Words from a patient
A patient sent me this by e-mail. I couldn’t explain better what FFS is about:
My whole life i have known that inside i am a woman, and not a man. The last two years my shrink and I have been working on my transition from man to woman. My mental health is fine, just my outside appearance is not (in my opinion). For me it is not enough to know that I’m a woman, I want total strangers to think I’m a woman too since strangers make up an important part of your life (shops, services, etc).
My goal has always been, that when I walk into a store (where nobody knows me) they all think that I’m a women and greet me with Miss and not Mister without a shadow of a doubt. Passability to me is a big thing, probably to most transgenders. My family, friends and co-workers all know I feel inside like a women, and will probably accept me as a woman regardless whether I do FFS or not.
To me FFS is the most important surgery, and not SRS which results will be invisible for most people. FFS however will be visible to all.
It will mark a restart of my life, a new one…”
In the last 2 years some genetic women have come to me with the question if I would also operate them, which I did. Many genetic women have some masculine features in their faces as well. It can be some frontal bossing with low eyebrows, a receding hairline with widow peaks, a hanging tip of the nose, sometimes with a hump, a flat midface, a wide and/or high chin, low jaw angles, long upper lip, small vermillion of the lips, large ears or just earlobes etc. Over the years normally the face looses some subcutaneous fat. With that fat disappearing these masculine facial features, that are caused mostly by the shape of the bones, become more visible. That is why many women, as they grow older, start to look more and more like their father. Facial feminisation surgery, done either at a young or an older age, can take away these masculine features. It makes these faces not only more feminine, but also younger and more attractive. Therefore facial feminisation surgery is to be considered a new type of facial plastic surgery.