Home > Physical > Facial Feminization Surgery > My surgery photos, 3/4ths
Facial Feminization for Transgendered Women
Photo series: Three-fourths angle
All performed by Dr. Douglas Ousterhout in San Francisco.
One 12/11/96 |
Two 12/23/96 |
Three 6/11/97 |
Four 2/2/98 |
Five 11/28/99 |
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1 day before forehead/trachea |
12 days after forehead/trachea |
6 months after forehead/trachea |
8 weeks after jaw/nose |
About 2 years after jaw/nose |
One: Once again, the before photo shows the receding hairline. Note how the eyes are thrown into shadow by the heavy brow bossing.
Two: Besides the trachea, the only thing that has changed between the first and second photos is from the eyes up. When I first saw myself after the bandages came off, I laughed and jumped up and down. The results were immediate and dramatic. Before surgery, I had determined in my case it had to be my first priority, but I had no idea what a difference the forehead work would make. I went from not passing to passing in 10 days. For me, this was easily the most important thing I did in my entire transition.
Three: Once the forehead and brow had time to settle, I was able to shape my brows. I was thrilled to be passing without a hat and with nothing more than a little mascara and powder. Granted, I was almost done with electrolysis and my voice is quite good. Electrolysis, voice and face are the holy trinity of passing!
A side note-- I worked as a male for another six months after the third photo was taken. People at work were stunned when I came out. Most had absolutely no idea it was coming. No one noticed I'd had any surgery, although some commented that I looked different. If you want to keep your transition a secret, believe me, it's actually quite easy, even with extensive facial surgery. When I hear people say "I was having a hard time passing as a male," I usually think they're just bragging. If I had to, I could have easily continued living in a male role indefinitely, and I'll go so far as to say I could even do it after SRS. Of course, I'd never want to, but my point is that you control your transition. More on this later...
Four: I put up this photo to show that settling occurs for about a year after jaw and nose work. Keep in mind I have on makeup in the last three shots.
Five: This photo gives a good sense of how my new nose works with my face. I get a lot of compliments on the nose. At first I wasn't that excited about my new nose, mainly because it wasn't that important for passing, in my opinion. I was much more concerned about how the jaw and chin would turn out. Changing the back angle made quite a difference, although it's not that dramatic in this photo.
You can see the difference in the angle of mandible and the striking improvement in the forehead and hairline. I had some complications with this chin, which I will discuss at length later, but I had that slight indentation just behind my chin filled in on both sides. While I'm pleased I had the jaw and chin done, it was not as dramatic in my case as the forehead. And where the forehead was perfect, the nose was good, and the angle of mandible was good, the chin was an improvement, but not ideal, in my opinion.
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Copyright 1998, 1999, Andrea James. All rights reserved.
Last updated: July 23, 2000.