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)
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"I was originally a patient here nearly 10 years ago and have sent many friends here over the years. This year I came in for another surgery and had some personal difficulties that resulted in some additional care, but this team of nurses and physicians has been so understanding and caring through all of it. Dr. Nuveen and his team have gone above and beyond for me this year and I appreciate them so much. Every person from the front desk to the schedulers has been phenomenal to me. As a surgery nurse myself, I have very high standards for facilities and the care they give and they have exceeded them all. I would absolutely recommend them if you are looking for a skilled and talented group that will care about your entire self!"- J.R. / Google / Sep 21, 2023
"Just got a diamond glow facial from Ann, the amazing in-house aesthetician, and my skin looks bouncy and dewy! I signed up for the VIP package, I’m in my 4th month (receiving 1 facial a month) and my skin looks more youthful than it has in years! Ann is fantastic!!"- C.S. / Google / Sep 19, 2023
"Dr Nuveen and his staff are exceptional in their practice and patient care. I would highly recommend them."- S.H. / Google / Sep 16, 2023
"Dr. Nuveen is beyond excellent, and so are his staff."- B.K. / Google / Sep 15, 2023
"Dr. Nuveen, his nurse Sarah and the 2 doctors in training (I forgot their names) we absolutely amazing. They made me feel very comfortable from beginning to end and were very attentive to my concerns! I am so ready for my upcoming procedures. They are compassionate beyond words and I will forever be grateful for them all."- K.W. / Google / Sep 08, 2023
- 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.
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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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