Aesthetic Facial Feminization Surgery

Rejuvenation Procedures

Rejuvenation Procedures are tailored to breathe new life into facial features, addressing signs of aging, fatigue, or stress. These treatments focus on revitalizing the skin and underlying tissues, promoting a youthful and radiant appearance. Whether it’s enhancing skin quality or minimizing wrinkles, rejuvenation procedures help you put your freshest face forward.

Endoscopic Brow Lift

This thoughtful surgical procedure is designed with your well-being and beauty in mind, targeting the natural aging process that affects the upper third of the face. Over time, the delicate eyebrows may descend, leading to a surplus of skin on the upper eyelid, which can change the warmth and expressiveness of your gaze.

Our approach is gentle yet effective, as we carefully lift and reposition the eyebrows and remove the unnecessary skin from the upper eyelid. The procedure is skillfully executed through 3 or 4 minor incisions in the scalp, each around 2cm, artfully concealed within the hair. The result of an upper blepharoplasty is a more youthful, refreshed appearance, with a scar tactfully hidden in the natural fold of the upper eyelid.

• Duration: Approximately 2 hours.
• Anesthesia: Administered under general anesthesia.
• Stay in Hospital: Outpatient procedure.
• Stay in Spain: Plan for 12 days to ensure a smooth recovery.
• Recovery: Expect to take 1 week off work. A temporary bandage will be worn for 24-48 hours, and we provide nurturing care with epithelializing ointment and artificial tear treatment in the initial days following surgery. This aids in temporary post-surgical adjustments and ensures that your healing process is as comfortable and swift as possible.

Eyelid Rejuvenation (Blepharoplasty)

Our specially tailored eyelid rejuvenation procedure enhances the natural beauty of your eyes by skillfully removing excess skin from both the upper and lower eyelids. Additionally, we redistribute periorbital fat to achieve an overall youthful appearance. Crafted with meticulous care, we employ small incisions in the scalp, thoughtfully hidden in the hair. Both upper and lower blepharoplasty procedures leave the scars concealed in the natural eyelid folds, and we often perform the lower blepharoplasty through an invisible incision in the inner part of the lower eyelid (transconjunctival).

• Surgery Duration: 3 hours.
• Anesthesia: General anesthesia for optimal comfort.
• Stay in Hospital: Outpatient procedure.
• Stay in Spain: Plan for 1 week to ensure a smooth recovery.
• Recovery: Expect to take 1 week off work. A temporary bandage will be worn for 24-48 hours, and we provide nurturing care with epithelializing ointment and artificial tear treatment in the initial days following surgery. This aids in temporary post-surgical adjustments and ensures that your healing process is as comfortable and swift as possible.

Mid-face Lift

As age transforms the delicate eye region, it often results in drooping tissues and a loss of volume in the mid-face. Our bespoke mid-face lift procedure aims to lovingly reposition these tissues below the eye and replenish the volume that has gracefully been lost over time. Performed with an invisible incision inside the eye (transconjunctival) and complemented by upper and lower blepharoplasty and personal fat grafting, we lift the tissues to the orbital rim using precise sutures, securing a lasting and radiant result.

• Duration: 3 hours.
• Anesthesia: Administered under general anesthesia.
• Stay in Hospital: Outpatient procedure.
• Stay in Spain: 12 days for a smooth and attentive recovery process.
• Recovery: Allow 2 weeks, considering some swelling, bruising, and infraorbital paresthesia.

Deep Plane Face or Neck Lift

Embracing the natural changes aging brings to the face, our deep plane face or neck lift procedure focuses on repositioning sagging tissues towards the jaw and neck areas and authentically restoring facial volumes using your own body’s fat grafting. Our highly skilled approach involves hidden incisions in and behind the ear, extending toward the scalp, and possibly a small incision below the chin. This surgical artistry tightens the deep plane (SMAS, platysma), removes excess skin, and harmoniously complements your features with personal fat grafting.

• Duration: 3-5 hours.
• Anesthesia: Administered under general anesthesia.
• Stay in Hospital: Maximum 1 night if required.
• Stay in Spain: 15 days for a serene recovery.
• Total Recovery: Drainage tubes for the first 24 hours. Allow 2 weeks off work. Suture removal in two stages (after 7 & 12 days). A chin strap/facial mask will be part of your healing experience.

MiniLift

Even without the presence of prominent wrinkles, aging graciously affects the facial contours by causing tissue drooping and volume reduction. Our personalized MiniLift procedure gently repositions the sagging tissues towards the jaw and neck, replacing facial volumes with your body’s own fat. The method involves limited incisions, hidden artfully in and behind the ear, and extends towards the scalp. This refined surgery tightens the deep planes (SMAS, platysma) and eliminates excess skin, all while enhancing your inherent beauty with personal fat grafting.

