Facial Feminization

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

Facial feminization surgery (FFS)

Madrid | Zurich

Facial feminization (FFS) encompasses a set of surgical procedures aimed at enhancing feminine features that are coherent with the identity of the trans woman. For many patients, taking this step represents an essential advancement in their personal development, fostering confidence, self-esteem, and social well-being.
At Dr. Richard Fakin’s Clinic, our comprehensive approach combines state-of-the-art technology, cutting-edge surgical techniques, and close support to ensure natural and lasting results. We have a solid track record in gender affirmation surgeries, which allows us to offer personalized treatments tailored to the unique needs of each individual.

Length

60-180 min

Discharge

The same day or the next day

Fit to go back to work

10 – 14 days

Fit for everyday activities

1 week

Anesthesia

General

Recovery time

1 month

Surgical techniques in facial feminization intervention

Forehead Feminization

– Reduction and remodeling of the frontal bone: The supraorbital prominence is softened and the forehead contour is redefined.

-Eyebrow lift: Provides a more feminine and youthful expression.

-Hairline lowering (when appropriate): Helps harmonize the proportion between the forehead and the rest of the face.

Feminizing Rhinoplasty

– Correction of the nasal bridge: The prominent bone is smoothed or reduced to achieve a more delicate profile.

– Tip definition: A slight lift is applied and, if desired by the patient, the nasal base is elevated.

-Adjustment of angles and proportions: The nasal shape is adapted to the other facial features to seek a natural appearance.

Lips

– Volume enhancement: Achieved by means of hyaluronic acid injections or autologous fat (lipofilling).

– Lip lift: When the space between the upper lip and the nose is excessive, a lift is performed to shorten that distance and achieve a more feminine and harmonious appearance.

Cheeks (Malar Area)

– Fillers with hyaluronic acid or fat: Provide volume and a more youthful look.

– Cheek implants: Used in cases that require greater projection.

– Bichectomy: Removal or utilization of cheek fat (Bichat’s fat pads) to highlight the malar area and refine the facial oval.

Jaw and Chin

– Mentoplasty: Transforms the masculine “U” shape into a more feminine “V”.

– Reduction of mandibular angles: Softens the jawline to achieve a more streamlined lower contour.

Skin

– Improvement of texture and tone: Dermoesthetic treatments and state-of-the-art devices are employed to add smoothness and radiance to the skin.

Lipofilling

– Selective volumization: The transfer of one’s own fat allows for the redefinition of the cheeks, lips, and temporal or supraciliary areas, contributing to a more feminine and balanced appearance.

Blepharoplasty

– Eye rejuvenation: Removal of excess skin on the upper and lower eyelids.

– Specific aesthetic corrections: Can refine the periocular area to achieve a softer and more feminine appearance.

Scar Location

– Forehead feminization: The incision is usually placed along the hairline or within the scalp, remaining practically invisible.

– Cheeks, jaw, and chin: Incisions are made inside the mouth, so no visible marks remain on the skin.

– Rhinoplasty: Can be approached with an open or closed technique, with very small and hardly noticeable scars.

Learn more about Facial Feminization interventions for Transgender Women on our Instagram profile.

Where are the scars located after a facial feminization intervention?

In the feminization of the forehead the scar is normally located in the scalp area so it remains imperceptible.

The scars of the intervened areas in cheekbones, jaw and chin are inside the mouth, being imperceptible in the same way.

The nose intervention can be performed with both the open and closed method leaving minimally visible scars.

Learn more about Facial Feminization interventions for Transgender Women on our Facebook profile.

Expectations and results

Small adjustments can have a significant impact on the overall perception of the face, harmonizing the external image with internal identity. Patients often report increased confidence and social acceptance following the procedure.
At Dr. Richard Fakin’s Clinic, we combine high-precision procedures with attentive and secure care. Our commitment is to offer you:

More than 1,000 successfully performed surgeries.
Personalized attention in Madrid and Zurich.
Specialized experience in gender affirmation.

A multidisciplinary team of experts.
Facial feminization is not limited to correcting facial features; it seeks an integral transformation so that the patient experiences true alignment between her external appearance and personal identity. Ultimately, our goal is to enhance your unique beauty, improve your quality of life, and provide you with the confidence you deserve

Learn more about Facial Feminization interventions for Transgender Women on our Instagram profile.