Facial Feminization Surgery (FFS)
Kamol Plastic Surgery Hospital's Approach to FFS
At Kamol Hospital, we prioritize a holistic approach to FFS, considering the following factors:
- Facial Proportions: We analyze the face in three equal parts (upper, middle, lower) and five equal parts (left to right) to ensure balanced proportions.
- Facial Elements: We assess the harmony between eyes, eyebrows, nose, mouth, and cheekbones.
- Facial Frame: We consider the hairline, cheekbones, jawline, and chin to create a feminine contour.
- Bone Structure and Tissue: We evaluate the balance between bone and soft tissue for a natural appearance.
- Skin Quality: We take into account skin freshness, firmness, and elasticity.
Facial Reshaping Surgery: Key Areas
FFS procedures can be categorized based on the three main areas of the face:
- Upper Face: Forehead and eyebrows.
- Midface: Eyes, nose, and cheekbones.
- Lower Face: Lips, jaw, chin, and Adam's apple.
The 8 Points of Facial Feminization
We address the following key areas to achieve comprehensive facial feminization:
1 - Forehead Feminization Surgery
Male foreheads tend to be wider, higher, and more sloping than female foreheads, with prominent brow bones. Our forehead feminization techniques include:
- Forehead bone grafting (see more)
- Forehead augmentation (see More)
- Hairline reduction (see more)
- Female hair transplant (see more)
Kamol Hospital offers specialized techniques for forehead surgery, including:
- Forehead shaving (see more)
- Forehead grinding and augmentation (see more)
- Forehead reduction (see more)
Aim of Facial Feminization Surgery
Dr. Kamol’s principle of Facial Feminization Surgery (FFS) is based on aesthetic fundamentals as follows:
- 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.
- The balance of facial components is related to the eyes, eyebrows, nose, cheeks, and lips, making the face female.
- Facial frame, including hairline, side cheeks, jaws, and chin, to remove male features and, where needed, create feminine ones.
- The balance of facial bone and soft tissues to be more feminine.
- 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)
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Picture 1 shows the procedures for Feminine Forehead Contouring.
We also offer four materials for forehead augmentation, as follows;
- e-PTFE sheets
- Fat transfer
- Silicone implants
- 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
The nose can be a very obvious gender marker, and as it takes center stage in the middle of our faces, it is one of the most important things to correct to a gender-confirming shape and size. Significant differences between male and female's noses are:
- The male nose is broader and more extended, whereas the female nose is narrower and shorter.
- Male noses have arched or straight nose bridges, whereas female noses are more curved.
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
1.) Cheek augmentation (see more)
2.) Cheekbone shaving (see more)
3.) Cheekbone reduction, Zygoma reduction (see more)
5. Eyes Feminization
While the eyes are known as the “window to the soul,” they can also help determine a person's gender. Male eyes are more profound and narrower, while female eyes are more comprehensive.
- Male eyes look more deep set than female eyes.
- Male eyes look more closed or narrow, while female eyes look bigger and brighter.
Kamol Cosmetic Hospital offers a surgical procedure for eye feminization as follows:
Cat Eye (Almond Eye) Surgery
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
Kamol Cosmetic Hospital offers three surgical operations for feminization of the lips:
1.) Feminine Lip Lift (see more)
2.) Lip enhancement (see more)
3.) Lip reduction and contouring (see more)
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
- Male chin has wide and more protruding chins, while female chin have gently pointed and curved chin with less protruding features
- Male jaws have broad and large jaws with more prominent muscles and saliva glands, while female jaws have narrow jaws with invisible saliva glands.
Kamol Cosmetic Hospital offers various options for chin and jaw feminization.
- Jaw Reduction (see more)
- Jaw Augmentation (see more)
- Chin Reduction (see more)
- Chin Augmentation (see more)
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)
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Consultation with the plastic surgeon to discuss your surgical goals, medical conditions, and treatments.
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Physical examination, blood test, chest X-ray, electrolytes, HIV test.
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CT scan.
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Stop smoking and drinking alcohol for at least one week before surgery.
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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
Getting to Know for Facial Feminization Surgery (FFS)
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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?
The face is the first thing that people see, and for transgender individuals, having a feminine face can help them feel confident and protected from discrimination and bullying. Facial feminization surgery (FFS) is an essential step in the process of treating discomfort due to a difference in gender identity and undergoing sex reassignment surgery. It helps individuals feel comfortable and safe. FFS is a range of procedures that alter the facial structure to appear more feminine, including forehead contouring, hairline lowering with hair transplantation, cheek augmentation or reduction, revision rhinoplasty, chin-to-jaw reduction, and a mid-face lift to remove excess skin caused by the destruction of facial bones. We offer techniques for each procedure to suit each person's unique anatomy and biological structure.
