Category Archives: Transgender

Forehead Contouring: Myths & Facts

Myth: You need a CT or X-Ray before Forehead contouring. Fact: If you have no history of prior forehead surgery or injury this is completely unnecessary. An experienced surgeon gains nothing from these pictures. And, 3-D imaging is also not helpful. It may be fun to see the pictures, but it is not worth the […]

Forehead Length Reduction, Forehead Reshaping, and Hairline Advancement

It is likely that no place in the world has done more of these procedures than The Spiegel Center (TSC) in Boston! Forehead reduction can involve two primary changes: advancing the hairline or reducing the forehead bone. First, it may involve reducing the length from the hairline to the eyebrows or eye sockets. Many women […]

7 Important Things to Know About Gender Confirmation Surgery

Person with their head thrown back

Across the country, there’s greater visibility of the transgender community than ever before—but that comes alongside alarmingly high rates of violence perpetrated against trans men and women, especially those of color. Society has a long way to go in terms of creating a safe, accepting environment, but there are rays of hope: growing destigmatization of […]

Voice Feminization Surgery (VFS)

3d illustration of throat cancer

For more than 25 years I’ve been doing voice surgery. I was very fortunate to train in San Francisco with Dr Herbert Dedo, one of the world’s foremost laryngologists. Many of the basic pieces of equipment used in voice surgery are named after him. In fact, the key device often used in voice feminization surgery […]

Facial Feminization Surgery vs. liquid Facial Feminization 

Liquid FFS before and after

Facial feminization involves changing the shape of the face to achieve the right contours, light reflections, and shadows in order to create a beautiful woman’s face.  ​Facial Feminization is a constellation of procedures to help one look more feminine, youthful, and attractive.  The precise procedures selected will depend upon your goals and needs.   By injecting precise […]

Do You Need X-rays before Facial Feminization Surgery (FFS)?

Before and after ffs

Do you need X-rays or a CT scan (Cat Scan) before facial bone contouring? The answer may surprise you. The truth is that in most cases you do not! Now you may say, “It’s bone surgery. Don’t you need to see where the sinus is? Don’t you need to see my anatomy?” Well, we can […]

The Power of our Voices – Voice Feminization Surgery

Woman thyroid gland control

The Power of our Voices – Voice Feminization Surgery It has been said that the tongue can paint what the eyes cannot see.  This beautiful expression succinctly conveys the power of our voices.  With our voices we communicate, alert, share, query, express, and emote.  We can sing songs and spin tales.   But, the stories we tell involve much […]

Dr. Spiegel Discusses Rhinoplasty’s for Transgender Women on The JAMA Network

Website screenshot

Gigi Gorgeous – Dr. Spiegel Patient Video Discusses Her Experience at Advanced Facial Aesthetics

Patient experience video with Gigi

Dr. Spiegel had the pleasure of working with Gigi in early 2014. Dr. Spiegel performed forehead contouring surgery with a brow lift and scalp advancement. A rhinoplasty and chin shaping were also performed. Gigi agreed to discuss her experience with Dr. Spiegel and facial feminization surgery doing a visit roughly 5 months after surgery. She’s […]

One of Our Happy FFS Patients Before & After Videos

FFS patient video

One of our happy FFS patients recently created a before & after video. Enjoy!

Welcoming Dr. Jacob Tower to The Spiegel Center!