Facial Feminization Surgery: how can I achieve my final goal picture? (photos)

Question

Hi, I'm a 36 year old trans woman I consult a nutritionist and since July I have lost 25 lbs (207 to 183 today) I thought the weight loss would help me with my dysphoria, but I realize that I don't really feel more feminine or more pretty. (I'm not going to stop until I'm back to 145 lbs) Maybe I should switch to injections instead of my hormonal pills? but I'm an artist so I edited one of my photos to give me an idea of ​​an final goal.is this kind of change achievable by surgery? or better?

Toby Mayer, MD · Answer

First issue is loosing all the weight you plan on losing. In the mean time you could have the following which won’t be impacted with your weight loss:
1 Rhinoplasty
2 Irregular Trichophytic Forehead Lift with Hairline Lowering and Orbital Bone contouring
3 Chin Reduction and Contouring
4 Lip lift with Fat Augmentaion
Make sure you see a very experienced FFS surgeon who can show you many results with the hairline total exposed without a scar.

Jeffrey H. Spiegel, MD · Answer

Nice job with the weight loss and with your photo simulation.  It looks like you've narrowed your nose, filled in your lip, tapered your chin and jaw, tightened your neck, raised your eyebrows, and flattened your forehead. We can certainly do all of those things.  
For you I would suggest forehead contouring, brow lift, hairline repositioning (which you didn't do), rhinoplasty, lip lift with augmentation, chin and jaw contouring, necktite (energy based liposuction to tighten the neck and remove fat), and possibly cheek augmentation (though we cannot see your side view in the one photo).
These procedures are commonly done together at my practice, though they can be done in any combination.  What our videos to learn more about this.

Facial Feminization Surgery: how can I achieve my final goal picture? (photos)

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Facial Feminization Surgery: how can I achieve my final goal picture? (photos)

Answers (2)

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Recommended reading

Everything you need to know about Transgender Facial Feminization Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.