Why Mardirossian Facial Aesthetics is the Leading FFS Surgery Practice

July 25th, 2017 by

FFS Surgeon

Facial feminization surgery is becoming more popular – and more accepted – for women and transitioning men alike. For this reason, it’s vital that you find a surgeon with the right experience and reputation to help you feminize your look and help you realize your dream. Mardirossian Facial Aesthetics is a trusted leader in FFS surgery for several unique reasons.


Dr. Vartan Mardirossian is more than just a plastic surgeon. In fact, he’s the Assistant Professor of Facial Plastic and Reconstructive Surgery and Otolaryngology at Florida Atlantic University. He’s also a Facial Plastic Head and Neck Surgery Consultant at Jupiter Medical Center in Jupiter, Florida. Dr. Mardirossian completed his residency in Italy, where head and neck surgeries are among the most popular procedures, and then returned to Boston where he researched at MIT. Dr. Mardirossian helped victims of the Boston marathon bombing, and he received awards from the City of Boston and Boston Medical Center for helping a patient avoid permanent disfigurement. Today, his practice focuses on skin cancer reconstruction and facial plastic surgeries, but his office also performs nonsurgical and cosmetic procedures.

The Complexity of FFS

Facial feminization surgery is different for every patient. It consists of a variety of procedures that may include everything from rhinoplasty to face and neck lifts. Part of a successful feminization surgery involves taking the patient’s desires and facial structure into account, then developing a plan to help that patient achieve his or her desired results. Dr. Mardirossian views FFS as a method of balancing light with shadow, femininity with masculinity, and youth with age. Through years of study and attention to detail, Dr. Mardirossian has become one of the most trusted and talented surgeons in the field.

A Thorough Evaluation

One of the most important things to consider before scheduling FFS is the initial consultation. Your surgeon should take the time to get to know you and your goals – what you hope to achieve with your surgery. Dr. Mardirossian carefully evaluates his patients, including their faces and necks, and then recommends a list of procedures in order of importance that will enhance femininity. Of course, his patients can also ask questions and address concerns, and Dr. Mardirossian’s team can help patients better understand how they’ll look once the surgery is complete.

What to Expect

Mardirossian Facial Aesthetics goes to great lengths to make patients feel safe, calm, and stress-free before and after their procedures. Sometimes, FFS can be quite complex, and it may take several hours to finish the procedures. The team takes care in each individual procedure, then provides attentive after-care, whether the patient must remain in the hospital overnight or return home a few hours afterward. The team will answer questions about recovery and line out a detailed plan, including when patients should expect to return to normal activity.

No two FFS procedures are the same because no two people are the same. That’s what separates Mardirossian Facial Aesthetics from other plastic surgeons in the area. Each patient presents a new opportunity to change lives, and that’s what the team does best.


Voice Feminization Surgery – The Perfect Finishing Touch to an FFS Journey

May 16th, 2017 by

voice feminization

Gender reassignment surgery, facial feminization surgery, and voice feminization surgery are often considered the trinity of transitioning. Often, facial feminization comes first, followed by voice feminization. A higher, more feminine voice is much like the frosting on the cake, and those who have FFS are considering it more often than ever before.

Feminization is More than Just Outward Appearance

When you think of the word “feminine”, you likely think of softness and kindness. During facial feminization surgery, plastic surgeons work to recontour and soften prominent facial features to create a more attractive and feminine appearance. However, the word “feminine” is about more than just appearances; it’s about all five senses. Your voice can certainly have a tremendous impact on the way you view yourself – and the way others view you, too. Voice feminization can help you feel and sound more feminine than before.

What Is Voice Feminization?

Voice feminization surgery involves shortening the vocal cords, allowing them to produce higher-pitched sounds and reducing their ability to produce low pitches. In some cases, especially when it comes to a very deep natural voice, the surgeon may also shorten the throat. This helps to reduce reverberation and further reduce the lower range of tones, and it may even add a few extra notes to the upper range of the voice. While the changes to the voice won’t be apparent immediately after surgery, improvements will continue for months as the voice slowly becomes more and more feminine.

Who Is a Candidate for Voice Feminization Surgery?

