How Is A Deep Bony Based Facial Feminization Done?

Q: Dr. Eppley, I desire all the procedures of a complete facial feminization, I want to use a more bony and deeper approach to the bone structure. That is, common facial feminization addresses the bone, but mostly by filing it down. In contrast, I have observed that the male face, in its physiognomy, is not only defined by volume but also by projection and position. For example, the forehead joins with the zygomatic bones, forming the orbital cavity, creating a masculine shape that cannot be eliminated by filing. In other words, in craniofacial surgery, modifications are made to the facial frame, the orbital rim, and the orbital cavity, reducing facial projection. Furthermore, I want to achieve a smaller, more rounded face.

A: The first apace to start in considering facial feminization is to do an assessment comparing your 3D facial CT scan with imaging of your facial pictures to see what is and what is not possible. By definition facial feminization is a reductive bony reshaping of the face based on a collection of bony contouring and osteotomy/ostectomy procedures.

Dr. Barry Eppley

World-Renowned Plastic Surgeon