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    Feminizing the face


    Feminizing the Face

    Soft-tissue surgical options include upper and lower blepharoplasty, rhinoplasty, facelift and neck lift. “Although these are somewhat standard procedures, if used appropriately they can really feminize and make the face more attractive,” Dr. Mardirossian notes.

    For example, some women present for rhinoplasty. “They say ‘I want to look more attractive. What can you do for my face and what can you do for my nose, in particular?’” Dr. Mardirossian relates. “We can work on the tip and create a gentle scoop of the nose and refine its structure to make the nose look more feminine.”

    Bone-contouring options include cheek contouring, mandibular contouring and forehead contouring. “These are procedures that are very safe and change the contour of the bone,” Dr. Mardirossian says. “They are core procedures within the realm of facial contouring.”

    Patient shown before and after mandible contouring for facial feminization. Photos courtesy Dr. Vartan Mardirossian.

    Some women are unhappy with how the angles of their jaw protrude. “With mandibular contouring, we can reduce those angles and make their face more heart-shaped and attractive,” Dr. Mardirossian says.

    For adding volume to the cheeks, Dr. Mardirossian often uses injectable fillers but sometimes employs fat or facial implants instead. Such cheek augmentation places the accent on the eyes and makes the eyes more visible. “It also adds volume and contour to the upper cheeks,” Dr. Mardirossian says. “Whereas fillers create just volume, facial implants create both contour and volume.”

    Likewise, because the lips in a younger woman reveal the upper teeth, “you want to create a full, kissable lip by performing a lip lift with or without augmentation of the lips,” Dr. Mardirossian says.

    To enhance the center of the face, the eyes, one nonsurgical option is Botox to the forehead and around the eyes. “If there is a little bit of excess skin of the upper eyelid, a [Botox] browlift can easily take care of that,” Dr. Mardirossian says.

    Other options include injectables for the lower and skin tightening procedures with radiofrequency energy.

    NEXT: Patient Education


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