Facial Feminization Surgery / FFS

Facial Feminization Surgery (FFS) in Bangkok, Thailand

Aim of Facial Feminization Surgery

Dr. Kamol’s principle of Facial Feminization Surgery  (FFS) is based on aesthetic fundamentals as follows:

1. To balance the facial proportions to the upper, middle, and lower face ratio, divide into five parts from left to right to create an unmistakably feminine face.
2. The balance of facial components is related to the eyes, eyebrows, nose, cheeks, and lips, making the face female.
3. Facial frame, including hairline, side cheeks, jaws, and chin, to remove male features and, where needed, create feminine ones.
4. The balance of facial bone and soft tissues to be more feminine.
5. Facial rejuvenation.

There are Eight Distinctive Features of a Feminine Face

Every face is unique, and our surgeons will consider many techniques and factors to achieve the best results for each patient. The main points are as follows;

• The upper part of the face: Forehead and Eyebrows. 
• The middle part of the face: Nose, Eyes, and Cheekbones.
• The lower part of the face: Lips, Chin, Jaws, and Adam's Apple.

1. Forehead Feminization 

The forehead takes up most of the upper face. Although we don't consciously do it, people use the forehead more than other facial parts to subconsciously identify one's gender. The forehead is massively crucial for gendering correctly. There are three main differences between male and female foreheads.

• Masculine foreheads are broader and higher than female foreheads.
• Male foreheads have a bony ridge above the eyes, whereas the female forehead is more smooth.
• The male forehead is more sloped backward, whereas the female is more flat and round.

Surgical procedures will be recommended for a Feminine Forehead feature as follows;

1. Forehead Shaving & Brow Bossing Surgery. (see more)

2. Forehead Augmentation. (see more)

3. Forehead Reduction, Scalp Advancement, Hairline Lowering. (see more)

4. Hair Transplant to create a feminine hairline.  (see more)

Kamol Hospital surgeon teams offer three techniques for Forehead Contouring, as follows;

1. Forehead bone shaving (see more)

2. Forehead bone shaving with augmentation (see more)

3. Anterior walls of frontal sinus osteotomy and set back (see more)

Picture 1 shows the procedures for Feminine Forehead Contouring.

We also offer four materials for forehead augmentation, as follows;

1. e-PTFE sheets
2. Fat transfer
3. Silicone implants
4. Customized material PMMA

2. Eyebrow Feminization

There are two significant differences between male and female eyebrows:

• Male eyebrows are thicker and straighter, whereas female eyebrows are thinner and often arched.
• Male eyebrows are lower and closer to the orbital eye rim, while female eyebrows are higher.

The surgical procedures recommended for more feminine eyebrows are a Brow lift, Eyebrow lift, or Forehead lift. (see more)

3. Nose Feminization

Kamol Cosmetic Hospital offers the following surgical procedures for feminine rhinoplasty:

1.) Reduction of Rhinoplasty: The procedure is usually recommended for Caucasian patients to reduce hump, side bones, nasal tip, and alarplasty. (see more)

2.)  Augmentation Rhinoplasty: The procedure involving nasal ridge and tip augmentation is usually recommended for Asians. The materials for nasal augmentation include silicone implants, e-PTFE, ear cartilage, and rib cartilage. (see more)

3.) Combined technique of Rhinoplasty: Non-Caucasian patients might need nasal ridge reduction and nasal tip augmentation to achieve more desirable results. (see more)

4. Cheekbones Feminization

The cat eye operation widens the eyes by opening the eyelids and lifting their outer edge upward. The eyebrows may also be raised to create more distance between the eyes and the eyebrows. 

The cat eye operation is performed under local anesthesia and takes about 2-3 hours. The levator palpebral muscle will be shortened, the outer canthus will be moved upward, and excess eyelid skin will be removed. The stitches will be removed five days after surgery. The patients can open their eyes normally after surgery and perform light activity within a week.  (see more)

6. Lips Feminization

7. Adam’s Apple reduction (Tracheal Shaving)

The Adam’s apple is a uniquely male feature, a clear marker people use to gender one another. To achieve a feminine appearance, Adam’s apple needs to be removed.

Kamol Cosmetic Hospital offers two techniques for Adam’s apple shaving:

1. Open technique or Supra thyroid incision technique (see more)
2. Endoscopic technique or Intra Oral incision (Less visible scar) (see more)

8. Chin and Jaw Feminization

Duration Time of the Surgery

               The duration of the surgery depends entirely on the procedures being done. The average time for FFS Facial feminization surgery is 4.5 hours. Following surgery, you will spend a few hours in the recovery room, as is standard practice following any general anesthetic. Then, you will be taken back to your private room, where you will slowly wake up. Pain is generally well tolerated, and you will have strong painkillers in the initial days to ensure you are as comfortable as possible. You will also have an alarm button attached to your bed to call the nurses if you are in pain between standard doses.

Preparation for Facial Feminization Surgery (FFS)

• Consultation with the plastic surgeon to discuss your surgical goals, medical conditions, and treatments.
• Physical examination, blood test, chest X-ray, electrolytes, HIV test.
• CT scan.
• Stop smoking and drinking alcohol for at least one week before surgery.
• Stop medicines, vitamins, or herbs, such as aspirin, that interfere with blood clotting.

Recovery from Facial Feminization Surgery

FFS is one of the most rewarding procedures because it positively and profoundly affects patients' lives. The recovery process is very much dependent on what surgeries are done. During your consultation, the doctor will discuss his recommended surgeries and their recovery time. In most FFS cases, you will need around three weeks off work. As with most surgeries, you will look “normal” as though you haven't had surgery very quickly, but results continue to get better and better over several months, with the results continuing to improve constantly.

Post-operative Care for Facial Feminization Surgery

Postoperative care varies for each procedure, but the basics are as follows:

• Eat a liquid/soft diet while mouth stitches are new.
• Always keep your mouth clean with mouthwash.
• Avoid aggressive activities for a month after surgery.
• Avoid smoking.
• Don’t over-exercise for one month.
• Take painkillers to reduce pain.
• Patients can resume normal activities two weeks after surgery. Wounds should be completely healed within 4-8 weeks.
• Keep any follow-up appointments with your surgeon to check the healing process and ask any questions you may have.

Risks and Complications for Facial Feminization Surgery

• Bleeding
• Infection
• Edema
• Hematoma
• Bruising
• Nerve damage
• Asymmetry
• Implant failure 
• Pain after surgery
• Poor healing
• Necrosis
• Scarring

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Facial Feminisation Surgery Results

               The results from Facial Feminization Surgery (FFS) are quite literally life-changing. Not only being gendered correctly but being a beautiful, attractive woman gives you a quality of life you might not have even imagined possible. Not only will you be gendered correctly on sight by people, but through surgery, you can be as beautiful on the outside as you are on the inside. Becoming an attractive woman is just the most fantastic thing to witness patients achieve, and it gives us so much pride to change people's lives in this way. Having done tens of thousands of FFS procedures, we have unparalleled success and are regarded as the best in the field. As we are based in Thailand, we are significantly cheaper than other FFS centers, yet our results are among the best. FFS results can start to be seen after just a few weeks but change considerably over the first year as tissues and swelling settle. 

Before and After for Facial Feminization Surgery / FFS

Facial Feminization Surgery

Facial Feminization Surgery

Facial Feminization Surgery

Facial Feminization Surgery

Facial Feminization Surgery

Facial Feminization Surgery

See Kamol Cosmetic Hospital for facial feminine surgery

Why Kamol Cosmetic Hospital is famous for Facial Feminization Surgery / FFS?