What is included in facial masculinization surgery?

With feminization I refine the nose, brows, chin, cheeks, and Adam's apple. Masculinization depends on what the patient already has in their facial features. Making the chin and nose larger, as well as dropping high brows and making the cheeks larger will do this.

There are 2 components to this type of surgery-the bone component and the soft tissue component. The first involves squaring of the jaw and chin, usually with facial implants, and adustments to the nasal bridge outline. The second involves adjustments to the eyebrow position or outline and adjusting nasal tip rotation to 90 degrees. Feminizing the face would involve the opposite i.e rounding out the chin and jawline, arching the eyebrows, making the nasal bridge concave in line with the eyebrow arching, adjusting nasal tip rotation to 100 degress plus forehead contouring as needed.

Many things can be done to make a face look more masculine starting with the hairline and going down to the neck. The hairline could be altered to have a more masculine shape, , the brows and the underlying bone contoured, the cheeks and nose can be altered and the lips, chin and jaw can be reshaped. Mustache and beard hair transplants can be done if there is sparse facial hair.

What is recommended depends so much on the existing features. It would be intersting if you could sulbmit a photo or two (of yourself or a face you consider feminine)  and again ask this question.