- Premier Gender Reassignment Surgery Clinic in NY
- Trusted Nationwide for Expert Gender-Affirming Care
- 700+ Gender Affirming Surgeries Completed
- Advanced Planning with 3D CT Modeling
- Commercial PPO Insurances Acceptance
- Less Than 1 Year Surgical Wait Times
A More Feminine Face Begins With
Expert, Patient-Specific Planning
Personalized facial feminization surgery is designed to soften facial structure, refine key features, and help you recognize yourself with confidence through expert planning and affirming surgical care. Facial feminization is deeply personal. It is also highly anatomical. At FFSNYC, we approach facial feminization surgery as a customized surgical plan designed around your facial structure, goals, and safety. Our team specializes in gender-affirming facial surgery, with an emphasis on achieving natural-looking results. We do not aim to create a “cookie-cutter” face. Instead, we focus on refined changes that support feminine balance while keeping you looking like yourself.
What Is Facial Feminization Surgery?
Facial Feminization Surgery, also called FFS, is a series of procedures designed to soften facial features that may be perceived as masculine. Facial feminization often includes both skeletal contouring and soft tissue refinement to create long-term, natural appearing results.
Because the underlying bone structure plays such a major role in facial shape, foundational bone work is often a key part of effective FFS surgery. The goal is not exaggeration. The goal is alignment, harmony, and confidence in everyday life.
Forehead & Brow
Forehead and brow features often shape how gender is perceived at first glance. Procedures can soften prominent bone contours, refine forehead shape, and lift the brows into a more feminine position. Planning is highly individualized, with careful attention to balance, expression, and long-term facial harmony across the entire upper face.
- Forehead Reduction
- Brow Lift
- Brow Bone Reduction & Orbital Contouring
Nose Procedures
Nose procedures can bring softness and proportion to the center of the face. Feminizing rhinoplasty may refine width, smooth a hump, or adjust tip definition and rotation while keeping the result natural. The focus is harmony, not trends, so your nose complements your features and supports overall facial balance after healing.
- Feminizing Rhinoplasty
Throat Procedures
Throat procedures, including tracheal shave, reduce the prominence of the Adam’s apple to create a smoother neck profile. For many patients, this is a meaningful step in reducing dysphoria and improving confidence. Surgical technique at FFS NYC prioritizes safety, discreet incision placement, and careful protection of voice function during healing.
- Tracheal Shave
Cheeks, Jawline & Chin
Lower face contouring can soften width, reduce angularity, and create a more traditionally feminine silhouette. Options may include cheek augmentation, chin reduction, jaw reduction, masseter muscle reduction, and buccal fat removal. Each plan is individualized to support facial harmony, natural proportion, and long-term balance as swelling resolves.
- Buccal Fat Removal
- Chin Reduction
- Masseter Muscle Reduction
- Cheek Augmentation
- Jaw (Mandible Angle) Reduction
Lips & Mouth
Procedures for the lips and mouth refine the center of the face, adding softness and feminine proportion. A lip lift can shorten the upper lip, improve tooth show, and enhance shape while keeping results natural. These subtle changes often create a brighter, more balanced expression that complements other facial feminization procedures beautifully.
- Lip Lift
Neck & Lower Face
Neck and lower face surgical techniques refine contour and restore softer lines where heaviness or laxity can affect facial balance. Options may include facelift, neck lift, and neck contouring to smooth folds, reduce jowling, and define the jawline. The goal is an elegant structure with natural movement and long-term stability.
- Facelift
- Neck Lift
- Neck Contouring
Hairline
Hairline procedures help frame the face with a softer, more traditionally feminine contour. Hairline advancement can reduce forehead height and round the temples, while hair transplantation can add density and fill recession. Planning considers hair type, growth patterns, and long-term stability to create a natural hairline that blends seamlessly over time.
- Hair Transplantation
- Hair Advancement
Before & After Facial Feminization
* Individual results may vary.
Board Certified Expert in Facial Feminization
Dr. Bastidas is a board-certified craniofacial surgeon who performs gender affirming procedures with high frequency and extensive experience. He has performed hundreds of Facial Feminization and top surgeries, and regularly performs Facial Feminization Surgery nearly daily. This level of procedural volume supports confident surgical planning, technical precision, and consistent outcomes. For patients, experience matters. High volume practice allows Dr. Bastidas to anticipate anatomical variations, plan for facial balance, and execute complex procedures with refined attention to detail.
His focus is always on results that look natural and cohesive, not overstated or standardized. He works closely with his patients to understand what matters most to them and to build a surgical plan that aligns with their identity and goals. As a recognized expert in craniofacial and plastic surgery, Dr. Bastidas has earned national and international recognition within his field.
Testimonials
Trusted Nationwide for Expert Gender-Affirming Care
Patients travel to FFSNYC from across the country for high-volume expertise, insurance access, and efficient scheduling. Our team supports you with clear guidance before and after surgery, including travel timelines and follow-up planning. If you are coming from out of town, we also provide recommendations for recovery-friendly hotels and accommodations near our NYC offices to make your stay more comfortable.
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Precision Planning With 3D CT Modeling
Facial structure is complex, especially when bone contouring is involved. That is why FFSNYC incorporates 3D CT scan modeling for surgical planning in many cases. This allows us to understand your anatomy with greater clarity and plan bone contouring with accuracy and confidence. 3D planning supports:
- More precise facial bone contouring
- More individualized surgical design
- Better predictability for structural outcomes
- A safer approach to complex anatomy
It is one of the tools we use to keep patient-specific planning at the center of every procedure.
Financing and Payment Options
For patients paying out of pocket, or for procedures not covered by insurance, financing may be an option. Financing is not one size fits all, but many patients explore payment plans or third-party financing programs to make surgery more manageable.
During your consultation process, the team can help you understand what options may be available based on your needs and treatment plan. We aim to keep this conversation straightforward and respectful, without sales pressure or unrealistic promises.
Frequently Asked Questions
How do I know which procedures I need for facial feminization?
Your plan is based on your facial anatomy and goals. During consultation, the team evaluates which features contribute most to dysphoria and gender perception.
Does FFS always involve bone contouring?
Not always, but skeletal foundation surgery is often key for long-term results. Many patients benefit from bone contouring combined with soft tissue refinement.
Can facial feminization surgery in NYC be performed in stages?
Yes. Some patients choose staged surgery based on recovery preferences, scheduling, or insurance planning. Your team will guide you through the best approach.
Will a tracheal shave affect my voice?
A tracheal shave is designed to reduce cartilage without altering vocal cords, but swelling and scar tissue can rarely cause voice changes. Your surgeons prioritize vocal safety and precision.
How long will I be swollen after FFS surgery?
Swelling improves significantly within the first few weeks, but subtle swelling can last several months, especially after forehead, jaw, or chin procedures.
Can I travel for FFS in New York City if I live out of state?
Yes. Many patients travel for facial feminization surgery in New York City. FFSNYC provides guidance on travel timing, post op care, and virtual follow-ups when appropriate.
Is facial feminization surgery in NYC covered by insurance?
FFSNYC works with commercial insurance plans, and many patients qualify for coverage depending on eligibility and documentation requirements.
Do you offer revision FFS surgery?
Yes. If you are dissatisfied with previous results, FFSNYC can evaluate your anatomy and help create a plan to address asymmetry, under correction, or remaining dysphoria.
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