Facial Feminisation For Transgender Women

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Dermal Fillers universally accepted as an aesthetic tool can be used to create more feminine or masculine facial contours. Male to female (MTF) feminisation through the use of injectable’s provides the opportunity to create a visual panacea to reflect the patients preferred gender. In addition injectable aesthetic treatments provide a faster cheaper solution compared to surgical options with the potential for anesthetic and post operative complications.

To create a feminine face there are a number of considerations. Firstly observe the facial shape as a whole. The female face often involves smooth heart shaped curves rather than the angular features of the male, which are also more square and chiseled. The overall object is to create a rejuvenated, fresh look, without looking ‘done’. 

Dermal Fillers for Feminisation

To feminize, a softer smaller chin can be created and then accentuated by reducing the masseter or jaw muscles, with the use of Botulinum Toxin (this is an off label use). The use of Botulinum Toxin in this fashion is known as ‘facial slimming’ and gives the illusion of a narrowed jawline, compared to men who traditionally have a wide square anterior positioned jaw. ​

Mid-Face Dermal Filler treatments raise the mid-face giving height to the cheek region that can create the ‘Nike tick’ for that well positioned light to bounce off. 
Other Mid-Face and Lower-Face Dermal Filler treatments include smoothing deep nasolabial folds, reducing eye hollowing and supporting the marionettes. 

Realignment of all of these areas helps create “feminine” contours. This is especially true when considered in combination with jawline and chin treatments. ​

Other treatments to create a feminine face

Of course to complete this MTF transformation lip fillers are required for a fuller, more feminine lip shape. Botulinum toxin treatments are of course an important tool in helping transgender patients reach their goals.  To feminize, Botulinum Toxin can be used to smooth and lighten a heavy brow. Men tend to have a straight thickened heavy brow. Treating this area raises the eyebrow into a beautiful arch, reducing the heaviness of the eyelids. Open eyes are seen as a friendly welcoming feature, in addition the lateral brow can be lifted further to augment the result.  Botulinum Toxin can also be used to reduce crows feet lines and smooth forehead lines. ​

The Beauty Glow-up

Once the face has been reshaped attention then turns to addressing the canvas, or the skin of the face and neck area. This is without question vitally important. Resurfacing your skin, improves luminosity, glow, texture and vitality, all of which compliments a smooth soft newly contoured face.  The use of quality Skincare, Peels, Microneedling and Vampire Facial treatments are used to facilitate skin resurfacing. For completion Hair Growth treatments such as PRP or Platelet Rich Plasma can be used to stimulate new thickened hair growth.


So there you have it, the complete MTF feminisation gender transformation through the use of injectables, beauty therapy treatments and PRP. All of these treatments are available at Face Doctors Remuera by our Cosmetic Physician, Advanced Dermal Therapist and Registered Nurse.  

We have the latest equipment, maintain the highest standards, and make your comfort and privacy our highest priority. Our clients receive the best possible outcomes in the safest and most beautiful of environments. 

Contact our clinics now

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​​Mandatory Information

BOTOX® is a Prescription Medicine containing 100 units of clostridium botulinum Type A toxin complex for injection. It is used for the treatment of frown lines, crows feet and horizontal forehead lines. It should be administered only by trained medical professionals. Cautions: people with defective neuro-muscular transmission disorders, presence of infection at site of injection, glaucoma, pregnancy and lactation. Possible side effects include headaches, pain, burning or redness at injection site, local muscle weakness including drooping eye lids, lack of feeling & nausea. Talk to your specialist about the benefits/risks of this procedure or if you have concerns or side effects. Allergan Pharmaceuticals, Auckland.

References

1. Sadeghi R, et al. (2018). "Facial feminization surgery: A review of the literature." Aesthetic Plastic Surgery, 42
2. Gunter JP, et al. (2016). "Facial Feminization Surgery: Review of Surgical Procedures and Outcomes." Aesthetic Surgery Journal, 36(3), 1-6.
3. Snyder WH, et al. (2014). "Facial feminization surgery for transgender women: A multi-center analysis of aesthetic outcomes and patient satisfaction." Plastic and Reconstructive Surgery, 133(6), 1-9.
4. Rohrich RJ, et al. (2016). "The role of facial bone contouring in transgender facial feminization." Plastic and Reconstructive Surgery, 137(5), 1789-1799.
5. Baker SR, et al. (2015). "Facial Feminization Surgery: An Overview of Procedures and Techniques." Seminars in Plastic Surgery, 29(2), 59-65.
6. De Mello L, et al. (2017). "Psychosocial outcomes of facial feminization surgery in transgender women." Aesthetic Surgery Journal, 37(7), 864-873.
7. Karimian-Teherani D, et al. (2019). "Facial Feminization Surgery and Its Impact on Gender Identity and Social Functioning: A Longitudinal Study." Journal of Sexual Medicine, 16(6), 948-957.
8. Liu Y, et al. (2018). "Outcomes of facial feminization surgery in transgender women: A systematic review of the literature." Plastic and Reconstructive Surgery, 142(5), 836-844.
9. Sayed N, et al. (2020). "Long-term follow-up of transgender women after facial feminization surgery: A clinical study of aesthetic, psychological, and functional outcomes." Plastic and Reconstructive Surgery, 146(3), 359-368.
10. Veronica S, et al. (2021). "The role of non-surgical interventions in facial feminization: Complementary approaches." Aesthetic Plastic Surgery, 45(4), 654-661.