Facial Feminization Surgery

We are proud to announce that Dr. Alexander Facque will be joining the team with The Gender Confirmation Center and will be offering facial feminization surgery, or FFS, before the end of 2020. Facial feminization surgery can help trans women, as well as feminine spectrum non-binary and gender-diverse folks who experience gender dysphoria or discomfort associated with the appearance of their face. While not all trans women or trans femme folks experience facial dysphoria, facial feminization surgery can help alleviate some of those negative feelings for those who do.

FFS is designed to eliminate or reverse the impacts of a testosterone-influenced puberty on the developing face. Facial feminization surgery encompasses many different procedures involving the bones, skin, and soft tissues of the face. To help make learning about FFS a little easier, we recommend categorizing the procedures into the four main anatomic areas in which they are performed: the upper face, the midface, the lower face, and the neck. This section of the website will guide you as you learn more about FFS and its important place in the realm of gender affirming surgery.

It’s important to note that not all trans women or feminine-spectrum trans, non-binary, or genderqueer folks experience dysphoria or discomfort associated with the shape of their face. This content is not meant to prescribe a one-size-fits-all method of facial feminization, or even suggest that all trans femme folks must undergo facial feminiztion in order to feel aligned with their gender. This content is intended to guide and inform folks who want to learn more about facial feminization surgery, the procedures available, and to help prospective patients make informed decisions about their potential surgical goals and outcomes.

FFS Procedures: Which Ones Are Right For Me?

Choosing to undergo facial feminization surgery is a deeply personal decision that is often shaped by an individual’s experiences with dysphoria or discomfort, understanding of the procedures involved, and ability to undergo major surgery. Financial considerations; including the possible need to travel for surgery and take time off from work, school, or other important activities to recover are very important as well. Because every patient has unique goals and desired outcomes for their surgery, recovery time and patient experience will vary greatly from patient to patient. 

This section of the website will answer some frequently asked questions about facial feminization surgery, such as:

  • How much time will I need off from work?
  • How will my face appear after surgery?
  • Will my insurance cover the cost of surgery?
  • Can I have FFS if I’m non-binary?
  • How will the facial features of my racial/ethnic background be maintained?
  • How can I speed up healing?

As always, if you have more questions about FFS, don’t hesitate to contact our office or schedule a consultation with Dr. Facque.

Understanding Facial Feminization Surgery

The procedures involved in facial feminization are very powerful and not to be taken lightly. FFS is major surgery. FFS can help to increase your self-esteem and reduce your experiences of gender dysphoria; however, it also comes with possible risks that are important to understand throughout the process. Despite these risks, most patients are very happy with their decision to undergo FFS. Understanding as much as you can about the procedures involved, your own anatomy and goals for surgery, and trying to maintain realistic expectations can really help your ultimate satisfaction with the procedure(s) performed.

Dr. Facque, Facial Feminization Surgeon

Dr. Facque and the staff at The Gender Confirmation Center are uniquely qualified to support patients through the facial feminization surgery process. As a larger team, we have been providing excellence in the world of gender affirming surgeries for over 10 years, and our number one goal is to support our patients through their transition.