Although voice feminization is often thought to be reserved for those who are transitioning from male to female, this is not the case at all. This surgery can benefit anyone who is bothered by his or her deep voice and who would like to sound more feminine when speaking. Those who undergo voice feminization will benefit most when they are willing to take speech therapy classes following the surgery; this helps patients learn to better utilize their shorter vocal cords, making speech more natural and less forced over time.

Is There a Long Recovery Time?

Like all surgeries, there are a few risks associated with voice feminization. You should discuss these with your doctor beforehand. However, voice feminization is a minimally-invasive surgery, so the risk of infection is significantly decreased. It does require general anesthesia, and patients will receive pain management from their physicians to help keep them comfortable as they recover. You should not speak for about two weeks after the surgery, which can be difficult. Remember that your voice may be deeper immediately following surgery due to swelling, but you’ll be able to hear the actual results in just a few months’ time.

Voice feminization is a very important surgery for many people. It allows them to complement their new, feminine appearance with a voice that is equally feminine. It’s best for those who are willing to be patient and wait for the results, and it’s also important that candidates are willing to attend speech therapy regularly following the surgery.

Facial Feminization Surgery – Male to Female

March 23rd, 2017 by

transgender transition

Facial feminization surgery, sometimes referred to as simply FFS, is one of the most coveted surgeries among transgender individuals seeking to transition. This surgery is designed to soften the more masculine facial features and deliver a more feminine, rounded, contoured face.

What’s Involved in Facial Feminization?

While this is the number one most common questions asked by those interested in facial feminization surgery, it’s also one of the most difficult to answer. Every single surgery is custom-tailored to the patient’s individual needs. First, the surgeon discusses the patient’s vision for her face. Then, the surgeon will recommend a list of procedures designed to help the patient achieve those results.

Some of the procedures that may be performed during FFS include neck lifts, face lifts, lip lifts, brow reduction, lateral lower mandibular shaving (jawline reduction), facial fillers or implants for contouring, scalp advancement, tracheal shaving (Adam’s apple reduction), dimpleplasty (the removal or alteration of dimples), nasal tip refinement, temporal lifts, and more.

The Perception of Human Beauty

There have been numerous studies conducted on the ways in which people view human beauty, especially when it comes to the female face. Feminine features seem to enhance perceived attractiveness regardless of gender. For example, while it’s long been believed that a pronounced jaw and an enhanced chin on a man are more attractive to women, studies have shown the opposite – women and men alike are attracted to softer, rounder, and more feminine features.

When considering FFS, it’s important to research the surgeons who have studied it extensively. While most plastic surgeons can perform the procedures included in facial feminization, it takes a very skilled surgeon to combine those procedures into the perfect face for an individual patient. It’s about creating the perfect contour and balance to make a face more attractive. Those who undergo FFS should be able to look in the mirror and see the self they envision looking back at them.

Male to Female Transitioning

Transitioning from male to female requires a great deal of forethought and preparation, particularly as it relates to reshaping and contouring the face. Men are naturally born with more defined and pronounced facial features, and feminization can require several very distinct procedures. In many cases, the brows, cheekbones, chin, and jaw are the areas of focus. Surgeons will work to soften pronounced features, add volume to the cheeks, and even reduce the protrusion of the brow to make a face appear more feminine than before.

Many of the procedures involved in FFS require patients to set aside some time for recovery. These patients will experience some swelling and bruising, but surgeons will work with those patients to help manage their pain and keep them comfortable. While it may take several weeks before the results can be fully viewed and appreciated, facial feminization surgery is often life-changing.

Because facial feminization surgery is a very important part of the male-to-female transition, there are plastic surgeons the world over who spend countless days, weeks, months, and even years studying combinations of procedures that will benefit their patients most. Dr. Mardirossian at Palm Beach Plastics is one of those surgeons, and he’s performed dozens of successful feminization surgeries.

What It’s Like to Make the Transition

March 14th, 2017 by

ffs transition

The word “transition” means different things to different people. Sometimes, a transition is mostly a social event, and in other cases, it requires a great deal of surgery. If you’ve been considering transitioning, you’re probably curious to learn how other people felt throughout the process. Here, you can learn about three transgender women’s journeys.

