Facial Feminization Surgery

Facial Feminization Surgery (FFS) at 2pass Clinic, your face in line with who you are

Your face is the first thing people see, and for many trans women it is also the most important aspect of their social and emotional recognition. Facial Feminization Surgery (FFS) can make a world of difference in this.

At 2pass Clinic we understand better than anyone how big that impact is. Our specialized surgeons offer high-quality FFS treatments, fully tailored to your unique facial structure and personal wishes.

Whether you want subtle adjustments or a complete transformation of your face, we will guide you step by step towards a look that better matches how you feel inside.

What exactly is Facial Feminization Surgery?

FFS is a collective term for surgical procedures that soften or modify male facial features, with the aim of achieving a more feminine facial expression. The treatments focus on
focuses on the bone structure, soft tissues and proportions of the face. The exact combination
of interventions varies from person to person, depending on your anatomy and your goals.

Interventions may include:

Forehead recontouring – flattening the upper bone structure for a softer eye area
Hairline correction – lowering and rounding the hairline for a more natural feminine profile
Nose job (feminizing rhinoplasty) – refining the bridge and tip of the nose
Jaw and chin recontouring – narrowing of the lower jaw and reducing a prominent chin
Cheek augmentation or implants – for more volume in the midface
Lip augmentation – optical shortening of the philtrum and enlarging of the lips
Eyelid correction – for drooping upper eyelids or a tired look

The goal is always a harmonious and soft facial shape that suits your gender identity — not necessarily “feminine” according to a universal standard, but in line with how you see yourself.

How is your FFS trajectory at 2pass Clinic going?

Every treatment at 2pass Clinic starts with a personal trajectory, completely customized. No standard solutions, but care on an individual level. This is what that trajectory looks like:

1. Consultation & preparation

During the first consultation, we will analyze your face and listen to your expectations. We will discuss your medical history, take measurements and look at your skin structure, facial proportions and bone structure. We will take the time to set realistic goals and clearly explain what is feasible. You will receive a proposal for the treatment plan, including the order of the procedures, recovery period and cost specification.

2. The operation

The operations take place in our own specialized clinic in Antwerp, with full medical support. Depending on the complexity, one or more sessions may be necessary. The interventions are performed under general anesthesia. We strive to combine multiple corrections in one round of surgery where possible.

3. Recovery and aftercare

After the procedure, you will remain in our clinic for a few days for observation. You will receive extensive aftercare instructions and we will plan the check-ups carefully. Swelling, bruising and temporary
numbness is normal, and usually subsides within a few weeks. The final
Results will be visible in the months following the procedure, when the swelling has completely subsided.

We are available throughout the entire process and will remain your point of contact after your stay.
recovery and any questions.

Why choose FFS at 2pass Clinic?

At 2pass Clinic we have years of experience in facial smoothing surgery, specifically for the transgender community. But we go beyond technique, we understand the
emotional impact of change and treat each patient with care, respect and attention.

Our strength:

Specialized team: our surgeons have performed hundreds of FFS surgeries
Personal approach: no standard package, but a tailor-made process
Modern facilities: operating rooms, recovery and accommodation in one clinic
Trans-friendly care: safe environment, inclusive of experiences with hormone use and gender dysphoria
International Patient Service: support with travel planning, overnight accommodation and translation if necessary

At 2pass Clinic we provide a total experience in which you feel safe, understood and supported.

What can you expect from the result?

FFS is not a superficial change. It can have a profound effect on how you experience yourself — and how others see you. Patients often experience significant increases in self-confidence, comfort in social situations, and reduced stress around misgendering.

The full results of FFS are usually seen after 6 to 12 months, when all swelling has disappeared.

The scars are placed as discreetly as possible and in most cases they fade well. Important to know: FFS changes your face, but not who you are. It actually strengthens who you are.
always was — visible and recognizable.

Do I Need Facial Feminization Surgery?

FFS can be a solution if you:

Are a trans woman who can't find a way to look in the mirror comfortably.
Are a trans woman who feels that certain facial features cause misgendering and you find this disturbing.
Are unhappy with some facial features that you would prefer to feminize.

Your “passing” can improve thanks to this surgery. It can help you to live confidently as the woman you are without having to worry about being spoken to incorrectly, for example. This was proven in a study in which 118 of our patients mapped their feelings about their passing before and after their FFS.

FFS can help people better express their true identity, making them feel better about themselves. This in turn can lead to more self-confidence and fewer social fears and phobias, which the LGBTQI+ community often struggles with.

Of course, no one could say it better than these former FFS patients themselves:

Testimony

What was your life like before and after FFS?

Quote from Munroe Bergdorf, former patient of 2pass Clinic:

There was a moment when I was afraid to leave the house. I didn't dare go out into the world and that's no way to live. That's when having facial feminization surgery (FFS) became really crucial for me.

I just wanted to live a life where gender dysphoria didn't affect me so much that I couldn't focus on work or be vulnerable in sexual situations. I wanted freedom.

Now I feel better than ever. I can leave the house without makeup and without fear of being attacked. I didn't realize how disturbed my body experience was until I had that operation. I also didn't know how much I was holding back when it came to intimacy. If you don't feel connected to your body, how can you build something with someone? When I got closer to myself, I was able to get closer to other people.”

- Munroe Bergdorf (at refinery29)

What can make a face look masculine?

There are 6 Major Differences in Facial Features that can make a face look masculine and can be addressed through Facial Feminization Surgery.

Your stay at 2pass Clinic

We will expect you the day before your FFS operation, and you will probably stay with us for a week. Our patient coordinator will welcome you and give you a tour of our guesthouse. And Petra, our very own permanent resident, is available 24/7 to help you. You will receive all the care you need to recover and can consider us your second home!

Petra was once one of the patients herself, so she knows exactly what kind of help you need. Every day she makes a delicious breakfast and serves fresh meals full of nutritious ingredients to help you get back on your feet.

Frequently Asked Questions (FAQ)

Am I suitable for FFS?

If you experience certain facial features as too masculine and want to bring your identity more in line with your appearance, FFS may be suitable. During the consultation we will discuss whether your anatomy allows this.

Are the procedures painful?

The procedures themselves are performed under general anesthesia. Afterwards you may experience swelling, pressure or sensitivity, but we always provide medication and guidance.

How long will I stay in the clinic after the operation?

On average, you will stay with us for 2 to 4 nights, depending on the extent of the operation(s).

How quickly will I see results?

After a few weeks you will see the first changes. The final result is only visible after complete healing — this usually takes 6 to 12 months.

Are the scars visible?

Our surgeons make the incisions as subtle as possible, often in the hairline or natural skin folds. They fade over time and are rarely noticeable.

Is FFS reimbursed?

Sometimes FFS is (partly) reimbursed by health insurers or in specific countries. Check with your own insurance company if this applies to you.

Is FFS the same as plastic surgery?

Although some techniques overlap, FFS is a specialty that goes far beyond cosmetics. It is about gender affirming care, with a strong focus on psychological impact.

Can I combine FFS with other operations?

Yes, depending on your health and goals, other treatments such as voice feminization or breast correction can be combined. This will be discussed during the consultation.

How long should I take off work?

We usually recommend a minimum of 2 to 4 weeks, depending on your activities and recovery rate.

Do I have to use hormones to do FFS?

No, FFS is also possible without hormone therapy. Long-term hormone treatment can affect skin structure and fat distribution, which we take into account in the planning.