Facial Masculinization

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

Facial masculinization for trans men

Madrid | Zurich

Our team is recognized as a leader in the field of surgical reassignment surgery and it is for this reason that we are proud to pioneer the concepts of facial masculinization (FMS). Facial anatomical differences between men and women are highly characteristic, but in contrast to facial feminization, the offer of facial masculinization is still very limited worldwide.

For many trans men, in fact, facial masculinization represents one of the fundamental interventions that improve their social life, self-esteem, and quality of life. With the masculinization of the face we are able to obtain very significant and subtle changes either with or without surgery. Our techniques are pioneering and exclusive worldwide.


60-180 min


same or next day

Fit to go back to work

7-10 days

Fit for everyday activities

7 days


General or sedation

Recovery time

3-6 weeks

Surgical techniques

The key components to achieving a masculine-looking face are: the reshaping of chin, jaw and nose, and the skilful redistribution of facial volume.

Chin and jaw: chin implant, jaw reshaping, lower jaw area volume increase, mainly its angles by using implants, fat transfer or hyaluronic acid fillers. Additionally, the jaw angles and the rest of the jaw area can be shaped using intra-dermal threading.

Nose: masculinising surgical rhinoseptoplasty, nose reshaping via hyaluronic acid fillers.

Facial volume redistribution: by applying an advanced liposuction and lipofilling technology to specific areas, harvested fat is reused to enhance the volume of areas such as chin, jaw, temples and the area above the eyebrows.

Upper and/or lower lip volume reduction leaving no visible scars.

Non-invasive treatments such as hyaluronic acid fillers, Botox and intra-dermal threading.

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

What are scars like and where are they located?

All scars in FMS are invisible and located in concealed areas, like the inside of the mouth, the nose or behind the hairline. We apply specific treatments to minimise scar visibility.

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

Postoperative care

Recovery time for the facial area is much shorter than for the rest of the body, due to its high rates of blood perfusion. Generally, the postoperative swelling resides about one week after the intervention. Moreover, the face is an excellent area for fat transfer procedures.

Results are long-lasting and the combination of modifications will define a masculine-looking face. We tailor our surgical approach to each patient’s needs and anatomical characteristics.

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

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