Making the Decision

Some women claim that they went most of their adult lives without ever realizing their issues with their genders. For example, in some cases, women don’t make the transition until their 40s – when their kids have all but grown and gone on to college. It’s important to note that all three women say transitioning wasn’t a choice or something they weighed intellectually – it reflected who they were, and something they felt they must do to truly be themselves.

Fears About the Transition

Although transitioning is important for transgender women, and it’s certainly exciting, it doesn’t come without certain fears. For example, some women worry about the side effects of taking hormone treatments, and others worry more about how their friends, family, and colleagues will receive them once they’ve started the process. Some women even worry about losing custody of their children. These fears are all perfectly natural, and those who have been through the transition process recommend talking to a therapist before, during, and after transitioning to help separate rational fears from irrational ones.

Noticing the First Changes

Transgender women who start their hormonal treatments are often very excited to start seeing feminization take place. One of the biggest questions these women are asked has to do with the time it took to start seeing noticeable physical changes. Most women claim that their emotional state begins to change long before their physical appearances. They feel a sense of calm and peace – like they’re finally doing the right thing for themselves. Physical changes became apparent in anywhere from six months to a year in these cases.

When Surgery Is (and Isn’t) Necessary

Among women who transition, there are some who feel surgery isn’t truly necessary. They feel that hormonal and social changes are enough to allow them to be the women they’ve always wanted to be. Those who do have the surgery do so for many different reasons. Some do it because they know in their hearts it’s the right thing to do, and still others do it to eliminate their body’s ability to produce more than a miniscule amount of testosterone. Finally, some undergo FFS to help their outer selves reflect what they feel on the inside.

After the Transition

Most post-transition women, when asked how their transitions helped them feel closer to their gender identities, liken it to a fish breathing water for the first time. Most agree that the transition feels natural to them, and it allows them to finally feel as they’ve always felt on the inside without the physical and social limitations that once kept them from expressing it.

Transitioning is certainly exciting, and that’s true whether you’re making the transition on the social, hormonal, or surgical level. There’s no step-by-step, cookie-cutter guide that everyone can follow. If anything, transitioning is a very personal experience – one that you can decide for yourself as you go along.

One Amazing Transgender Transition Discusses her Transformation

February 1st, 2017 by

FFS Transgender

Transgender Stef Sanjati, age 20, has always struggled to look at herself in the mirror – even to the point where she would spend 5 hours a day applying makeup in an effort to appear more feminine. However, she was recently able to have Facial Feminization Surgery (FFS) performed and is planning to undergo Sexual Realignment Surgery (SRS) at some point as well.

Costly but Well Worthwhile

Before having the $45,000 FFS surgery, Ms. Sanjati said that it wasn’t a matter of her disliking herself; she felt that the person staring back at her from the mirror simply didn’t reflect who she truly was. “For myself, waking up and looking in the mirror is like pressing reset on your favorite gam every day. Losing all progress, going backwards, never reaching your potential. It’s incredibly frustrating, not seeing what you see in your head in the mirror. I don’t think I have uploaded an untouched photograph since before I started my transition – I nip and tuck at my face, reducing my jaw here, enlarging my cheek there… all with the goal of looking more like what we perceive as feminine,” she said.

Extremely Happy with Her Surgery

After posting a video on YouTube on December 17th that documented her journey when the surgery had been performed, Ms. Sanjati noted that she was not only very happy with how the surgery had gone; she was also feeling grateful. She mentioned that she couldn’t really fully express herself at the time, but she reported that she was experiencing minimal pain.

More than 1,000 people have donated to Ms. Sanjati’s cause by means of a GoFundMe campaign, which helped raised a staggering $32,000 to cover the procedures. She went on to mention that having both the FFS and SRS procedures would go a long way in helping to improve her mental health as well.

Ready for SRS Procedures

Ms. Sanjati has also mentioned that she now feels ready to undergo Sexual Realignment Surgery to complete her transformation process. Costs for these particular procedures tend to vary depending on the person who is having them performed.

Sanjati mentioned that the reason why it took her so long to do her make-up was because she wanted to do everything possible to feel comfortable with her face – even going as far as using a range of photo-editing applications to make sure that photos reflected how she wanted people to see her.