Facial surgery is the most artful of surgeries, and we believe everyone is unique. Everyone needs different procedures. Kamol Hospital's surgeons will analyze the overall face and facial parts such as the forehead, eyebrows, eyes, cheekbones, nose, chin, jaw, etc. They are highly mindful of aesthetics and will make artistic illustrations and plan the surgery by considering proportion, angle, and femininity in each facial part to achieve an attractive and harmonious appearance. Most of our clients are satisfied with the result. The result of FFS at Kamol Hospital is accepted as a beautiful and harmonious feminine face, so many transgender individuals recommend it as one of the priorities for facial feminization surgery.
Kamol Hospital is proud to have one of the world's most talented and experienced teams, led by Dr. Kamol Pansritum, who has performed FFS on over 10,000 cases. Our team includes highly skilled professional plastic surgeons, maxillofacial surgeons, dentists, and other specialists who work as surgeons and artistic designers to create and reshape perfectly feminine faces.
Kamol Cosmetic Hospital has become a top destination for gender confirmation surgery, with consistently good results and satisfied clients. Our large, modern hospital is accredited by the Joint Commission International (JCI), a prestigious global healthcare organization. Every service at our hospital is designed with the utmost attention to detail to ensure patient safety, security, and privacy.
Why Thailand is a plastic surgery destination?
Thailand is a top destination for plastic and cosmetic surgery. The surgeons' high-quality specialist skills, first-class hospital treatments, and affordable cost add up to a satisfying package. There is also the temptation to recover post-procedure in luxury hotels or recovery service apartments.
We also offer four materials for forehead augmentation, namely:
- e-PTFE membranes.
- Fat transfer.
- Silicone implants.
- Customized RMMA materials.
2 - Eyebrow Feminization Surgery
Male eyebrows are typically thicker, straighter, and positioned lower than female eyebrows. We surgically lift and reshape the eyebrows to create a higher, arched, and more feminine appearance. (see more)
3 - Nose Feminization Surgery
Male noses are often wider and longer with a prominent bridge. Female noses tend to be narrower, shorter, and have a gentler curve.
Kamol Hospital offers three techniques for rhinoplasty:
- Reduction rhinoplasty to decrease the size of the nose. (see more )
- Augmentation rhinoplasty to enhance the nose using materials like ePTFE, silicone, or cartilage grafts. (see more)
- Combined techniques for customized results.
4 - Cheekbone Feminization Surgery
Female cheekbones are typically higher and more curved, contributing to a fuller facial appearance. We offer:
5 - Eye Feminization Surgery
Male eyes often appear deeper-set and narrower. We perform "cat eye" surgery to widen the eyes, lift the outer corners, and create a more feminine expression.
6 - Lip Feminization Surgery
Female lips are generally fuller and more defined. We offer:
- Upper lip lift
- Lip augmentation
- Lip reduction and reshaping ( see more )
7 - Adam's Apple Reduction
We offer two techniques for Adam's apple removal:
- Traditional surgery with a small scar
- Scarless surgery (see more )
8 - Jaw and Chin Surgery
Male jaws and chins tend to be wider and more angular. We perform various jaw and chin reduction techniques to create a softer, more feminine profile.
Kamol Cosmetic Hospital offers various options for chin and jaw feminization.
- Jaw reduction (more details)
- Jaw augmentation (more details)
- Chin reduction (more details)
- Chin augmentation (more details)
Duration of surgical intervention
The length of the surgery depends entirely on the procedures performed. The average time for FFS facial feminization is 4.5 hours. After the surgery, you will spend a few hours in the recovery room, as is typical after general anesthesia.
You will then be taken to a private room where you will gradually wake up. The pain is generally well tolerated, and you will be given strong painkillers for the first few days to keep you as comfortable as possible.
You will also have an alarm button attached to your bed where you can call the nurses if you feel any pain between standard doses.
Preparation Before Facial Feminization Surgery
- Choose an Expert: Consult with a surgeon specializing in FFS. These procedures are complex and require extensive experience to achieve optimal results.
- Complete Health Assessments: Undergo a thorough health check, including blood tests, chest X-ray, and facial CT scan. This helps the surgeon plan the most suitable techniques and prepare for anesthesia.
- Hormone Management: Stop hormone therapy for 1-2 weeks before surgery, as advised by your doctor.
- Medication Review: Stop taking aspirin, anti-inflammatory drugs, or herbal supplements that may affect blood clotting at least 2 weeks before surgery, or as directed by your doctor.
