Facial Feminisation Surgery

Facial Feminisation Surgery (FFS)

Our faces are composed of gender defining characteristics which make male and female faces identifiable at a glance. We make an instant and instinctive evaluation based on these characteristics as to the gender of the person, from which other instinctive responses then follow.

Typically these characteristics in the male are, - forehead, shape of the nose, distance from the top lip to nose, shape of the chin and jaw. Symmetry, proportion and a healthy refreshed appearance also enter into our instinctive evaluation.

 

To live as women we need to blend and integrate socially. To more readily achieve this, then these masculine facial characteristics need to be remodelled to more closely follow natal female facial characteristics.

Facial Feminisation Surgery has become increasingly sought after, and many women feel that ‘Facial Reassignment Surgery’ has become an integral component in our transition. Whilst most patients are full time, an ever increasing number who present less frequently, seek FFS to more readily enable their feminine expression.



FFS is growing to become a fundamental element in our transition, but may not provide all of the solutions that we seek. It is therefore of the greatest importance, that we are afforded clear indications, as to the expectations from surgery. This begins with the consultation process, from which a mutually agreed proposal for our surgery is designed.

 

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Bone sculpture! A new concept in feminisation surgery

Worldwide, only a small number of centers specialise in Facial Feminisation Surgery.


In recent years the facial skeleton has been treated almost exclusively by maxillofacial or craniofacial surgeons. Improvements in surgical procedures and approaches to the facial bone complex have allowed remarkable results in these two specialties.

 

The ability to transfer these innovative techniques to the field of FFS allows us to deal directly with the bone shape. The effects of sculpting facial bone are predictable, which guarantees our results over the long term.

 

How to achieve better, long-lasting results?

The soft tissues (skin, fat, muscle) are exposed to numerous agents of change (contraction and muscle relaxation, liquid retention, gravitational effect, loss of elasticity and cohesive properties, etc.), which make it difficult to predict the results of a surgery on these tissues over the long term.

 

On the contrary, the facial skeleton is not subject to the same change vectors as those mentioned above, meaning that surgical modifications will remain unchanged over time. Considering this advantage and analyzing the principal differences between male and female facial skeletons, we are able to redefine a human skeleton to achieve a more harmonious and, finally, more feminine face.

 

Treatment planning

The key to achieve highly satisfactory results in FFS occurs after meticulous planning and the appropriate choice of techniques best suited to the needs and wishes of the patient.

 

There is no strict protocol of action as each feminisation is unique. The election of procedures adapted to each type of face will determine the final result, aiming for the harmonious and feminine. In general, there is a facial area that we will call primary which is the main focus of the feminisation surgery. After a facial analysis, it may be recommended to act on secondary areas in order to optimize the final result. Any additional procedures will depend largely on realistic expectations of the patient and a careful evaluation by the surgical team. It is important to come to us with clear ideas about the facial areas you would like modified.

 

Treatment planning is based on a combination of physical assessments, x-rays, anthropometric measurements, photographs, art and most importantly– the self-evaluation of the patient.

Special note from Dr. Capitán & Dr. Simon:


We advise all patients interested in FFS that the surgical procedures carried out in this type of surgery seek to achieve harmonic results, feminine and natural, and that are not intended to change the physiognomy of the face itself or make extreme changes in the face.

 

It is therefore essential that patients have realistic expectations of the outcomes of Facial Feminisation Surgery, which we believe will thus positively influence the recovery and adaptation during this important step in the transitional process.

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