Sharing her Experience

The young Canadian stated that the reason why she had uploaded the YouTube video documenting her journey was so that she could share the experience with people in order for them to learn more about what gender confirmation surgeries really mean to the transgender community. “They are not as simple as feeling better about the curve of our nose; it is much larger than that. These surgeries are about feeling like you, every day, when you wake up in the morning – before cinching, pulling, and covering every inch of your body with body shapers, tape, and cosmetics,” she said.

Ms. Sanjati finished off by saying the following about the procedures she has had and the ones that she will be having in the near future, “They’re about recognizing yourself in the mirror and feeling like living going outside, is possible, and not something to dread.”

If you are need of a free FFS consultation please don’t hesitate by calling 561-624-0900. You can also email us

Questions to Ask During Your FFS Consultation

January 5th, 2017 by

FFS Consultation

If you’re thinking about facial feminization surgery, it’s important to consult with surgeons to discuss things like goals, recommendations, and even price estimates. To get the most out of your FFS consultation, it’s important to ask the right questions. The guidelines below will help you get the information you need so you can make the best choice for your unique needs.

#1 – What Are Your Board Certifications?

If there’s one question you should always ask any surgeon, it’s about his or her board certifications. It’s vital to choose a surgeon who has the right education. In fact, patients often travel to other countries since international doctors often offer significantly lower prices, but it’s important to note that these surgeons are not always board certified, which means they lack the education required to keep you healthy and safe.

#2– How Long Have You Been Performing FFS?

Once you’ve determined that your doctor is board certified and qualified to perform your surgery according to stringent US standards, it’s also important to make sure your surgeon has the experience necessary to provide you with the facial feminization you desire. Your surgeon should have several years’ experience in FFS, and he or she should also be able to provide before-and-after photos of his or her past patients.

#3 – Can I Talk to Your Other Patients?

Although privacy is very important, many patients who have undergone FFS are more than happy to share their stories and experiences with others. In fact, your surgeon may ask your permission to be contacted by future patients following your procedure. This question will give you the opportunity to talk to others about their surgeries, which can provide you with further peace of mind.

#4 – Can You Describe the Procedure?

Your surgeon should always detail the procedure for you, which can set your mind at ease. What’s more, you should pay attention to ensure that your surgeon describes the procedure confidently, and that he or she takes the time to help you understand any terms you may not be familiar with. It’s vital that you know what will happen long before it happens, and it’s also important to know exactly how your surgeon plans to provide you with the appearance you want.

#5 – How Long will it Take to Recover?

Every FFS comes with recovery time, and there’s no way to avoid it. You will experience some pain and discomfort, but your surgeon will work with you to minimize it and keep you as comfortable as possible. Your surgeon should be able to provide you with an estimate of your recovery time, including how long it will be before you can resume your normal activities or go back to work. He or she should also tell you how long you can expect to see swelling and bruising following your surgery.

An FFS consultation is a very important step in your journey to letting the best you shine through. Asking the right questions can help you choose the surgeon who has the most experience and the best education, and it can also help you make certain that your surgeon has your best interest at heart.

What’s the Recovery Timeline Following a Typical FFS Procedure?

November 16th, 2016 by

FFS Surgery Recovery

“What’s the recovery timeline following a typical FFS procedure?”—that’s a great question.

If you’re thinking about FFS surgery, recovery is a big part of the process.

Here’s everything you need to know:

The Day (and Night) of Surgery—You’ll Be at the Mardirossian Facial Aesthetics Overnight Recovery Suite or at the Jupiter Medical Center with Nurses and Staff

Staying in the recovery suite overnight means that you’ll always have nurses and staff to take care you. They’ll make sure your:

  • Bandages are on properly
  • Swelling is reduced
  • Pain is controlled

They’ll also be readily available to answer any questions and make sure you are as comfortable as possible.

The Next Day—The Goal is to Get You Home

We want you to get home as soon as possible. We’ll come look at you first thing in the morning and over the course of the day. Typically, patients are cleared to go home in the morning or in the early afternoon. Once cleared, you should go home and rest with a friend or family member present at all times.

The First Week—Rest is the Most Important Thing You Can Do

Resting for the first week after surgery will give your body a chance to recover and heal itself.

Swelling and pain will decrease, and you’ll slowly start to feel more energetic.

The 8-10 Day Mark—Your First Post-Operative Visit

Your sutures will likely be removed and your condition will be assessed. Any questions and/or concerns will be answered and addressed. Typically, patients will be cleared to start performing normal day-to-day activities (i.e. cleaning, shopping, etc.) after this visit.

