Toby Mayer, MD

You would benefit from an Irregular Trichophytic brow lift with hairline lowering. You do not need any super orbital bone reduction. This is a procedure I invented and have done more than 5 of these with natural results and no visible scar since hair grows through the incision not just behind it. Make sure you see the hairline exposed when deciding on a surgeon.

FFS for MTF TG patient for natural results. You would benefit from the following: 1. Irregular Trichophytic Forehead Lift with Hairline lowering and Supraorbital bone removal. 2. Rhinoplasty 3. Reduction Mentoplasty 4..Cheek Augmentation 5. Lip lift with fat augmentation of the lips Other possible procedures may include Mayer Voice procedure, Adam’s Apple shave, etc. I have done more than 5000 of these procedures and stress natural results. Make sure you see many examples of the surgeon’s work especially the actual hairline with the hair pulled back.

Forehead reduction WITHOUT bone reduction will give a more feminine and attractive appearance. Bone reduction is for patients with a prominent super orbital bone protrusion. This is not your case. Your brain sits on the other side of the forehead and therefore should not be reduced.! it is important that you see a very experienced surgeon who can show you pictures of the resultant scar with the hair pulled back. I invented irregular Trichophytic forehead lift with hairline lowering 50 years ago and have done more than 5000 of these. If properly done, you will not have a noticeable scar as hair grows through the scar not just behind it.

Can one design a hairline with a forehead reduction-yes. Using the irregular Trichophytic procedure which I invented and have done more than 5000 your hairline can be designed so that hair grows through the incision so there is no obvious scar. Of course this depends on whether you are a candidate for this procedure not without seeing you I cannot say, whether this is a procedure which is appropriate for you. Make sure you see a very experienced surgeon with this technique who can show you dozens of before and after photos with the hairline totally exposed.

What you should don when you feel unattractive and are called ugly! Let’s break this question down. First, you are not ugly by any stretch of anyone’s imagination. You cannot change someone else’s view of you. The only opinion is what YOU think about the way you look? I could give you a list of surgeries to help feminize your face and make you more attractive, but I would tell you to wait before you dothat. How all of us view ourselves often creates unrealistic expectations and solutions. Before proceeding with any surgery, you should see a very good therapist to help you delineate self Image issues to ensure you achieve the result you desire. For many people hairstyling clothing make up will satisfy these issues and avoid surgery. I’ve been doing facial plastic surgery for 50 years and I can guarantee this will be money well spent. Remember plastic surgeons have a vested interest in discussing surgery where by they make a living. If after you see a therapist, you still decide that you want surgery. Make sure you see several plastic surgeons who are very experienced and can showyou excellent results of patients they have operated on that F faces similar to yours. I wish you good luck.

Facial feminization for MTF TG patients. Based on my 50 years experience,, I think you would benefit from the following. It appears that you’re holding your eyebrows up, but when you would probably benefit from a brow lift super orbital bone removal and hairline, lowering using the irregular tricophytic procedure that I invented. A more feminine nose would benefit you as well, etc. all of these procedures can be enhanced at your result. Can be much improvedwith weight loss as well. Make sure you choose a surgeon who can show you dozens of results that appear natural and not overdone.

Forehead reduction recovery is usually 2 weeks but can can be done with a facelift. Having invented the Irregular Trichophytic Forehead Lift and done more than 5000, this is the usual recovery time. You can avoid having two recovery times by having them done together. See you a very experienced FFS surgeon, who can show you actual pictures of the hairline exposed.

It is difficult to evaluate your hairline, forehead and brows because it appears you’re holding your browse up in all of these photos. If this indeed is the case, I would need to see new photos with your brows relaxed. You will get the most feminization from a rhinoplasty to reverse the aging nose, possible lip lift, chin, reduction, and contour.

FFS for the Asian patient with mid face retrusion. I do not thank you would be happy with cheek implants or fat grafting to correct your retrusion. If this bothers you the most, I would see I an oral maxillofacial surgeon for this. You would benefit from the following which can be done in one surgery. The Irregular Trichophytic Browlift with super orbital bone reduction and hairline lowering. A chin reduction and contouring, a thyroid cartilage-Adams Apple- shave.with or without voice modification. Make sure you see a very experienced FFS surgeon who can show you photos with the hair pulled back and there should not be a noticeable scar if properly done.

A temporal brow lift it’s not the answer for large forehead! The procedure that would decrease the size of your forehead while lifting your brows is the irregular Trichophytic Browlift with hairline lowering which I invented 50 years ago and have done more than 5000 of these. If properly done, you will not have a noticeable scar at the hairline since hair grows through the incision not behind it. See a very experienced surgeon for this who can show you his results with the hair, pulled back, exposing the hairline.