What is Facial Feminization Surgery (FFS)?

We understand the profound impact that FFS can have on a person's life. FFS allows you to look and feel your best at all times. 

FFS includes a group of reconstructive surgical procedures that adjust masculine facial features and make them more feminine. There are many types of facial feminization surgery options, such as brow lifts, lip augmentation, cheek implants, and more. 

Facial Feminization Surgery

Transforming to Feminine Features

Because feminine features typically include smoother foreheads, higher brows, smaller noses, fuller cheeks and lips, rounded chins, narrower jaws and a reduced Adam’s apple, FFS surgery options address all of these issues. Depending on your current facial features, you might choose one or more of these procedures.

Dr. Sheldon Lincenberg has been performing facial feminization surgery for many years and is a top FFS surgeon in the Southeast. Patients come from surrounding states to benefit from his experience and expertise in FFS. Dr. Lincenberg works closely with each patient to develop a personalized surgical plan that meets their specific needs and gender-affirming goals. 

Our patients tell us that their facial feminization surgery has helped them be even more confident in how they present themselves to the world.

Among the facial feminization surgery procedures that Dr. Lincenberg performs are:

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Before & After Gallery

Facial Feminization is powerful. It can transform your facial appearance to your gender-affirming identity. 

As you view the FFS section of our Before & After Gallery, you will quickly see that this procedure, when performed by a skilled cosmetic surgeon like Dr. Sheldon Lincenberg, can provide you with natural, dynamic results.

Here are Before & After photos for two of Dr. Lincenberg’s Facial Feminization Surgery patients. He performed several FFS procedures for the first trans woman. During one operation she received forehead and eye socket contouring; browlift; chin and mandible contouring; reshaping of the nose and a lip lift.

The second set of Before & After photos shows the results of the FFS procedures that Dr. Lincenberg performed for another patient. This Facial Feminization Surgery patient received forehead contouring, jaw reduction, nose shaping, and cheek augmentation.  

View more examples of FFS surgery by clicking the button below.

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Many patients don’t want their photos posted online, but are fine having others see them in our office. You can see many more examples when you have a consultation with Dr. Lincenberg to discuss your desired outcome for your gender-affirming procedures.

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Cheek Bone Contouring

Transgender cheek bone surgery provides a more feminine look in the cheek area to align with the patient’s goals. Creating a fuller, more prominent cheek delivers a softer, more feminine look for trans women.

What is Cheek Bone Contouring?

Enhancing the upper cheeks through cheek bone contouring also puts more emphasis on the eyes, which is another feminine feature. Dr. Lincenberg uses customized implants designed specifically for you to contour cheek bones and transform your facial balance for a more feminine appearance. The surgery is performed from inside so there are no visible scars.   

Cheek bone contouring is often performed at the same time as forehead contouring, nose shaping and tracheal shave.

Chin Reduction

The degree of strength or weakness of the chin and jawline relative to the rest of the face is very important in attributing masculinity or femininity to the face. Dr. Lincenberg has spoken at national meetings about his observations on this relationship. 

What is Chin Reduction Surgery?

You may not realize it, but your chin plays an important role in your appearance. Chin reduction creates a more feminine appearance. A strong, pronounced chin can look very masculine, so if you are in the process of transitioning, you may find that a chin reduction is the perfect cosmetic procedure for you. Also known as genioplasty, the chin reduction procedure is performed to reduce and reshape the chin and soften the jawline. 

When performed by a plastic surgeon experienced in this procedure, the chin reduction will create a softer, more delicate facial profile, providing a more feminine look for your face. 

This procedure is often performed alongside other facial feminization surgeries, such as the tracheal shave and rhinoplasty, allowing you to work with your surgeon to create a customized look.

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Forehead Contouring

Women have a more oval or heart shape to their face than men do. Forehead contouring is a cosmetic surgery procedure performed to soften facial features and produce a more feminine appearance. This procedure reduces bone prominence around the eyes and reshapes the hairline to create that look. Forehead contouring also is referred to as forehead shaving or brow bone reduction. 

What is Forehead Contouring?

Forehead contouring surgery is a Facial Feminization Surgery that is preferred by patients who are transitioning from male to female. It also is selected by non-trans women to improve their features. During this procedure, the surgeon shaves the brow bone to reduce its size and prominence as well as reshape the orbital bones in the face. 

