Facial Feminisation Surgery in Sydney: Surgical Options to Modify Facial Features

Facial Feminisation in Sydney, for gender affirmation

Facial Feminisation Surgery (FFS) is an umbrella term for a tailored combination of procedures
The aim is to adjust selected facial features in line with an individual's goals as part of gender affirmation
A consultation is required to assess anatomy, medical history, and the most appropriate options
Outcomes vary and depend on baseline anatomy, procedures selected, and individual healing response

Home » Facial Feminisation Surgery (FFS)

Overview

Facial Feminisation Surgery (FFS) is an umbrella term for a tailored combination of procedures that can modify facial bone structure and/or soft tissue characteristics. The aim is to adjust selected facial features in line with an individual’s goals as part of gender affirmation care. A consultation is required to assess anatomy, medical history, and the most appropriate options (including non-surgical treatments where suitable).

Outcomes vary between individuals and depend on factors such as baseline anatomy, skin quality, healing response, and the procedures selected. All surgery involves risks and scarring.

Before and After Images

The outcomes shown are only relevant for this patient and do not necessarily reflect the results other patients may experience, as results may vary due to many factors including the individual’s genetics, diet and exercise.

Before After

Procedure: Deep Plane Face & Neck Lift

Recovery Timeline: 4 Months

Before After

Procedure: Hair Transplant

Recovery Timeline: 3 Months

Before After

Procedure: Hair Transplant

Recovery Timeline: 3 Months

Before After

Procedure: Neck Lift

Recovery Timeline: 12 Days

Before After

Procedure: Hair Transplant

Recovery Timeline: 12 Months

Before After

Procedure: Open Rhinoplasty

Recovery Timeline: 6 Months

*It is important to note that individual results vary depending on factors such as anatomy, skin quality, surgical approach and healing response. The images shown are not intended to guarantee or predict the outcome of any procedure.

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About This Procedure

FFS is not one operation. It may involve one procedure or a planned combination performed in stages. Depending on your goals and anatomy, FFS may include procedures that address areas commonly described as the forehead/brow, nose, jaw/chin, and neck.

At COSMEX, Your consultation focuses on: What changes may be feasible for your anatomy, What can reasonably be achieved (and what cannot), Expected scarring, recovery, and risks, Whether surgery, non-surgical treatment, or a combination is appropriate

Procedures sometimes considered within an FFS plan may include: Rhinoplasty (selected cases), Forehead/brow contouring (selected cases), Jaw/chin contouring (selected cases), Chondrolaryngoplasty / tracheal shave (selected cases), Adjunct non-surgical procedures (selected cases).

Not every patient needs every procedure, and some goals may be better addressed with fewer procedure or with non-surgical options alone.

Key Benefits

Facial Feminisation Surgery (FFS) encompasses a tailored combination of surgical and/or non-surgical procedures that may assist with modifying facial features in line with individual gender affirmation goals. Individual outcomes vary significantly and depend on baseline anatomy, procedures selected, and healing response. All surgery involves risks and scarring, and results may not meet every expectation.

Individualised treatment plan based on clinical assessment
Potential observable changes depending on individual response
Structured approach with follow-up and adjustment

Ideal Candidate

A suitable candidate is generally a healthy adult with realistic expectations about variability and the need for aftercare. A consultation is required to confirm suitability.

Is in good general health and medically suitable for surgery where surgical procedures are planned.
Understands that results vary and may not meet a specific ideal or guarantee a particular outcome.
Understands that results vary and may not meet a specific ideal or guarantee a particular outcome.
Is able to commit to recovery time, follow-up appointments, and aftercare.
If using nicotine, is willing to cease well in advance as nicotine may impair healing.

Techniques & Approaches

The specific approach is selected based on individual assessment and clinical goals. Your clinician will discuss the most appropriate options during your consultation.

Brow & Forehead Contouring (Selected Cases)

Access incisions may be placed in locations such as the hairline/scalp, inside the mouth, or around the nose depending on the procedure.

Bone Contouring & Reshaping (Selected Cases)

Bone may be contoured, reduced, or repositioned where clinically appropriate.

Soft Tissue Adjustment (Selected Cases)

Where indicated, soft tissue techniques may be used to adjust contour, support, or projection.

