Facial Feminization / FFS

Facial Feminization Surgery (FFS) in Bangkok, Thailand

The Aim of Facial Feminization Surgery

Dr. Kamol’s principle of Facial Feminization Surgery  (FFS) is based on aesthetic fundamental as follows:

1. To balance the facial proportions in relation to the ratio of the upper, middle, and lower face, and divided into five parts from left to right to create an unmistakably feminine face.
2. The balance of facial components is related to eyes, eyebrows, nose, cheeks, and lips to make the face clearly female in nature.
3. Facial frame, including hairline, side cheeks, jaws and chin to remove male features and where needed to create feminine ones.
4. The balance of facial bone and soft tissues to be more feminine.
5. Facial rejuvenation.

There are Eight Distinctive Features of a Feminine Face

Every face is unique and there are many techniques and factors that our surgeons will consider to achieve the best results for each patient. The main points are as follows;

• The upper part of the face: Forehead and Eyebrows. 
• The middle part of the face: Nose, Eyes, and Cheekbones.
• The lower part of the face: Lips, Chin, Jaws, and Trachea.

1. Forehead Feminization

The forehead takes up most of the upper face. Although we don't consciously do it people use the forehead more than other facial parts to subconsciously gender one and other. The forehead is massively important in order to be gendered correctly. There are three main differences between male and female foreheads.

• Masculine foreheads are broader and higher than female foreheads.
• Male foreheads have a bony ridge above the eyes whereas the female forehead is more smooth.
• The male forehead is more sloped backward whereas the female is more flat and round.

Surgical procedures will be recommended for a feminine forehead feature as follows;

1. Forehead shaving & Brow Bossing Surgery. (see more)

2. Forehead Augmentation. (see more)

3. Forehead reduction, scalp advancement, hairline lowering. (see more)

4. Hair transplant to create a feminine hairline.  (see more)

Kamol hospital surgeon teams offer three techniques for forehead contouring, as follows;

1. Forehead bone shaving (see more)

2. Forehead bone shaving with augmentation (see more)

3. Anterior walls of frontal sinus osteotomy and set back (see more)

Picture 1 Shows the procedures of feminine forehead contouring.

We also offer four materials for forehead augmentation, as follows;

1. e-PTFE sheets
2. Fat transfer
3. Silicone implants
4. Customized material PMMA

2. Eyebrow Feminization

There are two significant differences between male and female eyebrows:.

• Male eyebrows are thicker and straighter whereas female eyebrows are thinner and often arched.
• Male eyebrows are lower and closer to the orbital eye rim whilst female eyebrows are higher.

The surgical procedures recommended for more feminine eyebrows are: a Brow lift, Eyebrow lift or a Forehead lift. (see more)

3. Nose Feminization

Kamol Hospital offers the following surgical procedures for feminine rhinoplasty:

1.) Reduction Rhinoplasty: The procedure is usually recommended for Caucasian patients to reduce hump, side bones, nasal tip, and alarplasty. (see more)

2.)  Augmentation Rhinoplasty: The procedure, involved nasal ridge and tip augmentation, is usually recommended for Asians. The materials for nasal augmentation include silicone implants, e-PTFE, ear cartilage, and rib cartilage. (see more)

3.) Combined technique of Rhinoplasty: Non-Caucasian patients might need nasal ridge reduction and nasal tip augmentation to achieve more desirable results. (see more)

4. Cheekbones Feminization

The cat eye operation widens the eyes by opening up the eyelids and lifting their outer edge upward. The eyebrows may also be raised to create more distance between the eyes and the eyebrows. 

The cat eye operation is performed under local anesthesia and takes about 2-3 hours. The levator palpebral muscle will be shortened, the outer canthus will be moved upward, and excess eyelid skin will be removed. The stitches will be removed five days after surgery. The patients can open their eyes normally after surgery and can perform light activity within a week after surgery.  (see more)

6. Lips Feminization

7. Adam’s Apple reduction (Tracheal shaving)

The Adam’s apple is a uniquely male feature and a clear marker people use to gender one another. To achieve a totally feminine appearance, Adam’s apple needs to be removed.