Ultimately, the goal of the forehead contouring procedure is to reduce the size of the brow ridge and soften the features of the face. The precise techniques that are used during this procedure typically create a more feminine appearance, which is why this is considered one of the top MTF FFS procedures.

Forehead contouring surgery can be performed alongside other facial feminization surgeries. The most popular FFS procedures to have done in tandem with the brow bone reduction are the tracheal shave, rhinoplasty or jawline slimming procedures. 

Trans patients who opt for forehead contouring surgery find that this procedure confirms their gender and allows them to live a more authentic life. 

Forehead contouring and hairline advancement created a more feminine look for this patient.

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Nose Reshaping (Rhinoplasty)

A customized, one-of-a-kind nose reshaping (also known as nose job or rhinoplasty) makes  the nose appear more feminine and defined on the face. For our trans women patients, nose reshaping can play a major role in the development of a more feminine face. 

What is Nose Reshaping?

Dr. Sheldon Lincenberg has spent many years reshaping noses. He performed nose shaping for many adolescent girls and adult women before he began operating on trans women more than a decade ago to create a more feminine nose. All of these women who felt that their profile had a bump, their tip lacked definition or that the nose was too big or wide desired a smaller, more feminine nose without any sign of surgery. Over the years, Dr. Lincenberg has learned how important it is to listen to his patients and understand what they want to achieve so he can create it.

At your initial consultation, Dr. Lincenberg will ask you to look in a mirror while he recommends what he would change to feminize your nose. He will also ask you to identify how much you want to change your nose. These desired changes become the foundation of the operative plan to feminize your nose. Each operation is individualized to the specific patient which leads to a higher satisfaction rate and a lower revision rate. 

Lip Lifting, Plumping and Shaping

Female lips often appear fuller and typically have a more accentuated Cupid’s bow of the upper lip. Our trans women patients that undergo lip enhancement are able to significantly alter the way they are perceived by others.

Lip plumping and shaping procedures are a non-invasive procedure easily done in Dr. Lincenberg’s office with “awake” anesthesia.  Dr. Lincenberg reshapes lips using fillers to add volume and contour the lips. 

At your consultation, Dr. Lincenberg will discuss the best way to enhance your lips for a more feminine appearance.

Fat Removal from the Neck

Liposuction/lipectomy is a powerful technique that can improve the contour of a body area, ultimately restoring a more youthful and vibrant appearance. Liposuction/lipectomy of the neck is a facial feminization surgery that can restore the visual separation of the jawline and the neckline, a very powerful sub-liminal messenger of aged, overweight or masculinized features. 

Dr. Sheldon Lincenberg often performs this procedure in tandem with other facial feminization surgeries, providing patients who are transitioning from male to female with the personalized results that they desire.

Tracheal Shave
(Adam’s Apple Reduction)

Tracheal shave surgery reduces the size of the Adam's apple to create a more feminine appearance. It can be very empowering for an individual who is transitioning from male to female. In fact, many transgender women feel that it is the next most important feature after breast augmentation for a trans woman to change.

Dr. Sheldon Lincenberg performs the tracheal shave for patients in Atlanta and throughout the Southeast.

What is Tracheal Shave or Adam's Apple Surgery?

The tracheal shave procedure minimizes the size and shape of the thyroid cartilage of the neck to give the impression of a more feminine neck. It is a versatile procedure that can be customized to meet your needs, and it can be combined with other facial feminization surgeries.

The tracheal shave procedure is a precise operation in which the thyroid cartilage surrounding the laryngeal prominence, or Adam's apple, is reshaped. This cartilage protects the vocal cords, so the surgeon uses state-of-the-art tools to locate the vocal cords and take care not to damage them. 

A tiny incision in a discrete location under the chin is made to perform the procedure. The incision becomes nearly invisible because it blends in with a normal neck skin crease.

When performed by an experienced surgeon like Dr. Lincenberg, shaving the Adam’s apple will not permanently alter your voice. Likewise, when the procedure is performed correctly by a surgeon who has experience do it, the cartilage will not grow back.

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Schedule Your Atlanta Trans Facial Consultation Today

If you are interested in an Atlanta Trans Facial Surgery and you want to learn more about this procedure, schedule a consultation with Dr. Sheldon Lincenberg today.

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