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.
For some female-to-male (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:
Facial gender confirmation surgery encompasses a wide range of plastic, craniofacial, and non-surgical procedures that work to modify facial features and underlying structures to appear more masculine. The specific procedures that need to be performed for FMS depend on the individual’s existing facial structure and desired aesthetic outcomes. Procedures for facial masculinization include:
Depending on your existing facial features, the forehead can be enhanced to make it appear more masculine with either lengthening and/or augmentation surgery. While forehead lengthening surgery increases the distance between the brows and the hairline, forehead augmentation works to enlarge the forehead to more masculine proportions. Both procedures benefit those who wish to appear more angular and masculine.
Masculinizing cheek augmentation gives cheeks a more masculine shape and proportion. The procedure most often includes implants inserted in between the bone and the skin. Depending on your existing features cheek augmentation may give your face a more angular, chiseled and masculine appearance.
In the context of FTM Facial Masculinization surgery, rhinoplasty or nasal augmentation increases the projection and width of the nose to make it appear more masculine. The procedure may also include increasing the prominence of the bridge of the nose or altering its profile. The art of rhinoplasty is critical when it comes to masculinizing the nose. Your surgeon needs to not only be highly skilled in the technical aspects of plastic surgery but also possess an artistic “eye” to ensure that your new nose is in aesthetic harmony with other facial features.
Chin Masculinization increases the size of the chin in proportion to your existing features. This procedure is recommended for those with small, narrow and/or recessed “weak” chins, who wish for a stronger, more angular and masculine chin. Although chin implants are sometimes be used, we believe that placing a foreign object into your body may be counterintuitive and may actually cause medical complications. A better option is to re-shape the underlying facial skeleton by altering or moving the actual chin bone.
Jaw augmentation & contouring (also known as jaw reshaping) masculinizes the definition between the lower face and the neck by enlarging the margins of the jaw. Jaw contouring defines facial angles and masculinizes the proportions and width of the face. Depending on your desired outcome, this is one of the few instances where we may recommend a manufactured implant inserted into the jaw as a part of augmenting (increasing the size) of the jaw. Jaw augmentation surgery involves placing a customized jaw implant onto the existing jawbone. Depending on your desired outcome, jaw augmentation is sometimes combined with Chin Augmentation using an osteotomy to achieve aesthetic harmony of facial features.
The Adam’s apple located in the mid-thoracic area is one of the most obvious physical differences between men and women. Surgery to create a prominent and masculine Adam’s apple is known as thyroid cartilage enhancement or Adam’s apple augmentation via natural implant. The procedure can be performed under local anesthetic but most often it is undertaken with other surgical procedures so therefore it’s practical for the patient to be under general anesthesia.