Facial Feminization Surgery FAQ

Frequently Asked Questions

What risks are involved with FFS?
FFS procedures are less extensive and carry less risk than GRS but still have all the same risks as any surgery procedure. Possible complications include bleeding, DVT/PE, infection, tissue necrosis, pain, loss of sensation, reduced vision, paralysis, scarring, swelling, and poor cosmetic results. Going to an experienced, qualified surgeon is a must.

Will FFS leave me with visible scars on my face?
Rest assured that your surgeon will do their best to conceal incision lines and prevent visible scarring. Discuss scars and how to prevent them with your surgeon but also remember that scars do fade.

How much does Facial Feminization Surgery cost?
Each FFS procedure has a different cost. For example, if you're only looking to have Rhinoplasty done you can pay as little as $3500. If your goals require more surgeries, your FFS journey will be more expensive.

Will my insurance or Medicare / Medicaid cover Facial Feminization Surgery?
Getting FFS covered can be challenging because it's often viewed as cosmetic surgery. Unfortunately, the current version of the WPATH Standards of Care have not devoted enough attention to FFS and its place within the field of transgender health care. This is a concern because of new developments in insurance coverage for transgender surgeries. However, more recently some people have managed to get FFS covered. If your insurance denies your coverage, gather evidence of medical necessity and file an appeal.

Is FFS done under gender anesthesia?
While some FFS procedures may not require general anesthesia (GA), several procedures are usually done in the same surgery, necessitating GA.

Will I have to stay overnight in a hospital?
The answer to this depends on what procedure(s) you're having. Many FFS procedures are done as outpatient procedures. Usually the patient stays in the hospital overnight, unless a simple outpatient procedure was performed. If you're having surgery that requires a hospital stay it probably won't be more than 1-2 days.

When can I go back to work?
Recovery depends on the number and type of procedures. At most you would need two weeks off.

What's FFS recovery and aftercare like?
Ice packs and cloth bandages can minimize swelling. Prescription pain medications are given initially along with antibiotics. Sutures are generally removed a week after surgery. Rhinoplasty patients may need a temporary nasal stent to prevent damage while healing. Read more about FFS recovery »