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Facial Masculinization Surgery FMS in Thailand

FMS Surgery Methods, Procedures, Recovery and Post-Op Care

Facial Masculinization Surgery

The ideal masculine appearance typically boasts a more chiseled and angular appearance. While trans men can achieve the male face with the use of hormone therapy, trans men who choose to undergo facial masculinization surgery are more likely to see a successful result and achieve their aesthetic goals in terms of getting a more masculine appearance.  The decision to undergo a more masculine appearance is very personal and individualized, which means the plastic surgeon will likely make a unique treatment plan to meet the patient’s goal. Having said that, transgender patients who do opt for this surgical procedure typically experience improved self-esteem and self-image.

The Feminine Vs. Masculine Face

In contrast to the average feminine face, men usually have a more prominent and protruding brow bone. Unlike the feminine appearance, the masculine appearance is often marked with a prominent male nose, thick eyebrows, chiseled male cheeks, a larger and higher male chin, a square jaw, and a visible Adam’s apple.

The average feminine face and facial structure are absent of bossing and boasts a smaller chin and nose. Female foreheads are also typically shorter. The shorter female foreheads can be corrected by increasing the distance between the eyebrows and the hairline.

Additionally, female lips are fuller and lusher than male lips, which are typically thin. This facial feature can be corrected with lip reduction surgical techniques.

Facial Masculinization

The Feminine Vs. Masculine Face

A specialized surgeon can deliver the best results for this type of procedure. The dissimilarities between male and female faces can be subtle so it’s wise to choose a top-notch plastic surgeon familiar with female and male faces to get an optimal outcome.In certain cases, a maxillofacial surgeon is engaged to correct the jaws to help get the most successful and natural result.

There are typically six methods utilized for facial masculinization surgery, including:

  • Forehead lengthening
  • Cheekbone contouring
  • Rhinoplasty
  • Chin contouring
  • Jaw augmentation or reshaping
  • Adam’s apple surgery

Forehead Augmentation

Men tend to have larger frontal skulls due to the bone structure located in their frontal sinuses. To create more masculine facial features, Forehead Augmentation Surgery or Forehead Lengthening is performed to enlarge the patient’s forehead to achieve more masculine proportions.

Facial Masculinization

Cheekbone Masculinization

Masculine cheekbones tend to be more angled and flatter than feminine features. Surgical options to create male cheekbones include cheek augmentation, cheekbone shaving, and cheekbone reduction. The chosen method will depend on the patient’s existing feminine features.

Facial Masculinization

Nose Masculinization

Females often have shorter and thinner noses compared to males who tend to have longer and broader noses. Surgeons utilize Augmentation Rhinoplasty to increase the width and length of the patient’s nose to give their faces a more masculine look.

Facial Masculinization

Chin Masculinization

Male chins are usually longer, flatter, bigger, and more square. The surgery utilized to create a more masculine chin in females is Chin Reshaping Surgery called “Osteotomy”. 

Facial Masculinization

Jaw Masculinization

Male jaws are more prominent with sharper angles and a broader mandible. In order to create this shape, surgeons use Jaw Augmentation and Contouring Surgery, to create a more masculine jawline and increase the facial width. This may often be combined with Chin Augmentation Surgery to achieve the best balance and harmony of the patient’s facial features.

Facial Masculinization

Thyroid Cartilage Enhancement or Adam’s apple surgery

Facial Masculinization

The Adam’s apple is one of the most definitive features of male faces. It is seen in the middle of the throat. To create a more masculine face, surgeons recommend an Apple’s apple Implant. This can be done under local or general anesthesia.

Preparing for FMS Surgery

  • Patients should consult with a plastic surgeon trained and experienced in facial surgeries. Discussion will include goals, medical conditions, and current medications if any
  • Full physical examination will be conducted including blood tests, skull and chest X-rays.
  • Patients must stop smoking and drinking at least 2 weeks before the procedure.
  • All blood-thinning medications like Aspirin, Ibuprofen, hormones, and some supplements must be stopped 2 weeks before the surgery.

Questions To Ask Your Surgeon Before Facial Masculinization Surgery in Bangkok, Thailand

Dedicated plastic surgeons will take care to answer every question that a patient may pose before and after performing any procedures. It is often advised for a patient to list the questions on a paper in advance of a consultation regarding surgical procedures.

Some key questions to ask a surgeon before any plastic surgery include:

  • Are you a board-certified plastic surgeon?
  • How many years of experience do you have in cosmetic surgery?
  • Do you have specific experiences with performing surgery to alter masculine facial features, jaw contouring, or improving other facial features?
  • Are the results I am seeking realistic?
  • What are the limitations of female to male facial surgery?
  • Will I have visible scars?
  • What will the recovery process be like?
  • Would I need pain medication during my recovery period?
  • Would I need dermal fillers? If so, what type of dermal fillers would I receive?
  • What is the surgical plan?
  • Are there any concerns that I should be aware of?
  • How much does facial masculinization surgery cost?
  • Would I need several procedures to achieve masculine features?

Facial Masculinization Surgery Process

After the initial consultation, some patients may require a skull CT scan or a skull X-Ray before returning to the surgeon to confirm the surgery, then pre-admission testing will be done a couple of days before the FMS procedures. The surgeries will be carried out under general anesthesia. Surgery time depends on the procedures being done. Patient recovery time is about 6 to 12 weeks. Recovery will also depend on the types of surgeries performed and the patient’s physical condition.

Post surgery care for FMS 

The post-procedure care may vary depending on the surgeries done, but basic care tips to remember include:

  • Eat liquid or soft foods.
  • Always clean the mouth with mouthwash.
  • Avoid strenuous activities for at least one month after surgery.
  • Avoid smoking.
  • Use painkillers to manage the pain.
  • Patients may resume normal activities two weeks after the procedure. Wounds should be healed 4 to 8 weeks after the procedure.
  • Be sure to go to all follow-ups with the surgeon to monitor the healing process.

Potential complications and risks of FMS

  • Bleeding
  • Edema
  • Infection
  • Hematoma
  • Bruising
  • Asymmetry
  • Nerve damage
  • Implant problems
  • Pain
  • Poor healing
  • Necrosis
  • Scarring

There are also some potentially unfavorable results that may happen when post-operative care is not followed.

Why choose Thailand as your plastic surgery destination?

On the whole, Thailand is an open and accepting society for transgender people and this aspect allowed hospitals for gender transformation to flourish and grow. Facilities in Thailand provide first-class treatments, cutting-edge technology, and world-class surgeons performing hundreds of FMS surgeries per year.

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