Significant changes occur in an individual's face after testosterone therapy and the effects continue to be seen for approximately 1-2 years. Due to the powerful effects of testosterone, we recommend that patients wait until these changes plateau before seeking surgical treatment, as for many people, it’s not necessary.
Following this period, there may be specific areas of the face that feel incongruent or cause dysphoria. In this case, facial masculinisation surgery can be an option: this typically involves altering the framework of the facial skeleton. Implants may be used to create prominence in certain features (for example the jaw) or reduction of the bone and fat pads performed to make features less markedly female. Rhinoplasty surgery can also modify the projection and profile of your nose for a more masculine appearance.
