Surgery > Facial Feminization
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Dr. Javier Rossi turns your face into your best asset through Facial Feminization Surgery (FFS)
Start now a free remote consultation and get a quote for the surgery that will change your life

Your face can be your ally
The gender of a person can be perceived just by glancing at his or her facial features. FFS surgery will make others see at first sight what your right gender is.
Facial Femenization Surgery FFS surgeons al work
Example of a Facial Feminization Surgery (FFS) crew at work.From left to right: assistant anesthesiologist, main anesthesiologist, assistant plastic surgeon, main plastic surgeon (Dr. Javier Rossi), oral surgeon, surgical tech
Your bones are the key
Any person can tell whether a face is masculine or feminine just by looking at the facial features. This ability starts during the earliest childhood, even before learning which the genital differences are. However, most people wouldn't be able to put into words what exactly makes a face look female or male, nor have they even thought about this. The shapes and profile that we see are determined by factors hidden within: the bones constituting the forehead, nose, jaw and chin.

Although many masculine-faced women can get a satisfactory feminization through relatively conventional facial surgery, many others need to seek a change in the deepest layers of the face, altering the proportions of the facial skeleton. In the late eighties, Dr. Douglas Ousterhout introduced the concept that a male face could be feminized by using cranio-facial surgery techniques that were so far just intended to fix cranial malformations or injuries from accidents. Since then, the set of surgical procedures performed to reshape the facial bones and give them feminine proportions is called FFS (Facial Feminization Surgery). In this section, we explain step by step what these surgeries consist of.
Full facial feminization surgery Dr Javier Rossi before and afterFull facial feminization surgery Dr Javier Rossi before and after
Full facial feminization surgery Dr Javier Rossi before and after

Example 1 -Young patient with Full FFS 
Procedures performed: Forehead reconstruction, brow lift, Rhinoplasty, jaw and chin reduction. Before and 2 months after

Full facial feminization surgery Dr Javier Rossi before and afterFull facial feminization surgery Dr Javier Rossi before and after
Full facial feminization surgery Dr Javier Rossi before and after

Example 2 -Young patient with Full FFS 
Procedures performed: Forehead reconstruction, brow lift, Secondary Rhinoplasty, Jaw and chin reduction, Adam’s apple reduction. Before and 3 months after (there is still evident swelling on some areas, especially on chin and jaw due to the short time passed after the surgery)

Full facial feminization surgery Dr Javier Rossi before and afterFull facial feminization surgery Dr Javier Rossi before and after
Full facial feminization surgery Dr Javier Rossi before and after

Example 3 -Young patient with Facial Feminizations Surgery 
Procedures performed: Forehead reconstruction, brow lift, Rhinoplasty, Upper lip lift. Before and just 3 months after (there is still evident swelling and the scar is still reddish, due to the short time passed after the surgery)

Can Facial Feminization Surgery be combined with a face lift?
Although some FFS specialists prefer to perform face and neck lifts in another surgery some months later than the bony Facial Feminization, both kinds of procedures can be combined in just one surgical act with very good and especially natural results. When the face lift is performed in one surgery with the feminization of the facial skeleton, it must be understood as a complementary procedure that repositions the soft tissues in a way that brings out the feminization acquired on the facial bones (that would otherwise get concealed, not fully appreciable) and as a factor that sums up into the whole facial transformation rather than as a facelift per se, usually intended for just rejuvenation. In terms of rejuvenation it might result less perfect than when performed alone but, but the combination has a great benefit for the mature patients: it produces an immediate younger appearance that allows them to recover and enjoy in the right gender many years they spent living in the other one.
Something else to consider is that doing Facelift and Facial Feminization Surgery all together means an important saving in money, flights, time off and healing time, and the relieve of having to pass through the pain and inconveniences of the recovery just one time.
Partial facial feminization surgery
Some patients don’t need to undergo a full facial feminization surgery to obtain a satisfactory degree of feminization. In some cases, a surgery of just forehead and nose can be enough for them. This is because the relative importance of the forehead in the perception of the facial gender is much higher than the relative importance of the lower face, as the forehead affects something crucial: it affects the way the eyes look. It is amazing how something as abstract as the look of the eyes can be changed by reshaping hard bone. A male bone frame around the eyes gives the look the fierce, severe or even grim character of the predators, probably an heritage from the age when male were hunters and fighters and women stayed at home caring after the children. Feminization surgery of the forehead and nose gives the patient’s eyes the look of the female eyes. This look, so appreciated by romantic poets, is not female because of anything in the eyes themselves (which are the same flesh balls in both males and females), but because of the shape, thickness and especially the projection of the bones that surround them.

