If you are of African American heritage and seeking to have facial feminization surgery (FFS) it’s critical to understand that what constitutes a typically female African American face may be vastly different — aesthetically and structurally — than a typical European, Asian, or even Hawaiian (Polynesian) face.
So before you select a plastic and craniofacial surgeon for your facial feminization surgery, it’s imperative to ensure that they have an in-depth understanding of the differences between the facial structures of people of different ethnic backgrounds, and most importantly proven experience with performing FFS on African Americans.
The shape and size of the forehead and the brow should be the main focus of facial feminization for those of African American heritage. Typically the forehead will project a little further outwards than that of a person of Asian descent, but not as far as that of a person of European descent.
Forehead feminization typically includes forehead reduction and contouring to create a smoother, rounder, and more feminine forehead. Also, a feminizing brow lift and/or brow shaping procedure is recommended to reduce the distinctly ‘heavy’ African American male brow bossing and to “open up” the eyes to create a more feminine and rejuvenated appearance.
The hairline position on the forehead will also be different because African American women tend to have naturally higher hairlines than European women. Therefore, when we perform feminizing hairline lowering we make allowance for the fact that African American women have slightly higher hairlines to begin with, so we may not lower the hairline as significantly as we might in others. Ultimately, it all depends on your newly feminized facial features to ensure aesthetic balance and a natural looking result.
Typically, feminization of the nose via feminizing rhinoplasty is recommended for those of African American heritage. Often gender transition patients are seeking a narrower, more streamlined female nose. However, we also want to make sure that your nose will maintain a size and shape that is in harmony with your natural African American facial features, so that you still look like you.
Feminizing jaw surgery is also recommended because often the male African American jawline is quite broad and angular – often wider and squarer than what we see in other ethnicities. The jaw will often need to be narrowed and softened via feminizing jaw contouring or reshaping.Read more
Often when we talk about facial feminization we are referring to the surgery within the context of transgender individuals. However, there is another set of circumstances wherein facial feminization surgical procedures may be incredibly useful: for cis-gendered women (female assigned female at birth) who are born with “masculine”-looking features and who are want to appear more feminine.
The most common complaint we hear from our female patients who are seeking facial feminization is either the forehead and brow and/or the jawline and chin is too prominent or too “bold”. These two features — more than any others — contribute to a masculine-looking appearance.
The good news is that a plastic surgeon, such as Dr. Deschamps-Braly, who also has extensive craniofacial and jaw surgery expertise can help to feminize these features while still ensuring that you still look like you. And herein lies the true skill of any form of gender-related facial surgery: along with excellent surgical skills, your surgeon must also possess a deep understanding of gender-related aesthetic differences in terms of male/female facial proportions, and an appreciation for what constitutes “beauty” in the feminine face to ensure an optimum outcome.
There are many ways you can make your face appear more feminine. After an in depth consultation, your surgeon may recommend one or more of the following procedures, depending on your circumstances and desired results:
Ultimately, the decision with regards to which surgical procedures will suit your circumstances is one that will be made in consultation with you and your surgeon.Read more
We often often tell our patients that performing facial feminization surgery on a person of Asian ethnicity is very different than other types of FFS.
If you are of Asian background, either Korean, Japanese or Chinese, and you’re seeking facial feminization surgery (FFS) it’s critical to understand that what constitutes a typically female Asian face may be vastly different — aesthetically and structurally — than a typical European, African American, or Polynesian face. For this reason it’s very important to ensure that your plastic and craniofacial surgeon understands these sometimes very subtle, and sometimes very dramatic differences, and that they have had extensive experience in feminizing Asian faces.
First and foremost, the shape and size of the forehead and the brow should be the main focus of facial feminization for those of Asian background. Forehead feminization typically includes reduction and contouring to create a smoother, rounder, more feminine forehead. Also, a feminizing brow lift and/or brow shaping procedure works to reduce the distinctly ‘heavy’ Asian male brow bossing and “opens up” the eyes to create a more feminine and rejuvenated appearance.
There are several key differences that we take into consideration when we feminize an Asian forehead. For example, a Chinese female forehead will typically project significantly less than a caucasian female, however, a Japanese forehead may even be different than a Chinese one, wherein sometimes the forehead is even positioned ‘behind’ the eyeball, with no overhang above the eye.
The hairline position on the forehead will also be a little different depending on which Asian background you come from. When undertaking feminizing hairline lowering on Chinese and Koreans we make allowance for the fact that they have slightly higher hairlines to begin with, so we may not lower the hairline as significantly as we might for a person of European background.
When it comes to feminizing the lower face the most common procedure we recommend for those of Asian background is “Asian V-line” jaw reduction surgery. This is because Korean, Japanese, and Chinese males (and females) will typically have much heavier and wider-set jaws. Asian V-line surgery is very popular all throughout Asia for both men and women.
Feminization of the nose is also quite different for those of Asian ethnicity. In our experience, most Asian FFS patients will seek to in fact augment their nose to make it larger. This may seem counterintuitive in terms of feminization because typically we make the male nose smaller to feminize it. However, in some cases a feminizing rhinoplasty will include augmentation to ensure it the nose maintains a natural aesthetic balance with other newly feminized facial features.