gender affirming facial surgery

/ dʒɛn dər əˈfərmɪŋ ˈfeɪʃəl sɝːdʒəri / noun

A set of surgeries and procedures designed to align one’s gender identity with their facial presentation.

synonyms facial feminization surgery, facial masculinization surgery

  • Hairline advancement surgery is a procedure designed to create a softer, more rounded, and feminine hairline by lowering its position and reducing frontal-temporal recessions that contribute to an “M-shaped” appearance. Following a personalized consultation, Dr. Shi typically performs the procedure using a pre-trichial approach, placing a carefully beveled zig-zag incision along the hairline so that hair can grow through the scar and naturally conceal it. The scalp is then gently advanced forward to lower the hairline, while the temples are refined to create a smoother, more continuous contour. This procedure is often combined with brow or forehead contouring and brow lifting for comprehensive upper facial enhancement, with most patients returning to normal activities within 2-3 weeks as healing progresses.

  • Frontal bone reduction, or cranioplasty, and orbital reduction are procedures designed to create a smoother, more feminine upper face by reshaping the forehead and reducing the prominence of the brow ridge. The goal is to soften contour irregularities and achieve a more harmonious transition between the forehead and eye area while maintaining structural integrity. After a personalized consultation, Dr. Shi determines the most appropriate technique based on your anatomy. Frontal cranioplasty techniques include Type I (burring only), Type II (augmentation over a recessed area), and Type III (removal, reshaping, and repositioning of the frontal sinus wall). A CT scan is often obtained prior to surgery and virtual surgical planning is used as needed. The procedure is often performed through a pre-trichial or coronal approach and may be combined with brow lifting for optimal results, with most patients returning to normal activities within 2-3 weeks as swelling gradually improves.

  • A brow lift is a procedure designed to elevate and reshape the eyebrows to create a more feminine, refreshed appearance. The goal is to position the brows above the orbital rim with a gentle arch that increases from the medial (center) to the lateral (outer) portion, enhancing overall facial harmony and opening the eye area. Following a personalized consultation, Dr. Shi determines the most appropriate approach, often performed through a pre-trichial or coronal incision when combined with other facial feminization procedures. This procedure is frequently performed alongside forehead contouring or hairline advancement, with most patients returning to normal activities within 2-3 weeks as swelling and tightness gradually improve.

  • Feminizing rhinoplasty is a procedure designed to refine the nose in harmony with feminine facial features as part of facial feminization surgery. The feminine nose is often smaller, narrower, more upturned, and with a more refined nasal tip. The goal is to create a softer, more delicate appearance by addressing features such as a prominent dorsal hump, a wide or high nasal bridge, a bulbous or drooping tip, or flared nostrils, while maintaining or improving nasal function. Following a personalized consultation, Dr. Shi evaluates your facial proportions and nasal anatomy to determine the most appropriate approach. This procedure is commonly performed in combination with other facial feminization procedures to achieve balanced, natural-looking results, with most patients returning to normal activities within 1–2 weeks as swelling and bruising gradually improve.

  • Jaw, or mandible, and chin reduction (genioplasty) are transformative procedures designed to refine the lower face into a softer, more tapered silhouette as part of facial feminization surgery. The goal is to create a delicate, V-shaped profile by narrowing a wide jawline and reshaping a prominent or square chin, ensuring the lower facial contours harmonize with more feminine features. Following a personalized consultation, Dr. Shi evaluates your bone structure and facial proportions to determine the most effective approach, precisely contouring the mandibular angles and chin to achieve a balanced, natural-looking appearance. A CT scan is often obtained prior to surgery and virtual surgical planning is used as needed. This procedure is commonly performed alongside other feminization techniques to provide comprehensive results, with most patients returning to their regular activities within 2–3 weeks as swelling subsides and the new, refined jawline emerges.

  • Cheek augmentation is a procedure designed to restore youthful volume and create more prominent, feminine contours as part of facial feminization surgery. The goal is to soften the midface and achieve a graceful, "heart-shaped" appearance by addressing flat or recessed cheekbones that may contribute to a more masculine look. Following a personalized consultation, Dr. Shi evaluates your facial symmetry and skeletal structure to determine the most effective approach. A CT scan is often obtained prior to surgery, and custom implants are usually created through virtual surgical planning. High-quality Medpor implants, a biocompatible, porous polyethylene material that integrates with your natural tissue, are commonly used to provide a secure and permanent enhancement. This procedure is frequently performed in combination with other feminization surgeries to ensure a balanced, natural-looking result, with most patients returning to their normal routines within 2-3 weeks as initial swelling and tenderness gradually fade.

  • Lip lift surgery and fat transfer are procedures designed to restore a youthful and feminine lip. The goal is to create a more visible vermillion, the red part of the lip, and to improve "tooth show" or dental show at rest, which can be obscured by a long or thin upper lip. Following a personalized consultation, Dr. Shi evaluates your philtrum length and lip volume to determine the most effective approach. Lip lift incisions are usually performed via a subnasal "bullhorn" incision. Autologous fat transfer, purified fat cells obtained from your abdomen, provide a soft, natural-looking, and more permanent augmentation. This procedure is frequently performed alongside other feminization techniques to ensure a balanced and harmonious result, with most patients returning to their regular activities within 1–2 weeks as swelling and minor bruising steadily resolve.

  • Laryngeal chondroplasty, or “tracheal shave”, is a specialized procedure designed to reduce the prominence of the thyroid cartilage to create a smoother, more feminine neck profile as part of facial feminization surgery. The goal is to diminish the "Adam’s apple" by thinning and reshaping the cartilage through a discreet incision, effectively softening a traditionally masculine trait while carefully preserving the underlying vocal structures. Following a personalized consultation, Dr. Shi evaluates the anatomy of your neck and the position of your vocal cords to determine the safest and most effective approach, ensuring the reduction is significant yet natural-looking. This procedure is frequently performed in conjunction with other feminizing surgeries to achieve a seamless transition between the face and neck, with most patients returning to their normal activities within 1–2 week as localized swelling and redness gradually fade.

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