Facial Feminization Surgery (FFS)
Nose, Lips, Eyebrows and Cheeks

Complete facial feminization surgery will involve enhancements to the nose, lips, eyebrows and cheeks.

· Eyebrows - Can be lifted by tightening the muscles attached to the outer third of the eyebrow. One incision is made during scalp advance or brow-bossing reduction, or two very small incisions are made in the scalp.

· Nose - Standard rhinoplasty techniques can be used and involves changing the nose’s contour to make it appear more feminine. Nasal surgery is usually completed under general anesthesia, and rarely requires a night in the hospital. Complete recovery takes ten to twelve days

· Cheeks - Cheek augmentation is achieved with solid implants or bone-filler paste. Solid implants are available in several shapes and can be placed over or under the cheekbone or closer to the nose. Bone-filler can be molded to its desired shape. The patient is sedated and the implants are placed through a tunnel, into a pocket under soft tissue over the cheekbones. Certain bone cuts and bone segment repositioning is useful for this facial feminization procedure. Pain, swelling, stiffness and temporary numbness may occur. Tenderness in the teeth may also occur and smiling and chewing might be affected.

·Lips- To shorten the distance between the nose and top lip, an incision is made just under the nose, a section of skin is removed and the gap, which raises the lip. During a lip lift, the lip can be rolled outwards making it fuller, and an entire section of skin from lip to nose can be angled back slightly if necessary. Natural or synthetic and solid or injected implants can also make the lips fuller. Alternatively, an incision can be made at the Vermilion Border (the edge between the red and white parts of the lip).