Facial Feminization Surgery is a set of surgical procedures designed to soften and modify facial features perceived as masculine, exaggerated or non-harmonic, and which, therefore, are decisive in the visual identification of facial gender
- FFS SURGERY
- FFS: one surgical specialty, two indications. Facial Gender Confirmation Surgery (FGCS) and Facial Harmonization Surgery (FHS)
- Why Facial Gender Confirmation Surgery?
- A new concept in feminization: Bone Sculpture
- How to achieve better, long-lasting results?
- Our philosophy
- Treatment planning
- Special note from Dr. Capitán & Dr. Simon:
Within our website you will find detailed information about Facial Feminization Surgery (FFS Surgery) and related approaches known now as Facial Gender Confirmation and Facial Harmonization Surgery. Facialteam welcome you, appreciate your visit and encourage you to learn more.
FFS: one surgical specialty, two indications. Facial Gender Confirmation Surgery (FGCS) and Facial Harmonization Surgery (FHS)
The popularly known concept of FFS Surgery is, in fact, much broader than assumed, now sought by people of any gender. The techniques included in FFS are absolutely indicated, for example, in the case of cis females with unusually prominent foreheads or anyone with especially wide jaws. For such indications, the term employed is usually Facial Harmonization Surgery. To specify differences in objectives and also emphasize the functional importance, a more specific term may be used in the case of transgender women: Facial Gender Confirmation Surgery.
Why Facial Gender Confirmation Surgery?
From a very early age, people automatically recognize whether a face is categorized “male or female”, long before learning about gender differences. The perception of gender through facial features occurs in a single glance, involuntarily, and in western society is based on a largely binary (male or female) concept of identification. While other parts of the body can be hidden, camouflaged or exaggerated to appear more feminine, it is sometimes difficult to attain facial femininity without gender-affirming facial surgery. It is for this reason that an individual in the process of gender transition may seek this surgery with the objective of an easier integration within the family, in the workplace and society in general. FFS Surgery is generating considerable interest among trans feminine people who are often subject to discrimination, violence or worse. Modifying facial gender within the transition protocol is without doubt for some as important as hormone therapy and genital reconstruction.
THE BRAIN REGISTERS MILLIONS OF DETAILS AT THE FIRST GLANCE OF A PERSON… IN THAT SPLIT SECOND, A GENDER IS INVOLUNTARILY ASSIGNED
A new concept in feminization: Bone Sculpture
Worldwide, only a small number of centers are specialized exclusively in Facial Feminization Surgery. In recent years the facial skeleton has been treated almost exclusively by maxillofacial or craniofacial surgeons. Improvements in surgical procedures and approaches to the facial bone complex have allowed remarkable results in these two specialties. The ability to transfer innovative techniques to the field of FFS Surgery allows us to directly modify the bone shape with increasing predictability. The effects of bone sculpture are carefully calculated and permanent, which guarantees our results over the long term.
How to achieve better, long-lasting results?
The soft tissues (skin, fat, muscle) are exposed to numerous agents of change such as muscle relaxation, liquid retention, gravitational effects, loss of elasticity, etc. Environmental stress, health and aging make it difficult to predict the results surgery on soft tissues over the long term. On the contrary, the facial skeleton is not subject to the same change vectors as those mentioned above, meaning that surgical modifications will remain largely unchanged over time. Considering this advantage and with an understanding of the principal differences between male and female facial skeletons, we are able to redefine a human skeleton to achieve a more harmonious and more feminine face.
Generally speaking, the male facial skeleton has some well-defined features that distinguish it from its female counterpart. The basic pillars for the visual identification of facial gender are the forehead area; the nose and the lower jaw and chin area. Other aspects, structural and not, can also influence this identification, such as the Adam’s apple, hairline format, cheekbones, the upper lip, facial hair, skin type and quality, and the distribution of facial fat.
Facialteam’s philosophy is based on the individualization of each treatment. Each face requires a different series of procedures in order to achieve a unique, more harmonious and feminine look. FFS is much more than just employing the correct procedure; it is understanding the global relation of all facial features within the frame of gender traits and how specific changes will affect your overall look.
THE KEY TO ACHIEVE HIGHLY SATISFACTORY RESULTS IN FFS OCCURS AFTER METICULOUS PLANNING AND THE APPROPRIATE CHOICE OF TECHNIQUES BEST SUITED TO THE NEEDS AND OBJECTIVES OF THE PATIENT
There is no strict protocol of action as each feminization is unique. The election of procedures adapted to each type of face will determine the final result, aiming for a harmonious and feminine outcome. Normally, one facial area is identified as “primary”, which is the main focus of the personalized feminization surgery. After further facial analysis, secondary areas may then be suggested in order to optimize the final result. Any additional procedures, within the frame of realistic expectations, are considered after a careful global assessment by the surgical team. The idea is to help you develop clear ideas about which facial areas you would like modified.
TREATMENT PLANNING IS BASED ON A COMBINATION OF PHYSICAL ASSESSMENTS, 3-D CT SCANS, ANTHROPOMETRIC MEASUREMENTS, CLINICAL PHOTOGRAPHS, AND MOST IMPORTANTLY: THE SELF-EVALUATION OF THE PATIENT
Special note from Dr. Capitán & Dr. Simon:
We inform all patients interested in FFS that the surgical procedures carried out in this type of surgery have the multiple objective of harmonic, feminine and natural results. The treatment is not intended to modify the natural physiognomy of the face which would compromise the structural integrity or produce exaggerated changes. It is therefore essential that patients have realistic expectations of the objectives, limitations and outcomes of FFS. Likewise, we encourage you to reflect and seek professional counselling on the pending impact a significant facial change will have in their life. We believe doing so will thus positively influence the recovery and adaptation period of this important step in the transitional process.
If you are interested in learning more about facial feminization surgical techniques, please read our chapter on Facial Gender Confirmation Surgery in the most definitive book on transgender healthcare to date:
By Luis Capitán and Daniel Simón
In: Gender Affirmation: Medical and Surgical Perspectives
Editors: Salgado, Monstrey, Djordjevic
Thieme Medical Publisher, Inc.