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

Facial feminization is a set of surgical procedures designed to soften and harmonize facial features so they better reflect a feminine gender identity. At our clinics in Madrid and Zurich, each intervention is tailored to the unique characteristics of the face and each patient’s expectations, with a comprehensive, respectful and personalized approach.

Which facial areas can be treated during facial feminization surgery?

Common procedures include forehead and hairline reshaping, feminizing rhinoplasty, jaw and chin reduction, brow lift, cheek or lip augmentation, and reduction of the Adam’s apple. The surgical plan is customized based on facial proportions and the result each person wishes to achieve.

What is the recovery process like after facial feminization?

Recovery varies depending on the procedures performed, but generally involves one to two weeks of initial rest, with swelling that gradually decreases over the following months. Our clinics provide personalized follow-up in both Madrid and Zurich, with specific guidelines for a safe, comfortable recovery and lasting results.

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

Dr. Richard Fakin is an international reference in aesthetic and reconstructive surgery, with extensive experience in gender-affirming procedures. His approach combines surgical precision, artistic sensitivity and deeply humane care. At his clinics in Madrid and Zurich, each patient receives personalized attention in a safe, respectful and highly specialized environment.

Facial Feminization Surgery

Q: How do I know if facial feminization is right for me?

Facial feminization is indicated for trans and non-binary people, or anyone who wishes to modify their facial features with an aesthetic or gender-affirming focus. The first step is a specialized medical assessment to evaluate facial structure, overall health and personal goals, in order to define the most appropriate treatment.

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

What Is 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 Used in FFS

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.

Scar Placement and Healing After FFS

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.

What Results Can You Expect from Facial Feminization?

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.

Before and After Photos – Real Patient Cases

Frequently Asked Questions about Facial Feminization Surgery

What is facial feminization surgery and how can it help align your appearance with your gender identity?

Facial feminization surgery (FFS) is a set of surgical procedures designed to soften and harmonize facial features to reflect a more traditionally feminine appearance. At our clinics in Madrid and Zurich, each treatment is tailored to your unique facial structure and personal goals, with a respectful, comprehensive, and individualized approach.

Which facial areas can be treated during feminization surgery?

Common procedures include:

Forehead contouring and hairline advancement
Feminizing rhinoplasty
Jaw and chin reduction
Brow lift, cheek augmentation, lip enhancement
Tracheal shave (Adam’s apple reduction)

Every surgical plan is custom-designed to match your facial proportions and the outcome you wish to achieve.

What is recovery like after facial feminization surgery?

Recovery depends on the procedures performed but typically involves 1–2 weeks of initial rest, followed by gradual healing over the next few months. At our clinics in Madrid and Zurich, we provide a personalized recovery plan and close follow-up to ensure a safe and smooth healing process with long-lasting results.

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

Facial feminization surgery is recommended for trans women, non-binary individuals, or anyone seeking to modify facial features as part of gender affirmation or for personal aesthetic reasons. A specialized consultation is the first step—where we evaluate your facial anatomy, overall health, and personal goals to create the right treatment plan for you.

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

Dr. Richard Fakin is an internationally recognized expert in aesthetic and reconstructive surgery, with extensive experience in gender-affirming procedures. His approach blends surgical precision, artistic sensibility, and compassionate care. At his clinics in Madrid and Zurich, every patient receives personalized attention in a safe, respectful, and specialized medical environment.