Facial Feminization Surgery / FFS

Facial Feminization Surgery (FFS) in Bangkok, Thailand

     Nothing says more about us or our gender than the face we wear. For many, Facial affirmation surgery is a lifesaver, as it instantly helps build confidence, removes the stigma of gender dysphoria, and allows the patient to see who they truly are. 
     Facial Feminization Surgery encompasses a broad range of procedures to change the shape of the face to make it feminine. Examples include moving the hairline to create a smaller forehead, augmenting the lips and cheekbones, or reshaping and resizing the jaw and chin. Skin-tightening surgery, such as a facelift, is another option.

Aim of Facial Feminization Surgery

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

  1. To balance the facial proportions to the upper, middle, and lower face ratio, divide into five parts from left to right to create an unmistakably feminine face.
  2. The balance of facial components is related to the eyes, eyebrows, nose, cheeks, and lips, making the face female.
  3. Facial frame, including hairline, side cheeks, jaws, and chin, to remove male features and, where needed, 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 our surgeons will consider many techniques and factors 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 Adam's Apple.

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 identify one's gender. The forehead is massively crucial for gendering 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 for 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, while female eyebrows are higher.

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

3. Nose Feminization

The nose can be a very obvious gender marker, and as it takes center stage in the middle of our faces, it is one of the most important things to correct to a gender-confirming shape and size. Significant differences between male and female's noses are:

  • The male nose is broader and more extended, whereas the female nose is narrower and shorter.
  • Male noses have arched or straight nose bridges, whereas female noses are more curved.

Kamol Cosmetic Hospital offers the following surgical procedures for feminine rhinoplasty:

1.) Reduction of 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 involving 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

Cheekbones are a prominent feature of the face. In females, the cheekbones are higher, more curved, and prominent maki, making the face look fuller, while male cheekbones are lower, flatter, and more rectangular. Prominent feminine cheekbones are often present in beautiful people, and this surgery quickly adds beauty to almost any face.  
Kamol Cosmetic Hospital offers three surgical procedures for cheekbones feminization

1.) Cheek augmentation (see more)
2.) Cheekbone shaving (see more)
3.) Cheekbone reduction, Zygoma reduction (see more)

5. Eyes Feminization

While the eyes are known as the “window to the soul,” they can also help determine a person's gender. Male eyes are more profound and narrower, while female eyes are more comprehensive.

  • Male eyes look more deep set than female eyes.
  • Male eyes look more closed or narrow, while female eyes look bigger and brighter.

Kamol Cosmetic Hospital offers a surgical procedure for eye feminization as follows:

Cat Eye (Almond Eye) Surgery

The cat eye operation widens the eyes by opening 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 perform light activity within a week.  (see more)

6. Lips Feminization

Lips are one of the highlights of feminine beauty. Male lips are naturally thinner and straighter, while female lips are more curved, plumper, and fuller.

Kamol Cosmetic Hospital offers three surgical operations for feminization of the lips:

1.) Feminine Lip Lift (see more)
2.) Lip enhancement (see more)
3.) Lip reduction and contouring  (see more)

7. Adam’s Apple reduction (Tracheal Shaving)

The Adam’s apple is a uniquely male feature, a clear marker people use to gender one another. To achieve a 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

The chin and jaw are obvious gender markers people subconsciously use to gender one another. This area must be feminized to be correctly gendered. Males have broader and more protruding chins, while females have more curved and gently pointed ones. Males have wider jaws with more muscle and more prominent saliva glands, while females have narrower jaws and invisible saliva glands.
  • Male chin has wide and more protruding chins, while female chin have gently pointed and curved chin with less protruding features
  • Male jaws have broad and large jaws with more prominent muscles and saliva glands, while female jaws have narrow jaws with invisible saliva glands.

Kamol Cosmetic Hospital offers various options for chin and jaw feminization.

Duration Time of the 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 standard 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 to 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, vitamins, or herbs, such as aspirin, that interfere with blood clotting.

Recovery from Facial Feminization Surgery

FFS is one of the most rewarding procedures because it positively and profoundly affects patients' lives. The recovery process is very much dependent on what surgeries are done. During your consultation, the doctor will discuss his recommended surgeries and their recovery time. In most FFS cases, you will need around three weeks off work. As with most surgeries, you will look “normal” as though you haven't had surgery very quickly, but results continue to get better and better over several months, with the results continuing to improve constantly.

Post-operative Care for Facial Feminization Surgery

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

  • Eat a liquid/soft diet while mouth stitches are new.
  • Always keep your 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 you may have.

Risks and Complications for Facial Feminization Surgery

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

Getting to Know for Facial Feminization Surgery (FFS)

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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 on the outside as you are on the inside. Becoming an attractive woman is just the most fantastic thing to witness patients achieve, and it gives us so much pride to change people's 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 centers, yet our results are among the best. FFS results can start to be seen after just a few weeks but change considerably over the first year as tissues and swelling settle. 

Before and After for Facial Feminization Surgery / FFS

Facial Feminization Surgery

Facial Feminization Surgery

Facial Feminization Surgery

Facial Feminization Surgery

Facial Feminization Surgery

Facial Feminization Surgery

See Kamol Cosmetic Hospital for facial feminine surgery

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

               The face is the first thing that people see, and for transgender individuals, having a feminine face can help them feel confident and protected from discrimination and bullying. Facial feminization surgery (FFS) is an essential step in the process of treating discomfort due to a difference in gender identity and undergoing sex reassignment surgery. It helps individuals feel comfortable and safe. FFS is a range of procedures that alter the facial structure to appear more feminine, including forehead contouring, hairline lowering with hair transplantation, cheek augmentation or reduction, revision rhinoplasty, chin-to-jaw reduction, and a mid-face lift to remove excess skin caused by the destruction of facial bones. We offer techniques for each procedure to suit each person's unique anatomy and biological structure.

               Facial surgery is the most artful of surgeries, and we believe everyone is unique. Everyone needs different procedures. Kamol Hospital's surgeons will analyze the overall face and facial parts such as the forehead, eyebrows, eyes, cheekbones, nose, chin, jaw, etc. They are highly mindful of aesthetics and will make artistic illustrations and plan the surgery by considering proportion, angle, and femininity in each facial part to achieve an attractive and harmonious appearance. Most of our clients are satisfied with the result. The result of FFS at Kamol Hospital is accepted as a beautiful and harmonious feminine face, so many transgender individuals recommend it as one of the priorities for facial feminization surgery.

               Kamol Hospital is proud to have one of the world's most talented and experienced teams, led by Dr. Kamol Pansritum, who has performed FFS on over 10,000 cases. Our team includes highly skilled professional plastic surgeons, maxillofacial surgeons, dentists, and other specialists who work as surgeons and artistic designers to create and reshape perfectly feminine faces.

               Kamol Cosmetic Hospital has become a top destination for gender confirmation surgery, with consistently good results and satisfied clients. Our large, modern hospital is accredited by the Joint Commission International (JCI), a prestigious global healthcare organization. Every service at our hospital is designed with the utmost attention to detail to ensure patient safety, security, and privacy.

Why Thailand is a plastic surgery destination?

               Thailand is a top destination for plastic and cosmetic surgery. The surgeons' high-quality specialist skills, first-class hospital treatments, and affordable cost add up to a satisfying package. There is also the temptation to recover post-procedure in luxury hotels or recovery service apartments.