Visage Clinic: Dr. Marc DuPéré
101-133 Hazelton Avenue
Toronto, ON M5R 0A6
Phone: (416) 929-9800
Fax: (416) 368-3113
Toll Free: 1 (855) 8 VISAGE
Monday-Friday: 8:00 a.m.–5:00 p.m.

What Is Facial Feminization Surgery, aka FFS?

Facial feminization surgery, FFS Toronto, Toronto Facial feminization surgery, Toronto plastic surgeon, gender reassignment surgery, LBGTQ

Many people are somewhat familiar with the breast augmentation procedure, an important component of gender reassignment surgery, required for our Toronto trans-female patients. But many are unaware that techniques and considerations are truly different as compared to our cis-females contemplating the same breast augmentation procedure.

That being said, little is mentioned about the other crucial components of their surgical transformation: facial and body. I have been working with the LBGTQ community for more than 14 years, and most of my fellowship training in Paris and Los Angeles was in facial aesthetics, so it’s very dear to me.

The Trans-Female (MTF) Patient’s Journey

At my Toronto practice, breast augmentation is often the first procedure performed, and one has to adapt the breast augmentation procedure to the different chest shape, height and width; a new inframammary fold also needs to be created, and careful measurements must be taken into consideration so that the scar remains well hidden and doesn’t ride high on the breasts. Size also matters, and one has to go larger in most situations to accommodate an often larger chest.

For the body, I often recommend hip augmentation with hip implants, fat grafting, or a combination of both.

Buttock augmentation is also frequently combined with hip augmentation to obtain the Brazilian buttock look; buttocks can be enhanced with implants, fat grafting or both.

The Kardashian “derrière” is quite a feminizing feature, everyone will admit.

If a tummy tuck is needed, I will tighten the abdominal muscles higher than I would do on a male, to create the Marilyn Monroe hourglass silhouette in my trans-female patients.

How Facial Feminization Surgery Fits In

For the face, various procedures are available — the so-called Facial Feminization Surgery — and each patient will require a different approach, depending on their original facial structure.

I find raising the outer eyebrows with a brow lift (aka a forehead lift), along with reducing frontal bossing and scalp advancement, to be a very powerful procedure for feminizing a face. This is all done via one single forehead incision.

Rhinoplasty is also a commonly needed procedure to make the nose smaller and shorter; narrow the nostrils; give the nose a gentle, concave curve; and raise the tip to create the female lip-nasal tip angle.

Tracheal shave is important for most patients; this is achieved via a small, well hidden incision under the chin, and the cartilage is trimmed, sculpted and polished to be flatter and less noticeable.

To all those procedures, I often add fat grafting to the cheeks, chin, and jawline to create fullness, curves, and a less “bony” contour. Soft edges are not only more youthful but also more feminine.

The chin is interesting, as I will sometimes shave the chin when it is too long or too projected, but I will also sometimes suggest a chin implant to lengthen the vertical height of the female lower face and to “ovalize” it, a classic feminine feature.

These are all transformational and life-changing procedures for my patients in Toronto. They require a plastic surgeon who is both classic and open minded, with an artistic approach, so it is important to consult with a surgeon who has experience in these complex yet gratifying procedures!

Dr. Marc DuPéré

14 Responses to What Is Facial Feminization Surgery, aka FFS?

  • Maya Smirnov says:

    I am a male to female transgender person, had my surgery back in 1995, never had my jaw fixed, I’m 48 now, and gone through hell in life because of my face, what is the price range for such a surgery?
    Thank you,
    Lisa Stander
    (I go by the name Maya Smirnov)

    • Dr. Marc DuPéré says:

      Good morning and thank you for your request. FFS includes many procedures: forehead reduction, scalp advancement, brow lift, frontal bossing reduction, forehead shaving, temple fullness (fat or implants), rhinoplasty, cheek and lip augmentation, jaw contouring, jaw shaving, chin shaving with or without feminizing chin implant, neck lift, tracheal shave, facial fat grafting. Not everyone needs or wants all of those. So it is best to come in for a consultation and options and quote(s) will be given. I look forward to meeting you. My assistants will send you more details via email. Dr. D.

  • Krissy says:

    Hi, I am currently looking into getting Facial Feminization Surgery. I’m looking into getting the following procedures done and am wondering if you are capable of doing them all:
    Forehead Recontouring (Preferably Type 3)
    Brow Bossing
    Brow Lift
    Scalp Advancement
    Also looking at an estimate of the cost. I’ve already had a tracheal shave from a different doctor and don’t think I need any work done on cheeks and chin area. I’m also wondering if you have any photos of anyone who has had the same or similar procedure. Thank you and I look forward to hearing back.

    • Dr. Marc DuPéré says:

      Hi Krissy, I have an important transgender MTF an FTM practice so I perform all those procedures regularly (but not the type 3 forehead contouring; I do all 1 and many 2’s). I look forward to meeting you. Dr. D.

    • Krissy says:

      Good to hear back from you Dr D! I would eventually like to book a consultation, but am concerned about cost. I know everyone is different, would you be able to give me an estimate on Type 2 contouring and the rest of those procedures?

  • Joshua S says:

    Hi there! Im considering getting FFS surgery done! I live in the United States and wanted to get all the information needed before flying to Canada… I would like to get a rhinoplasty, Jaw shaving/ Jaw contouring, and forhead reduction. I would like an estimate amount on how much these procedures will cost. Thanks Dr.D.

    • Dr. Marc DuPéré says:

      Hi and thank you for your interest in our services. My assistants will email you tomorrow with the information requested. We do offer FaceTime and SKYPE consultation since you live far away. I look forward to meeting you. Dr. D.

    • Dr. Marc DuPéré says:

      Good morning. Thank you for your comments. To answer your question, I have worked with transgender community for over 17 years, performing all non-genital procedures, including FFS. I do a series of imaging (CT and XRays) for planning. Hope this answers your question. Dr. DuPere

  • Alexis says:

    Hi doctor im transgender woman and i need to get FFS due to traumatic reasons
    i also have letters from a psychiatrist explaining why i need it and i’m concerned if the my provincial insurance covers it inthe cases thank you so much.

    • Dr. Marc DuPéré says:

      Hi Alexis, FFS is not covered in Ontario so you would have to check with your province for coverage. If interested, let us know and we could start the consultation process and then a quote would be provided. Not all FFS need all procedures and therefore quotes vary. I look forward to meeting you. Dr. DuPéré.

  • Kristin says:

    Hi Dr Dupere
    I am female and I would like to reduce the prominence of my brow bones, can this be done endoscopically to avoid the huge incision?
    Thank you

    • Dr. Marc DuPéré says:

      Good morning, it is much easier to do better work on the bossing via an open approach. In cis-females, I usually don’t need to shorten the forehead so the incision is on the scalp, hidden. Please call us when ready to come for a consultation. Dr. DuPéré

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