Facial Feminization Surgery (FFS) refers to elective surgical procedures to alter a 'masculine' face to become a 'feminine' face. FFS comprises bony and soft tissue surgery of the face and trachea but generally not regarded to include facial hair removal and hair transplants, though a case could be made for their inclusion as well.
The surgical techniques come from soft tissue plastic surgery, maxillofacial surgery, and reconstructive surgery. During the 1980s to 1990s, the field was pioneered by maxillofacial surgeon Douglas K. Ousterhout in U.S.A. Since 2000, it has also been developed independently by reconstructive surgeon Suporn Watanyusakul in Thailand. Apart from these practitioners who perform surgery nearly exclusively upon transsexuals, it has also been taken upon by other maxillofacial and plastic surgeons as part of their practice, notably by Noorman van der Dussen in Antwerp, Belgium.
Though the skills required of this surgery are less esoteric than male-to-female genital sex reassignment surgery (SRS), there seems surprisingly fewer highly experienced and skilled surgeons than those practicing SRS. As of 2003, FFS has become an increasingly sought field of expertise by the international transgender community with many support groups worldwide.
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