What Do I Need for my Facial Feminization Surgery? Get Ready for my FFS.

Facial Feminization Surgery is sometimes a very important and transformative process for those going through a Gender-Affirming Transition. Achieving good results and a smoother recovery requires meticulous preparation, addressing both the physical and emotional aspects of Your Revelation Journey. This guide aims to provide a comprehensive, step-by-step checklist to empower you with the knowledge and resources necessary for a successful FFS experience.
What is FFS?
Facial Feminization Surgery – or as we call it, Gender Affirming Feminizing Facial Surgery – is not a singular procedure but a tailored combination of different approaches designed to soften masculine facial features that developed during puberty, creating a more harmonious and feminine appearance. Each patient’s facial structure is unique; therefore, a comprehensive consultation with a skilled surgeon is key to determining the most suitable procedures. Some of the most common procedures are Forehead Contouring, Rhinoplasty, Jaw and Chin Reduction, and Tracheal Shave or Adam’s Apple Reduction, among others.
How to Get Ready for My FFS?
Getting ready for surgery, especially in those cases where you travel abroad, extends beyond logistical arrangements; it should include improving your physical health, mental well-being, and understanding all the details of the surgical process. This will minimize risks, facilitate a smoother recovery, and align your expectations with realistic outcomes – creating an overall smooth experience.

How to Get Facial Feminization Surgery Outside of the U.S.
FFS Pre-Surgery Checklist
Medical Evaluations for my FFS
- Comprehensive Medical History: Providing a detailed account of your medical history, including any pre-existing conditions, allergies, and previous surgeries.
- Pre-Operative Testing: Undergo all required medical tests, such as blood work, electrocardiograms (ECGs), and imaging studies, to assess your overall health and identify potential risks.
- Surgical Clearance: Obtain clearance from your primary care physician or any relevant specialists to ensure you are medically fit for surgery.
Medication and Supplements for my FFS
- Medication Review: Discuss all current medications, including prescription drugs, over-the-counter medications, and herbal supplements, with your surgeon.
- Discontinuation of Blood Thinners: Stop taking blood-thinning medications, such as aspirin, ibuprofen, and certain herbal supplements, as directed by your surgeon, typically several weeks before surgery.
- Post-Operative Medication Plan: Obtain all prescribed post-operative medications and understand their dosage and administration.
How to Prepare my House for my Recovery After FFS?
- Dedicated Recovery Space: Create a comfortable and organized recovery space with essential supplies, such as pillows, ice packs, gauze, and prescribed medications.
- Assistance with Daily Activities: Arrange for assistance with daily tasks, such as cooking, cleaning, and transportation, during the initial recovery period if needed.
- Nutritional Preparation: Prepare soft, nutrient-rich foods and ensure access to adequate hydration resources to support healing.
Scheduling my FFS
- Adequate Recovery Time: Allocate sufficient time for recovery, including time off from work, social engagements, and other commitments.
- Reliable Support Network: Establish a robust support network of friends, family, or support groups to provide emotional and practical support.
- Transportation Arrangements: Plan for reliable transportation to and from surgical appointments and post-operative check-ups.
Emotional Preparation for my FFS: Managing Expectations For My Facial Feminization Surgery.
The emotional journey of FFS is as pivotal as the physical one.
- Therapeutic Support: Consider engaging in therapy or counseling to address pre-operative anxieties, manage expectations, and develop coping strategies.
- Community Engagement: Connect with support groups or online forums to share experiences and gain insights from individuals who have undergone FFS.
- Mindfulness and Self-Care: Practice mindfulness techniques, such as meditation and deep breathing, and prioritize self-care activities to manage stress and promote emotional well-being.
How To Heal Faster After My FFS?
A healthy lifestyle significantly contributes to effective healing.
- Balanced Diet: Maintain a balanced diet rich in essential vitamins, minerals, and protein to support tissue repair and immune function.
- Hydration: Ensure adequate hydration before and after surgery to promote healing and minimize complications.
- Smoking and Alcohol Abstinence: Abstain from smoking and alcohol, which can impede blood circulation and delay healing.
- Follow your doctor’s postoperative instructions.
A Checklist With All You Need For Your Facial Feminization Surgery Day!
Being meticulously organized on the day of surgery minimizes stress and ensures a smooth process.
What to Bring to the Hospital for my FFS
- Comfortable, loose-fitting clothing that is easy to put on and take off, especially through the head.
- Personal care items, such as toiletries, medications, and comfort items.
- Entertainment materials, such as books, music, or electronic devices.
Post-Operative Hospital Stay and Recovery.
- Final pre-operative assessment by the surgical team, including a review of medical history and surgical plan.
- The duration of the hospital stay varies depending on the extent of the procedures, typically ranging from one to two nights.
- Detailed post-operative instructions, including wound care, pain management, and follow-up appointments, should be provided.
FFS Frequently Asked Questions
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It does not affect your surgery but it is true that it can affect or intervene in the way you cope through the recovery. There are many emotions involved in a surgery, as well as with HRT. This is why it’s recommended to have emotional and mental stability before going into FFS. Waiting for the changes from HRT, letting it settle down and having good coping skills can for sure help through the post-operative journey.
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It is not required but you should’ve been for at least a year on HRT to have been able to see the physical changes. With that done, you can go on to choose the surgical procedures that most suit you and you’re happy with. But it is recommended to wait for those changes that hormones do before having FFS.
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If you are currently taking HRT medication, it doesn’t need to be suspended before or after surgery, as we will administer an antithrombotic agent to counteract the clotting effects of hormones.
