Facial features play an important role in how gender is perceived. For many transgender women, non-binary individuals, and gender-diverse patients, achieving facial harmony that aligns with their identity can improve confidence, comfort, and quality of life. Facial feminization surgery in Bellevue offers a personalized approach to creating softer, more traditionally feminine facial contours through advanced surgical techniques.
At Feminization Surgeries, Dr. Javad Sajan combines fellowship-trained expertise in gender-affirming facial procedures with an artistic approach to facial balance and symmetry. As a triple board-certified cosmetic surgeon, Dr. Sajan has helped hundreds of patients achieve natural-looking feminine features while preserving the individuality of each face for pateints living in Bellevue and nearby areas.




Facial feminization surgery, or FFS, combines reconstructive and cosmetic procedures designed to soften masculine facial features and create a more feminine appearance. Unlike treatments that only address skin or surface features, FFS reshapes the underlying bone, cartilage, and soft tissue for long-lasting, natural results.
While facial feminization surgery is most common for transgender women, it may also benefit non-binary individuals seeking less masculine features and cisgender women wanting to enhance feminine proportions. Procedures are customized based on each patient’s anatomy, goals, and gender expression.
FFS procedures may target different areas of the face, including:
Every surgical plan is personalized to create balanced, harmonious facial features that align with the patient’s identity and aesthetic goals.
The Best Facial Feminization Surgery (FFS) offers benefits that reach far beyond appearance.


A complete treatment plan from Dr. Sajan may include several procedures. Each plan is tailored to your anatomy and goals.
Forehead Contouring and Brow Bone Reduction, Bellevue: Reduces the prominence of the brow ridge. Creates a smoother, rounder upper face, softening the entire forehead area.
Hairline Lowering Surgery Bellevue: Hairline feminization advances the scalp forward. Shortens forehead height and shapes a rounded, feminine hairline.
Brow Lift: In brow lift surgery we raises the eyebrows to a higher position. Opens the upper face and adds a more feminine arch in FFS.
Rhinoplasty for Facial Feminization: Narrows the nasal bridge. Reduces overall nose size and refines the tip, softening the center of the face.
Cheek Augmentation: Uses implants or fat grafting to add volume. Creates higher, fuller cheekbones.
Lip Lift and Lip Enhancement: lip lift shortens the space between the upper lip and the nose. Adds gentle volume to the lips.
Jaw Contouring for Facial Feminization: Shaves and reshapes the jawbone. Reduces width and softens square angles.
Chin Reduction Surgery Bellevue: Reshapes the chin into a softer V-line contour. Reduces height and width as needed.
Tracheal Shave Bellevue: The tracheal shave reduces the size of the Adam’s apple. Removes one of the most visible masculine features of the neck.
Reviewing facial feminization surgery before-and-after photos helps patients visualize realistic outcomes. Our patient gallery shows clear side-profile changes to the forehead, jaw, nose, and chin.
What to expect at each stage:
Dr. Sajan and his team provide full aftercare guidance. They stay available throughout your recovery. This ongoing support is one reason patients consistently describe him as one of the best facial feminization surgeons in Bellevue, WA.




Good candidates for FFS include:
You may be a strong candidate if:
Many patients choose to combine facial feminization surgery with other gender-affirming treatments to create more complete and balanced results. Depending on your goals, Dr. Sajan may recommend combining procedures during the same surgical journey or planning treatments in stages over time.
Common procedures often combined with facial feminization surgery include:
During your consultation, Dr. Sajan will discuss whether combining procedures is appropriate based on your anatomy, recovery timeline, and long-term goals.
Facial feminization surgery cost varies because no two treatment plans are the same. Your price depends on your specific combination of procedures. There are multiple factors that affects the cost of facial feminization surgery.
Factors that influence the cost:
At Feminization Surgeries, we work with all private insurance providers. We also offer out of pocket options along with financing options through CareCredit, Alphaeon Credit, and United Medical Credit.
Our team helps patients understand and navigate the insurance approval process. Washington State law supports coverage for medically necessary gender-affirming care. Many of our Bellevue patients receive partial or full insurance approval.
After your personalized facial feminization consultation in Bellevue with Dr. Sajan, we will provide a detailed treatment quote built around your goals.


A clear understanding of the recovery process helps patients prepare for the weeks after surgery.
Week 1: Swelling and bruising peak. Rest is required.
Weeks 2 to 4: Bruising fades. Most patients feel comfortable returning to light social activities or remote work.
Months 2 to 3: New facial contours start to refine. Deeper tissue swelling continues to resolve.
Months 6 to 12: Final results take shape. Permanent structural changes become fully visible.
Like any surgery, FFS carries potential risks. These may include:
During an FFS surgery, Dr. Sajan reduces these risk through careful surgical planning. He works only in accredited surgical facilities, where every patient undergoes detailed preoperative screening. Safety is never compromised.
Dr. Javad Sajan is a recognized leader in cosmetic and reconstructive surgery. He specializes in complex gender-affirming procedures. As a premier facial feminization surgeon Bellevue, WA, his work is supported by published research in peer-reviewed medical journals.
Dr. Sajan also serves as an international lecturer. He shares his advanced techniques with major medical organizations worldwide. He participates in humanitarian medical missions globally. His deep understanding of facial anatomy allows him to deliver precise, natural-looking results for every patient.
Patients looking for the best facial feminization surgery travel to Dr. Sajan from across the country. He offers full virtual consultations for out-of-state patients. He provides personalized surgical planning that, when appropriate, combines multiple procedures into a single session.
The dedicated staff also assists with travel coordination, ensuring a smooth experience from your first consultation through your final post-operative visit.
Feminization Surgeries serves patients from Bellevue and across Washington State. Common locations include Bellevue, Seattle, Redmond, Kirkland, Bothell, Renton, Tacoma, Everett, and Olympia. Patients from these areas often travel to meet Dr. Sajan for a consultation and get their FFS done.
Taking the next step takes expert guidance. Dr. Sajan and the Feminization Surgeries team are ready to listen, plan, and help you move forward with confidence.
Call us on (206) 990-0060 schedule your facial feminization consultation today.
The price of FFS varies based on the procedures performed and the complexity of the treatment plan. Most patients can expect costs to range between $35,000 and $100,000+.
Most swelling and bruising improve within the first few weeks. Many patients feel ready to return to work or social activities after two to four weeks.
Some insurance plans may cover medically necessary gender-affirming procedures. Coverage depends on your provider and individual policy.
It is important to choose a surgeon with experience in facial feminization procedures, advanced facial contouring techniques, and natural-looking results.
Yes. Many patients choose to combine procedures into one surgery to achieve more balanced results with a single recovery period.
You will notice changes early on, but final results usually continue improving over several months as swelling fully settles.