Facial Feminization Surgery Simulations

Facial Feminization Surgery Simulations

Dr Bart van de Ven makes Facial Feminization Surgery simulations to give you an idea of what your face might look like after an FFS. Dr Bart is the only FFS surgeon making his own FFS simulations himself by his own hands. This means his simulation are not only a ‘wishful thinking’ but surgically achievable according to the surgeon’s eye.

In the below example you see our patient Sarah’s before FFS picture, followed by the simulation picture, and at last her after FFS picture. Below, you will find more simulations by simply clicking on the patient’s picture.


Sarah Facial Feminization Surgery simulation

Sarah Facial Feminization Surgery simulation


  • The program used for simulations can only move existing features around. This means that if you have droopy eyelids, for example, those can not be simulated into the look after an eyelid correction (blepharoplasty).
  • Artificial unnatural look of mouth and lips—Due to technical issues with the program, there may be some deformation around the mouth or the eyes on the simulation. So this is not representative of any possible result of the surgery.
  • Dr Bart is a surgeon not an IT specialist—Dr Bart van de Ven is an FFS specialist, not an IT wizard.
  • No guarantees concerning the result can be claimed.


How can I acquire my own Facial Feminization Surgery simulation?

1 – Pictures only (50 euro)

With an FFS proposal request, Dr Bart van de Ven will make and send a simulation based on the pictures you upload, and give you a detailed overview of the costs.

Request your quote and simulation based on pictures only

2 – Pictures + Skype consultation (100 euro)

The Skype consultation combines the proposal request with a Skype consultation. During the consultation, Dr Bart van de Ven will answer all of your questions and give you his professional opinion on the procedures you might want or need. The available hours are the same as the Antwerp consultation below (every week, Monday, Wednesday, Friday).

Request your Skype consultation

3 – Live consultation (50 or 100 euro depending on the location)

Book a live consultation with Dr Bart van de Ven in Antwerp or one of the other cities he will be visiting. During your appointment, you will be able to address Dr Bart van de Ven with all of the questions you may have and he will give you his professional opinion on the procedures you might want or need.

  • Antwerp, 50 euro, Belgium (every week):
    • every Monday and Wednesday afternoon, and Friday morning
  • Amsterdam, 50 euro (every 6 months): Upcoming dates: 
    • Saturday April 13, 2019
  • London, 100 euro (every 3 months): Upcoming dates: 
    • Saturday February 16, 2019
  • Munich, 50 euro (every 2 months): Upcoming dates: 
    • Saturday January 19, 2019
    • Saturday May 11, 2019
  • Berlin, 50 euro (every 2 months): Upcoming dates: 
    • Saturday January 12, 2019
    • Sunday January 13, 2019
    • Saturday March 2, 2019
  • Zurich, 50 euro (every 6 months): Upcoming dates:
    • Saturday May 25, 2019
  • Vienna, 50 euro (every year): Upcoming dates:
    • Saturday November 2, 2019
  • Stockholm, 50 euro (every year): Upcoming dates:
    • Saturday February 2, 2019

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Worldwide consultations: 55.924586, 10.195313

All quote- and consultation fees are fully donated to the charity organisation of Dr Bart van de Ven.

Where can I see other patients’ simulations?

For more examples you can visit the pages of the patients below.

FAQ facial feminization surgery

How would the clinic deal with an emergency if serious complications were to arise during the procedure?

If a patient needs hospitalisation we would transfer her to the Middelheim hospital which is 8 minutes or 3,5km from our clinic.

We have had this situation 2 times in more than 700 surgeries. In case this would be because of a mistake from our side we have an insurance that covers the cost. More likely is that it happens without anyone having made a mistake. In that case most health insurances cover these costs.  If you don’t have a health insurance it’s your (financial) risk.

When can I judge the final result?

After three weeks you would look presentable but it takes at least 4 months to get a good impression of the final result. Sometimes after chin and jaw work it can take up to a year for the swelling to completely disappear. Scars take about a year to fully mature.

What type of care is needed after the treatment? Will I require check-ups in my own country?

All care in Antwerp is provided. In general no extra care is needed in your home country. Check-up with Dr Bart is after 4 months and can be in any city where Dr Bart van de Ven provides consultations.

What happens if there are complications after the procedure and is this covered?

We will correct the complication if surgically possible, without charging any surgical fees. Hospital, material and traveling costs are for the expense of the patient.

How long is the waiting time to book an operation?

The average waiting time for an operation at the moment is two months. For big surgeries it can be a bit more, for small surgeries often less. You can check availability through our online operation planner.

Is FFS painful?

There is no complete answer to this. It depends entirely on the pain threshold of the patient, and the operation procedures performed.Most procedures will involve the need for some incisions, and closure with sutures. Inevitably these will lead to some level of discomfort for some period post-operation. Mostly patients describe it as ‘uncomfortable’ rather then ‘pain’.

Can I loose feeling permanently in some areas following FFS surgery?

Some temporary numbness in any of the areas where bone work is done is an absolute certainty. That could include the scalp, forehead, chin, jaw or even cheek areas depending on where the surgery has been done. This is simply because the flesh is detached from the bony area. Several thousand minor nerves are severed, and it will obviously take some while for those areas to heal. Up to 18 months is not unusual, but less than that is more common.

How long will it take for the sensation in my face to return back to “normal”? What can be done to help?

Facial stiffness and a lack of sensitivity are both common factors after a Facial Feminization Surgery. Recovery time is different from patient to patient, but it can be expected that one will recover to “normal” parameters within six months to two years.

Is it safe to perform an MRI after FFS?

Yes, we use very small titanium screws and plates which are never a problem for an MRI. Also the bonecement does not contain metal.

I’m a bit overweight. What is the maximum BMI for elective surgery?

In principle the maximum BMI is 30. If your BMI is between 30 and 35 but you are in good health, your case is considered on an individual basis by our anaesthesiologist (fill out the anesthesiology form) and we also need Cardiopulmonary Exercise Test (CPET). If your BMI is higher then 35 we don’t operate, so you would need to lose weight.

When should I stop my HRT treatment?


You can continue your HRT treatment before, during and after your FFS. You will receive an anti-thrombotic injection the day before surgery to prevent blood clotting. We prefer you to continue taking your hormones because FFS is emotionally already perturbing enough without messing with your hormone balance.


Only for implant surgery of the buttock and hips we ask to stop one week before the surgery. The day after surgery you can continue your HRT treatment. This because this type of surgery implies some immobilisation (obliged) after the surgery. In this case the risk for blood clots is higher.

Will I have numbness?

The treatment areas will feel numb in the beginning. It will take 3-6 months to recover feeling, and you may not regain the same level of feeling as before.

Should I wait with FFS until I have taken hormones long enough?

The hormones will have their effect on the soft tissues of your face: the fat will redistribute and the muscles will atrophy a bit. Also the facial hair will diminish and hair to the scalp will become denser and thicker. All this will make your face look softer and more feminine.
Dr van de Ven will try to make your face as feminine as possible and there is no negative effect to your face becoming even more feminine after your FFS due to the hormones. Those last changes will be very subtle. Therefore Dr van de Ven does not see a reason to postpone FFS if you have only started taking hormones recently.

You still have another question? Feel free to ask! We will answer your question and if generally applicable add it to the FAQ of this page.