What is it about?
This video article details a common surgical method used in facial feminization or gender-affirming surgery to soften and reshape the upper face, specifically the forehead, hairline, and eyebrows. For many transgender women and transfeminine people, facial features like a high forehead or a heavy, low brow can contribute to a more masculine appearance. To address this, surgeons often perform a combined procedure. The technique described in the video involves three main steps to achieve a natural-looking result, which include: 1) advancing the hairline forward to lower it and reduce forehead height; 2) performing a brow lift to raise and arch the eyebrows into a more feminine position; and 3) making a small release at the outer corner of the eye to ensure the brow lift looks balanced. The overall goal is to create a softer, more feminine contour for the upper face that aligns with an individual's gender identity.
Featured Image
Photo by Amanda Dalbjörn on Unsplash
Why is it important?
Our video article fills a specific need in a fast-growing field, which is that, as more transgender women or transfeminine individuals seek facial feminization surgery, there is a high demand for clear, practical information. Many resources discuss the overall goals of surgery, but our work provides a clear, step-by-step guide to the specific techniques for softening and reshaping the forehead, hairline, and eyebrows. These procedures are vital for creating a natural, feminine result, but are often not explained in detail. By sharing this accessible "how-to" approach from an experienced surgical team, we aim to help more surgeons and surgical teams learn these methods. This work is also valuable to anyone considering gender-affirming facial surgery who might want to better understand the expected surgical outcomes.
Perspectives
Being part of the surgical team that performs this work, creating this video article was deeply meaningful. Gender-affirming surgeries help people align their outer appearance with their inner sense of self, which can be a profoundly transformative experience. My hope is that by sharing the steps to this procedure, we can help more surgical teams provide safe, effective, and natural-looking results for patients, ultimately expanding access to this vital aspect of gender-affirming care.
Dr. Christopher P. Kruglik
Emory University
Read the Original
This page is a summary of: Hairline and Brow Management in Facial Feminization, FPSAM Video Journal, January 2026, SAGE Publications,
DOI: 10.1177/27719650261422040.
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