What is facial feminisation and how can it help you feel more aligned with your identity?

Facial feminisation is a set of surgical procedures designed to soften and harmonise facial features, with the aim of reflecting an appearance more in line with female gender identity. At our clinics in Madrid and Zurich, each intervention is tailored to the unique facial characteristics and expectations of each patient, with a comprehensive, respectful and personalised approach.

What areas of the face can be treated during facial feminisation surgery?

The most common procedures include forehead and hairline reshaping, feminisation rhinoplasty, jaw and chin reduction, brow lift, cheek or lip augmentation, and Adam's apple reduction. The surgical plan is tailor-made, depending on the facial proportions and the result that each person wishes to achieve.

What is the recovery process like after facial feminisation?

Recovery varies according to the procedures performed, but generally involves between one and two weeks of initial rest, with progressive swelling that decreases over the following months. At our clinics we offer personalised follow-up care in both Madrid and Zurich, with specific guidelines for a safe, comfortable recovery with long-lasting results.

How do I know if facial feminisation is right for me?

Facial feminisation is indicated for trans, non-binary people or anyone who wishes to modify their facial features with an aesthetic or gender reassignment approach. The first step is a specialised medical assessment, where we evaluate the facial structure, general state of health and personal goals, in order to define the most appropriate treatment.

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

Dr. Richard Fakin is an international leader in aesthetic and reconstructive surgery, with an extensive background in gender affirming procedures. His approach combines surgical precision, artistic sensitivity and a profoundly humane approach. At his clinics in Madrid and Zurich, each patient receives personalised care in a safe, respectful and highly specialised environment.

Does the FFS change the face radically or are the changes subtle?

It depends on the number of procedures performed and the starting anatomy. In some cases, the changes are clearly visible even to people who are not familiar with the procedure. In others, the effect is more subtle: the face gains in harmony and femininity without it being easy to identify exactly what has changed. In any case, the aim of a good FFS is not to transform the face into an unrecognisable one, but to ensure that the outward appearance naturally reflects the identity of each person.

Can I have just a few procedures and add others later?

Yes, and this is a very common option. Many patients start with the procedures that they consider to be the highest priority or have the greatest impact on their particular case, and then consider later if they want to add any additional procedures. Planning in stages is completely valid and in some cases is the most advisable option. The important thing is that each phase is well planned with the surgeon so that the results are consistent with each other.

How long should I wait between one phase and the next if I do FFS in stages?

The usual interval between two phases of FFS is between three and six months, although this can vary depending on the procedures performed at each stage and how the recovery progresses. This time allows the tissues to fully heal and the result of the first phase to be stable before planning the next procedure.

Are the scars of FFS visible?

In most facial feminisation procedures, the incisions are planned so that the scars are in low visibility areas: inside the hairline, inside the mouth, in the natural folds of the skin or around the areola of the nose. With proper care and the passage of time, these scars usually blend in very naturally with the surrounding tissues.

Does the FFS have a permanent effect or does it need maintenance?

Procedures that act on the bone structure, such as forehead feminisation, jaw reduction or mentoplasty, have a permanent effect. Soft tissue procedures with resorbable materials, such as hyaluronic acid fillers, require regular maintenance. Procedures using your own fat (lipofilling) or implants have a much longer duration. The surgeon will explain the duration profile of each specific procedure at the consultation.

FACIAL

BODY

LIPOFILLING

BREAST PROCEDURES

INTIMATE

Female Intimate Surgery

Male Intimate Surgery

MTF

FTM

Tag: facial feminization

Facial Feminisation Surgery (FFS): how it is planned and which areas have the greatest impact

Facial feminisation surgery (FFS) is not a single procedure, but a personalised combination of interventions. In this article we explain how it is planned, which areas of the face have the greatest impact and whether it should be performed in one or several stages.

Pedro HenriquezApril 20, 2026