Dear Joyce:

I enjoyed meeting you at this year’s First Event in order to discuss facial feminization options. As we also discussed on a phone call in December, I believe that you would benefit greatly by undergoing an endoscopic biplaner browlift that will reduce the height of your forehead, lift your eyebrows, advance your scalp and sculpt your bone with burring. The biplaner approach does leave a fine scar in front of the hairline. The sensation to the scalp is preserved, however, and fat grafting is also performed to reduce the temporal hollowness and give the forehead a rounder, more feminine appearance. This would be combined with an upper and lower eyelid blepharoplasty, Medpor cheek implants, a vertical lip lift, a feminizing rhinoplasty and septoplasty, chin bone burring with soft tissue reshaping, a tracheal shave and a retroauricular variant neck and jawlift. Fat grafting to the lips would complete this. We also discussed otoplasty (ear pin back). This combination of procedures will give you a more beautiful, refreshed, youthful and naturally feminine appearance.


  1. Feminizing biplaner endoscopic browlift with orbital rim burring/scalp advancement and temporal fat grafting
  2. Upper and lower eyelid blepharoplasty
  3. Feminizing rhinoplasty/septoplasty
  4. Medpor cheek implants thru a lower eyelid approach with screw fixation
  5. Chin bone burring with soft tissue reshaping, tracheal shave and a retroauricular variant neck and jawlift
  6. Vertical lip lift
  7. Fat grafting to the lips folds
  8. Otoplasty (pin back of ears)

See also
Alexandra’s virtual FFS assessment of my face
Dr. East’s surgical assessment
My consultations with Drs. East and North in Boston in January 2008