Cristina Betancor
Googlehace 11 meses
Encantada con el resultado y con el trato recibido por la doctora Marina y todo su equipo. Muy profesionales, atentos y cercanos en todo momento.
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Facial feminization: bring out your softest, most harmonious features
Align your appearance with your identity and take one more step toward feeling fully yourself.
From: 6.000 €
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Surgery duration:
4 to 8 hours
Initial recovery:
10-14 days
Synapta® protocol:
Included in Barcelona
Anesthesia:
General
Hospital stay:
1–2 nights in hospital
Social life:
2–3 weeks
What is facial feminization?
Facial feminization is a set of surgical and medical procedures designed to soften, harmonize and adapt the facial features toward a more feminine appearance, always respecting each person's identity and anatomy.
It is not about changing a face, but about precisely modifying bone structures and soft tissues (forehead, brows, nose, jaw, chin, cheekbones, etc.) to achieve a softer, more harmonious facial balance in line with the patient's gender identity.
Facial feminization surgery makes it possible to redefine proportions, soften pronounced angles and enhance typically feminine features, achieving a natural, personalized result with a very positive impact on self-image as well as on confidence and emotional well-being.
Types of facial feminization
Bone (structural) facial feminization
This focuses on modifying the bone structures of the face, such as the forehead, the orbital rim, the jaw or the chin. In many cases it is the foundation of feminization and allows a lasting change in facial proportions.
Soft tissue facial feminization
This works on the nose, lips, cheekbones, facial fat and contours, using surgical or minimally invasive techniques, to soften volumes and bring delicacy to the face.
Comprehensive or combined facial feminization
This is the most complete and most common option. It combines bone and soft tissue surgery in a single operation or in several stages, to achieve overall harmonization of the face with a coherent, balanced and natural result.
What does the facial feminization process involve?
Facial feminization is performed through a personalized combination of different surgical procedures designed to soften and harmonize the facial features. After an initial consultation, the surgeon selects the most suitable techniques based on the patient's facial structure and goals.
The most common procedures include rhinoplasty (nose job) to refine the nose, mentoplasty to soften or project the chin, jaw contouring to reduce pronounced angles, a brow lift to open up the eyes, and forehead reshaping. These surgeries can be performed in a single operation or in several stages, aiming for a natural, balanced result in keeping with a more feminine facial aesthetic.
Assessment and understanding
Assessment and understanding is a key stage in any facial feminization treatment. It consists of an individualized analysis of the face, taking into account bone structure, facial proportions and natural expression, as well as each patient's expectations.
A €80 payment is required in advance to book the appointment. If you cannot travel, the first visit can also be done by video call with the surgeon who would operate on you: it costs €50, which is deducted if you decide to have surgery.
Preparing for the surgery
Before surgery, a full medical assessment is carried out, including the tests needed to make sure the patient is in optimal health.
The surgery
During facial feminization surgery, different surgical techniques are combined to soften and harmonize the facial features, adapting them to a more feminine appearance.
Comfortable recovery
In Barcelona we apply the Synapta® protocol to make the post-op period more manageable.
Start seeing yourself the way you want to feel
As the weeks go by, you will see your face better reflect who you are, in a natural and balanced way, with a positive impact on your confidence and emotional well-being.
What is done in each area?
Facial feminization is not one operation but a plan that combines several. Which ones are included is decided at the consultation, area by area, and the price and operating time depend on that too.
Forehead and orbital rim
This is the area that most changes how the upper third of the face is perceived. The ridge that protrudes above the brows is reduced and the curve of the forehead is reshaped. Doing so also changes the point where the nose begins, so the two areas are planned together.
Brows
A slightly higher position and a more arched tail open up the eyes. This is usually addressed through the same approach as the forehead or with a brow lift.
Nose
Bridge, tip, base and nasolabial angle. It has its own plan and its own page, because it is the area with the most technical detail.
Jaw and chin
The jaw angle is refined and the height and width of the chin are reduced, which is what narrows the lower third of the face. This is the area that determines the soft diet and oral hygiene of the first few days.
