Facial Feminization Procedures New York City
Before & After
Cosmetic & Craniofacial Surgery‘s before-and-after pictures of real patients.
Dr. Bradley’s facial feminization procedures in New York City are carefully designed for each patient, as an individual, to help achieve a natural, soft, feminine appearance. Patients often prefer to have most of the FFS procedures performed at once but staging procedures to facial regions is also an option.
- Improve facial features to create a more beautiful, feminine appearance;
- Be identified as female in everyday exchanges in the public;
- Avoid mis-gendering, and create a safer life for trans-women.
State of the Art Techniques
- Virtual planning: Your 3D CT Scan is used to create cutting guides and custom plates design for you. These plans are reviewed at a second consultation visit.
- Resorbable plates and pins (dissolve in a year) are used in the forehead region to avoid the permanent placement of titanium plates, screws, or wires.
- Scars are minimalized and hidden whenever possible.
Facial Feature Modification
- Frontal Sinus Setback: The anterior sinus is reshaped from ‘convex’ to ‘concave’ to create a more flattened feminine appearance.
- Forehead/Supralateral orbital recontouring: Area above the brow is shaped and lateral brow is lifted in an attractive way.
- Mandibular angle reduction: The lower facial width is narrowed and a “V-shaped” look to the lower face is created.
- Osseous genioplasty narrowing and shortening: A feminine, more slender chin is shaped.
- Rhinoplasty: Nasal reshaping is aimed at a smaller, slightly sloping bridge, and a refined, more delicate, elevated nasal tip.
- Tracheal shave: The ‘Adam’s Apple’ is minimized to eliminate a masculine neck.
- Upper lip lift: More upper-tooth show and a fuller upper lip is created.
- Cheek augmentation: Malar fat grafting provides lasting full cheeks without implant complications.
1) What is required to be a good candidate for FFS?
- The best candidates have a history of transitioning and have been on hormonal therapy for over 1-2 years. Although positive changes will happen on hormonal therapy, hard tissue (bony) changes are less likely than soft tissue (skin/fat/muscle) changes.
- It is requested that 2 letters of medical necessity are provided by: 1) your hormone provider, and 2) your therapist.
- Patients should be committed to the process as FSS is not easily reversible.
2) How long will the process take?
After an initial consultation meeting, authorization approval will be obtained; patients will then go to get a 3D CT scan; Virtual planning is performed by Dr. Bradley; patients will return for a preoperative meeting to review the virtual planning and take 3D photographic images. Pre-admission testing is then performed the week prior to the FFS procedure. The timing of this process varies but is generally between 4-10 weeks.
3) Are secondary FFS procedures necessary?
Each patient is unique but it is not uncommon to have a minor secondary procedure or 2 as an outpatient.