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HRT helps stabilize your hairline so it is important if you don't wear a wig and want forehead surgery. Otherwise, it may fill in your cheeks a little but doesn't do too much for your face. FFS is possible any time.
You don't need to be on HRT before undergoing facial feminization procedures. It is helpful with hair loss if that's an issue. Best wishes.
It is certainly possible to undergo facial feminization without being on HRT for a year. HRT is more important when dealing with breast surgery.
Facial cosmetic surgery for facial feminization does not usually require prior hormones or more mental professional assessment than any other patient coming in for facelift, rhinoplasty etc. Best wishes
You are already quite feminine, so a few changes will go a long way. I would focus on your forehead. Contouring the brow bone will open up your eyes and give a pretty dramatic change. Since your chin is petite, you may just be focusing on the back of your jawline. You can try botox injection...
Thank you for sharing your images. You certainly have a very feminine looking face already. If you would like to further enhance your facial appearance, there are a few surgical procedures you could consider, but of course, an in-person consultation would best help determine how to proceed. ...