The 2-3 Week Mark—You Should Be Cleared to Work

Your 2-3-week appointment is an important one. Your condition will be assessed and your surgeon will make a decision in regards to returning to work (most patients do).

The Three Month Mark

Your swelling will be minimal if at all. You’ll see marked (and amazing) improvements in your facial features.  Masculine features will no longer be present.

The Six Month Mark

A tremendous amount of healing will have occurred. Maximum results are usually seen. Scarring will not be visible.

The 1-Year Mark

You’ll be fully healed. Results between the 6th and 12th month will be seen, but they won’t be as drastic as those seen between the 3rd and 6th month.

Putting It All Together

You now know the recovery timeline following a typical FFS procedure. Use this information to help you make a decision in regards to FFS surgery. When you’re ready, we’d love to help. Please give us a call and we’ll set you up with an appointment. You’ll be well on your way to a new feminine face that you’ll love.


Everything You Need to Know About Voice Feminization Surgery

October 25th, 2016 by

Voice Feminization Surgery

The transgender community has received strong support over the past year.
Acceptance is higher than ever. So are advanced surgical options. The most recent of which is voice feminization surgery.

Here’s everything you need to know:

Who Are Surgical Candidates?

Voice feminization surgery (VFS) is for transgender patients whose voice resembles that of a male. The surgery is performed after speech therapy is unsuccessful. Many transgender patients undergoing multiple transgender surgeries include VFS into the mix.

How is the Procedure Performed?

VFS (also known as feminization laryngoplasty) decreases the size of the voice box and the length of the vocal cords. A raised, comfortable, and feminine pitch is the end result. In some circumstances, a surgeon elevates the thyroid to match resonance to the higher pitch.

What’s the Initial Consultation Like?

At Palm Beach Plastics, the initial consultation is an extensive one. We believe in taking the time to evaluate our patients’ speech to ensure they get the results they want and deserve. We:

  • Evaluate the larynx using video endoscopy
  • Evaluate and examine the voice
  • Record vocal parameters
  • Film the vocal cords

The consultation usually takes an hour or more. At the end of it, we have all the information we need to give our patients the voice they were supposed to be born with.

What’s the Surgery Like?

VFS is an outpatient surgery that’s performed under general anesthesia.

The procedure begins with a tiny incision being made over the Adam’s apple. The incision is parallel to the skin creases to ensure no visible scarring occurs.

After the incision is made, part of the voice box and Adam’s apple are removed. Once visible, part of the vocal cords are removed. In some circumstances, a tiny metal plate is placed over the voice box to hold the surgical repairs together and allow them to heal properly.

What’s the Recovery Like?

Patients return home on the same day as their surgery. Swelling may occur and last for up to three days. Patients are recommended to take things very easy for one week following surgery.

Following the initial recovery, the voice will sound lower than before. It will increase as the vocal chords heal and become less swollen. A new, feminine voice will be heard at around the six-week mark. Speech therapy is recommended to achieve maximum results.

Are There Risks?

As with all surgeries, there are risks associated with VFS. But, as previously mentioned, the risks are minimal. For more information, it’s best to arrange a consultation.


Transgender patients need not worry about their voices sounding masculine. If speech therapy doesn’t get the job done, voice feminization surgery will. When you’re ready, please contact us to arrange a consultation. We’d love to help you get the voice you’ve always wanted—and were supposed to be born with.

5 FFS Shaving and Contouring Procedures That Can Help Feminize Your Face

September 22nd, 2016 by

FFS Shaving & Contouring

Facial feminization surgery (FFS) is emerging as one of the top plastic surgery procedures. It reaches out and helps a lot of people. Specifically, in regards to gender confirmation. It helps transgender patients, and females with masculine facial features identify themselves with their true gender.

The great thing about FFS surgery is that it can be customized to meet your desires.

An important part of a consultation with Dr. Mardirossian is assessing those desires and making a list of FFS surgeries that can help customize your face. We’ve created this post to help you know and understand some options that are at your disposal. All of them fall under the FFS category of ‘shaving and contouring’.