- Smoking Cessation: Stop smoking for at least 2 weeks before surgery to promote proper wound healing.
- Fasting: If you are having surgery under general anesthesia, abstain from food and water for 6 hours before the procedure.
Post-Operative Care for Facial Feminization Surgery
- Elevate Your Head: Sleep with your head elevated on two pillows or in a semi-reclined position to minimize swelling.
- Maintain Oral Hygiene: If you have had surgery involving the mouth, rinse frequently with mouthwash to keep the area clean and moist.
- Wear a Facial Bandage: Use the provided facial bandage for 2-3 weeks to reduce swelling and support healing.
- Keep Wounds Clean: Clean the wound daily to prevent infection. You can wash your hair 2 days after surgery.
- Stitch Removal: Stitches are typically removed 7 days after surgery.
- Return to Work: Most patients can return to work 2 weeks after surgery.
- Avoid Strenuous Activity: Refrain from strenuous exercise for at least 1 month.
- Attend Follow-up Appointments: See your doctor for scheduled check-ups to monitor healing.
Risks and Complications After Facial Feminization Surgery
While FFS is generally safe, it's important to be aware of potential risks and complications, which may include:
- Infection
- Numbness
- Swelling
- Hematoma (blood collection)
- Pain
- Bruising
- Nerve damage (temporary or permanent)
- Asymmetry
- Bleeding
- Implant failure
- Poor wound healing
- Necrosis (tissue death)
- Scarring
Facial Feminization Surgery (FFS): Achieving Success
Successful FFS can dramatically enhance your appearance, boost your confidence, and improve your quality of life. However, achieving optimal results depends on several factors, including:
- Choosing a Skilled Surgeon: Selecting a qualified and experienced surgeon is crucial for achieving your desired outcome.
- Realistic Expectations: Understanding the potential outcomes and limitations of FFS is important.
- Following Post-Operative Instructions: Adhering to your surgeon's post-operative care instructions will promote healing and minimize complications.
The full results of FFS will become apparent gradually as swelling subsides, typically within 6 months to 1 year.
Facial Feminization Surgery Results
The results of Facial Feminization Surgery (FFS) are truly transformative. Achieving a feminine and attractive appearance not only allows individuals to be perceived correctly in terms of gender but also enhances their quality of life in ways they may have never imagined. Through FFS, patients can express their inner beauty outwardly, helping them align their external appearance with their authentic selves. Witnessing our patients embrace their femininity and radiance is one of the most rewarding aspects of our work. It fills us with immense pride to play a role in such life-changing transformations.
With experience in tens of thousands of FFS procedures, our team has achieved unparalleled success, earning a reputation as leaders in the field. Based in Thailand, we offer world-class surgical expertise at a significantly lower cost than many other FFS centers, while delivering results that are considered among the best globally.
Patients typically begin to see the results of FFS within a few weeks, but the full transformation unfolds over the course of the first year as tissues heal and swelling subsides. The journey to femininity is a remarkable process, and we are honored to help our patients achieve their dreams with confidence and satisfaction.
Why Is Kamol Cosmetic Hospital Renowned for Facial Feminization Surgery (FFS)?
The face is the first thing people notice, and for transgender individuals, having a feminine appearance can boost confidence and protect against discrimination and bullying. Facial feminization surgery (FFS) plays a crucial role in alleviating gender dysphoria and is often an integral step for those undergoing gender affirmation procedures. FFS encompasses a range of surgical techniques designed to refine facial features and create a more feminine appearance. These include forehead contouring, hairline lowering with hair transplantation, cheek augmentation or reduction, revision rhinoplasty, chin and jaw reduction, and mid-face lifts to remove excess skin caused by changes in facial bone structure. At Kamol Cosmetic Hospital, we tailor each procedure to match the unique anatomy and biological characteristics of each patient.
Facial surgery is an art, and every individual is unique, requiring a personalized approach. Our surgeons at Kamol Hospital meticulously evaluate the entire face, including the forehead, eyebrows, eyes, cheekbones, nose, chin, and jaw. With an acute sense of aesthetics, they create detailed surgical plans and artistic illustrations, considering proportion, angles, and femininity in each facial feature to achieve a harmonious and attractive result. The vast majority of our clients express high satisfaction with their outcomes, which are often described as beautifully balanced and distinctly feminine. As a result, Kamol Hospital is frequently recommended by transgender individuals as a top destination for facial feminization surgery.
