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Facial Feminization Surgery – Upper Third Reshaping – IV. Skull Reshaping

While the forehead has some prominent gender differences, the shape of the rest of the skull is less significant in that regard. But differences do exist and the general trend is that male head shapes are larger and broader while female head shapes are a little smaller and more round. The camouflage of hair can Read More…

Postoperative Instructions – Browlift Surgery

Changing the shape of the brows can be done by a variety of techniques and is often done as part of other facial surgeries, in particular eyelid (blepharoplasty) surgery. Most browlift techniques use a superior scalp to hairline approach to perform to have a true lifting effect. In rare cases the browlift may be done Read More…

Facial Feminization Surgery – Upper Third Reshaping – III. Browlift Surgery

While the brow bone projection can be reduced and the forehead reshaped, the appearance of the upper face may still not be fully feminized in some patients. The arch of the eyebrows has an important feminizing influence and a brow lift with any type of forehead surgery can have a substantial gender enhancing effect. Lifting Read More…

Facial Feminization Surgery – Upper Third Reshaping – II. Forehead Reduction

Frontal Hairline Advancement A long or high forehead based on the location of the frontal hairline creates a disproportionately large upper third of the face. While acceptable in males because of common hairline recession/loss, it is much less aesthetic in females. Shortening of the upper facial third by frontal hairline advancement (scalp advancement) is one Read More…

Facial Feminization Surgery – Upper Third Reshaping – I. Brow Bone Reduction

Brow Bone Reduction (Central) Considered one of the cornerstones of FFS surgery is the shape of the upper third of the face. The elimination of protruding brows and altering the appearance of the forehead to a more convex shape with a straighter vertical angulation is a critical gender difference between men and women. Always done Read More…

Facial Feminization Surgery – Introduction

Having a softer and more feminine face is the goal of facial feminization surgery. (FFS) While most commonly associated with the transgender patient, FFS is also used for the non-transgender female who feels their facial appearance is too masculine or has one facial feature that is considered excessively strong for their facial appearance. Facial feminization Read More…

Postoperative Instructions – Submentoplasty Surgery

The submentoplasty procedure is the least recognized of all aesthetic neck surgeries. It is a neck reshaping procedure the lies between the very commonly performed neck liposuction with the more extensive necklift or lower facelift. It starts with neck liposuction with adds central submuscular neck defatting with platysma muscle plication. (neck muscle suturing) It can Read More…

Postoperative Instructions – Buccal Lipectomy and Perioral Liposuction Surgery

The ability to reduce facial fat and deround or sculpt a face by fat removal is limited to a few procedures. The most common procedures to do so on the face are buccal lipectomies and perioral liposuction. While there are companion procedures and are often done together they affect different parts of the cheeks. A Read More…

Postoperative Instructions – Chin Reduction Surgery

Chin reduction can be performed by either bone removal, soft tissue removal or both. It can be done through either an intraoral (internal) or submental (external) approach depending upon the type of chin reduction being performed. While bone removal by osteotomy or shaving can be done from either approach, soft tissue removal can only be Read More…

The Anatomy of Masseteric Muscle Dehiscence vs Implant Reveal In Jaw Angle Implant Surgery

The placement of any facial implant always involves the elevation of the overlying soft tissue as they are placed in the subperiosteal plane. (with the exception of temporal implants) Within this soft tissue lies muscle which is lifted away with the soft tissue elevation. Usually this muscle tissue in the released/elevated soft tissue has no Read More…