What is Nose Feminization Surgery?

A masculine nose before undergoing nose feminization surgery and the result of a more feminine nose after nose FFS Surgery.


Nose Feminization Surgery, often referred to as feminizing rhinoplasty or Nose FFS, is an umbrella term for those procedures involved in modifying the nasal features to have a more feminine appearance.

With feminization of the nose we aim to soften angles, refine proportions, and enhance overall facial harmony to align with feminine gender markers.

The features of the nose can be harmonized on several planes:

  • shape;
  • size;
  • contour.

All of them give the face a more typically feminine appearance.

Facialteam is the first FFS center to introduce ultrasonic techniques in rhinoplasties and have successfully performed over 1420 nose feminizations.

Our commitment extends beyond the operating room, as our dedicated research team continually contributes to scientific advancements in facial gender affirming surgery. This is why we have develop REVONose®, the Future of Nose Feminization Surgery available for our patients today.

Our philosophy revolves around providing top-quality care and achieving natural-looking results while ensuring your satisfaction and safety.

Am I a good Candidate for Nose Feminization Surgery?

Nose feminization surgery may be key to your global facial feminization result. It is often combined with a forehead reconstruction in order to create a smooth transition between the forehead and nose (frontonasal transition).

The procedure is often a vital part of the FFS process, which can help heighten confidence for people experiencing gender dysphoria. People with a wide bridge, large nostrils or other masculine traits may benefit from nose feminization. A rhinoplasty is effective in recreating more delicate facial features.


A feminizing rhinoplasty changes your facial appearance in response to the following goals.

  • harmonize your features for a more feminized look that matches your gender identity and expression;
  • reduce incidence of misgendering;
  • decrease level of gender dysphoria.

Oftentimes nose harmonization occurs alongside other procedures – mainly forehead, lower jaw and chin feminization.

Skin type can affect the results of a rhinoplasty. Skin thickness is a factor that can limit results for some patients. However, we offer free consultations to discuss the results you can achieve.

We aim for your rhinoplasty to be aesthetically pleasing, natural and stable. We address both soft tissues and bone structure for a feminine and attractive outcome, as you will read the procedure techniques below.

Facialteam surgeons are leaders in rhinoplasty for facial feminization.

What is involved in Nose Feminization Surgery with REVONose®?

Rhinoplasty (nose surgery) requires evaluation and personalization to your bone structure and cartilaginous structures. Our approach protects the areas prone to collapse (tip and dorsum) by reinforcing them with cartilage grafts. This helps prevent undesirable shifts during the long-term healing process.

Since 2015, Dr. Raúl Bellinga has used specially adapted ultrasonic instruments for sculpting nasal structures, known as Piezosurgery®. This technology does not cause trauma to soft tissue, allowing for greater precision, significantly smoother recovery and enhanced results.

We perform most nose feminization procedures under general anesthesia, but if your situation requires we will use local anesthesia or sedation. The surgery lasts between one and two hours.

Your safety and results are our top priority. So, depending on the needs and circumstances discussed during your consultation, we offer the following procedures:

  • Tip Refinement
    We remove a small section of cartilage from the tip. This will narrow the nasal tip and make your nose more feminine.
  • Profile Feminization
    We remove excess bone and cartilage in the nose’s bridge to produce a smooth, feminine profile.
  • Nasal Bone Narrowing
    If the bridge is wide, it can be narrowed by repositioning the nasal bones inwards to refine the shape.
  • Narrowing of the nostrils
    This procedure is called an alarplasty. We remove a wedge of skin from the wings of the nose to reduce nostril width. The incisions we made remain hidden in your natural nasal folds.

Dr. Raúl Bellinga has completed over 1,200 FFS procedures. In the following video he explains what is involved in nose feminization. He talks about the process, recovery times, and current research.


REVONose® is an innovative method of rhinoplasty developed by our surgical team. We care about transgender healthcare standards and we have innovated this learning technology with the highest standards of safety and precision. Two factors crucial for natural, stable outcomes.

Logo of REVONose, a patented method by the Facialteam Group to perform high-end rhinoplasties with ultrasonic technology

Our ultrasonic method has the significant advantage of greatly reducing bleeding and edema (swelling), during and after your procedure. The process involves 3D CT scans to make surgical cutting guides for more accurate osteotomies. Also, key for recovery, we introduce fibrin-rich plasma from your blood to accelerate healing.

Facialteam’s REVONose® is a product of our efforts to pioneer the technology employed in FFS surgery in order to provide better, more predictable and lasting results.

Ultrasonic Rhinoplasty

The use of Piezosurgery® in facial bone surgery gains us predictability. It plays a key role in making Facial Gender Confirmation Surgery safer. For this reason, it has been the standard for nasal osteotomies since 2015.

Piezosurgery® minimizes trauma on nearby soft tissues while increasing precision during nasal osteotomies. To get technical, we perform a direct view using an external approach with an extended subperiosteal dissection. This approach reduces post surgical edema and ecchymosis (bruising). It also provides better control of the osteotomy line when narrowing the nasal pyramid and modifying the bony hump.

