Facial feminization surgery (FFS) alters the face to create a more feminine appearance and is also referred to as facial gender confirmation surgery. Although facial feminization surgery is typical for transgender women or male to female (MTF) patients, it is performed on patients of all genders to soften their features. The procedure is individualized to meet the patient’s needs and may include jaw reduction and/or reshaping, chin augmentation, brow and orbital reduction, lip surgery, eyelid surgery or rhinoplasty. Adam’s apple reduction, neck liposuction and hairline feminization are often performed in conjunction with facial feminization surgery.