Kamol Cosmetic Hospital offers two techniques for Adam’s apple shaving:

1. Open technique or Supra thyroid incision technique (see more)
2. Endoscopic technique or Intra Oral incision (Less visible scar) (see more)

8. Chin and Jaw Feminization

Duration Time of Surgery

               The duration of the surgery depends entirely on the procedures being done. The average time for FFS Facial feminization surgery is 4.5 hours. Following surgery you will spend a few hours in the recovery room as is normal practice following any general anesthetic. Then you will be taken back to your private room where you will slowly wake up. Pain is generally well tolerated and you will have strong painkillers in the initial days to ensure you are as comfortable as possible. You will also have an alarm button attached to your bed where you can call the nurses if you are in pain between standard doses.

Preparation for Facial Feminization Surgery (FFS)

• Consultation with the plastic surgeon to discuss your surgical goals, medical conditions, and treatments.
• Physical examination, blood test, chest X-ray, electrolytes, HIV test.
• CT scan.
• Stop smoking and drinking alcohol for at least one week before surgery.
• Stop medicines, vitamin, or herbs that interfere with blood clotting, such as aspirin

Recovery

FFS is one of the most rewarding sets of procedures because it tends to have such a positive and profound effect on patients lives. The recovery process is very much dependent on what surgeries are done. During your consultation the doctor will discuss with you what surgeries he recommends and the recovery time they entail. In most FFS cases you will need around 3 weeks off work. As with most surgery you will look “normal” as though you haven't had surgery very quickly but results continue to get better and better over a number of months with the results continuing to constantly improve.

Postoperative Care

Postoperative care varies for each procedure but the basics are as follows:

• Eat a liquid/soft diet whilst mouth stitches are new.
• Always keep the mouth clean with mouthwash.
• Avoid aggressive activities for a month after surgery.
• Avoid smoking.
• Don’t over exercise for one month.
• Take painkillers to reduce pain.
• Patients can resume normal activities two weeks after surgery. Wounds should be completely healed within 4-8 weeks.
• Keep any follow-up appointments with your surgeon to check the healing process and ask any questions that you may have.

Risks and Complications :

• Bleeding
• Infection
• Edema
• Hematoma
• Bruising
• Nerve damage
• Asymmetry
• Implant failure 
• Pain after surgery
• Poor healing
• Necrosis
• Scarring

Feminine Face Surgery

A feminine face is typically characterized by features such as smaller jawline...

Why chin-to-jaw surgery is a necessary part of FFS?

Chin and jaw reduction procedure for trans women typically involves surgically reshaping the jaw and chin to make...

Facial Makeover For Transwomen

Face is the most identity character of human and make confidently in public. As the advance of medical...

See more

Facial Feminisation Surgery Results

               The results from Facial Feminization Surgery (FFS) are quite literally life changing. Not only being gendered correctly but being a beautiful attractive woman gives you a quality of life you might not have even imagined possible. Not only will you be gendered correctly on sight by people but through surgery you can be as beautiful and attractive on the outside as you are on the inside. Becoming a beautiful woman is just the most amazing thing to witness patients achieve and it gives us so much pride to change people lives in this way. Having done tens of thousands of FFS procedures we have unparalleled success and are regarded as the best in the field. As we are based in Thailand we are significantly cheaper than other FFS center and yet our results are among the best anywhere. FFS results can start to be seen after just a few weeks but change quite considerably over the first year as tissues and swelling settles. 

Before and After Facial Feminization Surgery / FFS

Facial Feminization Surgery

Facial Feminization Surgery

Facial Feminization Surgery

Facial Feminization Surgery

Facial Feminization Surgery

Facial Feminization Surgery

See more

Why Kamol Cosmetic Hospital is popular for Facial Feminization Surgery / FFS?