FAQs – Facial Masculinization

Will a ‘generic’ plastic surgeon perform FMS? Or do I need one with craniofacial training?

Most general plastic surgeons are capable of performing soft tissue procedures, we believe that bone restructuring on the facial skeleton must be performed to achieve the best possible outcome with FMS. In our experience, we believe that only surgeons cross-trained in both general plastic surgery AND craniofacial surgery should perform FFS or FMS.

How do I know what to look for in a FMS surgeon?

Your surgeon should be board certified by the American Board of Plastic Surgery, as well as have completed training or fellowships in both general plastic surgery AND craniofacial surgery – along with relevant experience in both fields.

Will I still look like “me” after Facial Masculinization Surgery (FMS)?

Those considering facial masculinization surgery fear that they will no longer be recognizable after the surgery to their friends and family. This fear is unfounded because a good surgeon will take into aesthetic consideration those facial features that are uniquely “you” and will work to retain your individuality.

By combining subtle structural changes over a variety of facial features, the result will be a dramatically more masculine appearance, but still the essence of “you.”

Do you have “before and after” photos of facial masculinization patients? Are they on your website?

When you visit our office you will be able to browse through our extensive collection of pre- and post-surgical patient photos spanning the decades that we have been in practice (since 1973). We will share these images with you during your initial in-office consultation.

We do not post these photos on our website nor anywhere else on the Internet for a very good reason: in order to respect the privacy and confidentiality of our patients.

Also this is why we will not share these photos via email nor phone or Skype consultations; they are strictly for use at in-office consultations and/or medical conference presentations or at medical and transgender conferences.

Do you offer pre-surgical simulation imaging or “morphing”?

We believe that surgical photo “morphing” is a better reflection of Photoshop or computer software skills – rather than actual surgical skills; therefore, we do not offer this service.

Is Facial Masculinization Surgery painful? If so, how is the pain managed?

We use a combination of pre- and intra-operative medications to help minimize post-surgical pain, however, we do provide post-surgery pain medication as needed.

Overall, our patients report pain to be very low after surgery. In fact, the majority of our patients do not need to use any type of narcotic pain medication at all.

Read more about pain management and relief after plastic surgery here.

Can any face be masculinized?

Any face is capable of having its features made more masculine. However, surgery of any type can only be performed on individuals who are deemed to be medically safe surgical candidates.

If for some reason you are not suitable for surgery, it is important to remember that beauty is not synonymous with facial masculinization.

Should I wait until I’m on testosterone therapy before I have facial masculinization surgery?

You do not need to be on testosterone therapy before having FMS. However, for health and safety reasons, we may ask you temporarily stop, or reduce your testosterone treatments in the weeks leading up to, and following, your surgery.

Will I have any scarring after surgery?

It is almost impossible to perform any type of surgery without leaving a mark to some degree. However, the majority of incisions for Facial Masculinization Surgery are placed in extremely well concealed areas and tend to heal well.

If you are prone to forming keloids, or ‘bad’ scars, we have a variety of techniques that will help mitigate the appearance of post-surgical scarring.

Can I do my FMS surgery in different stages, or does it have to happen all at once?

We recommend that FMS is to be undertaken in a single stage, it can be broken up into “upper face” and “lower face’ phases. Each phase would encompass those procedures that closely relate 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. Of course, a single, comprehensive FMS procedure can also be performed, and is the most common choice for our patients.