A Comprehensive Overview of Jaw Feminization Surgery


Facial feminization surgery (FFS) can be a pivotal step in the gender confirmation journey of transgender and gender-nonconforming individuals. Jaw feminization surgery has gained prominence in recent years as an essential procedure for FFS. In this educational blog, we will discuss the intricate aspects of jaw feminization surgery, exploring its techniques, advancements, potential risks, and transformative impact on patients’ lives.

What is Jaw Feminization Surgery?

Jaw feminization surgery primarily focuses on altering the mandibular structure to achieve a softer and more feminine appearance. Unlike traditional jaw surgeries aimed at correcting functional issues, jaw feminization surgery emphasizes aesthetic refinement. The shape of the jawline plays a significant role in a feminine vs. masculine facial structure. The female jawline is typically softer with a shorter, narrower chin than the male jawline. Dr. Deschamps-Braly utilizes a variety of surgical techniques in jaw feminization surgery to enhance his patients’ appearances while creating harmony with other facial features.

How is Jaw Feminization Surgery Performed?

Jaw feminization surgery typically involves a combination of techniques tailored to the patient’s unique anatomy and aesthetic goals. Common procedures include mandibular angle reduction, bone shaving, masseter muscle reduction, and genioplasty (chin augmentation or reduction). Generally, incisions will be made inside the cheeks and mouth to limit visible scarring and create an aesthetically pleasing result.

Mandibular Resections

Mandibular angle resections are often performed in conjunction with other jaw feminization techniques to achieve harmonious facial proportions and enhance overall feminization results. This technique involves the surgical reduction of the mandibular angle, the lower-back part of the jawbone. The mandibular angle gives the jaw a squared look, which is often associated with the male aesthetic. By reshaping and removing this section of the jaw bone, a softer and more tapered facial contour is created.

Masseter Muscle Reduction

The masseter muscle is located between the back of the lower jaw and the cheekbone. Excess chewing, teeth grinding, or natural size of the muscle can give the jaw an overly square look, which might not be desired by feminine-presenting individuals. The bulky appearance of this muscle can be reduced during feminizing jaw surgery or non-surgically with Botox or Dysport.

Risks and Complications

While jaw feminization surgery is generally safe, like any surgical procedure, it carries inherent risks and potential complications. These may include infection, bleeding, nerve damage, asymmetry, and suboptimal aesthetic outcomes. However, these risks are significantly reduced when you choose a highly experienced surgeon who specializes in facial feminization surgery like Dr. Deschamps-Braly, a world leader in facial feminization and pioneer of several advanced surgical techniques. At your consultation, he will discuss potential risks and complications so that you can make an informed decision about your treatment.

Recovery and Postoperative Care

Recovery following jaw feminization surgery varies depending on the extent of the procedures performed. Patients typically experience swelling, bruising, and temporary discomfort, which gradually subside over several weeks. Most patients can return to work and other daily activities after 2-3 weeks. At your consultation, Dr. Deschamps-Braly will provide comprehensive postoperative care instructions, including dietary restrictions, oral hygiene practices, and follow-up appointments to monitor healing progress and address any concerns.

Schedule a Consultation

At The Deschamps-Braly Clinic, patients can rely on our expert team to provide personalized care with advanced surgical techniques. Schedule a consultation today at our San Francisco office to learn more about jaw contouring and other facial feminization procedures. We look forward to meeting you and helping you take the next step in your gender confirmation journey.

+ posts

Dr. Deschamps-Braly is a board-certified plastic and craniofacial surgeon specializing in facial plastic surgery, orthognathic (jaw) surgery, and craniofacial surgery for adults and children. He is also one of the world’s foremost leaders and innovators in facial gender confirmation surgery.