One Amazing Transgender Transition Discusses her Transformation

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

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?

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.


Caitlyn Jenner’s Surgeons Discuss the 10 Hour Procedure


Caitlyn Jenner has put the spotlight on the transgender community. She recently underwent a 10-hour facial feminization surgery (FFS) that gave her the appearance of her true self. Her surgery has shed light on FFS, and how it can be used to benefit transgender peoples. In addition, her surgeons have recently opened up and discussed the specifics of her surgery.

Here’re a few of the things they talked about:

The Importance of Caitlyn’s Brow Lift

Dr. Harrison Lee (Caitlyn’s chief surgeon) made note that, “Men tend to have a prominent brow bone, so you do a little bit of a brow lift, just to soften the image.”

A brow lift is one of the most popular—and important—procedures associated with FFS. It gives transgender patients a youthful, refreshed, and feminine look. The eyes are enlightened—which makes them look less worn, tired, and masculine.

The procedure is done by simply lifting the skin of the forehead to help the eyebrows rise naturally.

The Importance of Caitlyn’s Jaw Contouring

Dr. Lee also partially explained Caitlyn’s jaw contouring by saying,” We went inside her mouth and actually took off the outer portion of her jaw bone and softened it.”

Caitlyn’s jaw contouring was extremely important in helping her appear as her true self. One of the most masculine features of the face is the jawline. Men have square, masculine lower jaws that are unattractive on women.

A jaw contouring procedure—as Dr. Lee noted—helps soften the jawline, making it more feminine.

Caitlyn’s Post Surgical Experience and Fantastic Results

Caitlyn’s surgeons did state that she had some anxiety issues—which were treated with medication—following surgery. The reason for the anxiety issues is a bit surprising.

Dr. Atler—who was another one of Caitlyn’s surgeons—said,” “It’s difficult to suddenly get the realization that you’re getting the fulfillment of what you’ve always wanted to have done.” He also said the anxiety Caitlyn experienced is common, and can happen to anyone that undergoes a major change in their appearance.

After the initial anxiety went away, Caitlyn could enjoy her results.

Dr. Lee mentioned , ” She healed remarkably fast. Maybe because she’s an Olympic athlete… I mean, at 65, she is in remarkable health.”

In addition, he stated,” “I don’t want to show off, but I think she’s ecstatic with the results.”

Conclusion—What’s This Mean for You (and Other Potential FFS Patients)

Caitlyn’s procedure and results aren’t limited to the rich and famous. Facial feminization surgery is readily available and more affordable than ever. It’s a great way to achieve the look of your true self……the look you were supposed to be born with. Brow lift and jaw contouring aren’t the only two procedures that can benefit you. Palm Beach Plastics offers numerous FFS solutions. When you’re ready, please don’t hesitate to give us a call. We’d love to help you arrange an appointment with one of our board-certified plastic surgeons.

Image Source: Creative Commons/Flickr/Alberto Frank

Have Masculine Features? FFS can Help


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 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.

Tracheal Shave

Some women can be born with a large Adam’s apple. A tracheal 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.

What Does Transgender Mean?


The gay, lesbian, bisexual, and transgender (GLBT) community has reached a never before seen level of public exposure. Homosexual relationships have been legitimized by the legalization of homosexual marriage. Homosexuality is becoming widely accepted and homosexuals are reporting that they feel far less ridiculed. This is a huge step in the right direction; however, there is still work to be done. Despite the transgender community recently being brought into the limelight, there are still many people who ask the question “What does transgender mean?”.

The terms gender, gender identity, and transgender are related and intertwined. In order to fully understand transgender, one must have a clear definition and understanding of gender and gender identity.


The words sex and gender are commonly mistaken as having the same meaning. Sex specifically refers to the biological features which make a person male or female. Gender is a much broader term that is associated with the societal and cultural differences that distinguish a person as being male or female. Because gender is a social construct, it can vary tremendously. What is determined as a male behavior, role, activity, or attribute in one culture might be determined as female in another. For example, wearing skinny, tight jeans is typically regarded as very feminine way of dressing in American culture, but is widely accepted as both masculine and feminine in European culture.  

