
At Cosmetic Surgery Affiliates, we understand the gravity of choosing to undergo facial masculinization surgery. It involves years of dysphoria, trying to feel at home in features that are misaligned with your identity. It also involves sharing your struggles with loved ones, hoping they accept you as you are.
But most importantly, deciding to undergo gender confirming surgery involves courage. You’ve already made the first, brave step by researching your options. Now, let our team handle the rest.
As your destination for gender affirming surgery in OKC, you can trust that our 4 board-certified surgeons will honor your identity with care. Between their attention to detail, welcoming presence, and highest certifications in cosmetic surgery, our surgeons have helped countless patients live their most authentic lives.
Continue reading to learn how our world-renowned surgeons can help you build strong, masculine features. If you’re reading to create your personalized facial masculinization surgery plan, give our team a call or book your consultation online.
Our Superior Qualifications
You wouldn’t entrust your gender affirmation journey to just anyone, which is why we encourage patients to book their facial masculinization surgery with one of our board-certified surgeons.
A surgeon who is board certified has received a medical degree, completed their residency, and passed all examinations related to their field of practice. Board-certified surgeons must also continue learning and developing professionally—even decades into their careers. All 4 of our surgeons are board certified, each with subspecialized areas of focus and passion.
At Cosmetic Surgery Affiliates, our leading surgeons have received triple board certification. This means they have completed rigorous training and examinations in 3 separate fields. This level of certification is rare and reserved only for highly knowledgeable surgeons.
Dr. Erik Nuveen and Dr. Courtney Caplin
With board certifications in cosmetic surgery, facial cosmetic surgery, and oral and maxillofacial surgery, Dr. Erik Nuveen and Dr. Courtney Caplin are uniquely qualified to perform facial masculinization surgery.
Dr. Courtney Caplin is widely recognized for her charismatic manner and elite surgical training at some of the world’s finest institutions. Patients describe feeling at ease around Dr. Caplin, knowing they’re accepted as who they truly are.

With an impressive track record of over 26,000 major cosmetic surgeries, Dr. Erik Nuveen has the distinct expertise to help you achieve your ideal results. Many patients describe him as a trusted choice, serving as a support system throughout the surgical process.
Together, Dr. Nuveen and Dr. Caplin are the only married, triple board-certified surgeons to perform gender affirming surgery in OKC. Our surgeons have dedicated their careers to helping you align your appearance with your identity.
Facial Masculinization Surgery Options
Facial masculinization surgery refers to any procedure that gives the face a sharper or more sculpted appearance. Our surgeons can perform the full selection of masculinization procedures, including but not limited to:
- Adam’s apple surgery – Uses an implant or cartilage from the rib cage to create an Adam’s apple that moves naturally up and down.
- Rhinoplasty – Gives the nose a larger and broader appearance.
- Jawline contouring – Creates a sharper, more angular jawline.
- Brow enhancement – Augments the horizontal ledge of bone above the eyebrows for a more prominent profile.
- Forehead lengthening – Pushes back the hairline to lengthen the forehead.
If you prefer less-invasive solutions, we also recommend filler injections to accentuate your masculine appearance. Our surgeons can use filler to enhance the brow, jawline, and chin areas.
Facial Masculinization Surgery at CSA
The planning, research, and recovery associated with facial masculinization surgery can feel overwhelming, but our surgeons are proud to assist you along your gender confirmation journey.
You deserve to finally feel confident in your own skin. Here’s a comprehensive overview of the support you can expect when you undergo gender affirming surgery in OKC.
Consultation
Your facial masculinization process begins with a consultation, where you’ll meet with one of our compassionate surgeons.
During your consultation, your surgeon gets to know more about you and how you want your appearance to better align with your identity. They ask you to describe how you feel when you look in the mirror and which specific facial features you want to address. These details help them build a more thorough understanding of your masculinization goals.
Your initial consultation for gender affirming surgery in OKC is a collaborative process. Using answers gathered during your consultation, your surgeon may recommend a handful of procedures designed to refine your features. The two of you work together to create your plan, with details customized to your unique facial structure.

