Can men get facial feminization surgery (FFS)? I'm 19 years old male, possibly trans.

I see men frequently who come in for parts of what I do in facial feminization such as setting back the brow bone, reducing the Adam's Apple, or making the nose smaller. I don't see a major difference the volume of the tissue int he face after HRT, but skin texture is usually improved. The main thing you would want to consider is whether or not you need anything done to your hairline. If you are not on HRT, it is likely that your hairline will continue to recede and thus making the hairline incision more visible later on. I usually do not make that incision in men unless they are on HRT. 
If you are trying to go through insurance for surgery and haven't been on hormones and aren't quite sure what you are going to do moving forward it is likely that you will be denied. I don't see any reason why a surgeon would tell you no if you wanted to start with a few of the above procedures I mentioned without being totally sure.  
The other thing you might want to consider starting is laser hair removal or electrolysis. It can be a lengthy process, and starting this wouldn't matter where you are in your transition.
Best of luck to you,
Sarah Saxon, MD