Gender Identity

Gender identity takes gender a step further by referring to a person’s identification with a particular gender. Gender identity can be simply defined as the inner belief that one is either male or female. This belief develops in infancy and childhood. Development is stopped, but continues to be reinforced during adolescence.


Transgender refers to someone whose gender identity differs from their sex. Transgender people can identify themselves as male, female, or neither. They express themselves in a manner that reflects their gender identity. Often times this is met with public scrutiny and disapproval because the majority of societies believe that “boys should act like boys and girls should act like girls”. The key to understanding and ultimately accepting transgender people is to understand that no amount societal or cultural pressure will change the way they feel inside. Simply put, a transgender person truly and genuinely feels that they are of the opposite gender of their sex. This feeling is usually met with what is called a transition. A transition occurs when a transgender person makes noticeable changes to match the way they feel inside. Clothing, hair, and name changes are quite common. Hormone replacement and surgery have also been introduced into the transgender community and are becoming increasingly popular. Sex reassignment and facial feminization surgeries have become particularly popular as of late.  

Today’s world provides a unique and unprecedented opportunity for the transgender community. Communication is fast and convenient, which allows the community’s voice to be heard. Public awareness and understanding of “what transgender means?” is what will ultimately lead to higher levels of acceptance.

Dr. Mardirossian Discusses Caitlyn Jenner on

Monster Article

Click to read full article.

At the time when Caitlyn Jenner’s new look appeared on the cover of Vanity Fair, it made the general public aware of an up-and-coming field of cosmetic surgery. Jenner’s new look consisted of a softer brow line, a reshaped nose and chin and gorgeous cheekbones, all of which fall under the category of facial feminization surgery (FFS).

Not Just for the Transgender Community

Although FFS was pioneered in the early 2000s to aid the gender transition process, it isn’t only the transgender community that is taking note of Jenner’s new look. Dr. Vartan Mardirossian, a Palm Beach plastic surgeon who specializes in this field noted, “Women saw that there were things that could be done that they didn’t know before. Take someone with a forehead that they consider too high or too prominent, for example. They don’t know there’s a surgical solution to it. Everything they know about facial plastic surgery is doing injectables or face lifts.”

Dr. Mardirossian performs anywhere between 40 and 60 facial feminization surgeries each year, with many patients coming from out of state – or even from other countries. Approximately one-third of the patients are women who were born female.

Celebrities are a Major Influence

A survey conducted by the American Academy of Facial Plastic and Reconstructive Surgery revealed that more than 80% of plastic surgeons said that celebrities were a major influence on patients’ decisions to have various forms of plastic surgery performed. Academy president Edwin Williams III said in this regard in a press release, “Due to the improving economy and increased consumer awareness, coupled with a growing comfort level with the safety and predictability of cosmetic treatments, we expect the demand for facial cosmetic procedures to continue to expand.”

Another aspect that has resulted in heightened levels of interest in FFS is advances that have been made in procedures like jaw and brow contouring, which involves surgeons re-shaping the facial bones completely. Dr. Mardirossian said, “Facial contouring is among the new frontiers of facial plastic surgery.”

Helping Patients Look More Attractive

Robert Sigal, a Northern Virginia plastic surgeon, says that as applied to women, facial feminization surgery is merely another name for something that cosmetic surgeons have always been doing – namely, helping patients look more attractive. He also mentioned that competition from dermatologists and family practice doctors administering filler injections like Restylane and Juvederm have encouraged plastic surgeons to push the boundaries of what they have done previously. His practice has also seen the biggest increase in using facial fat grafting to enhance feminine facial features over the past five years.

Although the initial preparation to become a plastic surgeon involves six years of training and residency in addition to medical school, the financial end results are highly rewarding. According to, The annual median salary for plastic surgeons tops the $350,000 mark.

The best reward for Dr. Mardirossian and other surgeons is improving their patients’ lives, especially when performing procedures like FFS. “It increases confidence and may even save lives,” he said, referring to the high suicide rate among transgender individuals. “It’s really surgery for the soul.”

