When we meet people in our daily lives, faces are typically what we notice first. Naturally, everyone wants their face to accurately represent the beauty of who they are. When a transgender person feels that their true self is not in harmony with what the world sees from the outside, it can can cause unnecessary distress.
While there is no standard template for what a female face "looks like", there are some common and easily identifiable differences between the sexes. Due to the high levels of testosterone produced in natal males, they tend to have wider chins with angular jawlines, more pronounced foreheads with higher hairlines, flatter cheeks, larger noses, and thinner lips.
Overall, men tend to have square shaped faces with sharp corners, while women often have heart-shaped faces with softer edges.
Of course, maintaining Hormone Replacement Therapy can feminize the face or even prevent masculinization if started before the advent of puberty, many transgender individuals were not afforded that opportunity. Fortunately, there is a surgical option available.
With Facial Feminization, Dr. Sinclair utilizes cutting-edge surgical techniques to transform and feminize the facial appearance for transgender women. Because the face is made up of many different parts, Facial Feminization is actually a collection of different procedures that can be performed during a single surgery. No two faces are alike, so pre-operative analysis is key. During your consultation, Dr. Sinclair will analyze your face, discuss your desired results, address your individual concerns, and create a surgical plan specifically for you. With many years of experience as a surgeon for the transgender community, Dr. Sinclair has the specific skills to create the feminizing changes you are seeking.
Dr. Sinciair will analyze your facial proportions and design a plan that fits your desires and expectations. Of all the surgeries, facial feminization has the most options and choices. Complications can occur before, during and after surgery--this is most true for FFS. If inadequate attention is paid to planning your surgery you are not likely to be satisfied. The relationship of the facial components are as important, if not more so than anyone particular part. The hair line, hair density, forehead, brow, eyelids, eye bones, cheeks, nose, lips, chin, jaw, adams apple, and facial skin must be analyzed to make a comprehensive plan.
Yes, but it does not have to be done in one surgery. At times budgetary and recovery constraints will favor a staged approach.
Yes it can be combined with breast augmentation and liposuction, sometimes with GCS depending upon how much FFS is done. It cannot be combined with buttock augmentation because of positioning issues.
The hairline is usually advanced. If micro and mini grafts are needed they will placed at a later date.
Preoperatively a decision will be made whether contouring the bone by “shaving”, adding alloplastic material to reshape the forehead, or resetting the anterior wall of the front sinus needs to be done.
Recovery depends upon which surgery is done. Nasal, cheek, chin, adams apple and lip techniques usually require a one week recovery. Forehead and jaw techniques require at least a two week recovery. The surgery is not particularly painful, swelling is usually the determining factor as to when there is a return to social function.
Dr. Sinclair uses silicone and polyethylene (Medpor) implants. If you want implants you will have a choice.
Your fat can be used to “volumize” your face as well as “off the shelf” fillers like hydroxuappatite (Radiesse) or hylauronic acid (Voluma).