This document discusses various facial feminization procedures including tracheal shaves, mandible contouring, rhinoplasty, and cheek augmentation. It notes that women typically have less prominent larynxes and different larynx shapes than men. It also discusses immediate and long term results of these procedures and achieving a natural feminine appearance through subtle changes.

1. Tracheal Shave
• Women have a less
prominent
“adam’s apple”.
• The larynx is a
different shape
and dimensions.

2. How do we do this safely?

4. Tracheal Shave / Laryngeal
Cartilage Shaping
Immediate
Results /
Safe
Voice

5. Nose / Tracheal Shave
6 days later

6. Cheek Surgery
• Augmentation
• “Scarless”
• Why do we do this?

7. Mandible Surgery (Jaw)
• Angle of Mandible:
thick muscle / flared
bone
• Options: Bone Resection
Muscle Resection
• New: botox, steroids – in the office.
• New – contouring of chin tissue.

9. Mandible Surgery (Jaw)
• MENTOPLASTY
• Male: wide / high
• Female: narrow, short,
pointed
• Options: implant,
osteotomies

10. Rhinoplasty
• Bone and Cartilage
• Goal:
Refine
Reduce size /
protuberance
Fit the Forehead

11. What about the scar and the
hairline? What about the jaw?

12. Natural Shapes

17. Long Term Results

21. Natural Augmentation

23. Natural Rhinoplasty
6 Days Later

24. 6 Days Later

25. 6 Days Later

29. Two Months Later – Notice Lip / Eyes / Nose / Trachea

39. Before

40. After

42. Natural Results

46. Face, Forehead, Chin, Nose
6 days later

47. Face, Chin, Neck, Nose

52. Forehead, Nose

53. Two months

54. Feminization / Beautification

55. So, what can we do now?

56. Happy women!

57. What is Feminine?

58. Thank you!
Jeffrey.Spiegel@bmc.org
info@DrSpiegel.com