Women With Masculine Looking Faces

September 18, 2017

Facial Feminization Surgery for Women

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.

What features make a woman’s face appear “masculine”?

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.

Recommended surgical procedures to create a more feminine appearance:

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:

  • Feminizing Forehead Reduction and Contouring: to create a more feminine, softer appearance of the forehead, and reduce the heavy appearance of the male brow.
  • Feminizing Brow lift (Browplasty) – raises the eyebrows into a higher, more feminine position on the face. Also helps to reduce common telltale signs of aging such as forehead wrinkles, crow’s feet, horizontal or vertical lines such as frown lines and furrows between the eyebrows.
  • Feminizing Rhinoplasty (nasal surgery) – some women may have a very prominent or ‘masculine’ looking nose. In such cases, feminizing rhinoplasty may help.
  • Feminizing Cheek Enhancement – gives the cheeks a rounder and smoother feminine appearance. Depending on your existing features and the desired effect, the procedure includes either cheek augmentation or cheek reduction.
  • Feminizing Chin Recontouring (Genioplasty) – alters the shape of the male chin by reducing, reshaping, or augmenting (making the chin larger). Most often the male chin is reduced in size and reshaped to be less angular, creating a smoother and more feminine aesthetic.
  • “Asian” V-Line surgery – suitable for all ethnicities: this surgery works to contour and slim the lower jaw, creating a more slender jaw line while at the same time reducing jaw width and a producing a sharper, better-defined chin profile.
  • Jaw Contouring – The male jaw is usually wider and more angular than the female jaw. Men tend also to have a sharp back “corner” to the jaw, which can be made to appear rounder and smoother through jaw contouring resulting in a more feminine look. The bone of the jaw can also be shaved along its lower edge and chewing muscles reduced to make the jaw more slender.

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.

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Asian Facial Feminization Surgery

September 11, 2017

Feminizing the Asian Face

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.

The forehead is the key to feminizing an Asian face.

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.

Feminizing the Asian nose and jawline.

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.

Read more about the cluster of surgical and non-surgical procedures that comprise facial feminization.


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Dr. Deschamps-Braly Performs World’s First Female-to-Male Facial Confirmation Surgery and Innovates New Procedure for Masculinization of Thyroid Cartilage (Adam’s Apple)

April 20, 2017

Authors: Jordan C. Deschamps-Braly, M.D.; Caitlin L. Sacher, M.P.A.S., P.A.-C.; Jennifer Fick, R.N., M.S.N., F.N.P.-C.; Douglas K. Ousterhout, M.D., D.D.S.

As published in the medical journal of the American Society of Plastic Surgeons: Plastic and Reconstructive Surgery, April 2017.

We are excited to announce that our most recent paper has just been published in the medical journal of the American Society of Plastic Surgeons: Plastic and Reconstructive Surgery. We hope you’ll find the article quite interesting. We’ve included the abstract below to give you an overview of the topic:

First Female-to-Male Facial Confirmation Surgery with Description of a New Procedure for Masculinization of the Thyroid Cartilage (Adam’s Apple)

Summary: Although male-to-female transgender patients commonly seek facial feminization surgery, facial masculinization surgery in the female-to-male transgender population is unreported in the literature. This report documents the first known female-to-male facial masculinization surgery, including a new technique for creating an “Adam’s apple” to enhance the facial masculine appearance of a natal female… Read the article in its entirety here.

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