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We accept all private insurances
Facial feminization surgery (FFS) is an essential part of gender-affirming care for many transgender, nonbinary, and gender nonconforming individuals. For those experiencing gender dysphoria, these procedures can play a significant role in improving mental health, confidence, and overall quality of life.
Today, FFS may be covered by insurance depending on the provider, policy, and medical necessity requirements. At Feminization Surgeries we accept all private insurances.
Patients also have the option to pursue surgery through out-of-pocket payment or financing when coverage is limited or unavailable.
Dr. Javad Sajan works with both insurance-based and self-pay patients, offering flexible options so individuals can move forward with care based on their needs, timeline, and financial situation
Insurance coverage for facial feminization surgery has expanded in recent years, especially as gender-affirming care becomes more widely recognized as medically necessary.
However, coverage depends on several factors:
Many insurance carriers require:
While insurance can generally reduce upfront costs, the process may take time due to approvals, documentation, and coordination between providers.
All packages include fees associated with the surgeon, anesthesia, operating room facility fee, bandages, and facial bra (compression garment). Also, the below packages are not the only possible facial feminization surgeries available. Dr. Sajan customizes each procedure to the patient and their goals and patients can modify their surgical plan, where appropriate. The prices include surgically removing the forehead skin and advancing it, if you desire an immediate hair transplant at the same time as FFS, additional costs will apply. We are one of the only surgical practices in the world that offer immediate hair transplantation at the same time as your FFS.
$35,000
$42,000
$45,000
$50,000
$55,000
$65,000
$70,000
PackagesProcedures |
A | B | C | D | E | F | G |
|---|---|---|---|---|---|---|---|
| $35,000 | $42,000 | $45,000 | $50,000 | $55,000 | $65,000 | $70,000 | |
| Hairline lowering | |||||||
| Brow bone reduction with titanium plates, type 3 | |||||||
| Orbital bone reduction | |||||||
| Brow lift | |||||||
| Gender affirming rhinoplasty with dorsal hump reduction | |||||||
| Mandible chin bone reduction | |||||||
| Mandible jaw bone reduction | |||||||
| Tracheal shave with micro drill contouring | |||||||
| Lip lift | |||||||
| Midface lift |
*Packages E,F, & G include overnight admission with nursing care at our facility.
For patients who are not paying fully out-of-pocket or are waiting on insurance decisions, financing can make facial feminization surgery more accessible. Many patients choose to spread the cost over time using trusted medical financing providers.
Common financing options include:
These financing solutions allow patients to move forward with surgery without needing to pay the full cost upfront. Monthly payments, promotional interest rates, and flexible approval criteria make these programs a practical option for many individuals.
Beyond the benefits of undergoing FFS, there are different options to paying for the surgery out-of-pocket instead of going through insurance. While this may not be possible for all patients, it is a unique opportunity for patients without health insurance, those who do not want to go through the hurdles encountered with insurance, or who want surgery as soon as possible to get FFS. Some of the benefits of paying out-of-pocket for FFS include:
An FFS procedure can involve a combination of several procedures. Therefore, each facial feminization surgery can look completely different. Not all patients will need all of the procedures listed below, but they include the most common procedures Dr. Sajan performs during FFS.
People assigned female at birth tend to have lower hairlines and unlike men, when they lose hair, it normally does not involve a receding hairline. Thus, during hairline lowering Dr. Sajan will essentially create a new hairline lower on the head and remove the skin between the current hairline and the new one. Occasionally, hair transplantation is also involved for the best possible result.
Along with hairline lowering, some patients prefer a hair transplant to create a more feminine hairline and support long lasting results. This is not necessary for all patients, but it can help round out the hairline and sometimes replaces the need for a hairline lowering procedure.
The brow bone sits roughly even with the eyebrows. However, people assigned male at birth have brow bones that protrude further outward whereas people assigned female at birth have a more naturally sloping forehead without an overly prominent brow ridge. During a brow bone reduction, Dr. Sajan reduces the protrusion of the brow bones to achieve a more feminine appearance to the upper face. He also places titanium plates to keep the reconstructed frontal bone in place and maintain results.
The orbital bones—which make up the eye socket—also tend to protrude forward on a male face. An orbital bone reduction reduces the protrusion of the upper portion of the orbital bone structures. This is frequently done with a brow bone reduction to create a perfectly smooth contour.
Traditionally, a brow lift is an anti-aging surgery. However, there are some cases where the eyebrows may require a slight lift even without a brow bone reduction. This can occur with or without a brow bone reduction. Unlike the version of a brow lift that corrects aging, this brow lift generally removes less skin.
A nose job can make up an important part of FFS for some patients. Men usually have bigger noses than women. Dorsal humps—humps on the bridge of the nose—are more common in men. Thus, during an FFS, rhinoplasty can play an important role in overall feminizing the face.
A midface lift elevates the cheeks to accentuate the natural structure of the face. Women tend to have larger cheeks than men. Therefore, lifting the fat of the cheeks and removing skin strategically can create a more feminine and defined cheek appearance.
A lip lift is a procedure that reduces the distance between the upper lip and the nose. While there are only a few millimeters of difference between men and women in this area, lifting the lip upward can help feminize the lips and lower face. Additionally, it may help enhance the shape of the top lip.
The ideal male and female chins both tend to fall in line with the rest of their features. However, in general, men have bigger chins and with the reduction of other features such as the brow bones and nose, the chin may need adjusting as well. During a mandible chin bone reduction, Dr. Sajan shaves down the chin bone to better reflect the rest of the patient’s facial features.
Jaw shape is a major difference in gender expression. Men prefer jaws that may protrude outward more and take on a straight, square shape. A woman’s jaw is subtler and smaller with a soft curve down to the chin. Dr. Sajan may shave down wide jaw bones to take on a more feminine appearance.
The Adam’s apple is a structure that males have that is absent in cisgender females. While the structure cannot be safely removed during facial feminization surgery, Dr. Sajan can use a tiny drill to gently shave down the cartilage to reduce the appearance of the Adam’s apple.
Dr. Javad Sajan is a plastic surgeon who specializes in gender affirming surgeries, including facial feminization surgery. Alongside his normal plastic surgery practice, Dr. Sajan works with transgender and gender non-conforming patients to help them achieve the ideal version of themselves to treat gender dysphoria. Dr. Sajan does work with insurance for FFS, but he also offers patients the opportunity to pay outright for their procedures at a significant discount.
To learn more about out-of-pocket facial feminization surgery, call us at 206.990.0060. You can also reach out via the contact form and chat.