Lips
A lip lift shortens the distance between the nose and the lip and makes the upper lip more visible. It is considered when the proportions of the lower third call for it.
Cheekbones and cheeks
Adding projection to the cheekbone and reducing the volume of the cheek changes how light falls across the face. Depending on the case, this is done with your own fat, with buccal fat removal (bichectomy) or by combining both.
Neck and double chin
Defining the cervicomental angle complements the work on the jaw; without it, the lower third can look unbalanced.
Before and after surgery in facial feminization
How much does facial feminization treatment cost?
From €6,000
Facial feminization surgery at Instituto de Benito ranges from €6,000 to €14,000. The range is wide because the procedure is fully personalized and can combine different techniques depending on each patient's needs.
As specialists in advanced facial surgery, at Instituto de Benito every treatment is planned to the highest standards of quality, safety and medical precision. The final cost depends mainly on:
- The number of areas to be treated (forehead, jaw, chin, nose, cheekbones, etc.)
- The type of surgical techniques required
- The complexity of the case
- The total operating time
Preoperative medical tests, the technology used, the type of anesthesia, the hospital stay and full post-op follow-up also play a part, resulting in a fully personalized quote for each patient.
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Are you a good candidate for facial feminization treatment?
Facial feminization is indicated for people who want to harmonize and soften their facial features so that they better reflect their gender identity, when these changes cannot be achieved with non-surgical treatments or minimally invasive procedures.
It is a treatment aimed at modifying facial structures and, in doing so, improving self-image and confidence, with a result that respects each person's anatomy.
- 01
Your face does not reflect who you are
You feel that your facial features do not fit your identity, and you want your outward appearance to be in harmony with how you feel inside.
- 02
Features that are too pronounced or angular
You want to soften bone structures such as the jaw, forehead or chin to achieve a more delicate, harmonious face.
- 03
You want overall harmonization of your face
You are not looking for a single isolated change, but for a balanced transformation of the face as a whole, keeping it natural and in proportion.
- 04
Gender transition or affirmation process
You are in a process of transition or affirmation and want your facial appearance to accompany and reinforce your identity.
- 05
You are looking for a stable, lasting change
You want a permanent result that is stable over time and looks natural, not temporary solutions.
- 06
You want specialized, safe treatment
You are looking for an expert medical team that offers you personalized, safe treatment with a respectful and professional approach.
Facial feminization before and after photos
Maddie, 32, patient from the United Kingdom
Facial feminization (forehead, nose, chin, neck lipo)
Daiana, 42, Barcelona
chin feminization
Valeria, 27, patient from the USA
Facial feminization (forehead, nose, chin, Adam's apple)
Faye, 43, patient from New Zealand
Facial feminization (forehead, nose, jaw, lips)
Aubrie, 36, Barcelona
Full facial feminization, rhinoplasty,
Alice, 42, Berlin
Facial feminization, cheek augmentation
What are the risks of facial feminization?
Bone surgery, and therefore irreversible
Facial feminization works on the bone, not just the soft tissues. That means the changes are permanent and cannot be undone, which is why informed consent is explained in detail and planning is done area by area before going into the operating room.
It is a long operation, four to eight hours depending on the plan, with a hospital stay. The risks depend on which areas are worked on.
Expected effects
- Marked swelling and bruising in the first two weeks, especially in the upper third of the face.
- Numbness of the forehead and scalp after forehead surgery, and of the lower lip after chin surgery. This is common and recovers gradually, over weeks or months.
- Difficulty chewing and with oral hygiene after work on the jaw or chin, with a soft diet for the first few days.
Less common risks
- Permanent change in sensation in the operated area.
- Injury to the facial nerve, with weakness of the muscles of facial expression. This is rare.
- Frontal sinus complications in reshaping of the orbital rim, which is why that area is planned with imaging beforehand.
- Voice changes if the laryngeal cartilage is operated on.
- Partial opening of the wound or infection.