Kamol Hospital takes pride in its team of world-class professionals, led by Dr. Kamol Pansritum, who has performed over 10,000 FFS procedures. Our multidisciplinary team includes expert plastic surgeons, maxillofacial surgeons, dentists, and other specialists who combine surgical precision with artistic design to create naturally feminine features.
Recognized globally as a leader in gender confirmation surgery, Kamol Cosmetic Hospital consistently delivers exceptional results with a high level of client satisfaction. Our modern, state-of-the-art facility is accredited by the Joint Commission International (JCI), a prestigious global healthcare organization. Every service is designed with meticulous attention to safety, security, and privacy, ensuring the best possible experience for our patients.
Why Choose Kamol Plastic Surgery Hospital for FFS?
- Expertise: Our surgeons have extensive experience in all aspects of FFS.
- Comprehensive Approach: We consider your unique facial features and goals to create a personalized surgical plan.
- Advanced Techniques: We utilize the latest surgical techniques and technologies to achieve natural-looking results.
- Patient-Centered Care: We prioritize your comfort and well-being throughout your surgical journey.
We are committed to providing you with the highest quality care and helping you achieve your desired facial feminization goals.
Frequently Asked Questions (FAQs)
A: Facial Feminization Surgery is a collection of surgical procedures designed to soften and feminize facial features. It's often sought by transgender women and other individuals who desire a more feminine facial appearance.
A: Facial Feminization Surgery can involve a variety of procedures, including:
- Forehead contouring: Reshaping the forehead to create a smoother, more feminine profile.
- Brow lift: Raising the eyebrows to create a more open and youthful appearance.
- Rhinoplasty: Reshaping the nose to achieve a more feminine shape and size.
- Cheek augmentation: Enhancing the cheekbones for a more defined and feminine look.
- Jawline contouring: Reshaping the jawline and chin to create a softer and more feminine appearance.
- Lip lift: Shortening the distance between the nose and upper lip, creating fuller and more feminine lips.
- Hairline lowering: Lowering the hairline to create a smaller and more feminine forehead.
A: The best candidates are individuals who:
- Are in good physical and mental health.
- Have realistic expectations about the outcome of surgery.
- Are committed to the healing and recovery process.
- Have completed any necessary hormone therapy or other medical treatments.
A: The duration varies depending on the specific procedures involved. Some procedures can be performed in a few hours, while others may require a full day of surgery.
A: The recovery time depends on the extent of the surgery. Generally, you can expect some swelling and bruising for the first few weeks. Most patients can return to work and normal activities within 2-3 weeks, but strenuous activities should be avoided for a longer period.
A: As with any surgery, Facial Feminization carries potential risks, including:
- Infection
- Bleeding
- Scarring
- Nerve damage
- Anesthesia complications
Our experienced surgical team takes every precaution necessary to minimize these risks and ensure your safety, comfort, and well-being.
A: The cost of FFS depends on the specific procedures involved. We offer competitive pricing and transparent cost structures. During your consultation, we'll provide a personalized quote and discuss financing options.
A: Our surgeons are board-certified plastic surgeons with highly specialized training and extensive experience. They are dedicated to providing the highest quality care and achieving the best possible outcomes for our patients.
A: The process typically involves:
- Initial Consultation: You'll meet with our surgical team to discuss your goals, undergo a physical examination, and review your medical history.
- Assessment and Preparation: We'll conduct a comprehensive assessment to determine your suitability for surgery and provide you with detailed pre-operative instructions.
- Surgery: Our highly experienced surgical team will perform the surgical procedure(s) in our world-class facilities in Bangkok, Thailand.
- Post-Operative Care: You'll receive comprehensive aftercare instructions and support to ensure a recovery that is as smooth and comfortable as possible.
- Follow-Up Appointments: We'll schedule follow-up appointments to monitor your progress and address any concerns you may have.
A: We encourage you to schedule a consultation with our surgical team to discuss your individual needs and goals. We'll provide you with detailed information about the different procedures available to you, their potential risks and benefits, and the recovery process involved. We'll also answer any questions you may have and help you make a well-informed decision.
A: Kamol Cosmetic Hospital offers several advantages, including:
- Experienced and qualified surgeons
- World-class facilities
- Personalized care and attention
- Competitive pricing
- Comprehensive support services
- Convenient location in Bangkok Thailand
A: FFS can have a significant positive impact on your quality of life, self-esteem, and overall well-being. With proper care and follow-up, the results can be long-lasting.
A: You can expect some swelling, bruising, and discomfort in the initial days following surgery. We'll provide you with pain medication and detailed instructions on how to care for your incisions and manage your recovery.
A: You can contact us through our website, email, or phone. Our friendly and informative team will be more than happy to help you and answer any further questions you may have.
