Your first facial feminization consultation

Facial feminization is a key step toward having your face reflect who you are inside, and the first consultation makes a real difference in how you experience the whole process. At Instituto de Benito we offer you a private, safe and 100% personalized consultation at our centers in Barcelona, Madrid and Platja d’Aro, designed to listen to you and work out with you the plan you need.

What the first facial feminization consultation at Instituto de Benito involves

The first facial feminization consultation is a relaxed meeting in which you can share your story, your goals and your fears in complete confidence. It is when the medical team gets to know you, assesses your case in detail and proposes a realistic approach that respects your identity and your natural expression.

At IdB we see facial feminization as much more than a cosmetic change: it is a tool for aligning your outward appearance with your gender identity and improving your emotional and social well-being. That is why we combine medical rigor, advanced technology and exceptionally attentive care from the very first minute.

What is the consultation like, step by step?

1. What the consultation is like, step by step

First, we welcome you in a discreet, private, judgment-free setting. We talk about your journey so far (whether you have started social or hormonal transition or had other surgeries) and about how you currently see and feel about your face.

The aim is to understand which features cause you the most dysphoria or discomfort (forehead, eyebrows, nose, cheekbones, jaw, chin, lips, Adam's apple) and what kind of feminization you want: more subtle, more pronounced or focused on specific areas.

2. Detailed medical facial assessment

Next we carry out a full facial examination, analyzing the proportions and balance between the upper, middle and lower thirds of the face. We assess the bone structures (forehead, orbits, nose, chin, jaw), the soft tissues and the quality of the skin to understand which techniques can help you most.

Depending on the case, standardized photographs may be taken and, where appropriate, digital planning tools may be used to study possible changes and their overall impact on your expression. We also review your medical history, medication, allergies and habits (smoking, etc.) to make sure any surgery is safe.

3. Personalized plan proposal

With all this information, the specialist clearly explains the options available to you, from facial feminization surgery (forehead contouring, rhinoplasty, cheekbone, jaw and chin reshaping, Adam's apple reduction, lip lift, etc.) to complementary aesthetic medicine treatments. The idea is not to “do everything,” but to design the plan that best fits your anatomy, your expectations, your health and your stage of life.

We also discuss approximate recovery times, possible scars, risks, combining several surgeries in a single operation, and whether it would be useful to coordinate the facial plan with other body feminization treatments in the future. This gives you an overall view of your process, not just of one isolated procedure.

Specialized team and multidisciplinary approach

At Instituto de Benito you have surgeons with extensive experience in advanced facial surgery and feminization procedures, supported by anesthesiologists, aesthetic medicine specialists and other professionals when the case calls for it. This multidisciplinary approach helps achieve more harmonious, safer and longer-lasting results.

If you are on hormone therapy or following a gender-affirming program, this is taken into account in the surgical planning, coordinating timing and expectations. The goal is for your facial process to fit in with your overall transition journey, both physically and emotionally.

Before your first facial feminization consultation

Many people wonder whether they need to have “everything decided” before they come, and the answer is no: the first consultation is precisely for clarifying ideas, setting priorities and answering questions. It is also not essential to have started hormone therapy, although in some cases it can influence how the tissues behave and the ideal timing of surgery