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“Most patients report that post-surgery pain is mild to moderate, often comparing it to muscle soreness or a headache rather than discomfort.
Many patients find that basic pain relievers are sufficient after the initial days. If stronger medication is needed, your healthcare team will guide you on its safe use.
Now, it’s completely normal to experience some swelling and bruising after the procedure, with discomfort typically peaking within the first 48–72 hours before gradually easing.
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Bruisings may persist up until 6 months after surgery. In case of dark marks on the skin, you can use a depigmenting cream as well as sunscreen.
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“It is generally advised to cease smoking at least four weeks before surgery and abstain from alcohol for a minimum of two weeks to minimize complications.”
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“Recovery timelines vary, but a period of several weeks is typically required before resuming normal activities, with gradual reintegration.”
Having FFS at Facialteam
Planning FFS abroad can feel like a huge step, and we completely understand if you’re feeling a mix of excitement and nerves. But don’t worry – you’re not doing this alone. At Facialteam, we’re here to walk you through every part of the journey, making sure you feel supported, informed, and taken care of.
So, what can you expect when you choose to have your FFS with Facialteam? Let’s break it down step by step!
Your First FFS Consultation – Let’s Talk!
This is where it all starts! You’ll sit down with one of our FFS experts, and together, you’ll explore your goals, expectations, and the options that best suit you. We want to understand what you envision, and we’ll guide you through what’s possible.
If you visit us in person, you’ll also get a Virtual FFS—basically, a digital simulation of your potential results! It’s a great way to visualize your transformation and make informed decisions.
Time to Travel – Welcome to Spain!
When the time comes for your surgery, we want your arrival to be as smooth as possible. Whether you land in Málaga or Barcelona, we’ll help you with the logistics, so you don’t have to stress about getting to your hotel or the clinic. Just focus on yourself – we’ve got the rest covered.
(And yes, we love welcoming our patients in person. You’re not just another case for us; you’re part of the Facialteam family.)
Learn more about how Facialteam makes your FFS experience easier before your arrival!
Pre-Op Consultation – One Last Check-In
A few days before surgery, we’ll sit down again to make sure everything is aligned with your expectations. This is the perfect time to ask any last-minute questions or share any concerns. We want you to feel completely at ease and confident going into surgery.
Surgery Day – You’re in Good Hands
This is your day, and we know it’s a big one. Our advice? Take a deep breath and trust the process. Our team will be right there with you, making sure you feel safe, comfortable, and supported.
We know it can be emotional, but remember – you’ve prepared for this, and we’re here to take care of you.
Your Revelation Journey Starts Here!
At Facialteam, we go beyond standard post-op care to provide a personalized, science-backed recovery experience designed for your comfort and well-being.
Join our FFS specialists in a private consultation, share concerns, get Professional Feedback, and receive a personalized quote for your own unique case!
Recovery After FFS – Rest, Heal, and Let Us Take Care of You
After surgery, you’ll have time to focus entirely on healing while being looked after by our incredible Post-Op Team. They’ll be by your side, making sure your recovery is as comfortable as possible. Whether it’s medical care, emotional support, or just having someone to check in on you, we’re here for you.
Taking it easy in Spain while being surrounded by our caring team? Sounds like the best way to recover, don’t you think?
How Does It Feel To Have FFS? Facial Feminization Surgery Testimonials.
“Reading other reviews it feels like like I can just echo what others say – amazing staff, support all the way, every single small detail covered, clarity throughout the process, no surprises financial, or otherwise. Great recommendations around transportation and accommodation complete the feeling of “all-inclusive” service. Being transgender can be stressful at times, but at least if it goes to Facialteam they definitely take the stress out of this experience.”
“The care team were wonderful and attentive from start to finish, and the extras like acupuncture, massage and group psychotherapy really helped make the process of going through a major surgery smoother and less stressful for me. The grounds and location are a lovely, calm place to be healing.
Aside from their obvious skill, during the consultations, the surgeons were patient and I really had the feeling they were totally present, engaged and listening, and took time and great care to explain things, and provide realistic expectation management. This made such a different for reducing anxiety and increasing my trust in them.
A class act all round, thankyou!”
“I consulted and underwent a gender reaffirmation surgery at Facialteam, it was undoubtedly one of the best choices I have made in my life. The attention, the care, the professionalism of the surgical process, have undoubtedly been exceptional. I have no doubt that opting for their services is an experience that strengthens your own life process and in my case to reaffirm my gender identity.”
“Más allá de ser excelentes profesionales con una vocación y resultados asombrosamente perfectos, son también personas excepcionales cuyo trato te hace sentir como en casa. Además, fijaos en que si no fuera por un resfriado griposo que contraje en el tren al regresar, habría podido retomar mis tranquilas y caseras actividades normales ¡¡¡al día siguiente!!! Me siento profundamente agradecida, de verdad, a todo el magnífico personal que me atendió y cuidó, sin excepción, a todos, comenzando por mis atentas y eficientes coordinadoras clínicas y edecanes en Marbella y Barcelona, de lujo, Carmen, Patricia y Cristina, y continuando, pero especialmente, a los doctores Javier Gutiérrez y Jorge Masià. Y muy muy en especial a la profesional y entrañable enfermera Susana Sanz.”
Embracing Your FFS Journey with Confidence
Preparing for FFS is a very important process for many, and that demands careful planning, emotional resilience, and a comprehensive understanding of the surgical journey. By taking inspiration from this detailed guide, you can approach your surgery with confidence, ensuring optimal outcomes and a smoother recovery!