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43, MTF Transwoman - Recommendations for FFS? (Photos)

Hello, My name is Leila and I am a 43 year old MTF Transwoman and just received clearwmce for FFS and am currently pre-consultation (waiting for it to be scheduled). I am curious as to what kinds of surgeries would be right in my case to make my face congruently feminine.

Answers (1)

From board-certified doctors and trusted medical professionals
Dr. Toby Mayer, MD
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Dr. Toby Mayer, MD
Board Certified Facial Plastic Surgeon
4.8 | 104 Reviews
Answered on Jun 3, 2026
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More Transgender Facial Feminization Surgery Questions

Do you think FFS can feminize my face dramatically and make me a pretty woman or is my face too masculine? (Photo)

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JM
Jacob Tower, MD

Hello, hope you are doing well. Your face is not 'too masculine' for facial feminization surgery. To the contrary, your natural features are actually in good starting points for the procedures that are typically performed. I think your stated goal is very realistic and you might surprise...

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Which procedures would help me achieve a more feminine appearance? (photos)

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Toby Mayer, MD

FFS for a natural feminine appearance.. The following would be of benefit to you based on my 50 years experience, 1-Hairline Lowering with Browlift and supraorbital bone removal using the Irregular Trichophytic Forehead incision which does NOT leave a noticeable scar-having done more than 5000...

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Can FFS improve my facial aesthetics? (Photo)

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TM
Toby Mayer, MD

Improving facial aesthetics with FFS surgery. Without seeing you in person you would benefit with the most feminization with a rhinoplasty and a browlift-Irregular Trichophytic and possibly hairline Lowering with contouring of the supraorbital bone and without raising the lateral brow. See a...

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What could be done to my specific case? My biggest trigger is my side profile and my jawline. (photos)

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JM
Jacob Tower, MD

Hello, hope you are well. Thanks for posting your question and background information. I think a rhinoplasty would be the most impactful surgical procedure for you to consider. Jaw contouring is also an option, moreso for the angles of the mandible. If your aim is specifically to slim the lower...

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Is it possible to get a revision for a brow bone shave? (Photo)

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Timothy Osborn, MD

Revisions are possible but it depends on the anatomy/bone structure you have now. It may require another CT scan to show how much bone is left without compromising the sinus cavity. This may mean a revision cannot be safely performed. A before and after photo would also be helpful to see how...

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Facial feminization surgery recommendations? Hoping to stay away from coronal incision (Photo)

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TM
Timothy Osborn, MD

A coronal incision is not necessary! Although for the brow bossing/reduction and brow lift, incisions will need to be made at your hairline (which becomes well hidden). As for the jaw augmentation and genioplasty, those can be done through the mouth. Jawline contouring can help to get you a more...

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