Facial Masculinization Surgery Overview
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
"Enjoy the awesome vibe from staff. They made me feel comfortable and relaxed. Highly recommend this place to family and friends!"- M.G. / Google / Jun 22, 2020
"This week I went to Cosmetic Surgery Affiliates for a consultation for breast augmentation and a full body lift. I had been researching places to go and this was the one I kept going back to after lots of reviews, both online and word of mouth, were very positive! I walked in and was immediately greeted by the receptionist who was very polite and attentive. The waiting area was gorgeous and comforting. I was taken back to the consult area by Jayme where we had a great conversation about what I had in mind, she was very open and honest with her answers to my questions and made me feel extremely comfortable. Sonia came in next to measure and take photos, I have had 4 kids and modesty isn’t usually an issue, but my poor boobs...She was so sweet, explaining everything she was doing and why. Again, I felt so comfortable. I rocked that photoshoot! Dr. Nuveen stopped in next and explained some more things about the procedures I was wanting and gave some advice on what he felt would be best, I loved that. There’s that comfortable thing again, I felt it. next up, Dr. Caplin! It’s like a literal ray of sunshine came in. She is the kindest person I think I have ever had the pleasure of meeting. She knew exactly what I wanted and assured me it would all be great! She told me a few fun facts about the facility and told me about her pups Max & Ruby who come to the office. How can I not choose this place for my procedures? My deposit for the surgery date was paid today and in a little more than a month I’ll be doing the very first thing for me and I am more than pleased with my decision to use Cosmetic Surgery Affiliates. I am so excited! Thank you so much to Jayme who has answered all of my silly questions at all hours."- M.P. / Yelp / Jun 16, 2020
"Love my results. Dr Nuveen is a miracle worker"- P. / Healthgrades / Jun 11, 2020
"Dr. NUVEEN did a fantastic job taking out HUGE breast implants (done by another doctor), lift and put in smaller implants. I couldn’t be happier with the results. He and his staff were sweet and professional. He listened to my needs and produced great results. I wouldn’t ever go anywhere else."- K. / Healthgrades / May 15, 2020
Facial Masculinization Surgery Surgical Technique
- 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 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, 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.
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