Facial feminization, shaped patiently around the face you know.
Facial feminization planned feature by feature, unhurriedly, by surgeons who work only in gender-affirming care — never as a sideline.
About Face / FFS
Facial feminization and masculinization is deeply personal work. It might involve reshaping the brow bone and hairline, refining the nose, softening or defining the jaw and chin, adjusting the cheeks, or attending to the tracheal cartilage — sometimes one of these, sometimes several staged thoughtfully over time. What matters is not a checklist of procedures, but the face you recognise as your own when you look up from the mirror.
Because every face begins in a different place and moves toward a different vision, your plan is built slowly, around your features, your proportions and what you want others to see — or not see — when they meet you. Consultations are unhurried. Nothing is templated. And because our surgeons work only in gender-affirming care, the conversation moves in the language you already speak.
You are cared for in one discreet home from first consultation through recovery, with a private spa on-site so that healing happens away from public view. Dr. David N. Sayah brings more than twenty-six years of surgical experience to this work, with ABPS board certification and FACS fellowship credentials — held by a team that does this, and only this.
Why choose us
Every surgeon focuses exclusively on gender
affirming care never a sideline
Board
certified (ABPS) and FACS fellowship credentials
Facial, chest, body and genital surgery plus a private recovery spa under one roof
Facial, chest, body and genital surgery plus a private recovery spa under one roof
Meticulous, staged, unhurried planning built around one person
Meticulous, staged, unhurried planning built around one person
Frequently asked questions
Facial feminization is a considered, staged approach to softening and rebalancing the features of the face — often including work on the forehead and brow, nose, cheeks, lips, jaw and chin, and the tracheal cartilage — planned entirely around your own anatomy and how you wish to be seen. Because every surgeon here focuses solely on gender-affirming care, your plan is drawn unhurriedly with you rather than assembled from a template, and every stage is carried out under one discreet roof, recovery spa included.
Facial feminization is planned around your anatomy and goals, so pricing varies with the specific combination of procedures — forehead and brow, nose, jaw and chin, and so on — rather than a single flat figure. After your consultation, we provide a fully itemised quote that includes surgeon and anaesthesia fees, facility costs, and your stay in our private recovery spa, so nothing is left uncertain.
Facial feminization is rarely a single procedure — it's a carefully planned combination shaped around your face, so surgical time typically ranges from four to eight hours depending on which areas we address together. We prefer to give you an accurate estimate only after an unhurried consultation, so the plan reflects you rather than a template.