The Philosophy behind today’s Best Facial Feminization Surgeons

While the fields of facial feminization surgery and gender identities are relatively young, the concept of facial gender or sexual dimorphism has been studied for centuries.

This has its benefits, but it has also resulted in several widely held misconceptions about what makes a face feminine and how to feminize a masculine face. The best facial feminization surgeons today have challenged these misconceptions by presenting advancements in the field of FFS (facial feminization surgery) and real-life feminization. Nevertheless, there much debate on the topic as it evolves over time. Frequent areas of contention include the importance of the height of the forehead, size and sharpness of the jaw, combining beautification and even the problem of “over-feminising.”  Then, there is always the issue of subjectivity regarding both beauty and femininity as well differences due to ethnic traits.

Top FFS surgeons and facial gender theory

Fortunately, a handful of facial gender surgeons – among the best FFS surgeons in the world – have spent years elaborating on and exposing these assumptions, applied in real-life cases of trans women seeking to make their faces appear more feminine. Facial gender analyst Alexandra Hamer is an artist and virtual FFS expert who has over 15 years of experience digitally simulating facial feminization on photos of more than 1000 real faces. Her work has included participating in thousands of face-to-face consultations alongside Facialteam’s top FFS surgeons. She has devoted much of her time to researching the concept of facial sexual dimorphism from the ground up and publishes her findings about what constitutes the best feminization theory on her website.

Here, we’ve summarized some of her most important findings, which are key to understanding how today’s best FFS surgeons approach their craft (as you will see, this is as much an art as it is a science).

The best facial feminization surgeons see “the big picture”

First and foremost, Hamer emphasizes the importance of looking at the big picture rather than seeing the face as a collection of small details that operate independently. The truth which top FFS surgeons understand is that many facial features are so closely interconnected that trying to feminize them without looking at the broader context and proportions of the face will almost certainly lead to less than satisfactory results. Having a global approach is an essential quality shared by the best FFS surgeons.

Interestingly, recent studies on the effects of HRT on the facial features of trans patients (either masculine and feminine) has now given a scientific base to a theory of best FFS practices she has upheld for a decade.

Her research also highlights the crucial difference between what is “technically masculinizing” and what actually seems masculine to the human brain. Without taking a big picture approach the way the best FFS surgeons do, it is possible for patients and doctors to focus obsessively on a particular feature that, in the grand scheme of things, doesn’t actually make a significant difference.

Not all masculinities require FFS surgery

Another key finding in Hamer’s research is the relative subjective importance of different masculine traits – in other words, the traits which the human brain instinctively registers as being gender markers, and those which do not significantly affect our perception of a person’s gender. For example, she has found that the jaw, a very common target in conventional FFS surgery, is far less important for facial femininity than, say, chin shape.

Understanding which facial features are truly masculinizing (as opposed to those which are technically masculine) allows the best feminization surgeons to provide much more natural results and save the patient from unnecessary surgeries.

The philosophy of today’s best facial feminization surgeons

The best facial feminization surgeons today have set aside the old paradigms and separated the concepts of beautification and feminization in a highly personalized approach that assesses each patient’s face as unique – because it is.

Top FFS surgeons know now that there is no “one size fits all” facial feminization method; however, it is true that every face has an underlying femininity. As Hamer points out in her research, male and female faces are essentially indistinguishable before puberty. During puberty, hormonal changes trigger the addition of masculinizing traits in adolescents assigned male at birth, while the feminine faces of AFAB teens remain relatively unchanged.

The ultimate goal of FFS surgery, then, must be to “eliminate the masculine” to reveal the feminine face that is already there. In this way, the best facial feminization surgeons are able to help their patients achieve the most natural results possible through the ideal plan for each individual, be it an aggressive or subtle approach, as required. You should still be you, and your face should still be your face – just the feminine version of your face, the one that you should have had all along.

Keep these points in mind as you search for your ideal provider among the world’s top FFS surgeons. Whether you are looking for the best FFS surgeons in the US, UK or abroad, they should be knowledgeable about the latest findings in facial gender theory and the best feminization techniques. Your face is an ensemble that is, as they say, more than just the sum of its parts, and it needs to be approached accordingly.

Patient Relations Manager Lilia Koss, presentator of Lilia's Livestreams
About the author

Hello world! My name's Lilia Koss! With a background in humanities and diverse professional experiences, I've accumulated 11 years now working in the field of trans healthcare. Involved from the ground up when the business idea was just a seed within a clinic until it gradually transformed into the main focus of our activity. Like any startup, I have had hands in many pots: from workflows, customer journeys, social media, public relations, customer service, sales and coordination, content, web... Now life is more defined. Lately, I focus my energies on Public Relations, Social Media and copywriting of quality for our target during my day-to-day. Plus, the organization of annual educational orientation events around the world aimed at raising visibility of gender-affirming healthcare. Life is pretty complete.