Precision, Compassion, and Global Expertise in Revision FFS

At The Spiegel Center, revision facial feminization surgery is approached with elite precision and compassion. Our fellowship-trained team evaluates existing changes, tissue quality, and aesthetic goals to design safe, effective solutions. With extensive case experience, academic leadership, and credentialed providers, we deliver natural-looking improvements anchored in surgical science and concierge-level care.

Redefining Feminine Harmony After Previous Surgery

Facial feminization surgery revision is a tailored set of procedures that refine or correct prior FFS results. By reassessing skeletal contours and soft tissues, we harmonize light, shadow, and proportion. Using advanced planning, photography, and intraoperative precision, we address residual masculinizing cues while preserving expression, function, and identity.

Revision can address:

  • Persistent or new asymmetries after healing
  • Incomplete reduction or over-reduction of bone or cartilage
  • Displaced or visible implants, hardware, or contour irregularities
  • Suboptimal hairline position or brow–forehead relationship
  • Nasal imbalance affecting the profile or front view
  • Soft-tissue laxity, scarring, or volume deficiency
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A Legacy of Leadership in Facial Feminization and Revision

Thousands of gender-affirming facial procedures inform our revision strategy. Led by double board-certified leadership with award-recognized innovation, we combine meticulous surgical technique, advanced anesthesia protocols, and dedicated aesthetic specialists. From nurses and MAs to estheticians, every touchpoint is coordinated to safeguard healing, minimize scars, and achieve believable, feminine balance.

The Transformative Power of Expert Revision

  • Restores facial harmony and proportion
  • Softens residual masculinizing markers
  • Improves symmetry and contour definition
  • Enhances implant position or replaces devices safely
  • Refines scarring and skin quality where possible
  • Elevates confidence with natural-looking results
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Am I a Good Candidate for Facial Feminization Surgery Revision?

Candidacy begins with a comprehensive consultation to review records, timelines, and goals. Generally, candidates have completed initial healing (often 9–12 months), maintain stable health, avoid nicotine, and can follow perioperative instructions. Realistic expectations and adequate soft-tissue quality help support successful outcomes while protecting function, sensation, and voice, as applicable.

What to Expect During Revision FFS

Your consultation clarifies priorities, examines structural and soft-tissue factors, and sets a refined plan aligned with your vision.

  1. Imaging and photography review. 
  2. Marking and anesthesia. 
  3. Precise bone/soft-tissue adjustments or implant management. 
  4. Layered closure and scar optimization. 
  5. Recovery protocols, follow-ups, and staged enhancements if required.

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The highest quality experience in the world

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Recovery and Results: From Refinement to Renewal

Most patients experience swelling and bruising for one to two weeks, with refinements maturing over several months. We provide tailored aftercare, scar management, and nonsurgical adjuncts to optimize healing. Final contours emerge as swelling subsides, revealing a softer balance and stable, natural movement without compromising facial function or identity.

Revision FFS Techniques

Revision is individualized; common subtypes target specific regions to restore cohesion and femininity. Multiple areas may be addressed together when safe and appropriate.

  • Forehead/Brow Revision: Recontours the frontal bone, refines brow shape, and harmonizes hairline.
  • Mandible/Chin Revision: Softens width or projection, corrects asymmetry, or updates implants.
  • Rhinoplasty Revision: Balances dorsum, tip support, and airway function.
  • Tracheal Contour Revision: Refines prominent cartilage while protecting voice.
  • Scalp Advancement/Hairline Revision: Rounds or advances hairline for feminine framing.
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Complementary Procedures for Complete Harmony

Extended Deep Plane Facelift

Lifts and rebalances soft tissues for smoother, youthful drape.

Lip Lift or Augmentation

Refines dental show and feminine proportions around the mouth.

Cheek or Temple Volume

Filler or fat grafting to restore convexity and light reflex.

Skin and Scar Optimization

CO₂ laser, radiofrequency microneedling, or peels to polish texture.

Voice Feminization Surgery

Adjusts pitch and resonance to align with presentation.

Schedule a Consultation and Let’s Perfect Your Feminine Profile

Let’s refine what matters most. Meet our team to review your history, clarify priorities, and map a safe, elegant plan for revision. We’ll orchestrate every detail, from timing to aftercare, so your results feel authentically and confidently you.

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