Facial Procedures

Below are the surgical options for transgender patients. Gender affirmation surgeries are performed by a team that typically includes a range of surgeons: plastic surgeons, urologists, ear nose and throat surgeons and gynaecological surgeons. The goal is to affirm the physical appearance and functional abilities of the gender that they identify as. Not all transgender people will undergo surgical intervention  and pathways for gender affirmation differ widely, depending on the individual, their goals, their health and their needs.

Note: Gender affirming surgeries are not specifically identified within the current Medicare Benefits Schedule, some may be an option for a Medicare rebate but this is often unclear. Gender affirming surgeries are often also restricted in the state-based public hospital services of Australia. ASPS are active participants in the Australian Collaborative on Access to Gender Affirming Medical Services (ACA-GAMS). The purpose of the Collaborative is to work towards improving access to gender affirming surgeries and health related services.

Any surgical or invasive procedure carries risks.

  • Feminising/masculinising facial surgery, remodelling of forehead and orbits
  • Feminising/masculinising facial surgery, one or more mandibular ostectomies and mandibular reshaping if undertaken
  • Feminising/masculinising facial surgery, insertion of facial implants or bone grafts
  • Feminising/masculinising facial surgery, soft tissue surgery including skin advancement or local flaps to forehead or lips and including fat grafting

This may be part of your gender affirming care to create a more feminine face. It may or may not involve one or a few of the following: re-shaping of the forehead, eyebrows, nose, jaw, throat and cheeks. It may involve reducing the appearance of the ‘Adam’s apple’.

This may be part of gender affirming care to create a more masculine face. It may or may not involve one or a few of the following: re-shaping of the forehead, eyebrows, nose, jaw, throat and cheeks. It may involve creating an appearance of an ‘Adam’s apple’.  This may involve insertion of implants or fillers. It may be single stage but is usually a multistage procedure depending on the patient’s desired outcome.

This website is intended to provide you with general information only. This information is not a substitute for advice from your Specialist Plastic Surgeon and does not contain all the known facts about this procedure or every possible side effect of surgery. It is important that you speak to your surgeon before deciding to undergo surgery. If you are not sure about the benefits, risks and limitations of treatment, or anything else relating to your procedure, ask your surgeon to explain.

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Further Information