Facial Masculinization Surgery (FMS) at WIH Hospital

WIH Hospital is dedicated to providing specialized and compassionate care for individuals seeking Facial Masculinization Surgery (FMS). We understand that this transformative journey is deeply personal and vital for aligning one’s physical appearance with their authentic gender identity.

Understanding Facial Masculinization Surgery (FMS)

Facial Masculinization Surgery (FMS) refers to a comprehensive surgical procedure designed to alter the facial features of individuals to create a more masculine appearance. This surgery helps to alleviate gender dysphoria and enhance self-confidence for transgender men and transmasculine individuals.

 

Types of Facial Masculinization Surgery Procedures

Forehead Contouring and Augmentation

  • Brow Ridge Augmentation: Augmenting the bone above the eyebrows to create a more prominent and pronounced brow ridge. This can be achieved with bone grafts or synthetic implants.
  • Forehead Lengthening: Increasing the distance between the hairline and the eyebrows for a broader, flatter forehead appearance.

Masculinizing Rhinoplasty

  • Creating a straighter, wider, or more prominent nasal bridge, and defining the nasal tip to achieve a stronger, more angular nose typically associated with masculine features.

Cheek Augmentation

  • Adding volume to the cheekbones using implants or fat grafting to create a more angular midface.

Jaw Contouring and Augmentation

  • Jaw Angle Augmentation: Enhancing the angles of the lower jaw with implants or bone reshaping to create a wider, more square, and defined jawline.
  • Masseter Muscle Reduction (if applicable): In some cases, if the masseter muscles are excessively bulky, reduction can be considered.

Chin Augmentation (Genioplasty)

  • This procedure can be done with chin implants or by repositioning the chin bone to achieve a stronger and more prominent lower face.

Adam’s Apple Augmentation (Thyroid Cartilage Augmentation)

  • Creating a more prominent laryngeal prominence (Adam’s apple) using an implant or sculpted cartilage graft to achieve a more masculine neck profile.

 

Who is a Candidate for Facial Masculinization Surgery Procedures?

  • A transgender man or transmasculine individual
  • Gender dysphoria
  • 18 years or older
  • Good general health
  • Realistic expectations

Consultation with Surgeon

  • The patient will have an extensive discussion with a plastic surgeon about specific desires for facial masculinization.

  • The surgeon will conduct a detailed examination of your facial anatomy, including bone structure, soft tissues, and hairline, to assess the most effective surgical approaches.

  • Facial Masculine surgery(FMS) will be performed under general anesthesia.

Pre and Post-Operative Care

Pre-operative Care

  • Avoid medications and supplements before surgery.

  • Stop smoking and alcohol drinking 2 weeks before the surgery.

  • Follow all instructions for fasting.

Post-operative Care

  • Our dedicated nursing staff will monitor you in our recovery area. You will be provided with specific post-operative instructions.

  • Dressings or bandages will be applied to your face, and small drains will be placed to collect excess fluid.

  • Pain medication will be prescribed to manage any discomfort.

  • Regular follow-up appointments with your surgeon will be scheduled to monitor your progress and ensure a successful recovery.

Recovery Timeline

  • Week 1: Drainage tubes are typically removed within the first few days. Initial healing of incisions begins.

  • Week 2-3: The patient can typically return to light daily activities and non-strenuous work. Avoid any impact to the face.

  • Months 1-3: Light to moderate exercise can be gradually resumed.

  • Months 6-12: The final results become apparent.

Potential Risk

  • Infection
  • Bleeding/Hematoma
  • Scarring
  • Numbness
  • Poor Wound Healing

Benefits of Facial Masculinization Surgery

  • Self-perception
  • Alleviating gender dysphoria
  • Increased Confidence
  • Increased Confidence
  • Improved Social Recognition
  • Permanent Results

 

 

FAQ

FMS procedures on the face do not affect the voice. However, if Adam’s apple augmentation is performed, it may have a minimal, temporary effect on vocal resonance during initial healing, but typically not on voice pitch.

Our surgeons are skilled in placing incisions strategically within the hairline, inside the mouth, or in natural skin creases to minimize visible scarring.

Most patients can return to light, non-strenuous work and daily activities within 2-4 weeks. Strenuous exercise, heavy lifting, and contact sports should be avoided for at least 6-12 weeks.

It is typically recommended to sleep with your head elevated for several weeks after surgery to help reduce swelling and discomfort.

 

 

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