How Can I Make my Gaunt Face More Feminine?

As the other esteemed surgeons point out, there are many features, not just volume deficit, that can lead to masculinization of a feminine face. Each case is highly individual. However when a volume deficit is present, I prefer autologous tissue (from the patient's own tissues whenever possible. Fat injection is a fine and accepted method of filling volume. We prefer fat-fascial grafts in our practice, since they have greater viability than fat injection grafts in our studies, and... more

Fat transfers can be done for a gaunt face if there is fat atrophy and lipodystrophy present. Cheek augmentation can also be performed with cheek implants into the hollow malar areas to give a more fullness to the face. Injectable fillers can be used around the nasolabial fold areas. Face/neck lifting is typically performed to remove any sagging and excess skin in the jowl and neck area.

Seek consultation with a board cefrtified plastic surgeon who has experience with facial fillers. Try fillers before having surgery or fat injections. The liquid face lift using facial fillers like Juvederm, radiesse, etc can add volume to the cheeks and mouth area and ad pleasant fullness to the face. Fillers are not permanent, thus you have the opportunity to try to find the look you want without oirreversable changes.

This is a very specialized area of surgery. Without seeing any pictures it is difficult to make recommendations. It usually involves a lot more than nasal surgery. Google the topic and look at appropriate web sites.

Fillers are the answer here and there are many of them out there. The first natural filler that comes into mind is autologous fat transfer. Fat is removed from one part of the body and injected in the face. The problem with fat is that it may require multiple sessions for it to fully settle. Once it does, however, the results are satisfying and long term. Fillers using hyaluronic acid and calcium hydroxylapatite can also be used with great results too. They provide a better outcome in... more

IF your face is gaunt, sometimes facial fillers whether it is autologous using fat or non-autologous like juvederm, restylane, radiesse or sculptra can be helpful.  A good exam will also point out features that you may want to improve if the gauntness is moe from masculinized features.

Clearly there may be many approaches to feminize your face. These may range from hair patterns, frontal bossing, tip rotation, cheek prominence/fullness, chin projection, jaw size, adam's apple, etc. However, if your priary concern is the gaunt appearance, use of facial fillers whether they be autogenous, biologically derived or manufatured, may be an option that you should discuss with your surgeon.

With out seeing your face or a photo it is difficult to make any recommendations but if your face is what I think you are saying then fat grafting of your face is the best and most effective and permanent method to feminize your face. Make sure you find a plastic surgeon with a lot of experience with these techniques because learning these techniques require a very step learning curve. Yes Sculptra and other fillers can help but for the volume you probably need and the longevity you... more

 There are a handful of plastic surgeons who do facial feminization. After more than 30 years of doing this for gender reassignment patients, we find several things that make the face more feminine. Go to various websites and see which of these apply to you.

Without seeing your face it is hard to tell exactly what will make it more feminine. You describe your face as gaunt and that generally means that you have very little fullness and some hollowing. Depending on the shape of your face you need some filling to expand the hollow areas and give you some normal contour. This can be done with fat transfers or other facial fillers. You need to consider all of the pros and cons of each technique and see which is best for you. Discuss the options... more

The best way to make it feminate is to build up the volume using Sculptra. Fat transfer will work well too but fat can be unpredictable and might get reabsorbed in some areas unevenly. Regards