At The Spiegel Center, we have witnessed remarkable advancements in the field of facial feminization surgery (FFS). This evolution has not only transformed the lives of countless individuals but has also redefined the standards of aesthetic and reconstructive surgery. Our founder, Dr. Jeffrey Spiegel, is a pioneer in Facial Feminization Surgery – having developed many advanced techniques for FFS that are used worldwide. As a team of double board-certified facial plastic surgeons, we are proud to be at the forefront of this transformative journey, offering our patients the highest level of care and expertise.
The turn of the 21st century marked a significant shift in the approach to FFS. Technological advancements in imaging, surgical tools, and materials have played a crucial role in refining the procedures.

One of the most significant advancements has been the development of minimally invasive techniques. These approaches reduce scarring, minimize recovery time, and enhance the overall patient experience. There are procedures like Embrace (FaceTite or FaceTite to the neck with Morpheus8) that allow surgeons to perform complex procedures through small incisions to lift the skin, resulting in less trauma to the tissues and quicker healing.

At The Spiegel Center, we believe that facial feminization is not just about altering physical features but about helping our patients feel more comfortable and confident in their own skin. This holistic approach considers the psychological and emotional aspects of transitioning. We work closely with each patient to understand their unique goals and concerns, ensuring that the surgical plan is tailored to meet their individual needs.

The scope of FFS has also expanded over the years. Initially, the focus was primarily on altering the brow, nose, and jawline. Today, FFS encompasses a wide range of procedures, including hairline advancement, forehead contouring, cheek augmentation, lip lift (fun fact: Dr. Spiegel was one of the first surgeons to perform lip lifts with Rhinoplasty), and tracheal shave. Each of these procedures is meticulously designed to create a harmonious and natural-looking feminine appearance.

While bone structure plays a critical role in facial feminization, soft tissue procedures are equally important in achieving a comprehensive transformation. Soft tissue work involves modifying the skin, fat, and muscles to enhance the feminine contours of the face. Dermal fillers like Juvederm, Radiesse, Versa and Versa Lips, and fat grafting, for example, can be used to add volume to the cheeks and lips, creating a more youthful and feminine look. Advances in injectable treatments have also allowed for non-surgical enhancements, providing patients with more options for subtle and temporary changes. For patients that are early-on in their journey that are not looking to have surgery yet, we highly recommend seeing Dr. Onir at The Spiegel Center for liquid facial feminization.

The success of facial feminization surgery hinges on the expertise and experience of the surgeon. At The Spiegel Center, our team of double board-certified facial plastic surgeons brings years of specialized training and a deep understanding of facial anatomy to each procedure. We are committed to continuous learning and staying abreast of the latest developments in the field. This dedication to excellence ensures that our patients receive the best possible care and outcomes.

Patient safety is our top priority. Every surgical plan at The Spiegel Center is developed with a strong emphasis on minimizing risks and ensuring a smooth recovery. We use the latest techniques and adhere to stringent safety protocols to provide a safe and comfortable experience for our patients. Our state-of-the-art surgical facility is equipped with advanced technology, and our team of highly skilled professionals is dedicated to providing compassionate care throughout the entire surgical journey. The best part- patients only have to come to one destination! Our surgery center, Newton Surgery, is located right above The Spiegel Center where patients come for all appointments. Want to take a tour of our surgery center? Check out newtonsurgery.com!

The future of facial feminization surgery is bright, with ongoing research and innovation paving the way for even more refined and effective techniques. As the field continues to evolve, we remain committed to pushing the boundaries of what is possible. Our goal is to provide each patient with results that not only meet but exceed their expectations, helping them to feel truly seen and celebrated for who they are.
Facial feminization surgery has come a long way since its inception. At The Spiegel Center, we are honored to be part of this evolution, offering cutting-edge techniques and personalized care to our patients. Our commitment to excellence, innovation, and patient-centered care ensures that each individual who walks through our doors receives the highest standard of treatment. As we look to the future, we are excited about the possibilities and remain dedicated to helping our patients achieve their desired outcomes with confidence and grace.


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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