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Manhattan Office: 212 324 3777
110 E.59th Street, #8B - New York, NY 10022 |
812 Park Avenue - New York, NY 10021 |
Lake Success Office: 516 497-7912 1991 Marcus Avenue - Lake Success, NY 11042 |
600 Northern Blvd Suite 310 - Great Neck, NY 11021 |

Facial Feminization Procedures Conveniently located to serve New York City, Queens, Bronx, Brooklyn, Long Island

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.

FFS Objectives

  • 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.

Transgender Women Advocate for Facial Feminization Surgery


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.