Gender of the Nose Region

Masculine noses are larger and wider than feminine noses. Masculine noses have more bone and rigidity. The frontonasal transition from forehead to nose is sharp and prominent in men. The look they create is recognizable as male.

So, a common approach is to perform nose and forehead feminization simultaneously.

In comparison, cisgendered women’s noses are smaller in all aspects. They are narrower, straighter, have a petite tip and frequently a slight curve. The tip of the nose is often sharper and the nostrils are smaller.

Recovery after Surgery

After rhinoplasty you can return to normal life sooner than you think.

Rhinoplasty sounds painful, but in reality most patients only experience bruising and swelling. Most patients can return to work or school within a week. Usually bruising disappears within two to three weeks. After two months you can participate in high impact sports again. Your bones will have healed completely within this time.

In this video, Dr. Raúl Bellinga explains the healing process. He will clarify what to expect during your recovery.

Short term

After rhinoplasty there will be initial swelling and bruising. Your nose will appear larger than it is. After swelling and bruising disappears, you will begin seeing a more feminine nose. Most changes are more visible in the profile view, almost from the first minute after the surgery.

Long term

For two to three months after your rhinoplasty your nose might appear asymmetrical due to swelling. In about a year and a half you will see full results from your nose feminization surgery.

Rhinoplasty is known to have high complications rates worldwide. Asymmetry, deviation and tip collapse commonly may occur. These after-effects are more likely to occur when aesthetic problems are addressed without attention to the nose’s inner structure. When surgeons only correct aesthetics, results do not last.


Thanks to the use of specific 3D software, we may conduct a detailed analysis of the actual results obtained, evaluating the short-term effect of the changes incurred at your final postoperative consultation before leaving our center.

We are able to clearly visualize the differences in three-dimensions, delivering a complete analysis to each patient for quality control and transparency purposes.

These standardized diagnostics allow the team to discuss early outcomes with each patient from the most objective point of view possible. One year after your surgery, you will receive a satisfaction and evolution survey, which helps us to constantly improve.

Lise Marie


All surgical interventions, especially if under general anesthesia, are associated with an array of potential complications which are detailed in the informed consent documents. Minor incidents such as swelling, bleeding, or numbness, for example, may occur in varying degrees and are typically temporary symptoms that subside in time.

Major complications are rare and normally detected within days after surgery. Our patients have the security of our medical insurance coverage in case any unforeseen medical attention related to the nose surgery is required.

At Facialteam, the average incidence of complications of nose surgery that require another surgical intervention is 4,66%.

How much does Nose Feminization Surgery cost?

The price of a feminizing rhinoplasty can vary, as the combination of diagnostics, techniques and procedures are personalized to your particular situation. The overall costs for a rhinoplasty with Facialteam (including hospital fees and anesthesia) may range anywhere from 10 600 € to 11 400 €. Depending on the details of complexity and if you choose optional aspects, the final cost may be higher or lower.

We suggest consulting with several surgeons, whose approaches will vary, in order to make a more informed decision of what is best for you.


Many factors influence the procedures needed to attain the feminine look in your mind’s eye. For example, we adapt every procedure to your unique facial features.

Our team invites you to a free consultation to plan your facial transition journey. The first step on your path to gender confirmation begins with discussing your goals with experts in FFS surgery.

We will go over your needs and goals and provide you with a comprehensive plan to reach them. This helps us to establish essential procedures and gives you access to top-quality trans healthcare.

Book your Consultation

We offer both online as in-person consultations in our clinic in Marbella, Spain. Our consultations are free of costs and a great aid for those patients seeking advice to start their journey.

Frequently Asked Questions

Research and Education in Nose Feminization Surgery

Our surgical team has extensive experience in nose gender surgery. We have performed over 1428 feminization rhinoplasties. The outcomes of our accomplishments are shared with the medical community in scientific publications.


This technique is based on several scientific articles produced by our group throughout our clinical practice. Our academic literature is a record of our dedication to the science of feminization surgery of the upper facial third since 2008.

Logo of PRS, Plastic and Reconstructive Surgery.

Role of Rhinoplasty in Transsexual Patients

Luis Capitán, Daniel Simon, Teresa Meyer, Antonio Alcaide, Alan Wells, Carlos Bailón, Raúl J Bellinga, Thiago Tenório, Fermín Capitán-Cañadas
Reply on original article “Role of Rhinoplasty in Transsexual Patients”
The Journal of the American Medical Association Logo

Technical and Clinical Considerations for Facial Feminization Surgery With Rhinoplasty and Related Procedures

Raúl J Bellinga, Luis Capitán, Daniel Simon, Thiago Tenório
Together with the forehead reconstruction, feminization of the nose is one of the most common procedures in facial feminization surgery. Rhinoplasty surgical techniques, which provide correct support and stability in the mid to longterm, are essential for obtaining a predictable result.
The Journal of the American Medical Association Logo

Ethnic Considerations for Rhinoplasty in Facial Feminization

Raúl J Bellinga, Luis Capitán, Daniel Simon
Reply on original article “Ethnic Considerations for Rhinoplasty in Facial Feminization”