- Asymmetries that require a second, corrective procedure.
Who is NOT a candidate: contraindications for facial feminization
| Contraindication | Reason |
|---|---|
| Active smoking | It compromises healing and the blood supply to the tissues. You are asked to stop four weeks before and four weeks after. |
| Uncontrolled systemic disease | Uncontrolled diabetes, high blood pressure, or heart or respiratory disease: these are stabilized before a surgery of this length. |
| Severe coagulation disorders | They increase the risk of hematoma in extensive surgery. They require a hematology assessment; anticoagulants are adjusted by the doctor who prescribes them. |
| Active infection, local or systemic | It is postponed until the infection has fully resolved. |
| Expectations that do not match what the surgery can do | Surgery softens the bony features that are perceived as masculine. It does not change your identity or guarantee how another person will read you. |
Our medical team in facial feminization
Instituto de Benito is a reference center in facial feminization surgery and advanced facial surgery.
The team tailors each treatment to the patient, with the aim of a natural result.
Dr. Emiliano Torres specialist in gender
Surgeon specializing in gender
«Facial feminization is not aimed exclusively at trans people; it may also be indicated for women who want to soften…»
View medical profile
Commitment to facial feminization
Safety is the cornerstone at Instituto de Benito. Everyone who undergoes facial feminization surgery goes through rigorous preoperative tests and thorough follow-up at post-op check-ups, which makes it possible to detect any possible complication early and act as effectively as possible.
The team follows defined medical protocols and plans each operation case by case, including the most complex ones.
Where to have facial feminization treatment
Book your facial feminization consultation
The first step is not surgery: it is a consultation with the surgeon who would perform your procedure. They will assess your case, answer your questions and, after the visit, give you the exact price.
The first consultation costs €80, which is deducted from the cost of surgery if you decide to have your procedure with us. You can also call us.
Related treatments
Frequently asked questions about facial feminization
What results can I expect?
A face with softer, more harmonious and more feminine features, while keeping your identity and a natural look. Full recovery comes gradually between 3 and 6 months, once the swelling has completely gone and the tissues have adapted.
How much does facial feminization surgery cost in Spain?
At Instituto de Benito, facial feminization surgery ranges from €6,000 to €14,000. The range is wide because it is not a single operation: the price depends on how many areas are worked on.
The factors that matter most are the number of areas (forehead, jaw, chin, nose, cheekbones), the techniques required, the operating time and the hospital stay. The plan is defined at the consultation and you are given an itemized quote.
Is facial feminization surgery painful?
Discomfort is usually mild to moderate and is effectively controlled with medication and our advanced recovery protocols. Most patients return to a fairly normal routine in 7–14 days, depending on the areas treated.
Will there be visible scars?
Incisions are planned in discreet areas or inside the scalp or the mouth whenever possible. Over time, the scars usually become practically imperceptible.
What are the risks of facial feminization surgery?
It is a safe surgery when performed in specialized centers by expert teams but, like any surgical procedure, it carries some potential risks.
At Instituto de Benito, safety is the priority and all procedures are performed under strict medical protocols, minimizing complications as far as possible.
Most common risks (and generally mild)
- Swelling and bruising: normal during the first few weeks, gradually disappearing.
- Discomfort or a feeling of tightness in the treated areas.
- Temporary changes in sensation in some areas of the face.
- Mild asymmetries while the swelling is going down.
- Fluid retention or prolonged edema in some areas.
- Uncommon risks
Uncommon risks
- Post-operative infection.
- Healing problems.
- Bleeding or hematoma requiring treatment.
- Adverse reactions to anesthesia.
- Need for a surgical touch-up in very specific cases.
How long do facial feminization results last?
The results of facial feminization are stable and long-lasting. The modified bones and structures do not return to their previous shape, although the face will continue to age naturally.
Will people be able to tell I've had surgery?
The goal is for what shows to be not surgery but a harmonious, balanced and natural face, consistent with your identity. Planning always seeks to avoid artificial-looking results.
