With regards to transitioning from Male to Female one of the more dramatic and image altering procedures one can undergo is what is commonly referred to as “Facial Feminization Surgery” or FFS. The procedure was pioneered by Dr. Douglas Ousterhout in the late 1980s and has really only been accessible to the transgendered community at large since the early 1990s.

There are a number of nuances that really lay beyond the scope of what I’d like to discuss here. suffice to say, the internet has a wide range of sources that describe the various procedures in detail. In my case, I’m undergoing 3 procedures related to my face.

1. Frontal Bossing and Forehead Aesthetic

The area between the eyebrows, also called the glabellum, is prominent in men due to the oversize frontal sinuses. There are different degrees of prominence from type I to type III [ I have a Type III configuration] as described by Dr Douglas Ousterhout. The surgical option varies from a simple burring of the bone to a more complex frontal sinus outer table repositioning and reconstruction.

If the bossing is slight a simple burring of the excess will be sufficient. In case of marked bossing, it will be necessary to set it back. If needed some very small titanium screws and plates may be used to hold the bone pieces together. They are usually not palpable or visible.

Source: http://www.facial-feminization-surgery.com/frontal-bossing-forehead-aesthetic.html

2. Scalp and Hairline Lowering

Male receding hairline causes the forehead to appear high and elongated. A high forehead appears not only disproportionate and less attractive, but old. In some cases it is possible to lower this hairline by advancing the hair bearing area toward the forehead. Depending on individual scalp mobility it is generally possible to obtain a 1 to 2 cm hairline lowering. This procedure is very well combined with any frontal bone plasty or brow lift.

Source: http://www.facial-feminization-surgery.com/scalp-hairline-lowering.html

3. Rhinoplasty

A narrow, small and slightly tilted nose characterizes an attractive feminine nose.

Rhinoplasty is often done with other feminization surgeries.

An open rhinoplasty uses incisions inside the nose except for a tiny one in the narrowest part of the columella.

The trend does not lean toward excessive upward lift of the tip anymore, but more toward more natural looking that will be in harmony with the other facial features. The goal of rhinoplasty is to produce a nose that appears natural and is in balance and harmony with the other facial features while respecting its structure and nature.

Source: http://www.facial-feminization-surgery.com/rhinoplasty.html

Needless to say, I’ll look significantly different following these procedures. I’m also undergoing breast augmentation at the same time.

My doctor of choice is Dr. Eric Bensimon of Montreal’s Clinique de Chirurgie Esthétique. Although, Bensimon lacks the kind of press his higher profiled colleagues have obtained, notably Douglas Ousterhout, Suporn Watanyusakul, Frans Noorman van der Dussen, Jeffrey Spiegel etc… He is very experienced in the procedures I am undertaking and comes complete with a recommendation from my SRS (Sexual Reassignment Surgery) surgeon, Dr. Pierre Brassard.

I’m scheduled for surgery this Fall and I’ll be back with an update following completion of the procedures I’ll be undergoing shortly after I arrive back home.

In the meantime, I’m focusing on losing weight, staying healthy and enjoying where I am at the moment.

XOXO R.