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The goal of facial feminization surgery is to reshape masculine features of the face to project a more feminine appearance.
The decision to have facial feminization surgery is extremely personal. You'll have to decide if the benefits will achieve your goals and if the risks and potential complications are acceptable.
Your mental health is very important. Surgery affects everyone in a different way. There is not enough research to say if facial feminization surgery will improve or worsen your mental health or improve or alleviate your gender dysphoria.
Facial feminization surgery is considered permanent and may be impossible to reverse. Some patients later report regret about their decision to have gender surgery. There is not yet good data on the number of patients who regret their surgery or choose to detransition afterwards.
Your plastic surgeon and/or their staff will explain in detail the risks associated with surgery. You will be asked to sign consent forms for each surgery to ensure that you fully understand the procedures you will undergo and any risks or potential complications.
There will be risks specifically related to each procedure you select, but generally, the possible risks of facial feminization surgery include, but are not limited to, bleeding, infection, poor healing of incisions, hematoma, failure of the bone to heal, prolonged swelling, implant migration, hair loss along the incision line and anesthesia risks.