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Three types of surgery that are used for facial feminisation

Helen Witherow discusses the three types of surgery that are commonly carried out to achieve feminisation of the face.

types of facial feminisation surgery

Facial feminisation surgery encompasses a range of surgical procedures on the face that helps to alter the appearance of somebody who looks more male – to look much more female.

This creates a softer appearance of the face and less harsh angles, as well as larger eyes and a softer chin. Facial appearance varies between males and females and female feminisation surgery is a term encompassing a range of surgical procedures available to feminise male features. The main differences between men and women are in the shape of the forehead and in the shape of the jaw and chin. Surgery for female feminisation will usually address both issues.


The three main types of surgery used in facial feminisation are

  • Forehead Surgery
  • Jaw surgery
  • Chin Surgery
  1. Forehead surgery involves the reduction of frontal bossing – where the brow bone is prominent. This can be done either by shaving the brow bone, or if it is more prominent, then repositioning (setting back) the front wall of the bone and reshaping the frontal sinus. Forehead surgery also involves hairline lowering, also known as scalp advancement. This is where the male hairline is often higher than the females and this tends to get worse as you get older. Brow lifting is also considered a part of forehead surgery. The female eyebrow is higher and more arched than the male eye brow and a brow lift will make a significant difference in appearance to the male face. The eye sockets can also be reshaped, by widening the eye socket.
  2. Jaw Surgery – The female lower jaw has distinct difference to the male lower jaw. The jawline is more refined in females and the angle of the jaw at the back is less prominent. Lower jaw or mandibular angle reduction is surgery to reduce the fullness of the jaw line and the prominence of the angle of the jaw. This achieved through contouring or ‘shaving’ the jawline to the desired shape.
  3. Chin Surgery – The chin is narrower, more pointed and shorter in length with the female face. Chin surgery will usually involve undertaking a Genioplasty, which allow the chin to be shortened and narrowed. The chin point can also be repositioned backwards or forwards if desired. Once the required chin shape has been achieved the bone is held in its new position with very small plates and screws. These are made from titanium and are not usually removed. The bone of the chin then heals in its new position to give you a permanent change of shape to the lower face.


Other procedures that can complement the forehead and jaw surgery include:

These can be discussed at your consultation.

Look here for our information videos on facial surgery.

Helen has gone down the route of lengthy training in facial surgery.

Do you have a question for Helen Witherow on types of facial feminisation surgery? Enquire here



The Face Surgeons