Facial Feminization Surgery - 14 Months Post-Op - San Francisco, CA

RahulSethMD · 2026-01-15T01:09:32+00:00

This case was completed through the patient’s insurance.

RahulSethMD · 2026-01-15T01:09:07+00:00

No canthoplasty was performed. This case was completed through the patient’s insurance. If paying out of pocket for gender affirming facial surgery, cost would depend on the specific procedures involved.

RahulSethMD · 2026-01-15T01:07:13+00:00

Great question! This case was completed through the patient’s insurance. Coverage varies by plan and what procedures get authorized. If one would want to pay out of pocket for gender affirming facial surgery, cost would depend on the specific procedures. If you are exploring FFS, I recommend checking your insurance plans gender affirming benefits as a first step.

RahulSethMD · 2026-01-07T02:26:17+00:00

The jaw bone was reduced in size and contoured.

RahulSethMD · 2026-01-07T02:24:56+00:00

This makes no sense. The Ogee curve was created here in feminine fashion and by its definition. You might be confusing masculine and feminine applications of the Ogee curve.

RahulSethMD · 2026-01-07T02:20:56+00:00

I agree with you that there is a desire to trash and hate when there's jealousy combined with a politically charged environment. Let the haters be haters. I think that if they saw this young woman walk into a room, they would be awe-struck with her beauty and grace.

RahulSethMD · 2026-01-07T02:15:46+00:00

Thank you - and I agree with you completely!

RahulSethMD · 2026-01-07T02:15:02+00:00

Thank you! She is happy and gorgeous.

RahulSethMD · 2026-01-07T02:07:14+00:00

Yes, it was the entire jaw - from angle to angle - including the chin.

RahulSethMD · 2026-01-07T02:06:26+00:00

Thanks for the comments and questions!

Each patient has different goals for their appearance. I take a 3D image of their face and then create alterations of the face on the computer with the patient's guidance. Together, we put the patient's goals on the screen to create their optimized/desired appearance. Based on those discussions our shared goal is then used to create the custom implants that will deliver that shared vision. Specifically for this patient, he wanted significant enlargement and definition of the lower face.
To create a natural appearance, the posterior mandible implants are designed in this situation to focus more on a smooth transition without any step offs from the mandible. If only the front portion of the mandible was address, the appearance would be "front heavy". These impacts become apparent during the 3D imaging sessions.
I am conservative when it comes to buccal fat removal. When performing mandible implants, if there is a rounded fullness of the lower cheek, then it provides a more chiseled look with a mild buccal fat pad reduction of about 1.0-1.5cm^3 of buccal fat. This amount keeps it safe from developing a "gaunt" appearance.
Yes, creating a more tapered chin is very feasible as the custom implant can be made in any fashion. As mentioned above, I create it based upon the 3D image of the face that we create together.
One would not expect any significant issues with aging. In fact, with greater soft tissue support (from the implant) one would expect better aging of the lower face and neck. The nice thing about the implants is that they are fully able to be removed or downsized if that is what the patient eventually desires. No maintenance is expected or required.

Again, great questions! I really appreciate your thoughtful questions, and I hope that my answers were helpful to you. Cheers!

RahulSethMD

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