Facial Masculinization Surgery (FMS) in Bangkok, Thailand 

         Once you have decided to change your life and live as a man, one of the first things to consider is reconstructing your face. Male and female fundamentally have visibly different facial features, and from a natural woman to look like a man, a procedure of facial masculinization surgery (FMS) is required. As the differences can be subtle, make sure to choose an expert, specialized surgeon to handle the operation to achieve the best results. Typically, female-to-male facial confirmation surgery is performed by plastic surgeons who have a deeper understanding of both male and female facial structures. In some cases, the FMS procedures may require a maxillofacial surgeon to correct the jaws to achieve the most successful result. 

Picture 1. The difference between males and female face

1. Masculine Forehead

Picture 3. Shows masculine forehead procedures
 

         Male skulls usually have brow bossing in the frontal sinuses, making the frontal skull larger. The procedures for masculine forehead are forehead augmentation surgery and/or forehead lengthening surgery are to enlarge the forehead to more masculine proportion, while the forehead lengthening increases the distance between the brows and the hairline. 

2. Masculine Cheekbones 

Picture 4. Shows masculine cheekbones procedures

         Male cheeks are often more angled and flatter than females. The surgical procedures for cheekbones masculinization are cheekbones shaving, cheekbones augmentation, and cheekbones reduction. It depends on the existing features, and they may give you a more angular and masculine appearance. 

3. Masculine Nose

Picture 5. Shows masculine nose procedures
 

          The male nose tends to be longer and broader than the female nose. The surgical procedure for the masculinization of the nose is nose augmentation or augmentation rhinoplasty. It increases the projection and the width of the nose to make it appear more masculine.

4. Masculine chin ​

Picture 6. Shows masculine chin procedures. 

           Male chin tends to be bigger, longer, square, and flatter. The surgical procedures for masculinizing chin are recommended to reshape the chin using an osteotomy. 

5. Masculine Jaws

Picture 7. Shows masculine jaws procedures

         Male jaws have a broader mandible and more prominent angle. The masculine jaws surgery is jaw augmentation and jaw contouring that define facial prominent and masculinization. The proportion of face width is increase. Sometimes it is combined with chin augmentation by osteotomy to achieve aesthetic harmony of facial features.

6. Adam’s apple Surgery (Thyroid Cartilage Enhancement)

Picture 8. Adam’s apple enhancement

         Adam's apple is one of the most distinctive features of males and females. It is located in the middle of the throat. The surgical procedure recommended is Adam's apple enhancement with an implant that can perform under local anesthesia or general anesthesia. Make more masculine features.  

Preparation for Facial Masculinization Surgery (FMS)

• Consult with the plastic surgeon who has highly skilled and experienced for face surgery. You will discuss your surgical goals, medical condition, and treatments
• Physical examination, blood test, chest X-ray, electrolytes, HIV
• CT scan will be required.
• Stop smoking and drinking alcohol for at least one week.
• Stop some medicines, vitamin, or herbs that interfere with blood clotting, such as aspirin.

Postoperative Care for FMS

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

• Have a liquid or soft food.
• Always keep the mouth clean with mouth wash.
• Avoid aggressive activities for a month after surgery
• Avoid smoking
• Don't over-exercise within one month.
• Take a painkiller to reduce pain.
• Patients can resume normal activities two weeks after surgery. Wounds should ultimately be healthy within 4-8 weeks.
• Keep any follow-up appointments with your surgeon to check the healing process and ask any questions that may concern you

Risks and Complication for FMS

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

Results

          Facial Masculinization Surgery (FMS) is an essential part of gender confirmation surgery that improves the quality of life of male to female transgender.

Before and after Nose Revision, front view

Before and after Nose Revision, right side view

Before and after Nose Revision, right side view

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