Transgender women undergo incredible changes, major and minor, to feel like their appearance can finally match how they feel inside. For some, the process isn’t complete without cosmetic surgery to appear as feminine as possible. But what are their reasons to opt for facial feminization surgery?
Dr. Jeffrey Spiegel, now a renowned surgeon in the field of facial feminization, began developing his technique 16 years ago when a transgender woman first came to his office. Spiegel wasn’t sure what to do — and there was no medical literature to guide him.
The eventual procedure was a success, which led to a stream of referrals that changed his career. “I started thinking a lot about this interesting, unanswered question as to what makes a face feminine, and it became something I focused on,” he says.
We asked the Boston-based surgeon about why some women opt for FFS, and what the post-Caitlyn Jenner era holds.
What do transgender women want
Though Spiegel says many of his transgender clients do request “a stunningly gorgeous look,” most of them come in with one main concern — and it’s not about how they see themselves: “I want to be able to answer the door without makeup and have someone not say, ‘Good morning, sir.’ I want my facial gender cues to send the right message without having to put so much effort into it.”