When we meet individuals in our every day lives, faces are regularly what we notice first. Naturally, everyone wants their face to accurately represent what their identity is. When a transgender individual feels that their actual self isn't in congruity with what the world sees from an external perspective, it can cause unnecessary pain.
While there is no standard template of what a female face "looks like", Dr. Stiller can assist you in identifying some common differences between the sexes. During your consultation Dr. Stiller will help identify what triggers your gender dysphoria and help make your ideas a reality. There are many facial feminization procedures he offers such as Tracheal Shave, Chin Augmentation, Rhinoplasty, Cheek Augmentation, Brow Shaving, and Lip Lifts.
Tracheal Shaving is a shaving of the ‘Adam’s Apple’ to achieve a more feminine neck. It is not always present in every male or MTF, and can be present in some adult natal females. Nevertheless, a noticeable 'Adam's Apple' can demonstrate a more masculine appearance which can be triggering for many trans women. Dr. Stiller makes an incision on a natural fold near the Adam’s Apple and removes excess cartilage, creating a more smooth neck line in a profile few or when extending the neck. This procedure is typically an outpatient procedure and is performed under anesthetics.
There are two types of chin augmentation Dr. Stiller can perform to obtain a more feminine chin and jaw line. If needed, an implant can be placed in the chin to create a more oval shape of the face. They vary in shapes and sizes making them the most common implants in chin reconstructive surgery. An incision can be made under the chin or inside the lower lip to create a pocket for the implant to be placed in.
Dr. Stiller can also perform a chin shave, through a small incision under the chin. This can help to reduce the width that is more commonly found in natal males.
Rhinoplasty is a reshaping of the nose. An incision is made inside the nose to avoid visible scarring. Cartilage may be removed or tissue can be added to achieve the correct shape you are looking for.
Females tend to have a more narrow, short, delicate nose while males have a long, wide, prominent nose. Dr. Stiller can reshape the nose to be larger or smaller, change the angle of the nose, and remove bumps, indentations or other unwanted defects. After surgery, a splint is placed outside of the nose to assist with recovery.
For cheek augmentation, patients can undergo cheek fillers or have an implant in the cheek to emphasize the cheek bones and achieve a more feminine look. The implants are placed into the face via an incision in the upper mouth near the top of the gums or an external incision near the eye. The implant is then slid into place. There are three implant shapes used.
The most common shape is a Malar implant. The implant is placed directly on the cheekbones providing a higher contour to the face. This helps achieve the apple-like look of the face.
Submalar implants are placed in the mid-face instead of directly on the cheekbone. This will help correct a ‘sunken’ or gaunt appearance.
Malar/Submalar is an extended implant catering to both the mid-face and cheek bone.
Brow Shaving is the reduction of the frontal sinus wall to create a feminine looking forehead. Males tend to have a prominent brow bone that is flat or may even slope backwards. Females have a rounded, smooth, and more vertical forehead. Dr. Stiller will shave the frontal sinus wall to achieve a thin, arched look. The amount of Brow Shaving varies between patients.
Lip Lifts elevate the upper lip area to increase appearance. It is not augmentation, rather a reshaping to increase prominence of the lip line. Males tend to have thin, flat lips while females have full, top-turned lips. Lip lifts are performed with minor incisions under the nostrils, above the upper lip line, or corner of the mouth. The placement of the incision is based upon the goals the patient wishes to achieve.