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Facial Masculinization Surgery – Lower Third Reshaping – Chin and Jawline Augmentation

Chin Augmentation Chin augmentation is the single most important lower-face procedure in FMS. (A prominent chin is a wholly distinct male feature) Chin augmentation is often perceived only in the profile, ignoring the appearance from the front view. So it is important to consider the appearance of the chin from the front view, assessing tired Read More…

Facial Masculinization Surgery – Middle Third Reshaping – Cheek Bone Augmentation and Cheek Fat Removal

Cheek Augmentation Male cheeks typically have more fullness higher on the main body of the cheek bone (zygoma) and back along the tail of the cheekbone (zygomatic arch for more defined and angular cheek highlights. Standard styes of cheek implants are usually not sufficient in FMS as their creation of an ‘apple cheek’ look is associated Read More…

Facial Masculinization Surgery – Middle Third Reshaping – Rhinoplasty

Rhinoplasty is a common facial masculinization procedure given that there are major gender differences in the shape of the nose. A masculine nose typically has a straight or even slightly convex dorsal line in side profile. It also has a nasal tip that is not overly narrow and a nasolabial angle that is at 95 Read More…

Facial Masculinization Surgery – Upper Third Reshaping – Temporal Augmentation and Skull Reshaping

Temporal Augmentation While the natural shape of the temples is slightly concave in both genders, females tend to have increased temporal concavities. Temporal concavities or hollowing are measured by making a straight line from the lateral bony temporal line of the forehead down to the zygomatic arch. The depth of the temporal skin below this Read More…

Plastic Surgery Case Study – Submental Inferior Border Shave Technique for Chin Bone Asymmetries

Background: The chin is embryologically formed in humans by the union of the paired brachial arches that merge and become one in the middle. Most take the chin for granted because we all have them, some more than others. Humans chins are unique because no other animal has them including primates. Even our Neanderthal ancestors Read More…

Facial Masculinization Surgery – Upper Third Reshaping – Brow Bone and Forehead Augmentation

Brow Bone Augmentation Brow bone prominences with a suprabrow bone break are the hallmark of a masculine upper third of the face. Men always have some semblance of brow bone prominences while the vast majority of women do not. In the past, the typical surgical approach has been the application of bone cements or a Read More…

Facial Masculinization Surgery – Introduction

Facial masculinization surgery (FMS) refers to a collection of aesthetic surgeries aimed at making various facial features appear more masculine. This typically means making the eight (8) facial bony points more prominent. These include the brows, cheeks, nose, chin and jaw angles. Like facial feminization surgery (FFS), these surgeries are often associated with transgender patients. But Read More…

Plastic Surgery Case Study – Reducing the Overly Prominent Adam’s Apple in a Male

Background: The one gender difference between a male and female neck contour relates to the thyroid cartilages or the Adam’s apple. In women a smooth neck contour is seen while in men a more prominent thyroid cartilage creates variable amounts of visibility. The thyroid cartilages in men are bigger due to hormonal influences which also Read More…

Facial Feminization Surgery – Recovery, Risk and Complications and Cost

Facial Feminization Surgery Recovery Recovery from any form of facial surgery is primarily related to how much swelling occurs and how long it takes to go away. Thus recovery is more appearance-related than it is of functional limitations. This recovery period will be highly influenced by the number of FFS procedures that are performed. While Read More…

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…