Facial Feminization Surgery

Introduction

Facial feminizing surgery, also known as FFS surgery, is a term that encompasses a whole bundle of procedures in which the male face is feminized. Many trans women feel insecure because their appearance does not match who they are on the inside. FFS surgery can help them live as the confident woman they have always been.

According to scientific studies, facial feminizing surgery is very effective in reducing the psychological stress caused by gender dysphoria. It has also been proven that a reduction in misgendering has a positive impact on both personal and professional life.

This is due to some existing anatomical differences between male and female faces and skulls.

Characteristics

What are the differences between a male and female face?

Male characteristics

• A male face is larger, more square, more angular and has a more pronounced nose.
• A male skull has a prominent and high chin, firm jaw angles with an almost right angle and a bony bulge above the eye sockets (frontal bossing).
• A man's eyebrows tend to be heavier, straighter and closer to the eyes.
• A man's lips are thinner and longer.

Female characteristics 

• A female face is smaller, more oval, has softer lines, larger eye sockets involving and higher-set eyebrows.
• A female skull has a convex (bulbous) forehead, a less pronounced chin and rounded jaw corners.
• A woman's eyebrows are thinner and arch, so they are further away from the eyes.
• A woman's lips are fuller.

Case

What can be achieved with FFS surgery? 

Facial Feminization Surgery encompasses a combination of refined surgical techniques aimed at softening and harmonizing facial features. Depending on the patient’s anatomy and individual goals, results can range from subtle refinements to more pronounced transformations, always with respect for natural proportions and personal identity.

Case: Jade

For Jade, a personalized treatment plan was developed, focusing on both skeletal structure and soft tissue refinement. She underwent:

• Hairline lowering
• Forehead recontouring
• Deep plane face and neck lift
• Brow lift
• Rhinoplasty
• Buccal fat removal

First and foremost, I would like to thank Dr. O. Beckers for the wonderful outcome. I am extremely satisfied with the collaboration with Face2Face Clinic! Joa assisted me with all my questions, and I am very grateful to her. Additionally, I felt very comfortable and received excellent guidance. I can definitely recommend Face2Face! - Jade van de Wiel

Case: Gina

Gina underwent a more extensive, staged treatment approach addressing both the underlying skeletal structure and the soft tissues of the face. Her surgical plan included:

• Forehead and orbital recontouring
• Rhinoplasty
• Chin correction
• Zygoma osteotomy
• Deep plane face and neck lift with deep neck reduction
• Upper and lower eyelid correction
• Lip lift
• Adam’s apple reduction
• Lipofilling

This combined approach results in a comprehensive feminization, where contour, projection, and softness are carefully balanced.

Result at 4 weeks post-operative.

Be yourself because becoming who you truly are is the most powerful transformation of all. - Gina Sodano

Case: Maeryn

For Maeryn, an extensive and highly personalized surgical plan was developed, focusing on both structural and soft tissue modifications to achieve a harmonious feminization of the face.

She underwent:

• Hairline lowering with forehead and orbital recontouring
• Brow lift
• Upper and lower jaw advancement with clockwise rotation
• Midface recontouring
• Feminization of the lower jaw
• Deep plane neck lift with deep neck reduction
• Rhinoplasty
• Adam’s apple reduction
• Lip lift

Each procedure contributes to a subtle refinement of proportions and contours, allowing the face to evolve in a natural and balanced way.

This journey was more than surgery — it was about becoming who I’ve always been. From the first consultation to the recovery, I felt seen, heard, and genuinely cared for. Dr. O. Beckers’ work is exceptional, and Joa made every step feel safe and personal. I will never forget this experience. - Maeryn Gelhaus

Do I need Facial Feminization Surgery?

FFS could potentially offer a solution in the following situations:

1. For transgender women who struggle to feel comfortable with their reflection.
2. For transgender women who experience that specific facial features expose them to misgendering, causing distress.
3. In cases of dissatisfaction with certain facial features that one would prefer to align more with a feminine appearance.

This surgical procedure has the potential to enhance "passing," enabling individuals to live more confidently as the women they are, without concerns about being addressed incorrectly. FFS can assist individuals in expressing their authentic identity in an improved manner, contributing to a more positive self-image. This, in turn, may lead to increased self-confidence and reduced social anxieties and phobias, common challenges faced by the LGBTQI+ community. However, it's crucial to remember that this decision is personal and should be carefully considered with the necessary professional guidance.

3 weeks post-op FFS 

Procedures

These are all the procedures that can be part of Facial Feminization Surgery:

• Hairline lowering
• Deep plane facelift
• Forehead recontouring
• Browlift
• Eyelid surgery
• Rhinoplasty
• Ear correction
• Liplift
• Chin surgery
• Jaw reduction
• Midface enhancement
• Feminization of lower face
• Neck width reduction
• Adam's apple reduction

What sets Face2Face Clinic apart

At Face2Face Clinic, facial surgery is approached with precision, depth, and a profound understanding of facial harmony. Each treatment plan is fully personalized, based on a thorough analysis of both skeletal structure and soft tissue dynamics — never a standardized approach.

Our expertise lies in combining advanced techniques, such as deep plane surgery and complex facial feminization procedures, into one coherent and well-balanced result. Rather than focusing on individual procedures, we aim for global harmony, where all facial features integrate naturally.

Equally important is the way we guide our patients. From the initial consultation through the entire recovery process, each patient is closely supported with clear communication, honest advice, and a structured care pathway. Trust, transparency, and attention to detail are central throughout.

This combination of surgical expertise, aesthetic vision, and personalized care defines Face2Face Clinic.

Get a quote

Our patient coordinator, Joa Christiaenssen, is ready to answer your questions and provide you with the necessary information. Whether it's scheduling a consultation, discussing treatment options, arranging administrative matters, or planning a surgery, Joa is here to assist you.

We strive to offer you the best possible care and service, and we look forward to supporting you on your journey towards positive change.

• info@face2face.surgery 
• +32 471 73 14 65