When discussing the cost of facial feminization surgery, it cannot be reduced to a single number. Facial feminization is not a single treatment, but a set of procedures and surgical techniques that allow a person to harmonize their face with their gender identity through a personalized plan.
To understand the cost of facial feminization surgery, factors such as the medical team’s specialization, the quality of facilities (operating rooms and patient rooms), pre- and post-operative planning, and ongoing follow-up must be considered. Ultimately, determining a price means focusing on investing in your safety and health.
What is Facial Feminization?
Facial feminization surgery (FFS) is a set of surgical procedures aimed at harmonizing features that, due to the influence of testosterone during puberty, may be socially interpreted as masculine. The goal is not to “change your face” or create uniformity among faces, but to soften facial angles, balance proportions, and support gender identity while maintaining naturalness.
It is important to emphasize that facial feminization surgery does not pursue a generic aesthetic ideal, but rather coherence among facial features and harmony in the results.
What Can You Achieve with Facial Feminization?
When we talk about a “masculine face” versus a “feminine face,” we are not referring to a single facial model. There are anatomical trends that differ due to hormonal influences during development. For this reason, facial feminization surgery is primarily sought by trans women or non-binary individuals who did not undergo hormonal blockers during puberty.
The cost of facial feminization also varies depending on the areas treated to soften sexual dimorphism:
● Upper third (forehead and eyebrows): Feminization in this area aims for a more open gaze and a rounded forehead. This includes forehead contouring (price varies depending on technique), forehead reduction, hairline advancement, or hair transplantation as part of facial feminization.
● Eyes: The position, tilt, and shape of the eyes or eyebrows, or a more open gaze, can be part of an individualized facial feminization plan through blepharoplasty.
● Nose: Feminization of the nose usually involves a feminizing rhinoplasty (price depends on bone structure), aiming for proportions harmonious with the lips and chin.
● Middle third (cheeks and facial contour): Some faces benefit from more pronounced cheek projection or a smoother transition to the cheeks, achieved via cheek implants, fat transfer, or aesthetic medicine, depending on the case. To slim the face and highlight the cheekbones, bichectomy is often performed.
● Lower third (jaw and chin): The jaw is one of the most socially significant markers. The angles (anguloplasty softens and rounds the angles) and chin width/projection (feminizing genioplasty) are treated to achieve a softer contour.
● Neck (laryngeal prominence): When a prominent “Adam’s apple” causes dysphoria, it can be addressed surgically through tracheal shave (price included depending on the surgical plan).
● Lips and perioral area: The proportion between the nose base, upper lip, and visible teeth at rest also greatly influences facial perception. In appropriate cases, a feminizing lip lift (price depends on complexity) enhances projection and femininity without artificial fillers.
Why There Isn’t a Single Price for Facial Feminization
The cost of facial feminization surgery varies because each person requires a tailored surgical plan. It is not a “fixed package,” but a personalized strategy. Other factors can also influence the price of facial feminization:
Number of Techniques and Scope of the Plan
The budget changes depending on the number of areas included in the facial feminization surgery. A plan for nose and chin alone is not the same as a comprehensive surgery including forehead, jaw, tracheal shave, and hair transplant.
Complexity of Procedures: Bone vs. Soft Tissue
Bone procedures (like forehead contouring) require more operating time and planning than soft tissue procedures, which affects the cost of facial feminization.
Single-Stage vs. Multi-Stage Surgery
Dividing facial feminization into multiple stages or performing it in a single procedure affects operating room, anesthesia, and hospitalization costs.
Other Factors That Influence the Cost of Surgery
This is the part most often overlooked when comparing quotes between clinics “on paper.” Two clinics may perform similar techniques but offer very different experiences, teams, results, and facilities. This inevitably affects the price.
Planning and Diagnosis
Facial feminization should not be approached as a “menu of surgeries,” but as a complete facial diagnosis. At IM GENDER, in Madrid and Barcelona, we know that a good FFS plan includes proportion analysis, measurements, bone and soft tissue evaluation, skin quality, symmetry, and—most importantly—a clear conversation with the surgeon about goals, limits, and priorities. In short, it’s not just about what you want to hear.
Operating Room, Hospital, and Anesthesia
Facial feminization can involve long procedures, especially when bone work (forehead, jaw, chin) or extensive combinations are included. Costs are not just “fees”: they include hospital infrastructure, anesthesia team, materials, monitoring, and safety protocols.
The surgical environment matters: operating in a highly specialized setting with strict standards is not the same as doing so in facilities with less support. Admission type, pain control, post-anesthesia monitoring, and emergency readiness are part of the true value of the process—and directly affect the budget.
Team Experience and Specialization
Facial feminization is not just rejuvenation or facial harmonization; it requires thorough knowledge of sexual dimorphism to accurately interpret each face as a whole. This helps determine which areas are socially significant, how to balance upper, middle, and lower thirds, and how to avoid unnatural or disproportionate results.
Specialization is not just about performing many surgeries, but developing professional expertise through study and experience to achieve natural, balanced results.
Multidisciplinary Team
Another key difference between clinics is whether the treatment is supported by a broad team or handled by just a few people. At IM GENDER in Barcelona and Madrid, in addition to the surgeon, our teams include care coordinators, specialized nursing, structured post-op follow-up, and patient support.
This does not just improve “service”—it reduces uncertainty and enhances responsiveness, significantly impacting the cost of facial feminization. When a patient knows who to consult, what is normal, and what is not, recovery is safer and more predictable.
Postoperative Follow-Up
Postoperative care is not an extra or “courtesy detail.” It is an essential part of treatment and the final result. In facial feminization, follow-up includes check-ups, inflammation and bruise management, scar care, hygiene and medication guidance, and functional recovery advice (sensitivity, stiffness, temporary discomfort).
A well-structured follow-up requires availability, organization, and expertise to distinguish expected outcomes from complications. At IM GENDER, care continues well beyond the operating room, with clear guidance and planned check-ups for at least one year. Patients also have 24/7 phone access for emergencies and a dedicated consultation channel for questions during recovery.
Personalized Budget
The cost of facial feminization should always be personalized after an individual assessment. Rather than seeking “a number,” look for a team that provides guarantees, follow-up, and natural results, like IM GENDER. That is what turns a price into a safe decision.
Want to know the price of your facial feminization? Schedule an initial consultation at IM GENDER (Barcelona or Madrid) and we will design your personalized surgical plan.
