Facial masculinization surgery (FMS) can be used to address concerns from the scalp to the base of the neck.

FTM Gender Confirmation

Erin Storm, PA-C

Definitive guide on FTM Gender Confirmation: Facial Masculinization, including the procedure overview, benefits, risks, recovery, before & after photos, costs, and more. 

Chest Surgery for Transgender and Gender Nonconforming Individuals

Gender Confirmation Surgeries

FTM Gender Confirmation: Facial Masculinization

Depending on the facial masculinization procedure, costs can range from $1,000 to $20,000. Temporary procedures  are usually less expensive than surgical procedures, but they require ongoing maintenance. The cost of a surgical procedure will be dependent on location, surgeon, and length and involvement of the surgery.

Facial masculinization procedures are a collection of surgical and non-surgical options for female to male (FTM) transgender patients seeking to further refine and define their facial features and neck aesthetic. Facial masculinization procedures are used to create a characteristically masculine appearance and male face with higher bone definition and contouring, larger facial proportions, forehead augmentation and forehead lengthening, and more prominent jaw contouring and neck anatomy with less soft tissue. 

Candidates considering these procedures may consider any treatment that is most aligned with their ideal aesthetic. Surgical and non-surgical cosmetic and plastic surgery procedures may be able to be used in addition to medical and hormone therapies from a healthcare provider.

FTM Gender Confirmation Solutions

Face

Head

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- A brow lift is a reconstructive surgical procedure to alter the appearance of the brow and forehead
- Surgical approaches include Combination Midbrow Incision with Endoscope Brow Lift, Coronal Brow Lift, Direct Brow Lift, Endoscopic Brow Lift, Pretrichial Brow Lift, and a Traditional Midbrow Lift
- Chemical Brow Lifts with neurotoxins like Botox® are a non-surgical alternative

Brow Lift

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- Surgical hair restoration can techniques can be employed to reshape the hairline
- A variety of procedures, including Follicular Unit Transplantation (Strip Harvesting), Follicular Unit Extraction (FUE), Neograft, and ARTAS Robotic Hair Transplantation, augment scalp, brow, and lash hair as desired

Surgical Hair Restoration

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- Surgical rhinoplasty procedures like Open Rhinoplasty, Closed Rhinoplasty, Endoscopic Rhinoplasty, Ultrasonic Rhinoplasty, and Alarplasty can permanently change the nose shape and size
- Non-surgical alternatives include dermal fillers via a Liquid Rhinoplasty or Muscle Paralysis Rhinoplasty with Botox®

Rhinoplasty

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- To define the cheek area, cheek augmentation with dermal fillers, cheek augmentation with implants, and cheek augmentation with fat transfer may be used

Cheek Augmentation

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- Surgical techniques to alter lip shape and size include V-Y Mucosal Advancement of the Lip (a type of lip lift), Lip Implants, Lip Augmentation with SMAS Implant, and Lip Augmentation with Autologen
- Alternatively, non-surgical options like Cosmetic Lip Tattoo, Temporary Lip Fillers and Permanent Lip Fillers may be equally effective

Lip Shaping

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- To define and increase the protrusion of the chin, surgical procedures such as Osseous Genioplasty, Chin Reduction, and Chin Implants are available
- Dermal filler can provide a non-surgical alternative for those looking to define the lower face

Chin Augmentation

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- To create the characteristically sharp and defined masculine jawline minimally, minimally invasive thread lifts (like Silhouette Instalift, Silhouette Soft Thread Lift, and PDO Thread Lift) are available
- Female to male candidates may also wish to pursue an Adam’s Apple Enhancement (thyroid cartilage enhancement)

Neck & Jaw Defintion

Facial masculinization can encompass any number of surgical and non-surgical solutions. Here, we overview a few of the most common:

As part of a transgender individual’s transition, facial masculinization surgery (FMS) can be used to address concerns from the scalp to the base of the neck.

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FTM Gender Confirmation: Facial Masculinization

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FTM Gender Confirmation: Facial Masculinization

Concerns Treated

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Concerns Treated

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The FTM Gender Confirmation: Facial Masculinization alternative

Enhance & Prolong your FTM Gender Confirmation: Facial Masculinization results

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