What Cosmetic Procedures Should I Do to Achieve a More Feminine Look? (Mtf Transgender)

Thank you for your question!  As an expert in this field and having lectured across the country speaking to hundreds of transgender woman, I am impressed with the look you currently have.  You are beautiful!! Typically, forehead bone prominence (bossing) can be very masculine and you don't have a problem with that.  You have nice cheeks, and jaw contour, and your upper lip length looks to be very appropriate.  You do have some chin recession that could be controlled either with a sliding genioplasty or chin implant. I can't really make out if you have a prominent Adam's apple.   I think you are extremely fortunate.  I would mention though that feminizing your nose would add to a more feminine and elegant appearance.  So overall, you look fantastic and you should be so happy to have your appearance! If and when you would like to further feminize your face, I would recommend refining your nose and adding a bit of projection to your chin.   I hope this helps!!

Hi Melissa,First of all I think you are presenting very well as you are!  In my practice I like to think of facial feminization surgery for transgender women no different from aesthetic refinements in cis-gender women.  At the end of the day all faces have masculine and feminine components.  I feel a lot of bad decisions can be made by considering FFS a bucket list of procedures.  From analyzing your pictures I think volume redistribution to balance your face would be the most beneficial and simple.  I use a technique that I call Aesthetic Facial Balancing to achieve feminized and lifted appearances using either off the shelf fillers or your body's own fat.  Focusing on the area around your eyes, brows and high cheeks would give you the biggest bang for the smallest buck.  If you are considering more surgical approaches, an osseous genioplasty where the chin bone is cut and in your case would extend longer horizontally and shorten your chin vertically.  Avoid chin implants as these cannot achieve ideal position in your case and can result in many long term complications.  A rhinoplasty to shorten your nose and rotate the tip upwards would be a nice enhancement as well.  I hope this helps!All the best,Dr. Rian

I think your biggest bang for the buck will be rhinoplasty.  You do have retrognathia (a retruded chin).  This can be corrected by sliding the bone forward or with an implant.  Avoid overdoing it or it will work against your goal of feminization.