» Forehead Contouring

Thick orbital rims are male and un- sightly. They are feminized by grinding them down (shaving) to thin them and open up the eyes. Also, prominent brow bossing is the most telltale of male facial features and usually needs being set back through a surgery called reconstruction of the frontal bone.
» Read more about this Facial Feminization Surgery

» Jaw Reduction and tapering

Female facial frames are narrower than male ones. The best way to narrow a male face (and get a consequent feminization of the whole facial outline) is reducing the jaw width, whether with a surgery on the rear angles and/or by tapering the sides.
» Read more about this Facial Feminization Surgery

» Brow Lift

Eyebrows are more than a strong facial indicator of emotions and moods: they contribute to make the eyes look female or male. Arch, shape and placement can get a permanent feminization through surgery.
» Read more about this Facial Feminization Surgery

» Rhinoplasty

Pretty female noses are crucial for facial harmony. They are usually smaller overall, with thinner, straighter, shorter bridges and well defined tips… Feminizing rhinoplasty is intended to give a male nose these attributes.
» Read more about this Facial Feminization Surgery

» Cheek Implants

Full, high placed, well defined cheekbones are perceived as female. If yours don’t match this description, then cheek implants might be included in your FFS.
» Read more about this Facial Feminization Surgery

» Chin reduction

A small pointy chin is very important in the perception of the facial outline as female. A male chin can be reduced in height and width. The result of chin surgery must match the result of jaw tapering surgery in a more delicate lower face.
» Read more about this Facial Feminization Surgery

» Upper Lip Lift

The distance between nose and mouth is shorter in females, which allows better teeth exposure. This characteristic indicates youth too. The surgery that reduces the distance between nose and mouth is called upper lip lift surgery (or lip shortening).
» Read more about this Facial Feminization Surgery

External links

 » The cheek implants we use

Medpor is the world leader in the production of porous polyethylene facial and craniofacial implants.


 » The chin implants we use

Silimed produces silicone implants. Sometimes we use them for chin surgery. Their shape, hardness, color and surface are the result of years of research with the medical profession.


 » The cranio-facial titanium mini plates and screws we use for forehead and chin surgery

Stryker pushes the frontiers of medical research with uncompromising clinical integrity. It is a trusted partner that works with thousands of surgeons

 » The best discussion board on Facial Feminization Surgery in the world

FFS-support is a Yahoo group exclusively devoted to Facial Feminization Surgery. It has thousands of members and was one of the strongest supports and the most valuable source of information during Amanda's transition.


 » The medical center where we do pre surgery tests

Diagnostico Medico assists around 500,000 patients a year

Facial Feminization Surgery − FFS

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Package Rates for combined procedures are always lower than the sum of individual prices.
Get a quote for your Facial Feminization Surgery package that will include All Medical fees and costs + 2 nights hospitalization with interpreters + Land transportation with bilingual assistants from and to the airport and every appointment + A cell phone to call us 24/7 at no cost.
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See our results. This page gathers before and after photo examples of our facial surgeries.

Our patients are provided with:
  • Bilingual Assistants & Land Transportation from and to the airport, medical appointments and surgery.
  • Translators during hospitalization to better communicate with the nurses.
  • Cell phone to call the staff 24/7 at no charge.
  • Special hotel discounts.