Facial feminization surgery

Facial feminization surgery or FFS is a series of plastic surgery procedures focused on changing the shape of the face to get a more feminine and harmonious appearance. It is a part of the process of gender affirmation treatment. In order to achieve the patient purposes, the IM GENDER team use personalised and individualised techniques.


At IM GENDER, we are specialists in facial feminization surgery. We know that FFS surgery is a delicate intervention that can generate many doubts and concerns in patients who undergo it. That is why in our gender reassignment clinic, we adapt to your needs and accompany you throughout the process, from the first consultation to postoperative follow-up.

We understand that each patient is unique, and for this reason, we offer a personalised approach in every intervention we undertake. Our team of highly qualified professionals will guide and advise you every step of the way, ensuring that you feel safe and reassured throughout the process, both in our clinic of Madrid and Barcelona.


    Facial feminization surgery before and after

    At IM GENDER we know that seeing real cases of before and after MTF facial surgery is crucial before making any decision. In these images, you can see real cases of patients who have been treated at our clinic, so you can get an idea and make a more informed decision.

    What is facial feminization surgery?

    FFS is a wide range of surgery procedures to change facial features. As a result, after the facial gender affirming surgery, the patient achieves a softening and more feminine appearance. These procedures can be carried out in combination or on a specific area of your face, with minimally visible scars.

    The face is usually divided into three parts: the upper, middle and lower third. On each of them, different operations may be carried out. Furthermore, other techniques exist such as facelifts, which are performed on the entire face, or treatments using aesthetic medicine which also contribute to feminising your face.

    Feminización facial: proporciones del rostro femenino

    In the upper third of a female face, thickening of the bones above the eyebrows is a feature that gives a tougher appearance and expression. The hairline may also be a masculinising feature of the face. For this reason, feminising the upper third of your face means modifying this area. The surgeryconsists of modifying your forehead by reshaping the frontal sinus to soften its prominence. The same procedure can also be used to lower your hairline. This results in a smaller forehead while also enhancing your eyes.

    Usually, the faces of cisgender women appear more oval, whilst a male face tends to be squarer. Therefore, often our patients also wish to change these features by modifying the angles of their chin and jaw, along with lip height through facial feminization surgery of the lower third.

    Other aesthetic treatments such as lipoplasty, cheek augmentation, rhinoplasty or bichectomy will help to improve your features in the middle third while distributing facial volumes. Also, the feminization can be combined with voice surgery as well, in order to attain a higher pitched and feminine tone.  The objective and result are a voice consistent with the appearance. 

    How you prepare for Facial gender affirming surgery

    The plastic surgery team works with the patient to develop a specific plan focused on the individual’s needs and preferences. For this, you might need a CT scan that will help your doctor to obtain detailed anatomical information. 

    Your surgeon will explain to you all you need to know about anaesthesia and adjust medication for a proper healing. He will provide you as well some advice about eating, drinking and probably quitting smoking for a season.


    Can I undergo FFS while taking hormone replacement therapy (HRT)?

    Yes, it’s generally safe to undergo FFS while taking hormone replacement therapy (HRT). In fact, many patients undergoing FFS are taking HRT as part of their transition. However, it’s important to inform your surgeon about any medications you’re taking, including HRT, before the procedure.

    Your plastic surgeon may advise you to temporarily stop taking HRT before and after surgery to reduce the risk of blood clots. They may also adjust your medication dosage during the recovery period to ensure optimal healing.

    Overall, it’s important to be open and honest with your surgeon about any medications or medical conditions you have before undergoing surgery. They can provide specific guidance and make any necessary adjustments to help ensure a safe and successful procedure.

    How much does facial feminization cost?

    The cost of MTF facial surgery can be different for each patient, as not everyone has the same features or needs. Therefore, it is very important to have an initial consultation with the surgeon to evaluate which parts of the face need improvement and which surgical treatments would be most appropriate for the individual. With this assessment, we can provide you with a personalised quote for your treatment.


    What are the differences between female and male craniums?

    In these images, you can see the most significant differences between a female and a male skull. Many of these bone structure peculiarities can be modified by performing various facial treatments.


    How long does the postoperative period last?

    The postoperative period can vary depending on the type of facial feminization surgery performed, but it typically lasts from several weeks to a few months.

    How can I care for my incisions during the postoperative period?

    Your surgeon will give you specific instructions on how to care for your incisions, such as keeping them clean and dry and avoiding any irritation or trauma to the area.

    How should I sleep after facial surgery?

    It is recommended that you sleep on your back for at least the first few weeks. Your surgeon may provide specific instructions based on the procedures performed and your individual recovery process.

    How soon can I shower after the surgery?

    You can usually shower within the first week after operation, but it’s important to follow your surgeon’s specific instructions. Be careful not to let the water pressure hit your incisions directly and avoid submerging your face in water, such as taking baths or swimming until your incisions have fully healed.

    What can I expect during the recovery process?

    During the recovery process, patients can expect some swelling, bruising, and discomfort around the treated areas. It is important to follow your surgeon’s instructions carefully to ensure proper healing.

    Will I need to wear any special garments or dressings after operation?

    Depending on the procedures performed, you may need to wear a compression garment or special dressings to support the surgical area and promote proper healing. Your surgeon will provide specific instructions on what you need to wear and for how long.

    What are the results of facial feminization surgery?

    The goal of this type of surgery is to achieve more feminine facial features that look natural and beautiful at the same time, making you feel perfect, more confident, and comfortable with your identity. This process is crucial in the gender transition journey. We assist you in achieving your goals and feeling proud of who you are.

    What are the risks of surgery?

    Like any surgical procedure, MTF facial surgery carries side effects or risks of complications, such as infection, bleeding, and poor wound healing. It is important to follow your surgeon’s instructions and report any concerns or symptoms promptly. Sometimes additional surgery may be needed to improve an imbalance in facial features and the final result.

    Would you like to know the price of facial feminization or masculinization surgery? Do you have any queries regarding facial surgery?