The Importance of Facial Feminization Surgery

While facial feminization surgery does not receive as much attention as the breast/chest and genital reconstruction surgeries that take place in a transgender patient’s transformation, trans women often report that the changes to their faces are the most important part of the process, from an aesthetic point of view.

When you first see yourself in the mirror each day, you generally see your face first. Also, your face is often the first thing that people associate with you. In MTF patients who began to experience gender dysphoria as younger children, the disorientation between feeling different from the face that they see in the mirror has been a source of confusion and frustration for their entire lives.

This is why facial feminization surgery is such an important part of the MTF transition process. In general, women have higher eyebrows and a flatter forehead than men. Their chins have a sharper point, and their noses are less prominent than men’s are. This means that there can be a number of procedures that go into changing an MTF patient’s face so that it more closely resembles the patient’s self-image.

Studies have shown that MTF patients who undergo facial feminization surgery as part of their transition have more positve mental health outcomes after the process than those who do not. These procedures help trans women integrate more effectively into society and notice their gender dysphoria easing.

Each patient is different, but there are some common procedures that many MTF patients opt to include in their facial feminization surgery protocol. For example, a procedure known as a tracheal shave reduces the size and protrusion of the Adam’s apple. Some biological men have smaller Adam’s apples, but many men have one that sticks out noticeably, and so undergoing this procedure reduces the size. Biological men tend to have taller and wider jaws, with a sharper corner in the rear, and so jaw contouring can alter the shape and soften that corner.

Because women tend to have higher eyebrows and flatter foreheads, there are procedures that lift the brow line and then grind or shave down the brow line bones, so that the forehead and brow look more feminine. A woman’s nose is generally narrower and smaller than a man’s, and rhinoplasty can alter a man’s nose accordingly. Implants in the cheek and chin are sometimes necessary to create that rounder look. Because men tend to have higher hairlines, some facial feminization surgery plans include bringing the scalp forward or using hair transplants to bring the line forward. has listings and reviews for facial feminization surgery providers, as well as more information about the whole transgender MTF transition process. Many people avoid going through the process simply because of anxiety or nervousness, but the technology is in place for safe and effective facial feminization surgery — as well as the other procedures that help many patients each year complete transitioning from a man to a woman.