• Transgender women and non-binary individuals seeking facial features aligned with feminine identity

• Patients with stable physical and mental health

• Those with realistic expectations and stable hormone therapy (optional but recommended before surgery for optimal tissue adaptation)

FFS is highly individualised. Common components include:

• Forehead and Brow Contouring: Reduction of brow ridge prominence and reshaping of orbital rims. Often includes frontal sinus setback and brow lift for a softer upper facial profile.

• Hairline Advancement: Lowers the hairline and reduces forehead height for feminine proportion.

• Rhinoplasty: Refines nasal width, dorsum, and tip projection to complement feminine facial balance.

• Cheek Augmentation: Implants or fat grafting to enhance midface volume and roundness.

• Lip Lift and Augmentation: Shortens the upper lip and increases vermilion show, contributing to a softer, youthful expression.

• Jaw Contouring (Mandibular Reduction): Reduces the width and angle of the jaw for a narrower, more oval shape.

• Chin Contouring (Genioplasty): Refines projection and narrows the chin to achieve delicate proportions.

• Tracheal Shave (Chondrolaryngoplasty): Reduces prominence of the Adam’s apple through a small incision beneath the chin.

• Operative duration and hospital stay depend on scope (typically 1–2 nights for full FFS).

• Swelling and bruising peak in the first week, improving significantly by 3–4 weeks.

• Return to light activity within 2 weeks; full recovery 6–8 weeks.

• Numbness, tightness, or mild asymmetry may persist temporarily.