Facial feminization surgery for transgender can be divided into two categories: 1- Soft tissue feminization: It requires a facelift, fat grafting, and forehead lift, lip augmentation, as well as some neck and face lipo-sculpturing. This procedure can cost from 8 to 20 thousand dollars. 2- Bony tissue feminization: This requires extensive surgeries for reduction of prominent jaw and mid-face bones, and nasal reshaping in addition of some soft tissue feminization. It is done in stages. It can cost up to 50 thousand dollars
There are many procedures that can be done, it depends on what the patients wants and needs as well as the patient's budget. For soft tissue, rhinoplasty and lip augmentation make a dramatic change in the face. Cheek implants, filler or fat grafting can be used to give the cheeks a more rounded soft appearance. The bones of the face can be recontoured as well. The angle of the jaw can be shaved down, as can the chin. The forehead can be reduced making the brows less prominent. The hairline can also be brought lower or hair can be transplanted from the back of the head. The adam's apple can be shaved through a small neck incision.The prices for these vary and some can be packaged together.I don't mean to be vague on pricing, but it is so dependent on each patient's needs it is hard to give a blanket statement. The best way to proceed is to work with a facial plastic surgeon trained in craniofacial surgery that understands gender affirming surgeryBest of luck,Dr Rodman
