Facial Feminization


Gender dysphoria is the feeling or discomfort or distress that might occur in people whose gender identity differs from their sex assigned at birth or sex-related physical characteristics. Transgender and gender-nonconforming people might experience gender dysphoria at some point in their lives.

In 2014 Medicare removed the ban on insurance coverage for gender-affirming procedures. Since this time, we have seen an increase in the number of providers offering Facial Feminization Surgery, and the number of insurance companies willing to pickup coverage for these procedures.

The primary modifications made to the facial skeleton during Facial Feminization Surgery include a frontal sinus setback, orbital rim contouring, a chin reduction, and mandibular angle reduction. Additionally, malar augmentation is frequently performed, and tracheal shaves are common as well.

Dr. Chaiyasete chooses to use IPS Planning for his Facial Feminization Surgeries. This technique involves taking a pre operative CT scan of the patient’s head and converting the scan to a 3D model that allows modifications to be made, and surgical guides to be produced to aid in those modifications. Surgical guides enhance precision, and also allow Dr. Chaiyasete to tailor each gender transformation with direction from the patient.


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3555 W. 13 Mile Rd.
Royal Oak,MI 48073

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