Gender Affirmation

Facial Feminization Gender Affirmation Surgery

At Beaty Facial Plastic Surgery, our plastic surgery practice has always focused on procedures of the face and neck. Our newest area is facial feminization gender affirmation surgery, involving the cosmetic modifications of facial characteristics.

We feel this area of our practice is a great extension for the Atlanta community.

Dr. Celeste Nagy heads up our facial feminization gender affirmation surgeries. As a double board-certified facial plastic surgeon, she can perform these procedures through our Atlanta and Alpharetta offices.

What is facial feminization surgery?

Facial feminization surgery (FFS) encompasses a broad range of procedures to alter typically masculine facial features to bring them closer in shape, size, and aesthetics to typically feminine facial features.

These surgeries can reduce the size and shape of the forehead, alter and refine the nose, make the lips fuller and the cheeks rounder, decrease the size of the chin and shave the Adam’s apple, among various other effects.

What is required to be a good candidate for FFS?

Good candidates for facial feminization simply want a masculine feature or features about their face to soften and become more feminine. Patients can be biologically-born women that want more feminine features or transwomen. These are individualized procedures unique to each person, as are the criteria for who would be a good candidate.

The most important aspect about candidacy is that the patient wants facial feminization for themselves, not for a partner, spouse, or friend, and certainly not to fit into some sort of societal ideal.

You could be a good candidate for facial feminization if:

  • You have masculine features (high hairline, prominent brow bone, more rectangular jaw, etc) and desire more feminine facial features
  • You have been diagnosed with persistent gender dysphoria
  • You have been living as a member of your desired sex gender
  • You are of the age to make consent
  • You have a positive outlook with realistic expectations

During your consultation, Dr. Nagy and you will discuss all the aspects of the procedure or procedures you’re seeking. Your session should provide answers to any questions you have, preparing you to move forward with your plans.

How long does the FFS process take?

There isn’t a set menu of procedures and treatments with our facial feminization process. One patient may want to focus on the nose and cheek areas. Another may want to focus on the chin, jaw, and Adam’s apple. Yet another may seek to address the entire face.

Time frames for these three patients would all vary.

When you come in for your consultation with Dr. Nagy, she’ll get a great idea of the goals you have and what you’d like to achieve with your facial feminization. She’ll walk you through the procedures she feels can achieve those goals. At that point, she can give you an idea of how long the process may take.

Do I need a letter of recommendation for FFS?

The World Professional Association for Transgender Health (WPATH) Standards of Care recommend letters of support from licensed mental health providers and/or hormone providers as part of the surgical transition process. Your insurance provider also will require the same letters to approve coverage.

These letters must be on the letterhead and signed by the provider with their license number.

At Beaty Facial Plastic Surgery, we don’t require these letters to provide your desired surgery.

Can I undergo facial feminization if I am a smoker?

We don’t preclude anyone from having a facial surgery, as long as their overall health allows. If you smoke, we simply ask that you stop smoking for at least two weeks prior to and after your surgery. This isn’t an arbitrary, anti-smoking thing. Smoking constricts blood vessels, and this impedes your healing.

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What medications will I need to stop prior to FFS?

These are major surgeries with Dr. Nagy. As such, you’ll need to stop taking the same medications that we require for any surgery — blood thinners, anti-inflammatory medications, aspirin, and most herbal supplements. All of these can cause excessive bleeding and subsequent bruising.

We’ll discuss any other medications you’re taking, such as hormones, during your consultation and whether you’ll need to adjust them.

What are some of the common facial feminization procedures?

These are the most common surgeries and treatments Dr. Nagy may perform for our facial feminization at Beaty Facial Plastic Surgery:

  • Forehead reduction and contouring
  • Hairline lowering or Scalp advancement
  • Brow lift
  • Rhinoplasty
  • Cheek enhancement with implants or fat grafting
  • Earlobe reduction
  • Lip lift
  • Lip augmentation
  • Chin recontouring
  • Jaw contouring or V-line Surgery
  • Adam’s Apple reduction (tracheal cartilage shave)
  • Facelifts
  • Ethno-specific facial feminization

What are facial masculinization surgeries?

Facial masculinization surgeries encompasses a broad range of procedures to alter facial shape to bring them closer in shape, size, and aesthetics to typically masculine facial features.

These surgeries can augment the shape of the forehead, alter and refine the nose, enhance cheekbones, and produce a stronger jawline and chin.

What are some of the common facial masculinization procedures?

These are the most common surgeries and treatments Dr. Nagy may perform for our facial masculinization at Beaty Facial Plastic Surgery:

  • Genioplasty or chin advancement
  • Hairline lowering or advancement
  • Forehead augmentation
  • Cheekbone and midface custom facial implants
  • Chin or jawline customized implants

 

Dr. Beaty and team specialize in non-surgical procedures, facial plastic surgery options and more.

If you would like to learn more about our services, please contact us to speak with one of our experts.

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