outcome. Adjustments can be made by fat transfers, dermal fillers, silicone chin implants, or reshaping of the bone.

Mandible Contouring:

By rounding the jaw and redefining the chin, mandible contouring makes a face more feminine.

Tracheal Shave:

Tracheal shaving reduces Adam's apple cartilage for a more feminine neck.

Neck Liposuction:

Fat can be removed to reshape the chin and neck.

Facial Fat Transfer:

Fat is taken from other parts of the body and used on the lips, cheeks, temples, and forehead.

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Planning for Surgery

At ART Surgical, our team is dedicated to fully preparing you for your facial feminization procedures. We will provide you with all the necessary information and address any questions or concerns you may have.

We recommend a couple crucial steps ahead of your surgery. First, contact your insurance provider to understand your coverage. Second, ask a friend or family member to accompany you to your surgery and drive you home afterward. On the day of, we will notify your designated point person of your progress once you are ready for discharge. We will then release you into the care of your friend or family member and go over care instructions with you.

Learn about the process to begin your surgical journey, including letters of support from mental health providers.

Our primary goal is to make your surgical experience as comfortable and successful as possible. We are here to support you every step of the way.

What to Expect During Recovery

Recovery from facial feminization varies by procedure. Surgery often causes tenderness, bruising, and swelling. Dr. Rodriguez and ART Surgical will manage pain and post-op care. We'll help you adjust to daily life as you heal. As you recover, Dr. Rodriguez will discuss next steps in your transformational journey.

Each patient is on their own transformation journey with Dr. Rodriguez as their guide. If you'd like to see before and after photos of facial feminization surgery, click below.

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Compassionate Gender-Affirming Care with Dr. Angela Rodriguez

Patient Stories

It was part of her journey to developing her identity. One patient knew she needed a doctor to help bring out the features she loved in her face without losing her unique physical attributes. She also knew she needed a transgender plastic surgeon who would listen rather than make decisions for her. Watch her story.

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To learn more about the procedures for facial feminization and how Dr. Angela Rodriguez and her team will guide you through the process, book a one-on-one consultation.