Facial Feminization Surgery Procedures

Facial feminization surgery (FFS)


Facial feminization surgery (FFS) is commonly defined as “a group of surgical procedures that alter the face to increase its femininity”. While the definition is accurate, Dr. Spiegel defines FFS as procedures that provide patients with the face they should have been born with. During facial feminization surgery, masculine markers are removed from the face in order to feminize and beautify the face. Dr. Spiegel often thinks of Facial Feminization Surgery as Gender Confirming Facial Surgery.

Brow Lift


If your eyebrows are flattened or low they can make your face look older and less attractive. This procedure restores a natural appearance to the eyebrows, helps correct tired eyes, and softens forehead wrinkles. In some cases this procedure is done “endoscopically”, with small hidden incisions. This is a quick procedure with big results!
Procedure time:* 1 hour.
Downtime:* one week.

Forehead Contouring


Dr. Spiegel is likely the most experienced surgeon in the world for this amazing procedure. If you have deep set eyes, prominent ridges above the brow, or other forehead irregularities, Dr. Spiegel can completely reshape the forehead and bone around the eyes. You’ll have a smoother, softer forehead with brighter, more open eyes. Adjusting your hairline and eyebrows are also done at the same time if necessary and desired.
Procedure time:* 1-2 hours.
Downtime:* two weeks.

Mandible Contouring


Dr. Spiegel is one of the world’s busiest surgeons in this highly specialized procedure. If your jaw or chin is too large, too wide, too long, asymmetric, or otherwise different from how you wish, speak with us. Patients from around the world travel here to get a smoother, softer, natural, contoured look. The results are amazing!
Procedure time:* 1 hour.
Downtime:* 3 weeks of swelling.

Non-Surgical Browlift


A non-surgical brow lift is an excellent option for people who have noticeably loose skin and wrinkles around their brow, forehead, and eyes. It is ideal for addressing issues that may not be severe enough to require surgery.

Scalp Advancement


Do you have a high hairline or hairline recession? If so, this procedure may be right for you. Dr. Spiegel is one of the world’s busiest surgeons at adjusting the hairline and can advance, round, and reshape your scalp and hair. Often this is all you’ll need, though sometimes a few hair grafts afterwards perfect the results.
Procedure time:* 1 hour.
Downtime:* about 10 days.

Voice Feminization Surgery


Looking for the right voice to match your appearance? Dr. Spiegel can raise or lower the pitch of your voice by adjusting the shape and tension of the vocal cords. Vocal rest and training after surgery are recommended.
Procedure time:* 2 hours.
Downtime:* a few days, voice rest for 2-3 weeks.

Trachea Shave


Reduce a large Adam’s apple with this short procedure. The incision is small and heals amazingly well- often without stitches. Dr. Spiegel is considered one of the world’s masters at this procedure.
Procedure time:* 1 hour.
Downtime:* just a few days!

Facial Feminization Surgery Recovery & Support


Recovery following FFS can be grueling and uncomfortable–especially in the first few days after surgery. Your face will be a rainbow of colors during the first week after surgery! However, at one week “post-op” patients are feeling surprisingly well!