• Duration: 4 hours.
• Anesthesia: Administered under general anesthesia.
• Stay in Hospital: Outpatient procedure.
• Stay in Spain: 15 days to ensure complete and compassionate recovery.
• Total Recovery: Plan for 2 weeks, with the supportive guidance of wearing a chin strap/facial mask. Suture removal is performed in two stages to promote graceful healing.

Contour Refinement Procedures

Contour Refinement Procedures are designed to sculpt and define the face’s natural lines and curves. By subtly altering the shape and alignment of certain facial features, these procedures can harmonize your appearance, bringing balance and elegance. If you seek precision and artistry in enhancing your natural beauty, contour refinement is the path to a more defined and graceful you.

Neck Lift

This procedure is indicated for a patient who only presents an excess of skin and soft tissue in the submental (double chin) area. It aims to better define the jawline and eliminate excess tissue. This involves creating a submental scar to be able to tighten the deep tissues and remove the fat under the chin. It sometimes also includes submandibular and submental liposuction.

• Duration: 2 hours.
• Anesthesia: Administered under general anesthesia.
• Stay in Hospital: Outpatient procedure.
• Stay in Spain: 12 days to ensure complete recovery.
• Total Recovery: Plan for 2 weeks, with the supportive guidance of wearing a chin strap/facial mask. Suture removal performed after 7 days.

Neck Liposuction

Neck liposuction eliminates the excess fat under the chin. As a result, the transition between your lower jaw and neck becomes more defined. We perform this with a fine blunt cannula by creating micro-incisions below the chin and earlobes, then gently suctioning out fat deposits. For some patients, we can count on the help of FaceTite®, a high-intensity localized radiofrequency that may help to tighten the skin and soft tissues and reduce fat volume.

For three to four weeks post-operation you will need to wear an elastic chin mask to ensure that swelling is reduced and soft tissues heal correctly. During this time the chin mask promotes elasticity in the area.  

• Duration: 60 minutes.
• Anesthesia: Administered under general anesthesia or sedation
• Stay in Hospital: Outpatient procedure.
• Stay in Spain: no additional stay required
• Total Recovery: 1 week

Volume Adjustment Procedures

Volume Adjustment Procedures involve altering the fullness of specific facial regions to achieve a desired aesthetic effect. Whether it’s adding volume to hollow areas or reducing bulk where needed, these treatments provide the means to create a harmonious facial balance. Through the skilled use of techniques like fat distribution or reduction, volume adjustment can provide a customized facial contour tailored to your unique needs and goals.

Bichectomy (Buccal Fat Pad Removal)

This procedure targets the Bichat (buccal fat pad), a fat deposit located in the cheeks, which in combination with the buccinator and masseter muscles, can create a rounder face. Through a tiny incision of about 5 mm inside the mouth, the buccal fat pad is safely removed, resulting in a more refined cheek appearance. The scar is invisible, and the full effect of cheek reduction is achieved within a year.

• Duration: 60 minutes
• Anesthesia: Administered under local anesthesia
• Stay in Hospital: Outpatient procedure.
• Stay in Spain: no additional stay required
• Total Recovery: 24 hours

Facial Lipo Feminization

This advanced procedure redistributes fat to enhance the femininity of the face, adding volume to areas like the cheeks, periorbital regions, and lips. Utilizing your own body fat, the treatment ensures compatibility and can significantly improve skin quality. Techniques such as microfat and nanofat grafting offer rejuvenation and personalized aesthetic results. Performed under general or local anesthesia, FLF creates a fuller, more feminine appearance, using state-of-the-art techniques developed over the past 20 years. To learn more about this transformative procedure, please refer to article Facial Lipo Feminization: Enhancing Femininity Through Advanced Fat Grafting.

• Duration: 60 minutes
• Anesthesia: Administered under general anesthesia.
• Stay in Hospital: Outpatient procedure.
• Stay in Spain: 4 days to ensure complete recovery.
• Total Recovery: 1 week

Otoplasty (Ear Pinning)

It is very common for elder trans patients to have large ears that are not in proportion with the rest of the face. The otoplasty procedure is designed to correct protruding ears by modifying their size and shape. A hidden incision is made behind the ear to remove excess cartilage, achieving optimal facial proportions. The procedure can also include earlobe reduction to further refine the ear size, resulting in a more youthful and feminine appearance, as men’s ears are typically larger.

• Duration: 1 hour per ear, total time of surgery 2 hours.
• Anesthesia: Administered under general anesthesia.
• Stay in Hospital: Outpatient procedure.
• Stay in Spain: 1 week to ensure complete recovery.
• Total Recovery: 1 week