POSTED UNDER Facial Feminization Surgery Reviews
High-Volume Assembly Line
ORIGINAL POST
High-Volume Assembly Line
$119,000
I had two major rounds of surgery with Dr. Deschamps-Braly. What was marketed as bespoke artistry turned out to be sloppy execution and high-volume assembly-line pacing; not meticulous, individualized facial surgery.
In 2024, I had a temporal lift, under-chin liposuction, face and lip fat grafting, lip lift, and sliding genioplasty. In 2025, I returned for jaw contouring, rhinoplasty, a full brow lift, scalp advancement, revision lip lift, and additional fat grafting.
The jaw contouring left me with a too-aggressive V-line and visibly asymmetrical gonial angles. The rhinoplasty left an obvious nostril notch along the rim that was visible the second the cast came off. The scalp advancement left me with a squared-off, masculine, receding hairline that I have since spent tens of thousands of dollars trying to soften with hair transplantation. The lip lift left a prominent, obvious scar under my nose.
When I brought these permanent issues to his attention, the response was pure deflection. The nostril notch was initially brushed off with "wait it out," only for him to acknowledge it a year later by claiming it wasn’t noticeable until I pointed it out. The jaw asymmetry was dismissed as merely "palpable rather than visible" and not worth fixing. It is clearly visible, and it is permanent bone removal.
Beyond the deformities and scarring, there was a persistent pattern of under-correction. After two separate lip lifts with him, I am now facing a third with a revision specialist—not just to remove the visible scar, but to remove an additional 3 to 4 mm because the original procedures failed to achieve adequate lift. The 2024 temporal lift did so little that I had to undergo a full brow lift just a year later. The chin liposuction missed substantial deep fat that had to be corrected with a deep-plane facelift and neck lift (by another surgeon). I also had lower-face laxity, which became significantly more pronounced once my bone support was cut away.
The aesthetic planning felt completely templatized. There was none of the meticulous design work one would expect before permanently altering bone and cartilage—no granular mapping of gonial angles, nasal rotation, or nostril show. It felt like a copy-paste aesthetic was applied to my face. Unfortunately, I made the mistake of trusting his aesthetic judgment.
The practice is undeniably slick. The office is opulent, the staff is organized, and you get chauffeured to and from surgery in his Rolls-Royce. But that luxury facade is a distraction from an assembly-line reality. In my case, having roughly 5 to 7 complex facial and bony procedures performed in less than 5 hours felt far more like high-volume factory than bespoke surgical care. The post-ops for surgeries this extensive was very minimal.
The sliding genioplasty was done well, and the fat grafting retained okay in my lips and cheeks. But baseline competence on a couple of procedures does not excuse sloppy rhinoplasty, asymmetrical bone shaving, unflattering hairline, and poor incision closure.
I initially went to him to save money and consolidate recovery. In reality, paying dedicated sub-specialists to undo his mistakes, repair prominent scarring, and properly finish the procedures he under-corrected has cost me exponentially more in money and lost recovery time.
In 2024, I had a temporal lift, under-chin liposuction, face and lip fat grafting, lip lift, and sliding genioplasty. In 2025, I returned for jaw contouring, rhinoplasty, a full brow lift, scalp advancement, revision lip lift, and additional fat grafting.
The jaw contouring left me with a too-aggressive V-line and visibly asymmetrical gonial angles. The rhinoplasty left an obvious nostril notch along the rim that was visible the second the cast came off. The scalp advancement left me with a squared-off, masculine, receding hairline that I have since spent tens of thousands of dollars trying to soften with hair transplantation. The lip lift left a prominent, obvious scar under my nose.
When I brought these permanent issues to his attention, the response was pure deflection. The nostril notch was initially brushed off with "wait it out," only for him to acknowledge it a year later by claiming it wasn’t noticeable until I pointed it out. The jaw asymmetry was dismissed as merely "palpable rather than visible" and not worth fixing. It is clearly visible, and it is permanent bone removal.
Beyond the deformities and scarring, there was a persistent pattern of under-correction. After two separate lip lifts with him, I am now facing a third with a revision specialist—not just to remove the visible scar, but to remove an additional 3 to 4 mm because the original procedures failed to achieve adequate lift. The 2024 temporal lift did so little that I had to undergo a full brow lift just a year later. The chin liposuction missed substantial deep fat that had to be corrected with a deep-plane facelift and neck lift (by another surgeon). I also had lower-face laxity, which became significantly more pronounced once my bone support was cut away.
The aesthetic planning felt completely templatized. There was none of the meticulous design work one would expect before permanently altering bone and cartilage—no granular mapping of gonial angles, nasal rotation, or nostril show. It felt like a copy-paste aesthetic was applied to my face. Unfortunately, I made the mistake of trusting his aesthetic judgment.
The practice is undeniably slick. The office is opulent, the staff is organized, and you get chauffeured to and from surgery in his Rolls-Royce. But that luxury facade is a distraction from an assembly-line reality. In my case, having roughly 5 to 7 complex facial and bony procedures performed in less than 5 hours felt far more like high-volume factory than bespoke surgical care. The post-ops for surgeries this extensive was very minimal.
The sliding genioplasty was done well, and the fat grafting retained okay in my lips and cheeks. But baseline competence on a couple of procedures does not excuse sloppy rhinoplasty, asymmetrical bone shaving, unflattering hairline, and poor incision closure.
I initially went to him to save money and consolidate recovery. In reality, paying dedicated sub-specialists to undo his mistakes, repair prominent scarring, and properly finish the procedures he under-corrected has cost me exponentially more in money and lost recovery time.
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