One of the most commonly sought out types of gender affirming surgery is facial feminization. During facial feminization surgery (FFS), our doctors transform your features to a more feminine or nonbinary appearance.

At VPSI, our doctors are known for their advocacy within the transgender community and their skill and experience in performing gender affirming surgeries that other doctors may avoid. We are proud to be a trusted provider of facial feminization surgeries in the Las Vegas area, and we want to help you feel comfortable in your own skin.

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The Benefits of Male to Female Feminization Surgery

Facial feminization surgery is an important step for patients who desire a physical appearance that is more aligned with their gender identity. Specifically, FFS can be a critical component of transitioning from male to female or male to nonbinary.

Am I a Good Candidate for FFS?

Facial feminization surgery may be a good option to achieve softer facial features. Unlike other types of gender affirming surgery, including chest and genital procedures, facial procedures may not require a mental health evaluation or referral. 

Good candidates for FFS should be in good health overall, not smoke, and have realistic expectations about the procedure, recovery, and results.

Meet Our Board-Certified Plastic Surgeons

At VPSI, our surgeons distinguish themselves by their excellent technical skills and artistic eye. Both Dr. Brosious and Dr. Goldman have the versatile experience that allows them to say “yes” to nearly every patient who walks through the door. 

Dr. John Brosious is a full-scope plastic and reconstructive surgeon offering head-to-toe surgeries. His background includes experience in Level I Trauma centers and academic institutions, equipping him to take on the most advanced reconstruction cases. Dr. Brosious performs over 200 chest surgeries a year for both transfeminine and transmasculine patients, and he is also the only surgeon in Nevada performing male to female genital gender affirmation surgery. 

Likewise, Dr. Joshua Goldman is a comprehensive plastic and reconstructive surgeon, well-known in the breast cancer community for his specialization in breast microsurgery. He single-handedly has the highest number of microsurgery cases in the State of Nevada and has been named by Vegas Inc’s Las Vegas Weekly as “Las Vegas 40 Under 40” and a “2021 Top Doctor.” 

To Dr. Brosious and Dr. Goldman, you are family, and they are here to help guide you through your journey to enhance your natural beauty.

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Josh Goldman, MD

John Brosious, MD

Taking the First Steps

If you are interested in learning more about facial feminization surgery, an essential first step is scheduling a consultation at our Las Vegas practice. We are a judgment-free zone and will extend warm and friendly care regardless of your appearance, expectations, or aesthetic goals.

During the consultation, your doctor will perform a physical examination, review your medical records, and confirm your eligibility for FFS. This consultation will also allow you to ask questions and go over the treatment plan.

What Procedures Are Involved in FFS?

Facial feminization surgeries are always customized to address your individual needs and help you achieve the feminine or nonbinary appearance you desire. Standard procedures for FFS include:

Chin Augmentation (Genioplasty) 

We can perform either a chin reduction or a chin extension, depending on your need. Your surgeon can perform a chin extension with implants, filler or fat transfer, or bone reshaping.

Jawline Reduction (Gonial Angle Reduction) 

If you desire a “softer” jawline, we can perform a procedure known as gonial angle reduction, which reshapes your jaw to achieve the desired look.

Brow Bone Reduction/Setback 

Your surgeon may perform a brow bone reduction to produce a smoother facial curve with a less prominent brow.


The facial feminization process often involves rhinoplasty, which your doctor may perform to alter the size and shape of the nose.

Hairline Lowering 

In addition to lowering the hairline, we can also refer you to specialists who offer full surgical hair transplants.

Facial Fat Grafting 

In keeping with our head-to-toe individualized care approach, we can also provide you with the opportunity to add volume to certain areas of your face via a fat graft.


A canthoplasty is an eyelid surgery that helps tighten the eyelids and change the overall eye shape for a more youthful and rejuvenated appearance.

Lip Lift 

A lip lift can create fuller or shapelier lips, a prominent feature that is often associated with feminity and youth.

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Recovery and Aftercare

Following any type of surgery, it is essential to allow your body some time to rest and heal. The specific recovery timeline will vary according to your facial feminization, but you should feel ready to resume your normal activities within a week or so.

Note that swelling and bruising are standard following facial surgery, which means that it may take several weeks or even months before the full results are evident.

You can anticipate some pain during recovery, and if you opt for rhinoplasty, there might also be significant congestion. Medications are available to help manage these symptoms.

What Are the Advantages of Having Multiple Procedures at Once? 

While having multiple procedures performed simultaneously may seem overwhelming, it can be advantageous. Combining procedures means that you only have to go through one recovery period, and you can achieve your desired facial appearance sooner rather than later.

You’re in Good Hands With VPSI

Vegas Plastic Surgery Institute is a full-scope plastic and reconstructive surgery practice, offering both head-to-toe reconstruction and cosmetic surgery. Our doctors and team abide by uncompromising standards to provide you with a high level of care and a positive experience in a judgment-free zone. Schedule a consultation at our Las Vegas office today at (702) 727-8500.