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Facial Gender & FFS:
• In a Nutshell
Hair and Hairline
• Forehead
Adam's Apple
• Facelifts
Hormonal Effects
• Ethnic Variations

• Virtual FFS FAQs
• General FFS FAQs

My Facial Feminisation Thesis

My Top Tips for FFS Patients

Disclaimers, Promises and My Qualifications

Body Dysmorphic Disorder and FFS





It is quite common for FFS patients to have facelifts. This is partly because people feel that if they are having FFS anyway, why not look a little younger at the same time, but also because on older FFS patients, chin and jaw surgery can leave the soft tissues around the lower face and neck more slack than they were before. This happens because chin and jaw surgery can cause quite a lot of swelling and that swelling stretches the soft tissues.

Younger patients don't have this problem as the soft tissues are very elastic and will tighten back up around the new jaw and chin as the swelling goes down. The age at which you might need to consider a facelift after chin and jaw surgery will vary from person – one 50 year old might have very toned soft tissues while another 40 year old might already be having noticeable sagging. You would normally have to wait a few months after jaw and chin surgery before having a face lift.

There are many different kinds of lift working on areas like the neck, lower face mid face, eyebrows and forehead although technically the term “facelift” only really refers to the procedures that lift the lower third of the face and the neck. Some are relatively quick procedures, others are more involved and work on deeper layers of tissue. Many facelifts include endoscopic procedures which are done with tiny cameras and tools inserted through small incisions.

To go into facelifts in detail would make for a very long article and would probably be worth a separate website so I am going to give you a good overview here instead. Here then are some of the main types of facelift:


SMAS stands for “superficial muscular aponeurotic system” and this refers to layers of soft tissue under the skin. The problem is that if you lift the skin alone, it soon starts to sag again so you have to go a little deeper and lift some of the underlying layers at the same time. This is sometimes referred to as the “Traditional Facelift”. It treats the lower face.


2. Deep Plane Lift
This is like the SMAS lift but works on even deeper tissues.


3. S-Lift
This is a mini face lift and suitable for less severe cases. There are various similar techniques like the MACS lift, Quick Lift and Lifestyle Lift, all addressing the lower face.


4. Thread Lift
A minimally invasive lift using special stitches – the effects are minimal and probably only last a year or so.


5. Mid-Facelift or Cheek Lift
As the name suggests this type of procedure lifts the mid face area. It involves small incisions in the hairline and inside the mouth and the procedure can be performed endoscopically which means that tiny cameras and instruments inserted through small incisions. The scarring is minimal but it is not suitable for more severe sagging.


6. Neck Lift
Exactly what the name suggests!


As you can see it, it's a complex area with various possibilities and they are often combined with other rejuvenating procedures like fat grafting, liposuction, brow lifts and eyelid surgery (blepharoplasty). You can read more about these procedures in other parts of this site - there is information on fat grafting on the cheeks page, liposuction on the chin page, brow lifts are on the eyebrows page and blepharoplasties are on the eyes page.

I can simulate lifting to various areas and advise you on whether a strong lift or something more mild is likely to be needed but the particular procedure you need will depend on many things and would be something to discuss with your surgeon.


Do Facelifts Feminise the Face?

Faces do seem more masculine as they age. I suspect there are 2 particular reasons for this – firstly, fat is lost from the cheeks as you age making them more hollow and hollow cheeks are a masculine trait in younger people. Secondly, the lip to nose distance gets longer with age and a long lip to nose distance is also a masculine trait in younger people.

However, a face lift doesn't really address either of these problems – they would be treated with fat transfers to the cheeks and lip lifts and anyway, if both male and female faces go through these changes then your eye should expect to see a thinner face with longer lip to nose distance on a more mature female face.

Having said that, a face lift will make your face seem softer and that can be mildly feminising. So it's probably best to think of a face lift as mainly a rejuvenating procedure but one that can sometimes be mildly feminising – I would not generally advise you to have one purely for feminisation purposes but you may need one anyway if you are much over 40 or so and have bony work on the jaw and chin.