Frequently asked questions

We have tried to summarize main questions that we receive from our patients. But if you have more, do not hesitate to contact us, and will be happy to help you.

  • Facial Feminization Surgery
  • Appointments, consultations and payments

Facial Feminization Surgery

Will I still look like myself after Facial Feminization Surgery (FFS)?

The goal of facial feminization surgery is to maintain the essence of you. Surgeons try to combine subtle changes to feminize your facial features. The final result is that you feel more feminine, but you will remain who you are. Your family and friends should continue to recognize you for who you really are.

From our experience, there are many patients who confess feeling more self-confident and with greater self-esteem after a feminization surgery. If your surgery is done correctly and by a certified surgeon like Dr Macia, with a natural and conservative approach, you should not notice any changes in your physiognomy.

Should I lower the hairline or is a hair transplant better?

Each case requires an evaluation. There is a limitation on the amount of advancement that the surgeon can perform.

If your hairline is “high” (or you have a long forehead), we recommend scalp advancement to lower the hairline or shorten the forehead. In some cases, we can also combine it with hair transplantation, if the patient has receding areas of the hairline.

Do you have before and after photos of facial feminization?

We have a collection of photos of facial feminization patients before and after. However, not all of our patients have agreed to share those images, and in order to respect the privacy and confidentiality of our patients, we cannot share many of the examples on our website.

Sharing photos via email or phone consultations is prohibited by law. They are strictly for the use at in-office consultations and / or medical conference presentations (medical and transgender conferences) provided that the patient gives their consent.

Do you offer surgical simulation images?

Surgery is not an exact science but we offer simulations so that our patients can get an idea of what the change will be like. These simulations are not 100% binding with the final result. There is always a probability of small variations if analyzed in detail. For this reason, we always show the patient, apart from his/her simulation, real intervention cases with before and after photos so that the patient himself/herself can assess the surgical results.

Will I have pain after the FFS?

The postoperative period of facial feminization surgery is uncomfortable rather than painful. Although the perception of pain is subjective, in general, our patients comment that pain levels are very low after surgery. In fact, majority of our patients do not need to use any type of medication to relieve the pain.

In some cases, we prescribe postoperative analgesics if necessary.

How much time do I need to get back to my normal daily activities?

You will need at least one week off from your work or studies to prepare for, and undergo surgery and attend postoperative appointments.

It takes one week for the swelling to subside and the bruises disappear after two weeks, although they can be easily hidden with makeup.
That said, if you can work from home, you can ‘go back to work’ just a few days after surgery; however, people who do not want to return to their studies or work until they fully recover, may need a 2-3 week resting plan.

Can any face be feminized?

Any face is capable of having its features made more feminine or masculine. In general, all “healthy” patients can undergo feminization surgery. However, your feminization surgeon will have to evaluate if you are an appropriate candidate for the procedure.

Should I wait until I receive hormone replacement therapy (HRT) before undergoing FFS?

It is not necessary to wait. However, for safety reasons, your surgeon may ask you to temporarily suspend or reduce your HRT in the weeks before and after your surgery. Patients who feel self-confident and know for certain what they want to achieve, are good candidates for feminization surgery even if they are not receiving HRT.

What type of surgeon performs feminization surgery?

The most important thing is that the surgeon has experience in the field which he or she is dedicated to. Among the different surgical specialists such as plastic surgery, maxillofacial surgery or otorhinolaryngology, the maxillofacial surgeon (because of his training) is the most suitable for surgical treatment of the hard (bony) and soft parts of the facial region.

General plastic surgeons carry out work on soft tissue. However, maxillofacial surgeons are able to carry out bone procedures on the facial skeleton. Dr Macía has been trained in both surgical specialties, and can perform craniofacial and soft tissue surgery such as rhinoplasty, blepharoplasty, mandibular remodeling …

Will I have any scars?

Most incisions for facial gender confirmation surgery are done in hidden areas and tend to heal quite well.

If you are prone to form keloids or “bad” scars, we have a variety of techniques that can help to reduce the appearance of postsurgical scars.

Appointments, deposits and payments

How much do consultations cost?

Consultations are completely FREE in our clinic. For patients living outside Spain, we offer Facial Feminization constulations via Skype.

What payment methods do you accept?

At the moment, we only accept bank transfers. It is necessary to make a deposit to reserve the operating room. The payment of the intervention has to be always made before the surgical intervention.

When do we confirm receipt of the deposit payment?

It takes approximately three business days for the banks to transfer the deposit to the bank account. Therefore, it can take up to 5 business days to confirm receipt of the deposit.

Do you offer financing?

For patients in Spain we have an agreement with the “Tu Medicina Financiada” company. For feminization patients outside Spain, we do not offer credit and the total amount must be paid before the operation. However, we recommend you to go to your bank to see if they can grant a loan.

If I cancel the operation, do I lose the deposit?

We recommend reading our cancellation and rescheduling policy:

  • If the cancellation is made more than 30 days before the date of surgery, the deposit is not lost and the patient is reimbursed.
  • If the cancellation is between 15 and 30 days before the date of surgery, you lose 50% of the deposit. If it is less than 15 days, you lose 100% of the deposit.
Associations for maxillofacial and plastic surgery

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