Face and Body Masculinization
Face and body masculinization are the procedures that reshape the parts of you that testosterone doesn't fully change. They sit apart from top and bottom surgery: they're a personal choice rather than a step on any legal or medical pathway, they're usually self-funded, and most trans men who have them do so a few years into transition, once they can see what testosterone has done.
That's because hormones do most of the work. Over the first two or three years on testosterone, fat redistributes away from the hips and face, the skin thickens, the beard comes in, muscle mass increases and the voice drops. What it leaves mostly alone is bone. Most surgeons won't operate on the face or body until you're well into that and the changes have settled, so they aren't chasing a target that's still moving.
Facial masculinization covers the forehead and brow, jaw and chin, cheeks, Adam's apple, nose and hairline. It's specialised craniofacial work, done by a small number of surgeons, and the results are permanent and highly visible, so surgeon choice matters more than usual.
Body masculinization is mostly liposuction and contouring of the hips, flanks and abdomen, plus pec implants for people who want more chest volume after top surgery. It's closer to mainstream plastic surgery, so more surgeons offer it, but it can't change bone.
New to FTM surgery?
Start with the guide: every procedure, the order most people take them in, and what to expect from consultation to recovery.
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