Facial Masculinization Surgery (FMS, Female to Male Face Plastic Surgery) - San Diego, CA*

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When transitioning from female to male, it's important to consider your facial features and how they can be altered or enhanced to appear more masculine. Facial masculinization surgery (FMS) is a custom set of facial procedures that help to change your overall appearance into what you want. Triple board-certified plastic surgeon Dr. Richard Chaffoo helps San Diego area patients decide, which facial surgeries will have the most impact such as rhinoplasty to sculpt the nose to provide a strong, straight shape or eyelid surgery to create a smaller, more masculine eye shape. Some of the facial masculinization surgeries offered at La Jolla Plastic Surgery include:

  • Adam’s apple surgery (thyroid cartilage enhancement)
  • Cheek implants (augmentation)
  • Chin recontouring (mentoplasty)
  • Forehead augmentation and lengthening
  • Jaw contouring and reshaping
  • Rhinoplasty (nose augmentation and reshaping)

Surgical Technique

  • Adam’s apple surgery: also known as thyroid cartilage enhancement, Dr. Chaffoo will use an implant or cartilage transplant to the front of the vocal cord to create the appearance of an Adam’s apple in the throat
  • Cheek augmentation: to make the cheeks more angled and less round, Dr. Chaffoo will place cheek implants that are sized and shaped to give the patient a more masculine midface shape
  • Chin recontouring: to make the chin longer and more square, the chin can be altered without an implant (genioplasty or mentoplasty) or an implant can be used to strengthen the chin
  • Forehead lengthening and augmentation: for a more prominent brow and longer forehead, Dr. Chaffoo can use an implant to create a strong brow ridge and a brow lift to lengthen the forehead
  • Jaw contouring: the male jaw is typically wider and has sharper angles than the female jaw, so Dr. Chaffoo may reshape the jawbone or use implants to reshape the jaw
  • Rhinoplasty: for a more masculine nose, Dr. Chaffoo will augment and reshape the nose to increase the width and projection of the nose while keeping it in proportion to the rest of the face

During/After Surgery

Facial masculinization surgery is typically performed under general anesthesia in an accredited surgical facility as an inpatient or outpatient surgery, depending on the procedure or procedures being performed. If multiple procedures are being performed, Dr. Chaffoo may group them into multiple surgeries for patient safety and best results. Dr. Chaffoo will make minimal incisions in the least visible place to prevent highly visible scars. After the surgery, Dr. Chaffoo or his staff will go over recovery instructions, including how long to rest, the healing process, normal side effects, what to watch for, scar care, and tips for a faster recovery.

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Choosing Procedures?

The male skull is larger than the female skull, which cannot be changed surgically, but facial masculinization can be used to make the face more angular and appear larger. Each patient will have different needs, but the general goal of facial masculinization surgery is to make the face appear larger, longer, and more angular. Dr. Chaffoo will help each patient understand the procedures that will give them maximum impact and their best results.

Nonsurgical Treatments?

To further enhance the face, BOTOX® can be used to lower and flatten the brow bone which will make the eyebrows more masculine. Hair-restoration surgery can also be used to create facial hair. Injectable dermal fillers, like Juvéderm® or Restylane® can be used to show the patient how facial implants will help before they commit to augmentation surgery.

Testosterone Therapy?

Many patients use hormone therapy to increase their testosterone production, which will lead to more masculine facial features, but facial masculinization surgery can customize the features to fit the patient’s needs and goals. FMS can greatly improve the patient’s self-esteem and confidence, as well as their appearance.

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*Individual results are not guaranteed and may vary from person to person. Images may contain models.