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Facial Masculinization Surgery (FMS)

Over time, many people become unsatisfied with their facial appearance due to the effects of aging, sun damage, or inadequate skin care. For other individuals diagnosed with gender dysphoria, they experience a different kind of dissatisfaction and feel that their biological gender and facial characteristics do not reflect their true identity.

Facial masculinization surgery (FMS) is a set of surgical procedures designed to transform the feminine features of the face to give patients a more masculine appearance. Dr. Hadeed offers several customizable options for trans men who wish to modify their facial appearance to feel secure in their own body and achieve their aesthetic goals.

Benefits of Facial Masculinization

Stronger Facial Features

Many trans men desire a more defined jawline or a larger nose to obtain features that are more prominent, chiseled, and rugged. Using facial masculinization techniques, Dr. Hadeed can reshape your facial anatomy, making your face appear more masculine.

Enhanced Facial Balance

Facial masculinization surgery will not only provide trans men with the facial features they desire, but it can also sculpt their face for a more balanced appearance. Patients can enjoy prominent cheekbones, a stronger chin, and a more defined jawline.

Improved Confidence

Some trans men may feel self-conscious about their facial appearance because their biological gender does not match their true gender identity. FMS can help trans men sculpt and transform their face so that they look and feel more comfortable in their skin.

Facial Masculinization Procedure Options

Facial masculinization surgery is usually performed on an outpatient basis using general anesthesia. There are many surgical options to reshape your facial structure for a more masculine appearance. Dr. Hadeed will consider these factors when determining which options are best suited for each patient.

Upper Face

  • Blepharoplasty, or eyelid surgery, is a surgical procedure that removes excess skin and repositions underlying fat in the upper and/or lower eyelids that can create a youthful appearance around the eyes.
  • Forehead lengthening and augmentation can create a broader and flatter forehead. Forehead lengthening expands the distance between the hairline and the eyebrows to create a more masculine appearance, while forehead augmentation will create a larger and more angular forehead.
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Midface

  • Rhinoplasty, or nose surgery, can address nasal imperfections as well as reshape the nose by increasing its length, size, and width for a larger and more masculine appearance.
  • Cheek augmentation often includes cheek implants that are placed in between the skin and bone to give trans men a more angular and masculine face.
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Lower Face

  • Chin contouring can increase the size of the chin by altering and reshaping the bone for a stronger, angular, and more masculine appearance. In some cases, chin implants may be used to achieve a more protruding chin.
  • Jaw contouring can masculinize the jaw and neck by enlarging the margins of the jaw for a more defined and chiseled appearance.
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Neck

  • Tracheal enhancement, or Adam’s apple enlargement, is a surgical procedure performed to improve the appearance of the Adam’s apple to create a central neck bulge. An incision is placed just below the chin, through which a graft is placed. The neck muscles are then folded over the graft to conceal it.
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Concerns

Recovery

Depending on the number of procedures performed during your unique procedure, you may be asked to stay overnight. Patients may be advised to wear a compression garment to minimize swelling and maintain their new facial contours. Most patients can perform their daily activities within a few days after surgery, and they can usually resume exercise without restrictions by six weeks.

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Results

Facial masculinization surgery can provide trans men with masculine, long-lasting facial contouring results. Trans men often experience a boost of confidence in their appearance and improved quality of life as their features express their true gender identity.

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Risks

As with most surgical procedures, there are some risks involved with FMS. Potential complications may include:

  • Bleeding
  • Infection
  • Poor wound or bone healing
  • Prolonged swelling
  • Implant migration
  • Hair loss
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Consultation

During your consultation, Dr. Hadeed will discuss with you each surgical technique that can help you achieve your aesthetic goals and formulate the ideal surgical treatment plan based on your anatomy and desires.

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I cannot possibly say all of the wonderful things that I have to comment on about Dr. Josef Hadeed and his incredible staff, but I’ll try…

Patients who actively smoke cannot undergo FMS, as smoking may increase the risk of infection and affect wound healing. Dr. Hadeed requires all of his patients to be entirely nicotine-free for at least four weeks before any surgery can take place.

A letter of recommendation from your therapist is not required for facial masculinization surgery.

Depending on your aesthetic goals and the number of surgeries performed, facial masculinization surgery may take several hours or longer. In some cases, the procedures may need to be completed during multiple operations.

Most insurance companies do not cover FMS. However, all insurance policies are different, and there may be exceptions for gender affirmation procedures. Dr. Hadeed can help you seek medical financing that may help pay for your surgery.

Frequently Asked Questions

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