Before & After
Actual Patient
Facial Feminization Surgery
Forehead
Forehead
Feminization
Surgery
Forehead contouring is the most impactful single procedure in facial feminization — addressing the brow ridge, frontal bone and hairline to create a smooth, feminine forehead profile.
What is it
The forehead is the strongest gender marker in the face
Most people don't consciously notice it — but the shape of the forehead is one of the clearest anatomical gender markers. A female forehead has a smooth, gently curved surface and draws a near-vertical line on the facial profile. A male forehead, by contrast, has a pronounced brow ridge (brow bossing) thicker and lower-sitting orbital rims and a more sloped profile. And these skeletal differences determine in turn the most impactful difference of all — the gender of the gaze.
The brow bossing is a bony shell covering a hollow cavity — the frontal sinus — located just above the nose. This is key to understanding why forehead feminization requires more than simple shaving in the vast majority of patients.
The male hairline also tends to form an "M" shape, while a feminine hairline curves in a smooth arch, closer in shape to a in "inverted U". Forehead contouring surgery can address all of these differences in a single procedure.
Procedure at a glance
Surgery duration3–4 hours
AnaesthesiaGeneral
Hospital stay1 night
Recovery in Buenos Aires10–14 days
Return to work2 weeks
Final results visible6-12 months
Real Results
Forehead feminization — before & after
All photos published with patient consent. Individual results vary based on anatomy, procedures performed and recovery.
Before & After
Before & After
Surgical Technique
Shaving or reconstruction?
Shaving or reconstruction?
Which technique is right for you
The choice of technique depends on the thickness of the anterior wall of the frontal sinus — determined during your pre-surgical consultation and CT scan review.
About the incision
The incision, which runs from ear to ear, can be done along the hairline just in front of it (trichophytic incision) or hidden in the hair, depending on whether the patient wants to lower the hairline or not. Hairline indision allows for hairline lowering and forehead shortening, while the coronal incision (hidden in the hair) doesn't. If the hairline has an acceptable height in its middle portion, it's best to do the incision hidden in the hair and use hair transplants to fill in and round out the receded corners. These hair transplants can be done in the same medical trip, under local anesthesia, 2 weeks after the FFS, but only if the incision is done in the hair. If the incision is done pre hairline, then hair transplants must be done any time later, once the scar is healed.
Combined Procedures
What can be addressed
What can be addressed
in the same surgery
Forehead contouring is routinely combined with other procedures through the same incision and in the same surgical session — maximising results while minimising total recovery time.
- Brow Lift — elevating and arching the eyebrows to a feminine position, through the same incision
- Hairline Advancement — softening the M-shaped male hairline and moving the scalp forward up to 2cm when needed
- Rhinoplasty — feminizing the nose in the same session for a harmonious upper and mid-face result. Many times the top of the nose bridge must be pushed back at the same time as the forehead for both areas to match, even if a rhinplasty has been performed before
- Full FFS — jaw, chin, cheeks and other procedures combined in a single comprehensive session
"In about 95% of cases, reconstruction of the frontal sinus wall is necessary to achieve true feminization — shaving alone is not sufficient."
R
Dr. Javier Rossi
Lead Surgeon · T-Change
Facial Feminization Surgery
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