Facial Masculinization Surgery

We are excited to announce that we now offer gender-affirming facial masculinization surgery (FMS) with Board-certified surgeon Dr. Alexander Facque. FMS can help trans men and masculine-spectrum gender-diverse people who experience discomfort or gender dysphoria associated with their face. Not all trans men or trans masc folks experience facial dysphoria, but facial masculinizing procedures may help reduce some of those negative feelings for those who do.

During surgery, Dr. Facque targets areas on the face that are generally impacted by testosterone in people assigned male at birth. This means that all facial masculinizing procedures alter either the bones, skin, or soft tissues of the face in an effort to make the face appear as though it went through a testosterone-influenced puberty. 

This content is intended to inform anyone who wants to learn more about facial masculinization surgery. We are not here to suggest that all trans masc or AFAB trans folks must undergo facial masculinization in order to feel aligned with their gender or to prescribe a one-size-fits-all model for FMS.  We are here to help prospective patients and community members make informed decisions about their potential transition goals and outcomes.

Facial Masculinization Procedures

Patients can work with Dr. Facque to tailor their surgical plan to their individual needs. Surgical plans can include one, two, or all of the procedures below depending on your unique transition desires. 

  • Forehead augmentation: This procedure lengthens the forehead by creating distance between the hairline and the eyebrows. Forehead augmentation can help make the upper third of the face look like it underwent a testosterone-influenced puberty. 
  • Rhinoplasty: The goal of masculinizing rhinoplasty is to shift the shape of the nose so that it’s wider and longer. Dr. Facque can also use rhinoplasty to increase the projection of the nose, which points the tip of the nose slightly down rather than slightly up.
  • Cheek augmentation: Masculinizing cheek augmentation helps create a more angular face shape rather than a round or heart-shaped face. This procedure is done by using either implants or fillers in the cheek area.
  • Jaw contouring & augmentation: This procedure helps create definition between the neck and the jaw and also widens the look of the bottom third of the face. Dr. Facque can use fillers or implants in the corners of the jaw and/or along the jawline.
  • Chin contouring: The goal of masculinizing chin contouring is to create a wider and more square-shaped chin. This can be accomplished through implants, fillers, or surgical interventions.

Do I qualify for facial masculinization?

At The Gender Confirmation Center, we use the informed consent model for all our services and we do not factor in a patient’s decision to be taking hormone replacement therapy (HRT) or not. Additionally, FMS is not just for trans men or masculine-spectrum non-binary folks. Facial masculinization can be for anyone across the wide array of gender identities who would feel affirmed by masculinizing facial procedures. 

Electing to undergo FMS is a deeply personal decision. Patients must have a deep understanding of the procedures involved and have the ability to undergo major surgery. Financial considerations–including the need to take time off from work, school, or other important activities, as well as possibly traveling for surgery–are also extremely important. Recovery time will vary from patient to patient. 

Insurance Approval for Facial Masculinization

Even though our practice uses the informed consent model, most insurance companies still require a letter from a licensed mental health professional in order to approve gender-affirming surgery. After you provide us with the letter and a copy of your insurance card, our Insurance Advocacy Team will petition your insurance company to help cover surgical costs to the best of our ability. Unfortunately at this time we cannot guarantee insurance approval for FMS as this happens on a case-by-case basis.

To learn more about facial masculinization, schedule a consultation with Dr. Facque by heading to our “Get In Touch” page and ticking the “Facial Surgery” box. We look forward to working with you soon!