What Type of Facial Feminization Surgery Do I Need?

Q: Dr. Eppley, I am looking to get some surgeries eventually for gender affirmation and my PCP recommended your office if I had some more specific questions. The surgery I am mainly interested in at this time is FFS. Does Dr. Eppley recommend a certain time being on HRT before he performs this? Also, would it be possible to get an estimate on how much this usually costs?

A: FFS is a collection of over a dozen procedures, most of which are done to change the structure/shape of the face. Not every patient needs all of the available FFS procedures based on the natural shape of their face. The FFS procedures of greatest value must be determined on an individual basis based on a picture assessment and computer imaging of potential changes. Once this is determined then the cost of such surgeries can be provided to you.

In addition I would wait a minimum of six months after being on HRT before proceeding with FFS surgery….not so much because it makes major face changes but more for assurance that this is the correct change in life you desire to do.

Dr. Barry Eppley

World-Renowned Plastic Surgeon