Facial feminisation (FFS):
smoothes and harmonises facial features

Facial feminisation (FFS):
smoothes and harmonises facial features

Facial Feminisation (FFS)
Facial Feminization Surgery

MADRID | ZURICH

The facial feminisation surgery, known internationally as FFS (Facial Feminization Surgery), The "facelift" is a set of surgical procedures aimed at softening certain facial features and achieving a more feminine and balanced appearance.

This type of surgery may involve different techniques that modify facial structures such as the forehead, nose, cheekbones, jaw or chin. The aim is to create greater facial harmony through subtle changes in proportions and contours.

At the clinic of Dr. Richard Fakin, In the planning of facial feminisation, the planning of facial feminisation is customised, combining advanced surgical techniques with a careful focus on facial aesthetics. Each procedure is tailored to the patient's anatomical features to achieve natural and proportional results.

  • DURATION 60 - 180 minutes
  • DISCHARGE FROM THE CLINIC The same day or the next day
  • BACK TO WORK 10 - 14 days
  • DURATION 60 - 180 minutes
  • DISCHARGE FROM THE CLINIC The same day or the next day
  • BACK TO WORK 10 - 14 days
  • SUITABLE FOR SOCIETY 1 week
  • ANESTHESIA General
  • FULL RECOVERY 1 month
  • SUITABLE FOR SOCIETY 1 week
  • ANESTHESIA General
  • FULL RECOVERY 1 month

Instructions

When can facial feminisation surgery be considered?

Facial Feminisation Surgery (FFS) can be considered when a person wishes to soften certain facial features to achieve a more feminine and harmonious appearance.

In the context of gender affirmation, some facial features may be perceived as more pronounced or angular. Facial feminisation allows modification of these structures through specific surgical procedures. Depending on the individual case, surgery can help to:

  • Smoothing the forehead and eyebrow contours
  • Redefining the shape of the nose
  • Increasing the volume of lips and cheekbones
  • Styling the jaw and chin
  • Improve the overall harmony of the face

Treatment planning is carried out after a individualized medical assessment, The facial characteristics and objectives of each patient are analysed.

Main facial feminisation techniques

The facial feminisation surgery (FFS) can include different procedures aimed at smoothing features and creating a more feminine and balanced facial appearance. The combination of techniques depends on the anatomical characteristics of each patient and the result to be achieved.

Feminisation of the forehead

The forehead is one of the most relevant areas for facial feminisation. Procedures may include:

  • Reduction and remodelling of the frontal bone: the supraorbital prominence is smoothed and the contour of the forehead is redefined.
  • Eyebrow lift: gives a more open and feminine expression.
  • Lowering of the hairline (where appropriate): improves the proportion between the forehead and the rest of the face.

Feminising rhinoplasty (nose job)

Rhinoplasty allows the shape of the nose to be modified to achieve a more delicate and harmonious profile:

  • Correction of the nasal bridge: prominent bone is smoothed or reduced.
  • Definition of the tip: a slight lifting or elevation of the base of the nose can be applied if the patient wishes.
  • Adjustment of angles and proportions: the nasal shape is adapted to the rest of the facial features.

Lips

Feminisation of the labia can be done using different techniques:

  • Volume increase: using hyaluronic acid or autologous fat (lipofilling).
  • Lip lift: when the space between the nose and the upper lip is larger than usual, this distance is shortened to achieve a more feminine appearance.

Cheekbones (malar area)

The increase in cheekbone volume helps to create a more feminine facial contour:

  • Hyaluronic acid or fat fillers: add volume and a more youthful appearance.
  • Cheek implants: in cases that require greater projection.
  • Bichectomy: Removal or reshaping of cheek fat to refine the facial oval.

Jaw and chin

Feminization of the lower third of the face may include:

  • Mentoplasty: It modifies the shape of the chin to achieve a more stylized appearance.
  • Reduction of mandibular angles: It softens the base of the jaw and defines a more delicate contour.

