Facial masculinisation (FMS)
Facial Masculinization Surgery

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Facial masculinisation (FMS) Facial Masculinization Surgery

Facial masculinisation (FMS)
FTM facial surgery to define masculine features

MADRID | ZURICH

Secondary surgery for trans women aims to correct, optimise or complete the results achieved following previous gender-affirming procedures. In the context of MTF (Male-to-Female) transition, these surgeries may be performed following procedures such as vaginoplasty, facial feminisation surgery (FFS), body feminisation or breast augmentation.

In some cases, secondary surgery allows for the treatment of post-operative complications or the improvement of aesthetic results that have not developed as expected following the initial procedure. In others, the aim is to refine certain anatomical aspects or to complete procedures that require more than one surgical stage.

Revision surgeries require particularly careful planning, as they involve working on previously operated tissue. For this reason, the medical assessment includes an analysis of the techniques used previously, the current condition of the tissue and each patient’s objectives.

Dr Richard Fakin has extensive international experience in primary and secondary surgery within the field of gender-affirming surgery and MTFsurgery, undertaking complex revisions with a reconstructive and aesthetic approach aimed at achieving safe and natural results.

DURATION 60 – 180 minutes
DISCHARGE FROM THE CLINIC The same day or the next day
RETURN TO WORK 7 - 10 days

DURATION 60 – 180 minutes
DISCHARGE FROM THE CLINIC The same day or the next day
RETURN TO WORK 7 - 10 days

SOCIALLY PRESENTABLE 7 days
ANESTHESIA General or sedation
FULL RECOVERY Between 3–6 weeks

SOCIALLY PRESENTABLE 7 days
ANESTHESIA General or sedation
FULL RECOVERY Between 3–6 weeks

Indications

When can facial masculinisation be considered?

Facial masculinisation can be considered when a person wishes to modify certain facial structures to achieve more masculine and defined features.

In the case of trans men undergoing FTM transition, these procedures can help harmonise facial proportions and reinforce certain features typically associated with a masculine face. Depending on the individual case, facial masculinisation can contribute to:

define the mandibular contour
project your chin
modify the shape of the nose
redistribute facial volume
reduce lip volume

Treatment planning is always carried out after an individualised medical assessment, taking into account the facial anatomy and the goals of each patient.

Surgical techniques

Procedures used in facial masculinisation

Facial masculinisation can include different procedures designed to modify the bone structure and soft tissues of the face to achieve a more masculine contour.

Chin and jaw

The lower third of the face plays a fundamental role in the perception of masculine features. Among the most commonly used techniques are:

chin implants to increase projection
remodeling of the mandibular angles
volume increase using fat or fillers

These procedures allow for a more defined and angular mandibular contour.

Masculinising rhinoplasty

The shape of the nose also influences the overall perception of the face. Masculinising rhinoplasty allows for modification of the nasal structure to create proportions more in line with masculine facial features.

In certain cases, hyaluronic acid can also be used to make adjustments to the nasal contour without surgery.

Facial volume restoration

The distribution of facial volume often differs between men and women. In some cases, liposuction can be performed on specific areas, or fat transfer can be used to modify facial contours. Fat transfer allows for adding volume to areas such as:

jaw
chin
temples
supraorbital area

Lip volume reduction

In certain cases, lip reduction can be performed to achieve proportions more in line with masculine facial features. This procedure is performed using techniques that minimise the visibility of scars.

Non-surgical treatments

In some patients, facial masculinisation can be complemented with non-invasive treatments designed to improve facial contours. These include:

hyaluronic acid fillers
botulinum toxin
thread lifts for contour definition

These procedures can be used alone or in combination with surgery.

Scars

Location of scars in facial masculinisation surgery

The incisions used during facial masculinisation procedures are carefully planned to minimise the visibility of scars. The location of the incisions depends on the technique used and the area of the face being modified.

In many cases, surgical approaches are performed in inconspicuous or internal areas, such as inside the mouth, the nasal cavity, or the hairline. This allows scars to remain discreet and fade naturally with the surrounding tissues as the healing process progresses.

Planning these incisions is an essential part of the surgery, as it allows for more harmonious and natural aesthetic results.

Recovery and results

Recovery after facial masculinisation surgery

Recovery and results

Recovery after facial masculinisation surgery

Thanks to the good blood supply to the facial region, recovery after facial masculinisation surgery is usually relatively quick compared to other surgical procedures.

During the first few days, swelling or minor bruising may appear, which generally decreases gradually during the first week. In many cases, patients can resume their daily activities within approximately seven to ten days.

The results of facial masculinisation gradually solidify as the tissues heal and the face adapts to the new proportions. The goal of the surgery is to achieve a balanced and natural masculine appearance, always respecting the anatomy and individual characteristics of each patient.

Facial masculinisation:
Frequently Asked Questions

What is FTM facial masculinisation?

FTM facial masculinisation is a set of procedures designed to modify certain facial structures to achieve a more masculine appearance in trans men.

Is it necessary to perform all procedures in one surgery?

Not necessarily. In some cases, several procedures may be combined in a single intervention, while in others they are performed in stages.

How long is the recovery time after facial masculinisation?

Initial recovery usually takes about a week, although it may take several weeks for the tissues to fully stabilise.

Does facial masculinisation leave visible scars?

Incisions are made in inconspicuous or internal areas, allowing the scars to remain inconspicuous over time.

Can facial masculinisation be performed without surgery?

In certain cases, non-invasive treatments such as facial fillers or botulinum toxin can be used to modify facial contours.

Dr. Richard Fakin
Internationally recognised plastic surgeon

Dr. Richard Fakin is a Plastic, Reconstructive and Aesthetic Surgeon with extensive experience in gender-affirming procedures. He specialises in breast surgery, facial surgery and advanced body contouring procedures. His practice combines technical precision, aesthetic sensitivity and a deeply personalised approach to every 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 provide medically rigorous care while maintaining a warm, compassionate approach. Each patient receives personalised support, from the first consultation through to postoperative follow-up.

As a boutique plastic surgery clinic, the approach is never standardised. The team takes the time to understand each patient's expectations, carefully assess their anatomy, and develop a surgical plan tailored precisely to their individual case. This personalised structure allows us to maintain the highest standards of quality, confidentiality, and attention to detail in every procedure. Dr. Fakin uses refined surgical techniques that prioritise safety, natural-looking results, and an optimised recovery process. Through meticulous planning and advanced technology, the clinic is able to achieve harmonious results that remain true to each patient’s identity.

Beyond surgical technique, the commitment of Dr. Fakin and his team is reflected in transparent, honest and personalised care, where each patient is treated with dedication and professionalism at every stage of the process.