Before & After
Actual Patient
Facial Feminization Surgery
Jaw
Jaw
Feminization
Surgery
Jaw contouring by tapering the jaw bone — creating the narrower, more "V-shaped" frame to the lower face that defines feminine facial geometry from the front, and a more rounded angle from profile.
Masculine jaw
Square shape when seen from the front
Wide, thick bone ridge along the lower edge
Defined, low-positioned and sometimes flaring rear angles
More developed masseter muscles
vs
Feminine jaw
Inverted triangle shape — narrower at the bottom
Thinner, more tapered bone
Rounded and flatter rear angles, with shorter intergonial distance
Slimmer masseter muscle
What is it
The jaw defines the width of the entire lower face
The key insight in jaw feminization is that the goal is not simply to make the jaw angles look less angular — it is to make the entire facial frame look narrower from the front. Many women have defined jaw angles, yet their faces read as feminine because the overall width is narrower. That is exactly what this surgery achieves.
The surgeon accesses the jaw bone through an incision inside the lower gums — leaving no visible external scars. The bone ridge along the lower jaw is reduced with precision drills, and the rear angles are trimmed and rounded. This tapers the sides of the jaw and reduces its height, creating a softer silhouette.
When the masseter muscles are excessively developed, they can also be surgically reduced — though in many patients, sustained hormone therapy produces a comparable reduction over time. Jaw feminization is almost always combined with chin feminization for a harmonious lower face result.
Procedure at a glance
Surgery duration2–3 hours
AnaesthesiaGeneral
IncisionInside the mouth — no visible scars
Compression garment2 weks post op. Removable to eat and bathe
Return to social activities7–10 days
Return to exercise4 weeks
Restrictions to eatSoft food recommended during first week
Usually combined withChin feminization
Combinations & Considerations
Best results when combined
Discuss Your Plan
Best results when combined
with chin feminization
Jaw and chin are anatomically connected and visually inseparable. Contouring the jaw without addressing the chin often produces a result that looks incomplete or imbalanced. For this reason, the vast majority of jaw feminization procedures are performed together with chin reduction and reshaping in the same surgical session.
For patients over 40, it is also worth considering a face lift and/or neck lift to tighten loose skin and allow the newly feminized bone structure to show through — otherwise, the results can remain partially concealed by excess skin.
Possible risks
Asymmetry
Even if the area is carefully measured and marked before surgery, asymmetric scar tissue during healing can cause slight asymmetries.
Temporary changes to nerve sensitivity
Lingering numbness or tingling in the lower face — resolves as the nerves become less inflammed over weeks to months.
Infection
Very uncommon when antibiotics and oral hygiene protocols are properly followed.
Frequently combined with
Chin Feminization
Almost always performed in the same session
Forehead Contouring
Full FFS in a single surgical session
Face Lift / Neck Lift
Recommended for patients over 40
"Contouring the lower facial third makes the whole face look narrower — and thus more female."
Dr. Javier Rossi · T-Change
Real Results
Jaw reduction — before & after
All photos published with patient consent. Individual results vary based on anatomy, procedures performed and recovery.
Before & After
Mandible Contouring
Before & After
Jaw & Chin Feminization
Facial Feminization Surgery
Explore other FFS procedures
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