Facial Masculinization Surgery (FMS)

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Facial masculinization surgery FFS and body masculinization surgery by Dr. Totonchi

Typically, with female-to-male transitioning, hormone therapy is the most effective way to change secondary sex characteristics and achieve a more masculine facial appearance. However, facial masculinization surgery (FMS) is gaining popularity. This procedure involves making features more prominent and hence more masculine in appearance. Examples include chin and nose augmentation, cheek augmentation, jaw contouring, and lowering of the eyebrow ridge/forehead lengthening.

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Chin and nose augmentation

Generally, female noses tend to be smaller, less prominent, and slightly pointed. In facial masculinization, the nose and chin are augmented and widened to create a more masculine appearance. A cartilage graft is used to change the size and shape of the nose. A variety of techniques can be employed for the chin, which includes the use of a chin implant, osteotomy (cutting and shaping of the chin bone), or fat graft.

Cheek Augmentation

In FMS, the cheeks can be made more angular and prominent in order to mimic a masculine facial bone structure. While not all patients require this procedure, it can be helpful in achieving a more harmonious profile with the use of cheek implants. The placement and size of the implant will depend on the individual patient’s facial anatomy.

Jaw Contouring

This procedure reshapes the jaw line, increases facial width, and creates an angular, more masculine jaw line. The entire of scope of jaw contouring procedures are done from incisions made inside the mouth. In the case of patients with more narrow mandible angles, jaw implants are used to create a more defined jaw structure. This procedure is often done in conjunction with chin reshaping. A narrow chin can be augmented using a combination of techniques, which include bone shaving and/or osteotomy.

Forehead lengthening/Hairline Change

Males tend to have wider and longer foreheads than females. Forehead lengthening is a procedure, which elongates the forehead, increasing the distance between the brow ridge and hairline. This is done by stretching the skin of the forehead and utilizing laser hair removal in order to eliminate the previous hairline move it further up on the scalp. In extreme cases, a tissue expansion is used to achieve the desired effect.

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Dr. Ali Totonchi - Cleveland Plastic Surgery
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