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For many transgender and non-binary individuals, gender-affirming facial surgery is one of the most meaningful steps toward feeling aligned with their identity. These procedures aren’t about changing who you are — they’re about allowing your face to reflect your true self.

When choosing a surgeon for something this personal, experience matters. Expertise matters. Leadership matters.

And that’s why so many patients come to The Spiegel Center in Boston, home to Dr. Jeffrey Spiegel — a pioneer, innovator, and global authority in facial feminization and gender-affirming facial surgery for more than two decades.

Dr. Jeffrey Spiegel: A Pioneer & Global Leader in Facial Feminization Surgery

Dr. Spiegel is recognized worldwide as one of the most influential figures in gender-affirming facial surgery. His work has shaped the field through:

Pioneering surgical techniques used internationally

Many of today’s modern feminization and facial gender-affirming approaches are based on Dr. Spiegel’s innovations, research, and surgical design.

Academic leadership & extensive published research

His contributions have helped define the standards of facial gender affirmation used across the world.

Thousands of successful procedures over 20+ years

Patients from across the U.S. and more than 35 countries travel to Boston specifically for Dr. Spiegel’s expertise.

Natural, undetectable, beautifully balanced results

His signature approach is rooted in proportion, harmony, and individuality — never a one-size-fits-all look.

If you’ve searched for:

  • best facial feminization surgeon
  • world leader in FFS
  • gender-affirming facial surgery Boston
  • double board-certified facial plastic surgeon FFS

You've likely encountered Dr. Spiegel’s work.

Dr. Tower: A Double Board-Certified Facial Plastic Surgeon Trained in The Spiegel Method

Dr. Tower is not new to gender-affirming surgery — he has spent years training closely with Dr. Spiegel and mastering The Spiegel Method, the surgical philosophy and approach Dr. Spiegel developed over decades.

Dr. Tower is a double board-certified facial plastic surgeon whose skill, precision, and deep understanding of facial gender aesthetics make him a trusted surgeon for transgender and non-binary patients who want beautifully natural results.

Patients appreciate that both Dr. Spiegel and Dr. Tower share:

  • a meticulous, patient-centered approach
  • a commitment to natural-looking results
  • extensive experience in facial gender affirmation
  • a warm, affirming, and deeply respectful bedside manner

Together, they offer one of the most experienced and respected facial gender-affirming teams in the world.

Non-Surgical Facial Gender Affirmation With Dr. Onir Spiegel

For patients who prefer nonsurgical options — or who want to enhance or maintain their surgical results — Dr. Onir provides expert injectable artistry. She is one of New England’s most loved and trusted aesthetic injectors for:

  • feminizing or masculinizing filler
  • jawline, chin, and cheek contouring
  • under-eye refinement
  • facial harmonization
  • nonsurgical touches that soften or strengthen features subtly

Her work aligns beautifully with the surgical team’s philosophy of natural, undetectable enhancement.

What Facial Gender-Affirming Surgery Can Include:

Forehead contouring & brow bone reduction

One of the most defining feminizing procedures — an area where Dr. Spiegel’s expertise is unparalleled.

• Feminizing or masculinizing rhinoplasty

Refining nasal shape while protecting individuality and balance.

• Cheek augmentation or reduction

Soft, round contours or stronger, more angular definition depending on goals.

• Jaw & mandible contouring

Creating softer curves or a more structured jawline.

• Chin reshaping (genioplasty)

Adjusting projection, width, or angle for facial harmony.

• Hairline lowering or reshaping

Designing a hairline that aligns with gender expression.

Trachea shave

Smoothing the Adam’s apple for a feminine neck appearance.

Each procedure is performed with precision and sensitivity to your identity, goals, and natural anatomy.

Why Boston and The Spiegel Center Are Global Destinations for Gender-Affirming Facial Surgery

Patients choose The Spiegel Center because of:

  • A world-renowned leader in FFS: Dr. Jeffrey Spiegel
  • A highly trained, double board-certified surgeon, Dr. Tower, skilled in The Spiegel Method
  • Thousands of successful gender-affirming procedures
  • Natural, undetectable, individualized results
  • A team deeply experienced with transgender & non-binary patients
  • A supportive, private, affirming, and respectful environment

Your experience is personalized, comfortable, and centered around your goals — never rushed or standardized.

FAQ: Gender-Affirming Facial Surgery in Boston

What makes Dr. Spiegel a world leader in facial feminization?

His pioneering techniques, decades of research, academic leadership, and unmatched experience have shaped the field globally.

Has Dr. Tower been with The Spiegel Center for long?

Yes. Dr. Tower has spent years training under Dr. Spiegel and mastering The Spiegel Method, bringing extensive expertise to facial gender-affirming surgery.

Do all patients need multiple procedures?

No. Some choose one or two refinements; others combine several procedures for the most cohesive result.

Can injectables help with gender affirmation?

Yes. Dr. Onir Spiegel offers expert nonsurgical feminization and masculinization to enhance or maintain results.

Do you offer virtual consultations?

Absolutely — many of our patients begin with a virtual visit before traveling to Boston.

Is the process private and affirming?

Always. The Spiegel Center is known for its respectful, supportive, patient-first experience.

Ready to Take the Next Step?

Choosing a surgeon is deeply personal — and choosing a leader makes all the difference. With decades of experience, unparalleled expertise, and a compassionate, affirming approach, Dr. Jeffrey Spiegel and Dr. Tower provide world-class gender-affirming facial care for patients across Boston, New England, and the world.

Book your private consultation


Meet Our Doctors

Dr. Jeffrey Spiegel


Dr. Jeffrey Spiegel

With special expertise in all aspects of facial plastic surgery, and a particular skill for revision surgery, it’s clear why Dr. Spiegel is one of the most celebrated facial plastic surgeons in the world. If you are seeking the best possible results, or have a uniquely challenging problem, you’ve found the right doctor.

Learn More About Dr. Jeffrey Spiegel

Dr. Onir L. Spiegel


Dr. Onir L. Spiegel

Dr. Onir (pronounced “oh-near”) has years of experience in facial aesthetics and treats some of the most recognizable and famous faces. Dr. Onir started her career in oral health, earning doctorate degrees from both New York University and Boston University. She has been the recipient of numerous awards for her cutting-edge medical research as well as her technical skills in dentistry.

Learn More About Dr. Onir L. Spiegel

Dr. Jacob Tower


Dr. Jacob Tower

A board-certified specialist in facial plastic surgery, Dr. Jacob Tower brings a thoughtful approach and an artistic eye to New England’s premier plastic surgery practice, The Spiegel Center in Newton, Massachusetts. In addition to being an in-demand surgeon, Dr. Tower is an assistant professor at the Boston University School of Medicine, a sought-after lecturer, and an expert in facial plastic surgery.

Learn More About Dr. Jacob Tower
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