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Facial Feminization Surgery – Lower Third Reshaping – IV. Neck

Tracheal Shave A prominent Adam’s apple or thyroid cartilage disrupts the profile of the neck and is the one sure sign of being male. It is reduced by a procedure that truly reflects how it is done…the tracheal shave. The prominent union of the two halves of the thyroid cartilage is shaved down through either Read More…

Facial Feminization Surgery – Lower Third Reshaping – III. Jaw Reduction

Jaw reduction is a generic term for different types of lower facial reshaping procedures. Often lumped into one general category, the reality is that a variety of bone and muscle reduction procedures are available to create a lower face that appears more narrow or slimmer. Each jaw reduction procedure differs in the specific dimensional changes Read More…

Postoperative Instructions – Thigh Implants

Thigh implants are another type of extremity muscle augmentation that can be done. Using the longest and widest muscle of the anterior thigh, the biceps femoris, the implant is placed in a subfascial location through a small curved incision at its upper end. My top ten recovery instructions are as follows. 1. Thigh implants are Read More…

Facial Feminization Surgery – Lower Third Reshaping – II. Chin Reduction

Chin Narrowing (Desquaring the Wide Chin) A large or prominent chin is a distinct male feature and is one the most important changes to make for a more feminine lower face. In determining the type of chin reduction procedure needed it is important to determine the dimensional changes required for the desired effect. In some Read More…

Facial Feminization Surgery – Lower Third Reshaping – I. Perioral Enhancements

Injectable Fillers Enhancing the shape and size of the upper and lower lips can be one of the most powerful gender facial changes. Though small in size their impact on gender identification is significant. A variety of surgical and non-surgical lip augmentation procedures exist. The most common form of lip augmentation done is with the Read More…

Facial Feminization Surgery – Middle Third Reshaping – V. Ear Reductions

Earlobe Reduction The ears appears in the midface section because that is where they lie horizontally in alignment to the face. Large earlobes are often tolerated on men but are less attractive and proportionate in women. While cis-women often develop elongation of the only non-cartilaginous portion of the ear from ear ring wear and aging, Read More…

Facial Feminization Surgery – Middle Third Reshaping – IV. Eye Reshaping

Eye Corner Lifting Feminizing the eye shape by contemporary standards is to elevate the outer corner of the eye. This elevation specifically refers to having the outer eye corner is higher than the inner eye corner. At the least this alleviates a tired looking eye but females generally prefer a slight upturned outer eye corner. Read More…

Facial Feminization Surgery – Middle Third Reshaping – III. Buccal Lipectomies and Perioral Liposuction

While not a classic feminizing procedure, facial defatting or slimming can be a useful facial reshaping technique for those patients who have naturally rounder faces or chubby cheeks. The three facial areas that can be successfully reduced by different techniques are the two primary cheek areas, the buccal fat pads and the perioral mounds, as Read More…

Facial Feminization Surgery – Middle Third Reshaping – II. Cheek Augmentation

Feminine cheeks typically have more fullness in the ‘apple’ cheek area which is on the front part of the cheekbone. (malar-submalar zone) This aesthetic female cheek roundness is historic although more contemporary trends for cheek augmentation are for a line of fullness that extends back along the zygomatic arch as well for more defined and Read More…

Earlobe Reduction of the Age-Related Long Ear

The earlobe is a unique part of the ear in having no structural cartilaginous support. It is composed of skin and fat soft tissue only. As a result it is subject to a variety of deforming forces which can change the shape that it had earlier in life. One of these potential deformations is lengthening Read More…