Every patient’s journey toward self-expression is unique. For transgender women in Highlands Ranch, facial feminization surgery (FFS) offers a way to reflect that identity. Dr. Javad Sajan understands how deeply personal this process is. He has extensive experience in facial feminization surgery and is widely recognized for pioneering a comprehensive single-session FFS approach. He is among the few FFS surgeons who can perform hair transplantation during the same session.
He focuses on addressing multiple facial features simultaneously, creating harmonious feminine contours while preserving each patient’s unique identity.
Facial feminization surgery (FFS) is a personalized set of procedures that softens traditionally masculine facial features to create a more feminine appearance. For many transgender women, and some cisgender women, it’s a deeply affirming step toward achieving harmony between how they look and how they feel.
Rather than a single operation, FFS involves a comprehensive approach that can include procedures from the forehead down to the jawline, all tailored to the patient’s unique anatomy and goals. Dr. Sajan uses advanced imaging technology to map each patient’s facial structure.


Facial feminization surgery can bring positive physical and emotional changes for transgender women beyond the cosmetic transformation. Below are some of the benefits often associated with FFS:
Faster Transformation: Once healing is complete, patients can enjoy their new look.




Your initial consultation will involve a discussion around which facial areas you want to address. Dr. Sajan then recommends suitable procedures that can help you achieve your aesthetic goals. The following are some of the common procedures he performs during facial feminization surgery.
The upper third of the face plays a key role in gender perception. Feminine hairlines typically sit lower on the forehead with gentle, rounded contours. Masculine hairlines often feature higher positioning and receding angles at the temples. Hairline feminization modifies both placement and shape to create traditionally feminine proportions.
Dr. Sajan performs this through scalp reduction, which carefully removes excess forehead skin and repositions the hairline forward. In some cases, a hair restoration procedure may be required to achieve the desired hairline.
It’s the longest lasting solution for hairline recession or thinning associated with male-pattern baldness. Dr. Sajan harvests healthy, hormone-resistant hair follicles from donor areas on the scalp’s back and sides, then strategically transplants them along the hairline and areas experiencing loss.
Many facial feminization surgeons perform these procedures separately, as they are long. But Dr. Sajan is one of the few surgeons able to perform them together. This means patients can receive both treatments in one session without extended sedation time, as hair transplantation doesn’t require general anesthesia.
While frequently associated with anti-aging, brow lift surgery feminizes the upper face by repositioning eyebrows higher. Feminine eyebrows naturally rest at or above the brow bone level. Masculine eyebrows typically sit just below the brow bone. This subtle repositioning significantly softens the upper facial appearance for many patients.
Masculine brow bones protrude more prominently than feminine ones, creating a heavier, more angular forehead. Women typically have softer, more rounded foreheads with minimal brow projection. Dr. Sajan reshapes the brow bone by carefully contouring it to reduce projection and create softer angles. For patients with particularly prominent brow bones, he may remove bone sections and reduce the frontal sinus.
The orbital bones forming the upper eye socket tend to be larger and more prominent in masculine faces. When only the brow bone is reduced without addressing the orbital bones, the results can appear uneven or overly sharp. So this procedure allows a natural transition across the upper face.
Nasal characteristics significantly influence gender perception. Men typically have wider, larger, and more angular noses, while women’s noses tend to have smaller, narrower proportions with softer angles. Rhinoplasty feminization refines nasal size, shape, and projection while addressing any irregularities.
Masculine jawlines often have a square, angular, and wider look, while feminine jawlines present softer, narrower, more tapered contours. Jaw feminization involves carefully contouring the jawbone to reduce width and soften angles. Some patients benefit from additional non-surgical refinements using jaw filler to further enhance their feminized jawline.
Lip feminization may involve surgical and non-surgical approaches. A surgical lip lift reduces the distance between the nose and upper lip, creating proportions typical of feminine faces. This procedure also increases visible lip height and shape. Injectable lip fillers add volume and definition. Patients can also choose to undergo both procedures.
The Adam’s apple is a distinctly masculine feature that is not present in female anatomy. This additional cartilage can cause significant dysphoria for transgender women. While complete removal risks vocal cord damage, tracheal shave surgery carefully reduces the cartilage to minimize or eliminate visible neck protrusion. This procedure can complement facial feminization surgery.
This procedure is not performed during the FFS surgery but represents an important part of feminization. Hormone therapy may reduce facial hair growth but doesn’t permanently eliminate unwanted hair. Laser hair removal treatments on the face and neck can provide lasting reduction, helping transgender women achieve smoother, more feminine skin.
Patients from Highlands Ranch and the greater Denver metro area often choose to travel to see Dr. Javad Sajan for facial feminization surgery. His skill, compassionate care, and reputation for exceptional results draw patients from across the country.
Patients from Colorado’s Front Range communities, like Highlands Ranch, Littleton, Castle Rock, Parker, and beyond, can connect with Dr. Sajan through a virtual consultation to explore FFS options. For these patients, the journey is about finding a surgeon who understands their goals, listens carefully, and delivers results that feel true to who they are.
Dr. Javad Sajan is a renowned plastic surgeon who specializes in gender-affirming procedures, including facial feminization. Following completion of a prestigious fellowship focused specifically on FFS techniques, Dr. Sajan has become recognized as a leading facial feminization surgeon serving patients throughout the United States. Beyond FFS, his practice provides a number of cosmetic procedures like Brazilian butt lift, MTF breast augmentation, and body contouring.
To explore facial feminization surgery and schedule a consultation with Dr. Sajan, contact us at (425) 380-5237. You may also connect online through our chat service.
Good candidates are transgender women or cisgender women who want to refine facial features for a more feminine look. Candidates should be in good health, have realistic expectations, and be ready for surgery and recovery.
Though FFS is less likely to be covered than other gender-affirming procedures, some insurance companies do cover it.
Patients may return to work or light activities within a few weeks, though swelling and numbness may take more time to fully resolve.
The goal of FFS is to feminize facial features while preserving your individuality. Your surgeon will design each surgical plan to maintain your natural look.
Results from FFS are mostly long-lasting, for example changes made to bones and cartilage. Natural aging will still occur and shift the results for procedures like brow lift and skin reduction.
The cost of facial feminization surgery varies based on the procedures performed and individual goals. You can check our pricing page for more information.