Dermal fillers

may add volume in areas such as cheeks, lips, or chin (temporary; maintenance required).

Anesthesia

Surgical FFS procedures are typically performed under general anaesthesia in an appropriately accredited hospital facility. Non-surgical treatments (fillers/anti-wrinkle) are typically performed in-clinic and may involve topical anaesthetic and/or local anaesthetic where appropriate.

Anaesthetic type is confirmed after your clinical assessment and procedure plan.

What we will cover in consultation

Your medical practitioner will explain:

review of medical history, gender affirmation goals, and any previous surgeries or treatments.
clinical assessment of facial bone structure and soft tissue, with discussion of which procedures may be appropriate for your anatomy.
explanation of surgical options including brow contouring, rhinoplasty, jaw/chin reshaping, and tracheal shave where indicated.
discussion of expected scarring, recovery timeline for each procedure, and whether staging may be recommended.
detailed discussion of surgical risks, variability in outcomes, and the importance of realistic expectations.

Your surgeon will explain recommended incision placement, expected scarring, and the trade-offs of each approach during consultation.

Possible Risks and Complications

All surgery carries risks. Your surgeon will discuss risks relevant to your procedures, anatomy, and medical history. Potential risks may include:

Potential risks and complications may include:

Bleeding, infection, delayed healing, Adverse reaction to anaesthesia, Swelling and bruising (variable and sometimes prolonged), Scarring concerns (including hypertrophic or thickened scars in some people), Asymmetry or contour irregularities, Nerve injury causing temporary or permanent numbness or weakness (risk varies by procedure), Need for revision surgery (sometimes required, not guaranteed), Specific procedure risks (e.g., nasal breathing changes after rhinoplasty; dental/occlusion considerations with jaw work)

Preparation typically includes:

Complete all pre-operative assessments and clearances
Cease smoking and nicotine use well in advance
Follow fasting instructions for general anaesthesia
Arrange post-operative care and support at home”

Recovery Milestones

Week 1

swelling and bruising are common; discomfort varies; rest and head elevation are often recommended

Week 2

most people gradually return to normal daily activities; residual swelling commonly persists

Week 2 - 6

Healing and scar maturation continue; final contour is typically assessed over months, and nasal refinement can take up to 12 months or longer. Your surgeon will provide written aftercare instructions and a follow-up schedule tailored to your procedure plan.

Week 6 - 12

Most swelling continues to resolve; scar maturation begins and may be noticeable during this period

3 - 12 Months

Final contour and scar maturation are assessed over months; nasal refinement can take up to 12 months or longer

Pricing & Estimate

Costs vary significantly depending on the procedure, technique, hospital and anaesthetist fees. A detailed written quote is provided after consultation once a surgical plan is confirmed. Medicare and private health insurance arrangements vary and will be discussed with you.

Disclaimer

Prices vary based on individual assessment. A personalised quote will be provided during consultation.

Starting From

Available on consultation

Indicative pricing only

Final exact cost will be confirmed after consultation.

Why Choose Us

At COSMEX, we combine advanced surgical expertise with personalized care to deliver natural, confident results. Your safety, comfort, and satisfaction are always our priority.

Specialist Plastic Surgeons

Our surgeons hold Fellowship of the Royal Australasian College of Surgeons (FRACS) in Plastic and Reconstructive Surgery. Each procedure is performed by qualified specialists with extensive training in cosmetic and reconstructive surgery. You are welcome to verify your surgeon's credentials via the AHPRA public register.

Accredited Surgical Facilities

All surgical procedures are performed in licensed, accredited hospitals in Sydney. Our facilities meet Australian standards for theatre safety, anaesthesia, infection control, and emergency care. Your safety is the foundation of every treatment plan.

Individualised Care

No two patients are the same. Every treatment plan at COSMEX is developed following a thorough one-on-one consultation where your anatomy, concerns, goals, and medical history are carefully assessed. You will receive a personalised recommendation — not a standardised package.

Structured Aftercare and Follow-Up

Your care continues well beyond the day of your procedure. COSMEX provides a structured aftercare program including scheduled follow-up appointments, access to your surgical team for questions during recovery, and long-term monitoring where clinically indicated.

Video FAQs

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Dr Sepher Lajevardi interview at the 2022 Plastic Surgery Congress