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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 (ffs). 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 creates a feminine face. These surgical 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 and facial feminization with makeup or prosthetics are temporary. However, feminizing facial surgery permanently alters facial gender features.

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Facial Feminization Surgery Options

Dr. Angela Rodriguez has performed over 3,000 major craniofacial surgeries in her career. She meets with each patient to discuss their goals, expected outcomes, and personalized transgender health plan. The following may be part of the facial feminization strategy:

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Hairline Advancement:

This procedure lowers the hairline to reduce forehead height and create a more balanced look. By moving the hairline forward, the face appears shorter and more proportionate. The result is a smoother transition between the forehead and hair, creating a more feminine appearance.

Frontal Sinus Setback:

During a frontal sinus setback, the front wall of the sinus bone is gently reshaped and moved back. This helps reduce the prominence of the brow area, softening the overall facial profile. The procedure creates a smoother forehead that aligns with feminine facial features.

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:

Forehead contouring focuses on reshaping the ridges and orbital rims around the eyes. By refining these areas, the forehead becomes smoother and rounder, reducing masculine angles. This procedure helps the upper face appear softer for a more feminine look.

Lip Lift:

A lip lift shortens the space between the nose and upper lip to make the lips look fuller. This change often enhances the smile and brings subtle femininity to facial expressions. Some patients also choose to lift the corners of the mouth for a balanced, softer look.

Lip Augmentation:

Lip augmentation enhances the shape and volume of the lips to create a natural, feminine appearance. Options may include dermal fillers, fat transfer, or customized lip implants, depending on individual goals. The result is a fuller lip contour that complements other facial features.

Genioplasty:

The chin bone 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:

Mandible contouring reshapes the jaw and chin to reduce angular features and create a more delicate appearance. Dr. Rodriguez refines the lower jawbone to achieve softer lines that align with feminine features. This procedure helps bring balance and smoothness to the lower face.

Tracheal Shave:

A tracheal shave reduces the size of the Adam’s apple by carefully removing excess cartilage. This creates a smoother neck and helps achieve a more feminine profile. The incision is typically small and discreet, resulting in minimal visible scarring.

Neck Liposuction:

Neck liposuction removes excess fat under the chin bone and soft tissues to improve facial definition. This procedure can refine the jawline and enhance balance to create a more graceful appearance. It’s often combined with other facial surgeries for a cohesive result.

Facial Fat Transfer:

In a facial fat transfer, small amounts of fat are taken from other areas of the body and carefully injected into the face. This adds natural volume to areas like the cheeks, lips, temples, and forehead. The result is a softer, fuller look that complements facial feminization goals.

Other Trans Women Procedures
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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.

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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.

Before & After Photos
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Compassionate Gender-Affirming Care with Dr. Angela Rodriguez

Patient Stories

ART Surgical aims to make a positive impact on our patients' lives through compassionate care. Each patient is on their own transformation journey with Dr. Rodriguez as their guide. Listen as our patients share the meaningful impact of our services in their own words.

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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.

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Facial Feminization Surgery FAQ

How Much Does Facial Feminization Surgery Cost?

The cost of facial feminization surgery varies widely. It depends on factors like the procedures required, the surgeon's expertise, and location. On average, it ranges from $10,000 to $50,000. The cost could increase if you choose to have more than one type of operation. It's best to consult with a qualified surgeon for a personalized quote. Insurance coverage also varies. Check with your provider for potential coverage.

Is Facial Feminization Surgery Covered By Insurance?

Insurance coverage for facial feminization surgery depends on your insurance plan, the specific procedures needed, and your insurance company's policies. In some cases, specific components of these procedures may be covered if they are deemed medically necessary.

It's essential to review your insurance policy or contact your insurance provider directly to understand what is covered and what requirements must be met for coverage. Additionally, working with healthcare providers who have experience navigating insurance coverage for transgender-related healthcare can help you determine your options.

How Long Does Facial Feminization Surgery Take?

The time of facial feminization surgery depends on the procedures involved and individual factors. It can take anywhere from a few hours to several hours. Your surgeon can provide a specific estimate based on your needs and goals.

How Long Does Facial Feminization Surgery Take to Heal?

Healing time after facial feminization surgery depends on the specific procedures, your body's healing abilities, and other factors. Initial swelling and bruising will heal within the first few weeks after surgery. Complete healing can take several months to a year. Most individuals can expect to see significant improvement in their appearance within the first few weeks to months, with final results becoming more apparent 6 months-1 year after surgery. Follow your surgeon's post-operative care instructions and attend follow-up appointments for the best healing and results.

What Happens During Facial Feminization Surgery?

Facial feminization surgery includes procedures to feminize facial features. These may include forehead contouring, brow lift, rhinoplasty, cheek augmentation, lip lift, jaw reduction, chin reshaping, and Adam's apple reduction. During surgery, incisions are made to reshape bone and soft tissue. The specifics of the procedures depend on your facial anatomy and desired outcomes.

Is Facial Feminization Surgery Worth It?

For many transgender individuals, facial feminization surgery can be incredibly impactful. Benefits include improved self-confidence and matching physical appearance with gender identity. Undergoing these procedures is a personal decision. Factors like cost, recovery time, and your goals should be considered. Consulting with healthcare professionals can help determine if it's the right choice for you.

How Painful Is Facial Feminization Surgery?

After facial feminization surgery, discomfort levels vary. While some may experience minimal pain, others may have more discomfort. Surgeons use anesthesia during surgery to minimize pain. Afterward, swelling and bruising are common but can be managed with pain medication and proper care. Recovery experiences differ for everyone. At ART Surgical, we provide personalized aftercare support, including medication management and follow-up appointments, to ensure a smooth recovery and optimal results.