The Spiegel Center for Advanced Facial Aesthetics

Dr. Spiegel and his entire staff were incredible. They were not only technically skilled, but responsive, kind, and patient. They accommodated a high-needs and neurodiverse patient with sensitivity, respect, dignity, warmth, and care. The results are subtle and tasteful, but make a huge difference. Follow-up care was fabulous. Thank you to the whole team.

I did thorough research in the Massachusetts area to find a surgeon who is technically highly skilled, up to date on the latest techniques, and known for achieving a natural, refreshed, and elegant look. Dr. Jacob Tower was the best match, and I’m so glad I chose him for my face and neck lift. Dr. Tower was approachable, friendly, and never pushy. I felt comfortable sharing my concerns, and he answered all of my questions thoroughly both before and after the procedure. Even at just two weeks post-op, my results already look excellent, which really speaks to his skill—he is truly very good at what he does. I also greatly appreciated his patient coordinator, Uzma, who was kind, professional, responsive, and not pushy at all. Everyone in the office was genuinely nice and helped make this a very positive experience. I’m extremely happy with my results and would highly recommend Dr. Tower. PS: I'll post pics soon Updated on 11 Feb 2026: Adding one month post-operative photos for reference. These pictures show my current results at this stage of healing. I’ll continue to update if there are any significant changes. I’m very happy with how the recovery is going.

I cannot say enough wonderful things about Dr. Tower and his incredible patient coordinator, Uzma. From the very first consultation, Dr. Tower truly listened to me. He took the time to understand all of my concerns and created a thoughtful, personalized plan that enhanced my appearance in the most natural way. My rhinoplasty and chin augmentation results have exceeded my expectations, and I am absolutely overjoyed. His skill, artistry, and attention to detail are unmatched, and I felt completely confident in his care every step of the way. Uzma was equally phenomenal throughout this entire experience. She walked me through every detail—from consultation to surgery to post-op care—with warmth, patience, and total professionalism. She was always available to answer questions, explain logistics clearly, and make me feel comfortable and supported. Communication was seamless and easy to understand, and the level of aftercare I received was nothing short of exceptional. This entire process felt thoughtful, organized, and truly patient-centered. I am beyond grateful to Dr. Tower and Uzma and would recommend them without hesitation to anyone considering surgery.

I underwent jaw contour surgery with Dr. Spiegel in May 2026 and have had an outstanding experience throughout. During our initial consultation, Dr. Spiegel took the time to thoroughly understand my goals and concerns, listening attentively while sharing his extensive expertise. One the surgery day, we reviewed my desired chin outcome using photos I’d printed, and he assured me he would deliver the best possible result. Six weeks post-op, I returned for a follow-up where Dr. Spiegel examined my progress and administered a Botox injection to address muscle tension. Every two months thereafter, he continued monitoring my recovery, providing additional injections to smooth the chin muscles. Eight months after surgery, he generously performed a complimentary procedure to further optimize my results. I cannot thank Dr. Spiegel, Carol, and Nancy enough for their exceptional care during every visit to the Spiegel Center. Their professionalism, genuine warmth, and attention to detail made me feel truly valued. The facility itself is impeccably clean and beautifully designed. I had the best experience imaginable and highly recommend Dr. Spiegel and his team.

Dr. Tower exceeded all of my expectations for this surgery. He was compassionate and confident at all times. The pre-op and post-op appointments were very thorough. My surgery needs were quite complex to correct a crooked nose, deviated septum, and some re-shaping and size reduction of the nose tip. Compared to other reputable surgeons that I had consultations with, Dr. Tower stood out as a specialist for rhinoplasty for fixing a crooked nose based on his knowledge and successful surgeries for patients with similar needs. He was confident that he could get me a symmetrical result that fit my face and looked natural. Thanks to his skill and precision, my recovery was much easier than I had anticipated– minimal swelling and the incision scar healed quickly. I was back to a normal schedule within 3 weeks. My nose is straight and balanced now and also looks much better from a side profile view. The patient care coordinator, Cristina, was super helpful, positive and professional. I’m very impressed with the result of the surgery and more than happy to recommend Dr. Tower and his team!

For 2025, I did multiple procedures with the Spiegel Center. Hair grafting, Breast augmentation, reverse abdominoplasty, hair grafting and skin maintenance including Elacor, botox, fillers and IPL. The results speak for themselves. I've worked with the Spiegel team since 2010, and they've done 95 percent of my surgery. It's astonishing how far they've taken me. What I appreciate is how, no matter your aesthetic goal, they will listen to you - give you a frank opinion, and shape a treatment plan that gets results. My surgical coordinator, Uzma, is super easy to plan things with and very responsive to questions. Dr. Onir is fantastic at maintaining my skin, and will always take extra time to answer questions. For anyone, but trans women in particular, I would highly recommend the Spiegel center.

My rhinoplasty experience with Dr. Tower was nothing short of amazing. During our initial consult I felt he understood my goals immediately with the confidence to execute it. He certainly did! I love my new nose. The day of surgery was easy and peaceful in their surgery suite and the nurses were wonderful. I felt very confident and at ease putting my face in Dr. Tower’s hands. My recovery was easy with very little pain. My surgical coordinator, Uzma, was very kind answering all questions I had and getting everything in order for me. Very helpful she is so quick to respond as well! Dr. Tower has a true eye for the small details, and precision to perform. He is so easy to talk to, immensely talented, a total dream! I highly recommend him.