How Dr. Mardirossian Helped One Transgender FIU Student Make the Transition 

FFS Patient

At some point in life, a majority of us struggle with self-acceptance. Naturally, for some, it is more than others. Those who probably have to deal with this the most are transgender people. Individuals who feel like they are women trapped in the body of a man or vice versa. Such is the case of Marlyn, a 23-year-old student at FIU.


Marlyn especially struggled with her appearance. She said that her struggle with her appearance was not due to vanity but because it was in contradiction, to whom she was inside. She would continually harm herself and was going through some mental and emotional torment. Repeatedly, she went to bed hoping to either wake up a girl or lose her life before the sun came up. People always told her to accept herself as she is but transgender is who she was.

The transformation

At one point, Marlyn gathered enough courage to go to Dr. Vartan Mardirossian’s office. A step she could not have taken without the support of her friends and family. Dr. Vartan’s duty was to make her face more feminine. As her doctor, he said that for him to be able to achieve the results she wanted, he had to converse with her and try to see her face through her eyes. He said that he had to find the right way to reflect and express her inner world on the external one.

The timeline

Due to a variety of reasons, a procedure can be done over the duration of a couple of months or a few hours. Marlin opted to have all five procedures done in a day. It started at eight and lasted until five in the evening. However, she took longer to accept herself. Eventually, after all, the changes she underwent in her mental and physical self, she has finally accepted who she is.


Thanks to scientific advancements in the field of medicine, those who’s inner being conflicts with the external one can find redemption in the hands of doctors such as Vartan Mardirossian.

FFS Surgery isn’t Just for Transgender Patients


If you are up to date with recent news and its topics, you are aware that the transgender community has garnered support from all over the world. Being the best version of yourself and not feeling ashamed for who you are is a lesson we can all learn from. Sometimes though, an outside boost is needed to help get there.

What is FFS?

One of the procedures transgender men and women use to undergo this transformation is with a surgery called FFS. FFS or Facial Feminization Surgery is a type of surgery that alters male facial features to look more feminine. You may not be familiar with the name of this procedure, but this type of surgery actually dates all the way back to the early 1930’s. Although this is primarily used in transgender cases, it can be used for anyone looking for more feminine facial features. This Facial Feminization Surgery is a type of surgery that encompasses individual surgeries you may be more familiar with than you think.

Types of Procedures

Facial Feminization Surgery is sought-after because it decreases certain areas of the face in size and shape. Some of the different surgeries it can be used for are mentioned below:

Brow lift: Not limited to just the brows, but also the forehead, the area between the eyebrows and the bridge of the nose. Finally the perfect arch is achievable.

Rhinoplasty: Surgery performed on the nose. This procedure is great for anyone who has ever felt embarrassed about the size of width of his or her nose.

Cheek Implantations: Reconstructs and changes the contours of the face – more defined cheekbones, etc.

Lip Augmentation: Creates fuller and plumper lips. As the aging process takes place, the lips tend to thin – this lip augmentation will fill the lips and return them to their natural fullness.

Hairline correction: As we age, our hairline also tends to recede. Hairline correction can help to bring it forward again. This is more common in men than women.

Blepharoplasty: This procedure gets rid of under-eye bags and sagging. Patients look years younger and in turn feel younger.

Rhytidectomy: Face and neck lift – this is a very common procedure. Through the aging process, the skin around the face and neck tend to lose elasticity, which creates a sagging effect. The face and neck lift will leave you with a more youthful, feminine appearance.

Why you Should Consider FFS

Aesthetics and looking feminine are very important in today’s society and this surgery will help to achieve the ultimate look. At one point or another most women (and some men) have wanted a fuller top lip or maybe a slightly higher brow arch. The Facial Feminization Surgery can provide that and so much more. You’ll finally be able to look and feel the way you’ve wanted to look and feel for a very long time. If you’ve ever contemplated fixing problem areas that cause feelings of embarrassment this surgery is definitely one to consider.

Facial Feminization Surgery may have certain stigmas surrounding it due to its use within the transgender community. The procedures covered under FFS are common and have been done on both men and women around the world. Anyone looking for more feminine features is encouraged to take the next step in making that happen.