Facial Feminization Surgery – Male to Female

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.

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 info@brandignitybeta.com.

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.