We highly encourage you to ask questions throughout the consultation process. Voicing any concerns you have about facial masculinization surgery can help you feel more prepared for the process ahead. You’ve waited years, or your entire life, to feel more at home in your body, and we want to ensure you’re confident in your treatment decision.
Pre-Care Instructions
To move forward with your facial masculinization surgery, we require documentation of a gender dysphoria diagnosis from a licensed mental health provider. This step ensures we’re following the standards of care from the World Professional Associate for Transgender Health. We’re happy to answer any questions you may have about obtaining this diagnosis.
Many of our patients describe feeling a variety of emotions in the weeks and months leading up to their procedure. From anxiety to excitement to fear, these feelings can make it difficult to prepare yourself for surgery. We recommend meeting with a mental health professional to ensure you are mentally and emotionally ready for your gender affirming surgery in OKC.
Your surgeon provides you with an extensive pre-care instruction guide at your initial consultation. Aside from more technical preparations, we recommend setting up a comfortable recovery space to help your healing process run as smoothly as possible. Many of our patients also reach out to trusted loved ones to ensure they have a strong support system.
Surgery
On the day of your facial masculinization procedure, a member of our staff takes your vitals and helps you complete other pre-surgery preparations. Once your procedure begins, your surgeon administers general anesthesia to keep you comfortable.
The goal of facial masculinization surgery is to make your face appear larger, sharper, and more angular. Whether we’re lengthening your forehead or restructuring your nose, you can rest assured knowing that our surgeon will enhance your appearance in a way that complements your natural features.
Most gender affirming surgeries take 4 hours to complete, but your timeline may vary depending on the specific procedures outlined in your plan.
Recovery
Immediately after your facial masculinization procedure, a member of our team takes you to a recovery room, where they monitor you as you wake up from anesthesia. Your surgeon also stops by to check in on your condition.
You must have a loved one give you a ride home from surgery, as the lingering effects of anesthesia make it dangerous for you to drive. If at all possible, we request having a trusted individual stay with you throughout your first day of recovery to be of assistance with any difficult tasks or in the case of an emergency.
Recovery from gender affirming surgery in OKC can bring a variety of emotions and, in some cases, discomfort. We recommend leaning on your family and friends during this time to talk through any nerves or doubts you may experience. You should also attend all follow-up appointments with your surgeon to ensure you make a full recovery.
Results
As swelling subsides in the weeks and months after surgery, many patients begin noticing stronger and more angular features. These results may vary depending on your specific procedures.
If you decide to undergo further gender confirming surgeries to advance your transition, our surgeons can help you expand your plan to suit your needs.
Additional Procedures and Treatments
Our gender affirming services don’t stop at surgery. We also offer testosterone-boosting hormone replacement therapy and hair restoration treatments to help patients confirm their true, masculine identity.
Testosterone replacement therapy increases testosterone, the male reproductive hormone. This medication stops menstrual cycles and decreases the ovaries’ ability to produce estrogen.
Many of our patients notice a deeper voice, redistributed body fat, and increased muscle mass within 3 to 12 months on testosterone replacement therapy. We offer this medication in cream, patch, pill, injection, and implanted pellet forms.
Our experts also offer hair restoration treatments to help transitioning patients create masculine facial hair. These treatments involve using growth factors derived from your own blood to create natural-looking results.
We recommend reaching out to your surgeon to learn more about other non-surgical gender affirming treatment options.
Book Your Gender Confirming Consultation
At Cosmetic Surgery Affiliates, our experts understand the pain of not seeing your identity reflected in the mirror. You deserve to walk through life with confidence, and with masculine features that affirm who you truly are.
Our nationally recognized surgeons want to assist you through this new phase in your transition. Schedule your consultation to learn how our surgeons set the bar for gender affirming surgery in OKC.
Interested in other procedures we can include in your transgender transformation surgery? Visit our blog to learn more about gender confirming surgery.

