Facial masculinization surgery reshapes bones and soft tissue so that your face appears more masculine. This is a gender-affirming procedure that yields permanent changes in facial features.
Facial masculinization surgery creates a more angular face, which may be considered more masculine in appearance. It reshapes your bones and soft tissue to create more angular facial features.
You can have masculinizing surgery on your:
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Facial masculinization is an option for people who were assigned female at birth (AFAB) but identify as men. This gender-affirming surgery is a common treatment for gender dysphoria, a condition in which differences between physical appearance and assigned gender cause distress.
Many people start changing their appearance with masculinizing hormone therapy. Male hormones (testosterone) cause changes such as increased muscle mass, and body and facial hair. Masculinizing surgery enables you to make more significant changes that are permanent.
You may not be a good candidate for facial masculinizing surgery if:
Types of providers that perform these procedures include:
Some providers have extra training in gender-affirming surgery. Going to an experienced surgeon gives you the best chances of a successful procedure.
You may be able to achieve changes to your nose or a sharper jawline using dermal fillers. Healthcare providers inject these substances into specific areas to add bulk or definition. The results are temporary. You will need to keep receiving injections to maintain these changes.
In addition to masculinizing hormone therapy, you will need a mental health evaluation. The mental health provider ensures your:
Before the procedure, your healthcare provider performs a thorough assessment. They ask you about your goals for surgery and explain what you can expect after you recover.
Your provider also makes sure you’re in good physical health by:
You might also have imaging scans before facial masculinization surgery. X-rays or CT scans take pictures of the bones and soft tissues of your face and skull. This helps your surgeon plan treatment.
The procedures that are right for you depend on the facial features you wish to change. You might have one surgery or several.
Facial female-to-male surgery can change your:
After recovering, many people feel more confident and secure.
You may wish to pursue:
An overnight hospital stay might not be necessary.
You may go home with:
It’s natural to experience pain, swelling and bruising. You receive at-home care instructions to help you stay as comfortable as possible. You should also get plenty of rest and take medications as prescribed for pain.
Your care should include follow-up appointments to track your recovery. Contact your healthcare provider immediately if you experience:
A note from Cleveland Clinic
Facial masculinization surgery helps people achieve a more masculine appearance. There are many options, including lengthening the forehead or creating a sharper jawline. This is one of many gender-affirming procedures. For the best results, go to a surgeon who specializes in working with FTM individuals.
Last reviewed by a Cleveland Clinic medical professional on 08/24/2021.
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