Looking only at the face (without factors like hair, makeup, and facial hair), people can almost always detect whether a person is male or female. This is why facial masculinization is an important step in the transition from female to male. To get a more masculine face, certain facial plastic surgery procedures can be performed to enhance the brow, enlarge the nose, strengthen the jaw and chin, and build up the Adam’s apple. During the patient’s consultation, cosmetic surgeons Dr Erik Nuveen and Dr. Courtney Caplin will assess the patient’s face and explain which procedures they recommend and how they will make the face look more masculine. Patients at Cosmetic Surgery Affiliates in Oklahoma City can have several facial surgeries performed at once or they can have them one at a time, but this will require more time under anesthesia and a longer total recovery time. Some of the facial plastic surgeries that are often included in facial masculinization surgery include:
- FTM Adam’s Apple Surgery (Thyroid Cartilage Enhancement)
- Cheek Augmentation
- Chin Recontouring (Genioplasty/Mentoplasty)
- Forehead Lengthening and Augmentation
- Jaw Contouring (Jaw Reshaping)
- Rhinoplasty (Nasal Augmentation)
"Would give more stars if I could! Amazing group of people working here and very considerate, helpful, encouraging, and overall I had a even better experience than I could have ever expected. I'm very grateful for their opinions, timeliness, care, and most importantly my surgery outcome! Could not recommend a better plastic surgeon and staff!"- Anonymous / UCompareHealthcare / Nov 20, 2016
"I just left a consultation with Dr. Nuveen and I am blown away. These type of appointments are always very uncomfortable for me. Having to stand in front of a complete stranger in my intimates and discussing my flawed body as the main topic of conversation is quite humiliating. However, instead of getting right to the problem, Dr. Nuveen took his time to get to know me and establish a trust that he has my best interest at heart. I didn’t feel like I was at another doctors ap...pointment at all. When we reached the point of discussing my flaws, I felt like I was just asking a new friend for his opinion. But it doesn’t start or end there. His staff was also very warm and welcoming-which says a lot about the physicians of this group. I believe they can completely set the mood of their practice. The staff at this office feels comfortable enough to be themselves-warm and welcoming. I just felt very comfortable from start to finish. I am looking forward to working with this group in the near future. If you are in the market for a cosmetic surgeon, give them a visit. You will not be disappointed."- M.C. / Facebook / Aug 14, 2019
"I just got breast augmentation done by Dr Nuveen, I loved everything about CSA! very caring and listened what I said and made me feel great at be in home. Dr Nuveen was a blessing, great professional and sensitive to his profession.His entire staff are absolutely amazing!!!Don’t know what else I can say, just THANK YOU Dr Nuveen and staff."- C.C. / Google / Jul 26, 2019
"I love this place. I had breast implants (gummies) and a lift in Feb 2019. I was amazed at how fast I healed and how I barely have scars. I will be 50 in Aug so it's not like "youth" is the answer to my great healing. Dr. Nuveen has been awesome, he gives you his personal # and he DOES answer your questions and concerns. I love this place and highly recommend it."- D.C. / Yelp / Jul 24, 2019
"Dr. Caplin is really wonderful. My mother saw her at the beginning of 2018 for a lower facelift and the results, follow up and care were awesome. As it probably happens, my mother got the itch again in 2019 to have a breast lift & augmentation - so of course I said I would do it too. Dr. Caplin listened to us and the results are better than we expected. We were seen on the same day and the team at CSA remembered us from the prior year - oh we remember your mom's dancing after surgery. :) Yes, that happened. My mom had no problems after surgery and she looks amazing less than 8 weeks later! I sadly decided to slip about a week after surgery and injured the area that just had surgery but there was an immediate response directly from Dr. Caplin and her team. I am happy to report that I feel great, energy is back and I have breasts that I love for the first time in my life. (Mom reports the same)"- J.R. / Yelp / Jul 20, 2019
- Adam’s apple surgery: also known as thyroid cartilage enhancement, the plastic surgeon 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, the plastic surgeon 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, the plastic surgeon 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 the plastic surgeon may reshape the jawbone or use implants to reshape the jaw
- Rhinoplasty: for a more masculine nose, the plastic surgeon 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
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, the plastic surgeon may group them into multiple surgeries for patient safety and best results. The plastic surgeon will make minimal incisions in the least visible place to prevent highly visible scars. After the surgery, the doctor 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.
Plan Your Procedure
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. The plastic surgeon will help each patient understand the procedures that will give them maximum impact and their best results.
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.
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.