Mandible Contouring

The shape of the mandible is so important in distinguishing gender. As a female, you want a narrow and soft contour to your jaw and chin. Mandible contouring is a way you can get it.

The procedure involves accessing the mandible body and chin through tiny incisions in the mouth. Precise instruments and Dr. Mardirossian’s steady hands are used to smoothen the jaw and reshape the chin. The result is a naturally feminine appearance with no visible facial scarring.

Tracheal Shave

A large or protruding Adam’s apple is a male feature that some females are unfortunately born with. The great thing about a tracheal shave procedure is that it reduces or eliminates the appearance of the Adam’s apple with a short downtime and no visual facial scarring.

It’s a routine procedure that involves removing the excess cartilage around the vocal cords. Because direct visualization is used, the procedure is extremely effective.

Forehead Contouring

The eyes are the center and most important feature of the female face. A forehead contouring procedure is used to enhance this feature. It produces an oval shaped, smooth forehead that allows light to enter the eyes and enhance beauty. The downtime is relatively short—usually only one to two weeks.

Jaw Shaving and Reduction

A jaw shaving and reduction procedure helps soften the jawline to give it a more feminine appearance. The before and after photos of patients who have had the procedure are remarkable and demonstrate a dramatic feminine improvement.

Chin Shaving and Implants

Chin shape can vary greatly. Chin shaving and implants can be used to give your chin a refined and smooth appearance. Like jaw shaving, chin shaving can dramatically change the look of the face.

Mandible contouring, tracheal shaving, forehead contouring, jaw shaving and reduction, and chin shaving can be used to enhance the feminine features of your face. In end result of each will be a face that supports your true gender. Arrange a consultation with Dr. Mardirossian so you can sit down and discuss the look you want and deserve to have. A new, customized face will soon be yours.

Some FFS Before & Afters

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4 Popular FFS Procedures to Help you Look More Feminine

August 30th, 2016 by

FFS Surgery

The emergence and acceptance of the transgender community has increased public awareness of facial feminization surgery (FFS). While FFS is of tremendous benefit to transgender patients, it isn’t limited to one demographic. FFS surgery has been a popular area of cosmetic surgery for all people looking for more feminine features.

FFS can reach out and help a lot of people.

To understand how, we’ll discuss the goal of FFS.

FFS is meant to provide patients with all of the major and subtle facial features that support true gender. It’s convenient to think of it as “gender confirmation surgery” because it helps patients appropriately identify as male or female. It encompasses a broad range of cosmetic and plastic surgeries.

In relation to plastic surgery, there are four procedures that are most commonly performed.  They are:

Forehead Contouring

A feminine face has a smooth forehead, wide eyes, and a soft appearance. Forehead contouring is a dynamic and advanced surgery that involves reshaping the bones around the eyes to achieve this feminine look. It’s a very powerful way to truly transform the appearance of the face. Before and after photos show remarkable improvement.

Mandible Contouring

Overall face shape is determined by jaw structure. Stereotypically, men have wide jaws and square chins, whereas women have a narrow and soft contour. Unfortunately, some women can be born with a masculine shaped jaw and chin. Mandible contouring is a way to improve this. It uses tiny incisions inside the mouth to access and then reshape the mandible. The corners of the jaw are reshaped, and the shape of the chin is adjusted. The results are remarkable. Before and after pictures, and patient testimonials provide proof that the procedure is extremely effective.

Trachea Shave

Some women can be born with a large Adam’s apple. A trachea shave is a procedure that can be used to correct this. It removes excess cartilage around the vocal cords. It’s minor in comparison to forehead and mandible contouring− usually taking less than an hour. After surgery, patients are surprised and pleased with their new neckline.


Rhinoplasty is a common plastic surgery procedure that can fall under the classification of facial feminization surgery. It’s generally used as a compliment to forehead and mandible contouring. The goal is to create a feminine nose that fits the face. The result is always a more beautiful appearance.

If you’re interested in FFS, one of the most important things you should know is that the face they were born with might not be the right one.

FFS isn’t only for transgender people.
Many females with male attributes have benefited from FFS. Think of it as “gender confirmation surgery” that’s used to support true gender. This definition and the information in the post can be used to enable you to arrange a consultation with a board certified plastic surgeon who has completed a fellowship in FFS. A new and improved you and can right around the corner.