Facial Masculinization Surgery

PD Dr. Richard Fakin / Gender Reaffirming Surgery (GRS) / Facial Masculinization

What Is Facial Masculinization Surgery for Trans Men?

Madrid | Zurich

At our internationally recognised gender reassignment clinic, we are proud to offer pioneering solutions in facial masculinisation (FMS). Although the anatomical differences between male and female faces are clear, the range of masculinisation procedures available worldwide is still limited compared to facial feminisation. That’s why we work with exclusive, advanced techniques to deliver the highest quality results.
For many trans men, facial masculinisation is an essential step that has a positive impact on their social life, self-confidence and quality of life. With a holistic approach, we achieve significant and harmonious changes – with or without surgery – always customised to the needs of each individual patient.

 

Length

60-180 min

Discharge

same or next day

Fit to go back to work

7-10 days

Fit for everyday activities

7 days

Anesthesia

General or sedation

Recovery time

3-6 weeks

Surgical Techniques for Masculine Facial Contouring

1. chin and jaw
– Chin implant and mandibular remodelling.
– Volume augmentation in the lower region and at the corners of the jaw (using implants, fat transfer or hyaluronic acid).
– Definition of the jaw contour.
2. nose
– Masculinising septorhinoplasty.
– Nasal modelling with hyaluronic acid (in selected cases).
3. restoration of the facial contour
– Liposuction in specific facial areas using the latest technology.
– Fat transfer to the chin, jaw, temples and supraorbital area (above the eyebrows).
4. reduction of lip volume
– Reduction of lip thickness (upper and lower lips) without visible scars.
– Application of hyaluronic acid, botulinum toxin (Botox) and facial threads for contouring and definition

To learn more about our Facial Masculinisation interventions for trans-men, see our Instagram posts.

Scar Placement and Visibility After FMS

All incisions associated with facial masculinisation are made in less visible or internal areas (mouth, nasal cavity, hairline). We also apply special measures to optimise the healing process and ensure high-quality aesthetic results.

To learn more about our Facial Masculinisation interventions for trans-men, see our Instagram posts.

Recovery Timeline and Postoperative Care

Thanks to the excellent blood circulation in the facial area, recovery is generally faster than in other parts of the body. Post-operative swelling decreases significantly in the first week and the face is usually very receptive to fat transfer.
The resulting changes last for a long time and combine to create a distinctly masculine appearance. Each treatment plan is customised, taking into account the patient’s facial structure and personal expectations.

To learn more about our Facial Masculinisation interventions for trans-men, see our Instagram posts.

Frequently Asked Questions about Facial Masculinization Surgery

What is facial masculinization and what does it involve?

Facial masculinization surgery (FMS) is a combination of surgical and aesthetic techniques aimed at defining facial features typically associated with a masculine appearance. This includes enhancing the forehead, jawline, chin, cheekbones, and Adam’s apple using implants, grafts, or contouring. At Dr. Richard Fakin’s clinics in Madrid and Zurich, each procedure is tailored to the patient’s anatomy and identity, always respecting facial harmony and natural balance.

Who can benefit from facial masculinization?

Facial masculinization is suitable for trans men, non-binary individuals, and cisgender people who wish to achieve a more angular or defined facial structure. Dr. Fakin’s team evaluates each case individually, taking into account the patient’s bone structure, skin quality, and aesthetic goals to develop a fully personalized surgical plan.

What are the main steps of the facial masculinization process?

  1. Initial consultation: facial analysis, photos, and discussion of goals.
  2. Structural assessment: bone evaluation and surgical planning (e.g., implants or grafts).
  3. Customized surgical plan designed and led by Dr. Fakin with both technical and aesthetic precision.
  4. Surgery at our clinics in Madrid or Zurich.
  5. Post-operative care and follow-up, including medical check-ups and personalized support.

This protocol ensures safe treatment and results that align with your facial structure and identity.

What is recovery like after facial masculinization?

Recovery depends on the specific procedures performed, but usually includes:

  • 1–2 weeks of initial rest
  • Swelling control and specific care routines

Gradual reduction in inflammation over 3 to 6 months
Throughout the process, Dr. Fakin and his team in Madrid and Zurich provide ongoing medical and aesthetic follow-up to ensure a smooth, safe recovery.

Why choose Dr. Richard Fakin for facial masculinization in Madrid or Zurich?

Dr. Richard Fakin is a board-certified plastic surgeon internationally recognized for his work in gender-affirming facial surgery. With over 1,000 successful cases at his clinics in Madrid and Zurich, he combines high-precision techniques, some inspired by advanced protocols developed in Thailand, with a deeply personalized and empathetic approach. Every case is treated with medical excellence, aesthetic sensitivity, and a clear commitment to each patient’s identity and confidence.

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