The shape and proportions of male and female lips are quite different. Male lips are typically more streamlined, flatter, less full and less “plump” than female lips. An individual seeking masculine facial confirmation may feel that one, or both of their lips may need reducing. The procedure decreases the size of the lips by removing a small strip of skin from across the inside of the upper or lower lip. The procedure can be performed on its own, or within the larger context of facial masculinization surgery.
The key to the success of female-to-male masculinizing lip reduction surgery — and almost any facial gender confirmation surgery — is a plastic surgeon who has both the training and technical ability to perform the procedure but also has a keen artistic eye and visual appreciation of how the lips ‘sit’ amongst the individual’s other facial features.
Lip reduction surgery for those seeking female-to-male facial gender confirmation is typically performed under general anesthetic within the larger context of the cluster of surgeries that comprise facial masculinization surgery. The actual procedure involves the removal of a small strip of skin from across the inside of the lip — just inside the “wet line” of the lip — on the boundary between the inside and outside of the mouth. The lip is then turned inwards towards the inside of the mouth and the incision is sutured closed. The procedure may be performed on both the upper and lower lips in the same session.
Typically, the lips recover quite quickly. After surgery, your lips may feel swollen and sensitive. You may feel some moderate pain or discomfort, but nothing that cannot be treated with over-the-counter painkillers. You may also have some moderate bruising that should subside within 5-10 days. Your stitches will remain in place for 7-10 days after which they will dissolve on their own.