I was originally planning on waiting six months after my surgery date to post a review. However, I can confidently say that I was absolutely amazed and astounded by my results only weeks after surgery. My surgery date was August 21, 2025, and I am writing this review in early January 2026. My experience with the Spiegel Center began in the fall of 2024 when I started researching facial feminization surgery, or FFS. If you are reading this, I already know you are likely going through the same daunting process of trying to find a surgeon who can not only feminize traditionally masculine facial features, thanks a lot testosterone, but do so in a way that looks natural, beautiful, and authentically you. You are looking for someone you can fully trust, someone who makes you feel safe, confident, and respected. You also want an office environment that is welcoming, supportive, and compassionate. If you live on the East Coast, Dr. Spiegel and the Spiegel Center should be your top consideration. Honestly, no matter where you live, Dr. Spiegel should be on a very short list. My first contact with the Spiegel Center was in December 2024, when I reached out to schedule a consultation. When I arrived, I met Uzma Husain, who has been my patient coordinator throughout this entire journey. Uzma truly deserves her own glowing review, but I will praise her here as much as possible. From day one, she has been kind, attentive, and deeply supportive. During my consultation, Dr. Spiegel met with me along with his surgical fellow at the time. Dr. Spiegel, the fellow, and Uzma were all incredibly kind, patient, thorough, and informative. They consistently used my correct name and pronouns, even though my name had not yet been legally changed, and they never once made me feel rushed. In fact, they stayed in the room for several extra minutes after I ran out of questions, just to be sure I felt comfortable and informed. I came in with a few ideas of my own but kept an open mind and wanted to hear Dr. Spiegel’s recommendations based on his extensive experience with FFS. He recommended a tracheal shave, brow bone reduction, jawline contouring, cheek implants, and rhinoplasty. He also suggested considering a lip lift. I ultimately declined the lip lift at the time due to concerns about results and the fact that it was not covered by insurance. In hindsight, I regret that decision and will absolutely be scheduling a lip lift when I return to the Spiegel Center for breast augmentation in 2026. One thing I want to note about the Spiegel Center is that it can feel intimidating if you are not accustomed to outpatient cosmetic surgery environments. Like many surgeons who perform FFS, the Spiegel Center also treats non transgender patients seeking cosmetic procedures. Many of these procedures, I would argue, are still forms of gender affirming care. That said, do not mistake the prestige of the location, Newton and Chestnut Hill, or the beauty of the space and staff for anything other than warmth and humility. The Spiegel Center is prestigious, yes, but it is also genuinely welcoming, compassionate, and affirming. After my initial consultation, Uzma worked closely with the Spiegel Center’s insurance team to submit my prior authorization request. Once that was approved, I returned in late spring 2025 for a transgender patient open house. That event sealed the deal for me. Seeing other trans patients, meeting staff, and hearing firsthand experiences made me one thousand percent certain I had chosen the right place. The pre surgical process was not easy, but I worked closely with my primary care provider to complete all required labs and evaluations. As the surgery date approached, my anxiety, like many trans women facing surgery, definitely increased. But on the morning of surgery, that anxiety disappeared the moment Uzma came to visit me in pre op. Seeing a familiar, comforting face who had been with me since the beginning meant everything. She offered reassurance and encouragement, followed by the nursing staff, anesthesiology, and then Dr. Spiegel himself. His calm, pleasant demeanor was incredibly grounding and reassuring. The surgery went well. The first seventy two hours of recovery were tough. I experienced significant dizziness, vertigo, and nausea from the prescribed pain medication. By day three, the pain was manageable enough to switch to Tylenol. Swelling is real and lasts for weeks, but you will immediately notice the reduction in brow bone. As the swelling continues to subside, more and more of your features emerge, and with them, Dr. Spiegel’s true artistry. At about four and a half months post op, I can confidently say that I could not be happier. Well, maybe I could have been if I had done the lip lift, but I will be back. If you are considering FFS and want results that are natural, beautiful, and life changing, I cannot recommend Dr. Spiegel and the Spiegel Center highly enough.

As a women in her mid forties I started really hating the saggy skin under my chin specificaly the platysmal neck bands. I had has some lipo done under my chin a few years ago and then had the neck tight performed to help the appearance. I was still unsatisified with the results and I consulted with Dr. Tower on my best options and decided on the neck lift. The surgery center itself was quick and the surgey suite and staff could not have been better. Recovery was very easy, I was up and about the next day and driving. Your hair covers most of the swelling and brusing and I was able to go about my regular activities without anyone outside my home knowing. The bruising was gone by day 6 with most of the swelling and by two weeks I had forgot I had it done. I could not be happier with the results. I look the same just 10 years younger. My bands are gone and I have a nicely contoured jawline as well as an overall tightened appearance in my lower face.

Dr. Spiegel and Uzma are truly exceptional. From the moment you walk in, you’re treated with genuine care, professionalism, and warmth—it never feels rushed or transactional. Their approach is incredibly thoughtful and personalized; you can tell they actually listen and tailor treatment specifically to you, not a one-size-fits-all plan. Uzma brings such a calming, compassionate presence, and Dr. Spiegel is both highly knowledgeable and reassuring. Together, they create an environment that feels welcoming, elevated, and comfortable—like being cared for by family who also happen to be experts at what they do. The attention to detail, consistency, and level of trust they build is unmatched. If you’re looking for high-quality care with a human touch, this is absolutely the place. No regrets!