Conveniently located to serve New York City, Queens, Bronx, Brooklyn, Long Island
Dr. Bradley’s facial feminization procedures in New York 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 minimized 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 the 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.
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.
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.
Are secondary FFS procedures necessary?
Each patient is unique, but it is not uncommon to have a minor secondary procedure or two as an outpatient.