Facial feminization revision surgery may involve a single plastic surgical procedure such as a feminizing rhinoplasty, or a set of several procedures performed on a patient who has previously undergone facial feminization surgery.
One of the most common types of facial feminization procedures we perform is to revise or correct another surgeon’s work. The main reason for this is that while a surgeon may know technically what is required for feminization, they may not have a comprehensive understanding of the subtle aesthetic qualities that make a face “feminine” versus what makes a face simply “beautiful”.
In nearly all of our facial gender confirmation-related revision surgeries, the patient engages Dr. Deschamps-Bralys because their facial features have not been successfully captured or represented as their chosen gender by their previous surgeon. The patient may appear beautiful, but not as feminine as their desired gender representation.
To capture authentic gender expression, your surgeon needs to fully comprehend and be able to surgically integrate the subtle science and intrinsic differences between the male vs. female craniofacial skeleton. They also need to have a deep awareness of the aesthetic qualities of what actually constitutes gender. For example, the height of the female forehead in relation to the hairline vs. the male forehead.
In addition to all of these critical aesthetic factors, the end result of facial feminization is that you should still look like you — the unique individual that you are — not like someone else.
Forehead reduction and contouring is one of the most critical procedures included in facial feminization. The forehead makes up almost 30-40% of the entire facial surface and the forehead also frames all other facial features, therefore making it a big signifier of gender. Because the male and female forehead are so different in shape and size, it is one of the most important facial features for gender identification. Perhaps no other facial feature distinguishes your gender more than the forehead.
Many of our FFS revision patients are unsatisfied with the shape of their foreheads. Either the forehead has been “ground down” instead of contoured and set back, or the overall shape of their new forehead does not “sit” in harmony with their other facial features.
Rhinoplasty in itself is one of the difficult plastic surgery operations to perform successfully. It is also one of the most common — across all plastic surgeries and in facial feminization — that patients seek to “revise” or do-over.
A feminizing rhinoplasty requires a surgeon who is not only skilled in the art of rhinoplasty but can shape the nose in the context of a truly feminized forehead.
The biggest challenge with feminizing the male nose is in ensuring that it remains in harmony with other existing facial features, and that your “new nose” is aesthetically in balance with the rest of your facial structure.
Often our patients report that they have nasal deformaties or breathing difficulties from a previous feminizing rhinoplasty. A more common problem is that their new nose does not “feminize” them enough, or is out of balance with other facial features.
A little known fact about Adam’s apple reduction surgery is that sometimes it can grow back close to its original male size. Therefore, it is critical that the procedure is done correctly by a qualified and experienced, US Board Certified plastic surgeon with a specialization in gender surgery.
If an Adam’s apple reduction is performed incorrectly, the tracheal cartilage may grow back partially. Dr. Deschamps-Braly uses advanced techniques to significantly minimize that possibility.
When choosing a plastic surgeon for your revision surgery, to ensure a favorable outcome make sure that your surgeon is fully-qualified, US Board Certified, and possesses long-term, gender confirmation-related craniofacial and plastic surgical experience.
Your surgeon must also possess an aesthetic and artistic “eye” with a deep understanding of what constitutes gender as it is expressed not only in facial features but also the underlying skeletal structure. Facial gender confirmation revision surgery is complex and requires the expertise of a surgeon who has an intimate and in-depth understanding of the characteristics of the female vs. male craniofacial skeleton.