Blepharoplasty

  • Eye rejuvenation: removal of excess skin on the upper or lower eyelids.
  • Periocular corrections: They can refine the eye area and provide a brighter appearance.

Facial lipofilling

  • Selective volumization: The transfer of one's own fat allows for the redefinition of cheekbones, lips, or temple areas, contributing to a more balanced appearance.

Skin improvement

  • Complementary dermo-aesthetic treatments: Advanced technologies can be used to improve skin texture, tone, and radiance.

Scars

Location of scars in facial feminization

The incisions used in facial feminization procedures are carefully planned to minimize scarring. Depending on the technique used:

  • In the feminization of the forehead, The incision is usually located at the hairline or within the scalp.
  • In jaw, chin or cheekbones, The approach can be performed from inside the mouth
  • In the rhinoplasty, The scars are usually small and discreet.

Over time, these scars tend to integrate naturally with the tissues.

Results and recovery

Results after facial feminization surgery

Small adjustments can have a significant impact on the overall perception of the face, harmonizing the outward appearance with the inner self. Patients often report increased confidence and social acceptance after the procedure.

The facial feminization It's not just about correcting facial features; it's about achieving a holistic transformation so the patient experiences true alignment between their outward appearance and their personal identity. Ultimately, our goal is to enhance your unique beauty, improve your quality of life, and give you the confidence you deserve.

Real case results
before and after blepharoplasty

Testimonials

Anonymous

Facial feminization:
Frequently Asked Questions

Facial feminization is a set of surgical procedures that seek to soften facial features and create a more feminine and balanced appearance.

It depends on each case. Some patients choose to combine several procedures in a single intervention, while others prefer to have them done in stages.

Initial recovery usually lasts several weeks, although inflammation may gradually decrease over the following months.


The incisions are made in strategic areas such as the scalp, the inside of the mouth, or natural folds of the face, which allows the scars to be barely visible.

The goal of surgery is not to completely transform facial identity, but to harmonize features and soften structures to achieve a more feminine and natural appearance.

Dr. Richard Fakin
international elite surgeon

Dr. Richard Fakin is Plastic, reconstructive and aesthetic surgeon with solid experience in gender affirmation procedures. He specializes in breast surgery, facial surgery, and advanced body procedures. His practice combines technical precision, aesthetic sensitivity, and a deeply personalized approach to each procedure

At his clinics in Madrid and Zurich, Dr. Fakin leads a highly professional and committed team of specialists who share the same philosophy: to offer rigorous medical care, but friendly in its human approach. Each patient receives individualized support, from the first consultation to post-operative follow-up.

As a boutique plastic surgery clinic, the approach is neither massive nor standardized. The team dedicates the necessary time to understand expectations, analyze anatomy, and design a surgical plan precisely tailored to each case. This structure allows us to maintain a high level of quality, confidentiality, and attention to detail in every procedure. Dr. Fakin employs refined surgical techniques that prioritize safety, natural-looking results, and optimized recovery. Meticulous planning and the use of advanced technology allow us to offer harmonious results that reflect each individual's unique identity.

Beyond the technique, Dr. Fakin and his team's commitment is reflected in transparent, honest, and personalized care, where Each patient is treated with dedication and professionalism in all phases of the process.

Our facilities

Madrid

  • C. de Velázquez, 109, 28006 Madrid, Spain
  • madrid@drrichardfakin.com
  • +34 679 85 86 39
  • C. de Velázquez, 109, 28006 Madrid, Spain
  • madrid@drrichardfakin.com
  • +34 679 85 86 39

Zurich

  • Giesshübelstrasse 45, 8045 Zurich
  • zurich@drrichardfakin.com
  • +41 78 206 44 88
  • Giesshübelstrasse 45, 8045 Zurich
  • zurich@drrichardfakin.com
  • +41 78 206 44 88

First consultation free

First consultation free