The feminine face features were usually thinner than those of a biological man. Therefore, plastic and cosmetic surgery, make available to the patient different techniques (such as rhinoplasty, thyroplasty, lift, cheek augmentation, chin surgery, etc..) That allow you to feminize and sweeten her features.
Rhinoplasty or nose reconstruction surgery is a procedure that allows you to increase or reduce the size of the nose, changing its configuration (the shape of the bridge or tip), the size of the orifices or the angle between the nose and the upper lip. It is also used to correct birth defects or accident trauma and to solve nasal breathing problems.
It is one of the more common procedures for feminising the face and can today give completely natural results in line with the new harmony of the face. It can make the features gentler, giving a more youthful aspect, with finer, more feminine lines. The operation can be carried out before or after vaginoplasty.
Rhinoplasty, which nowadays gives a completely natural result, is carried out with both local and general anaesthetic and generally lasts between one and two hours (although complex cases can take somewhat longer). During your first visit, your surgeon will study the shape you are seeking for your nose, taking into account its current features, in addition to advising you on the different aspects of the operation and its results, taking in septum and cartilage, the shape of the face, skin thickness, age and expectations.
Patients’ recovery is fairly swift, with nose plugs being inserted immediately after the operation and removed 24 or 48 hours later. It should be noted that, depending on the patient in question and the type of procedure, bruising may appear, but this will disappear after a few days. The scars left are imperceptible, be they on the inside or outside of the nose.
Patients, who will see the first results after two weeks, will note small changes over the course of the first year.
One of the procedures most commonly requested by transsexual women, after vaginoplasty and breast augmentation, is the Adam’s apple reduction. The prominence of this cartilage is one of the characteristic features of biological men and thus, when this prominence is particularly great, it is advisable to carry out this procedure prior to the real-life experience to help with adaptation.
Although the choice of anaesthetic will depend on the assessment made by the surgeon and the medical team, in most cases Adam’s apple reduction or thyroplasty is carried out under local anaesthetic plus sedation, and usually lasts for around an hour. It consists in making a two or three centimetre-long incision in the most prominent part of the neck, to coincide with a natural skin wrinkle or fold to make the scar practically imperceptible. Then, the surgeon will reduce the size of the cartilage precisely and carefully so as not to affect the vocal chords.
After the procedure, patients remain a few hours in hospital but can return home the same day. They may experience some discomfort and swelling during the following 24 - 48 hours.
Blepharoplasty is a surgical technique that removes excess fat, skin and muscle that have formed above and below the eyes. It thus allows for the correction of bags under the eyes, dark tiredness marks and drooping eyelids, all of which give the face a tired, sad and aged appearance. The surgery is also used to make the expression and facial features gentler, especially when combined with other procedures such as facelifts, cheek augmentation or rhinoplasty. It is a simple procedure which is normally carried out on an outpatient basis and usually with local anaesthetic around the eyes, combined with a sedative to ensure the patient is calm during the operation, which can last from one to three hours. After one or two days, patients will already able to read and watch television, and completely return to normal life in less than a week. This operation can be carried out before or after vaginoplasty.
Cheek augmentation is a procedure designed to increase, by means of a prosthesis, the size of the cheeks to give greater harmony in the patient’s face and outline. It is often associated with rhinoplasty, mentoplasty, a facelift or blepharoplasty. Cheek augmentation helps give gentler features, as well as giving the patient’s face a more sensual and feminine appearance. It also helps to highlight the patients eyes.
Cheek augmentation (or cheek implants) is a procedure which generally requires local anaesthetic, alone or with sedation. The procedure lasts between 30 and 45 minutes if not combined with other operations. It involves making an incision inside the upper lip (inside the mouth) or in the lower eyelid, where a pouch is cut and the implant inserted.
After surgery, patients will have dietary limitations and restrictions on normal activities (their ability to move the mouth and lips will be temporarily limited). The operation, whose effects will not be fully appreciated until some months afterwards, may give rise to swelling that begins to disappear within a few days of the operation.
Mentoplasty is a procedure designed to increase or reduce the size of the chin to give greater harmony in the patient’s face and profile.
Often combined with rhinoplasty, this operation can involve implanting a prosthesis, sliding a bone fragment forwards to make the chin more protruding, or reducing the jawbone, depending on the desired outcome. The procedure helps give a gentler profile, highlight the mouth and lips and ensure more feminine and balanced features in patients with a weak chin in comparison with their nose and the rest of their face, or reduce the size of the jaw in patients with a very prominent jawbone.
Although carried out under local anaesthetic, mentoplasty can involve general anaesthetic if combined with another procedure. Although the implanting of the prosthesis can be carried out by making an incision in the groove between the lower lip and the gums (inside the mouth), it can also be inserted through the skin under the chin. In this latter case, the resulting scars become imperceptible after a few months.
Recovery after this type of procedure is rapid and usually trouble-free. Patients can thus return to normal life and see the outcome almost immediately.
One of the procedures which can help mould and shape the face, and therefore give it more feminine features, is the facelift or rhytidectomy. It also allows for the elimination of facial wrinkles, giving the face a youthful, smoother look. A facelift or rhytidectomy is a procedure which lifts and tightens the skin of the face and neck to reduce folds and wrinkles. In transsexual patients, this technique can also be employed to reshape the face to give it more feminine features.
The facelift is normally carried out under general anaesthetic. The procedure, which normally lasts a number of hours, particularly when combined with other types of surgery, requires an overnight stay in hospital. The resulting scars, which gradually become imperceptible, are completely hidden under the hair or in the skin’s natural folds.
After this operation, which generally causes little discomfort, patients are advised to rest for the first week. It should be noted that a facelift can, over the first few days and temporarily only, cause a feeling of numbness in certain parts of the face.
After around 10-14 days, patients will begin to appreciate the first results of the procedure.