If you or someone you love is transitioning, then Facial Feminization Surgery (FFS) is probably near the top of the list of topics on your radar.  The purpose of this post is to address some of the common planning questions that acoording our experiencie exist on a regular basis.

If you’ve just begun your journey, you may wonder if taking hormones is a pre-requisite for FFS.  Although it is not a requirement, the vast majority of transitioning patients should be on hormones unless a local doctor or endocrinologist recommends against it due to a medical reason.  Even though hormones do not effect the shape of the bones, they do help with the soft tissues of the face and body.  If you have a very masculine forehead, then hormones won’t change that.  If you know that you only need work done on areas like the forehead and nose, then the amount of time that you’ve been on hormones is not really a factor.  That being said, if you’ve been taking hormones for a while, we are likely to get a better picture of which procedures would help you in soft tissue areas like the cheeks and breasts.

Another question that comes up often pertains to clearance letters from mental health care professionals or other doctors. There are, however, a couple situations that might require a clearance letter.  HIV+ patients, for example, must submit a letter from their specialist that confirms that they are successfully under treatment with an HIV medication meant to produce a low or undetectable viral load.  Other chronic conditions could also require a clearance letter to ensure that the condition itself won’t subject the patient to an excessive risk during or after surgery.

Good luck with your journey and let us know if we can help!