Chin & Jaw Remodeling




Many F.F.S. patients end up undergoing surgical procedures of the chin and jaw. The reason for this is clear – changes to these areas are often needed in order to reduce their masculine appearance.

The chin of a genetically born male is typically taller and more square in shape than that of the female chin. A feminine chin is likely to be less pronounced and rounder than the male counterpart. In addition, the female jaw is typically shorter and more narrow than the male jaw. The male jaw is often more defined at the corners. Because of these differences, chin and/or jaw remodeling could be recommended as part of your Facial Feminization Surgery.

The most common approach to a feminization of the chin and jaw involves bone burring of one or both of these areas.  Incisions are made on the inside of the mouth in order to avoid visible scarring.  Surgeon then works to contour the bone to its more feminine shape.  Dissolvable sutures are placed inside the mouth to close the incisions.

Another approach to chin and jaw feminization involves the cutting or “osteotomy” of the bone in order to reach the objective of more feminine contours.  For patients with a vertically large chin, a bone “ostectomy” might be indicated.  This involves the resection and removal of a section of bone.  Incisions for these procedures are also placed on the inside of the mouth and dissolvable sutures are also used. 

Other aesthetic issues of the chin can also be corrected even if the objective is not necessarily related to feminization.  For example, chin augmentation can be accomplished with the placement of a chin implant.  For patients with a chin that is too far back, doctors can use a technique called a sliding genioplasty.  This procedure involves cutting the bone and bringing it forward.


What to expect after FFS

Much of the post-operative course is determined by which procedures were done on your face. Not every patient will require “full” facial feminization. The procedures performed will be determined after detailed discussions and analysis, upon which the patient and the surgeon determine a very specific, personalized plan.

You will be prescribed a strong pain medication, which most patients typically use for 3 – 7 days. You will also be prescribed a 7-day course of oral antibiotics, and if any oral incisions were used, you will be started on an antiseptic mouthwash. 

Arnica montana is an herbal medication that can be purchased over the counter and used for two weeks post-operatively to help reduce bruising and swelling. You should start taking this medication the day before surgery.

Medications and all post-op instructions will be reviewed with you in detail prior to sending you home. Every patient’s post-operative regimen will be individualized based on their particular medical history and operative procedures.