What Is Facial Gender Affirming Surgery?

Facial Gender Affirming  is a group of surgeries or procedures that are performed to make the face more feminine in Facial Feminization Surgery or more masculine in Facial Masculinization Surgery.  We perform Facial Feminization Surgery more frequently because testosterone works so effectively on the facial structures.

Who Can Benefit From Facial Gender Affirming Surgery?

Anyone who wants a more feminine or masculine surgery.  We often seen Transgender Women who are interested in feminizing procedures as part of their transition.  However, these can be useful for Nonbinary people who are looking for a more androgynous look or Cisgender women who want to look more feminine.  Both Cisgender and Transgender men may benefit from implants or liposuction to give a more square or defined jawline.

Procedures that may be included with Feminizing Facial Gender Affirming Surgery:

  • Hairline lowering
  • Hair transplantation
  • Browlift
  • Forehead bossing reduction
  • Eyelid lift
  • Rhinoplasty (nasal surgery)
  • Lip lift
  • V-line Surgery
  • Genioplasty
  • Chin augmentation
  • Cheek augmentation
  • Tracheal shave (chondrolaryngoplasty)
  • Facelift

Forehead Bossing/Hairline Advancement

These procedures are often performed together to feminize the upper 1/3 of the face.  We know from scientific studies that this is the most important area of the face for the recognition of gender.  Since they can all be done through the same incision, we often talk about them together.

Forehead Bossing Reduction Procedure

In forehead bossing reduction, we make an incision at the hairline or in the hair and set back the bone causing the bossing to make a smooth forhead with more open eyes.

Forehead bossing recovery

Patients should plan for at least one week off from work following a forehead bossing reduction. After surgery, your face may be wrapped with a dressing which is taken off the first day after surgery. Patients should keep their head elevated and avoid strenuous activity for several weeks.

Scarring After Forehead bossing reduction

Scars from facelift surgery are well-hidden within the hair or at the hairline aso you can wear your hair any way that you please!  The incision is pink in the beginning but fades over time.

Is Forehead Bossing Reduction Surgery Painful?

There is no pain during surgery, as general anesthesia is used. Dr. Sturm will prescribe pain medication to keep you comfortable after surgery.

 

Brow Lift

Heavy eyelids or low brows can be genetic but can also result from the effects of gravity or natural aging. The excess skin in this area can make you appear tired or angry even when you are not, and it can definitely add years to your appearance. The brow lift will tighten the skin and tissues around the eyes to create a more refreshed appearance.

Brow Lift Procedure

Dr. Sturm performs a pretrichial or endoscopic brow lift using an incision at the hairline or small incisions behind the hairline. A scope allows her to use very small tools to manipulate the tissues and muscles beneath the brows to raise them to a more aesthetically pleasing position.

Brow Lift Recovery

After surgery, your forehead will have a dressing overnight to minimize swelling. Patients should keep their head elevated and avoid strenuous activity for several weeks.

Scarring After Brow Lift

Scars from facelift surgery are well-hidden within the hair or at the hairline aso you can wear your hair any way that you please!  The incision is pink in the beginning but fades over time.

Is Brow Lift Surgery Painful?

General anesthesia is used during surgery; pain medication helps keep patients comfortable after surgery.

 

Eyelid Lift

Excess skin and fat on the lower or upper eyelids can result from aging or genetics. An eyelid lift, also called blepharoplasty, can be performed on either the upper or lower eyelids—or both—to restore a youthful, well-rested look. It eliminates under-eye bags, can improve wrinkles around the eyes, and tightens the skin of the upper eyelids.


Eyelid Lift Procedure

For an upper eyelid lift, the incision is hidden well within the natural crease of the eyelid, and any excess skin is removed. A lower eyelid lift involves an incision just under the lashes on the lower lid. Excess skin and fat are removed for a smooth appearance.

Eyelid Lift Recovery
Bruising and swelling are normal after surgery and will last about one week. After surgery, you will have lubricant on the sutures and in the eyes to keep them moist, so your vision may be a bit blurry for a day or two. Other than that, your vision will be normal. Some patients feel comfortable appearing in public after a few days with sunglasses, while others prefer two full weeks to recover.

Scarring After Eyelid Lift
Scars from either upper or lower eyelid lift heal very well and are hidden within the folds of the skin and along the lash line.

Is Eyelid Surgery (Blepharoplasty) Painful?
Blepharoplasty can be performed under “twilight” sedation or local anesthesia. Discomfort is minimal. Patients experience some bruising and swelling around the eyes after surgery that dissipates once the sutures are removed about one week later. Cold compresses and lubricating ointment help keep pain or irritation to a minimum.

 

Lip Lift Procedure

The lip lift shortens the distance between the nose and the upper lip, creates a fuller upper lid and creates "tooth show" so that more of the upper teeth are visible with talking or smiling.  This creates a more feminine and youthful lip.

Lip Lift Recovery
The patient usually has minimal bruising or swelling.  Since the incision is hidden around and in the nose, the lips are not swollen and the incision can be hidden after sutures are removed at 7 days.

Lip Lift Incision
The incision is hidden in the creases around the sides of the nose, inside the nostrils and across the middle portion (columella), so that it is not visible.


Is Lip Lift Painful?
A lip lift  can be performed under “twilight” sedation or local anesthesia. Discomfort is minimal. Patients experience some bruising and swelling around the eyes after surgery that dissipates once the sutures are removed about one week later.

 

Tracheal Shave (Chondrolaryngoplasty) Procedure

For a tracheal shave, the incision is made in an existing neck crease just under the chin to make sure it is hidden.  A scope is used to visualize and mark the location of the vocal cords.  Then, the cartilage that creates the Adam's Apple that is safely above the vocal cords is removed to create a smooth neck contour.

Tracheal Shave Recovery
Bruising and swelling are normal after surgery but usually not significant and will last about one week, if present. After surgery, you will have Steri-Strips or small bandages on the incision for a week and a dressing overnight.  Most people have minimal discomfort and may have a sore throat for a few days.

Incision After Tracheal Shave
The incision is small and placed in an crease in the neck under the chin to make sure its hidden.  This incision tends to fade to a faint line that is hard to see.

Is Tracheal Shave (Chondrolaryngoplasty Painful?
Tracheal shave can be performed under general anesthesia, “twilight” sedation or local anesthesia. Discomfort is minimal. Patients experience some bruising and swelling around the incision that dissipates once the sutures are removed about one week later. 

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