When can I go back to work and normal life after facial feminization?
It depends on the areas treated, but in general:
- Quiet social life: from 10–15 days
- Non-physical work: between 10 and 20 days
- Physical exercise: from 4–6 weeks
Can it be combined with other treatments?
Yes. Facial feminization is usually a personalized surgical plan, which may include several techniques in a single operation or in different stages.
How long does full recovery take?
Social recovery is usually quick, but full recovery comes between 3 and 6 months, and in some cases up to 9–12 months in areas such as the jaw or forehead.
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Nora Haxha
Googlehace 1 año
Such a lovely team and experience! From my first visit to the online follow-ups, everyone has been so kind, caring, and professional. Dr. Neagu and Dr. García are truly exceptional I couldn’t feel in better hands. Thank you for everything! 🤍
Beatriz Perelló Gonzalo
Googlehace 1 año
La doctora Irene y su asistente Laura, me hicieron confiar desde el principio! Pero Los resultados superaron mis expectativas, me dejé llevar y ahora parezco 10 años menos, una piel increíble y me siento con mucha más confianza. 1000 recomendable! La doctora es un amor
Teresa Pacho
Googlehace 1 año
Trato profesional y cercano. Excelencia en la cirujana Marina Garcia y todo el equipo. Honestidad en la comunicación.
Dolores Peñalver
Googlehace 1 año
Mi experiencia en el Instituto de Benito ha sido excelente. Agradecer a la Doctora María Gijón y a todo su equipo por su gran profesionalidad y por ayudar a los clientes ante cualquier duda o aclaración
Marisa Canseco
Googlehace 1 año
El doctor Fernández y su enfermera Cristina son profesionales excelentes y dan un estupendo trato. Los recomiendo al 100%. Los resultados se ajustan totalmente a lo que se comprometen.
Sandra TB
Googlehace 1 año
Agradecer enormemente a la Doctora Marina por el trato durante todo el proceso y por el resultado final. Mi experiencia ha sido maravillosa. Agradecer también a Montse por hacer que esto sea posible.
julia juan fornes
Googlehace 1 año
La Dra Marina Garcia muy profesional y transmite muchísima confianza desde el primer momento.
Maragda L
Googlehace 9 meses
Mi experiencia ha sido de lo mejor, me he sentido totalmente cuidada en todo el proceso de mi operación desde Mónica siempre atenta a mis consultas, hasta las chicas de los masajes y cómo no, con el doctor Orestes Fernández con quién me he sentido acompañada en toda la operación y sobre todo recuperación. Sin duda...
Paula Roldan Martinez-checa
Googlehace 10 meses
La Doctora Marina Garcia es totalmente un acierto. Sinceridad desde el primer momento, te escucha y te aconseja conforme tu idea y de manera que quede lo más natural y bonito posible, siendo siempre realistas. El resultado totalmente bonito, más natural y mejor de lo que incluso yo me pensaba. Una recuperación súper...
Susi Rodríguez Suárez
Googlehace 1 año
La Dra. Marina es maravillosa. Un equipo de profesionales de 10.
Carlos rubio miguel
Googlehace 1 año
Profesionales excelentes con un trato personal inmejorable. Muy recomendado!
Soraya Araujo Criollo
Googlehace 1 año
La profesionalidad de todo el equipo hace que te sientas segura a la hora de pasar por quirófano. Además en mi caso llevo yendo con Eva desde hace casi 8 años y no puedo estar más contenta.
Maria Roig
Googlehace 1 año
Encantada con todos los profesionales de IdB, especialmente con la Dra Marina, Julia y Mónica. No he podido estar en mejores manos. Gracias por todo. Muy feliz con el resultado!
Ana Alvarez Soto
Googlehace 1 año
Mi experience en Instituto de Benito ha sido excelente. El Dr Neagu es una persona estupenda, gran profesional y el trato es entrañable. Tiene un equipo muy competente trabajando con él y siempre me han acompañado durante todo el proceso de una manera impecable.