In 2015, Dr. Deschamps-Braly performed the world’s first ever complete female-to-male (FTM) facial masculinization surgery, which included inventing and pioneering a new surgical technique for augmenting an Adam’s apple to give it a more masculine profile and appearance.

Typically, FTM facial confirmation surgery is performed solely by plastic surgeons. However, for this surgery to be optimal your surgeon should have a deeper understanding of not only of the aesthetic qualities of the male face but also the underlying craniofacial structures that define what it is to be ‘masculine’. For this reason, we recommend that your plastic surgeon is also a qualified craniofacial (maxillofacial) and jaw surgeon to achieve the most successful result.


The Deschamps-Braly clinic offers several procedures to create a more masculine appearance in both the face and body for transmen and transmasculine patients. These may include craniofacial procedures, soft tissue surgeries, and non-surgical procedures. Our team includes experts in cosmetic and gender affirming surgeries. As world leaders in gender affirming procedures, each of these surgeons understands the unique needs of trans patients as well as the smallest details that make up a truly masculine appearance.

FTM Facial Gender Confirmation: Masculinizing the Face

For some FTM transmen, testosterone therapy on its own may not be enough to masculinize the face. Depending on the existing proportions of your facial features, facial masculinization surgery may be an effective adjunct to hormonal therapy. Masculinization surgery is comprised of a set of aesthetic and reconstructive surgical procedures that work to reshape female facial features to be more masculine. There are two types of individuals for whom masculinization surgery may be an ideal solution:

  • Transgender individuals (transmen) undergoing female-to-male (FTM) transition
  • Cisgender males (male assigned male at birth) wanting to appear more masculine. For example, a male who is born with a “weak chin” and wants a more chiseled and defined chin and jawline

How Is Facial Gender Confirmation Surgery Performed?

When an individual is seeking to undertake facial gender confirmation there are several categories of procedures that may be recommended depending on existing facial structures and aesthetic goals. These procedures fall under the categories of either:

Typically, facial gender confirmation surgery is performed under general anesthetic as a long-format surgical operative session during which several procedures are performed either simultaneously or sequentially.

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