Gender Confirming Facial Surgery

We are proud to announce that Dr. Alexander Facque Dr. Ellie Zara Ley and Dr. Daniel Jacobs have joined the Gender Confirmation Center team and are now offering gender confirming facial surgery (GCFS). We use the term gender confirming facial surgery as an umbrella term for all gender confirming facial surgeries, including procedures typically referred to as facial feminization surgery (FFS) or facial masculinization surgery (FMS). GCFS can help people of any gender who experience gender dysphoria or gender incongruence associated with the appearance or certain features of their face. 

During surgery, the areas of the face that can be targeted are those that are most influenced by hormones during puberty. GCFS can reduce or remove the impacts of testosterone on one’s face, or augment areas of the face that would have been impacted by testosterone when there has been an absence of it during one’s initial puberty. GCFS can change the bones, skin, and soft tissues of the face.

It is important to note that not all transgender and nonbinary people experience gender dysphoria or incongruence associate with their face. This content is not meant to prescribe a one-size-fits-all method of facial surgery or suggest that trans people need to undergo GCFS in order to feel aligned with their gender. This content is meant to guide and inform people who want to learn more about facial surgery, the procedures available, and to help prospective patients make informed decisions about their potential surgical goals and outcomes.


Gender Confirming Facial Surgery Procedures

You will work with your surgeon to develop an individualized plan for your facial surgery. This is a list of possible procedures; however, you should know that you may not undergo all or even most of these, depending on your priorities and goals:

  • Forehead surgery: The shape of the forehead can be augmented or decreased
  • Cheek contouring/augmentation: The cheeks can be make more prominent and angular, or rounder and softer 
  • Rhinoplasty: The nose can be made wider and longer, or smaller and thinner 
  • Jaw surgery: The jaw can be made squarer and thicker, or narrower 
  • Chin reshaping: The chin can be made more square and wider, or thinner and narrower 
  • Adam’s apple surgery: The Adam’s apple can be reduced in size, or made larger 

Other parts of the face and neck that can be changed include the lips, eyelids, and neck. Our practice also offers hair restoration procedures. 

GCFS can involve major procedures which can be helpful in making alterations to your face to reduce feelings of gender dysphoria or gender incongruence, but also have the potential for risks and complications. It is important to be aware of the potential risks so you are fully prepared for surgery and have proper expectations. Recovery time from GCFS will vary depending on which procedure(s) you undergo.

Guide to Taking Facial Surgery Photos