For transwomen and transfeminine people, Deschamps-Braly Clinic offers a variety of procedures which have the purpose of creating a more feminine appearance for both face and body. These include craniofacial surgeries, soft tissue surgeries, and non-surgical procedures. All feminization surgeries are performed by our experienced and highly qualified plastic surgeons, Dr. Deschamps-Braly and Dr. Xu. Each surgeon understands the unique needs of trans patients and the aesthetic details that make up a feminine appearance.

FFS includes a wide range of reconstructive and aesthetic surgical procedures that work to reshape facial features to make them appear more feminine. Depending on your current features and expectations you may need one, or a few of the following procedures to obtain the results you’re seeking:

The Beginnings of Facial Feminization & Gender Confirmation Surgery

Prior to the advent of gender confirmation and FFS, individuals who suffered from gender dysphoria had no viable medical or surgical options. They could “dress to pass” as the gender they identified with but were still often seen by the world at large as their assigned gender-at-birth. Transgender individuals often lived with a deep sense of dissatisfaction and feeling uncomfortable in their own skin — physically, emotionally and psychologically.





Why Choose a Plastic Surgeon with Craniomaxillofacial Training for Your FFS?

Most plastic surgeons are capable of performing soft tissue procedures, however, for a successful and long-lasting facial gender confirmation surgery result, bone work on the facial skeleton needs to be performed by a highly skilled surgeon with craniofacial training. We believe that only surgeons cross-trained in both general plastic surgery AND craniofacial and orthognathic (jaw) surgery should perform FFS. Needless to say, your surgeon must also have the keen eye of an artist and a deep appreciation of facial aesthetic harmony.

Can I Have a Facelift at the Same Time As My Facial Gender Confirmation Surgery?

Dr. Deschamps-Braly recommends waiting at least six (6) months after your surgical procedure before pursuing a facelift or any other facial rejuvenation procedure. This is because feminine facial features are generally more petite than male features, so the facial gender confirmation surgery may leave some individuals with excess laxity of the skin. Depending on your age and skin condition, this excess laxity may resolve on its own, or it may need a facelift in order to remove it.


How Long Will the Surgery Take? How Safe Is Long-format Surgery?

A set of facial gender confirmation procedures most often takes anywhere from 6 to 10 hours depending on the exact set of plastic and craniofacial surgical procedures that are required. Undertaking multiple surgeries at the one time is very common and usually quite safe if you are in reasonable health. Your surgeon will help you to decide if the specific procedures you require are safe to do in the one session.

Have You Had FFS Surgery Before But Are Less Than Happy with the Results?

Unfortunately, one of the most common types of facial gender confirmation procedures we perform is to correct a previous surgeon’s work. This is often because while a surgeon may know technically what is required for facial feminization, they may not understand the subtle qualities of what truly makes a face “feminine” versus what makes a face simply beautiful. To capture authentic feminine gender expression, your surgeon needs to fully comprehend the science and structural proportions behind male vs. female faces, and also have a deep awareness of the more subtle aesthetic qualities of what constitutes gender.

Can I Do My FFS in Different Phases? Or Should It Happen All at Once?

While we recommend that facial gender confirmation is completed in a single stage, the procedure may be broken up into phases—typically an “upper face” and ‘”lower face” phase. Each phase would encompass a cluster of surgical procedures that are closely related to each other to ensure a harmonious balance to the face (i.e. forehead and nose or chin and jaw). The two phases can be performed as close as two days, or as long as several years apart. And of course, a single, comprehensive facial gender confirmation surgical procedure can also be performed and is preferable in most cases to save on downtime and of course, expense.

How Long Will It Take to Recover From Facial Gender Confirmation Surgery?

Typically you will stay the night in hospital immediately after your surgery. Your surgeon will visit with you in the morning on the day after your surgery to check in with you. The first few days you will experience facial swelling and also feel mild discomfort. However, because we will have taken steps to reduce your pain and swelling before you were operated on, this will subside rapidly. Read more about our pre-op pain relief strategies here. Within about 7 days after your surgery, most of the swelling and bruising will resolve. After about 3 to 4 weeks you should have a full recovery and be able to resume your usual activities and wear makeup. However, your results will continue to improve over the next few months, with the final result being evident at six to twelve months.


Dr. Deschamps-Braly and Dr. Xu are experts in gender affirming surgeries for the breast and body, and understand the unique and often subtle aesthetic differences between a masculine or feminine appearance. At the Deschamps-Braly Clinic, you can trust that your gender affirming procedures will be selected and performed with your unique needs taken into careful consideration.

Full Menu