Frontal Sinus Setback Surgery: A Feminine Touch That Transforms Facial Features

When it comes to facial feminization and being feminine, the forehead is one of the areas that comes to the fore. The forehead plays an important role in the feminization process because changes in this area can make a big difference to the face.

In particular, conditions such as brow prominence, forehead convexity, or bony structure in the upper part of the face can make a person’s expression appear serious or masculine. For this reason, Frontal Sinus Setback stands out as one of the most effective methods in modern facial feminization surgery.

What is Frontal Sinus Setback?

Although frontal sinus setback (type III forehead reconstruction) is often considered equivalent to a simple shaving procedure, the reality is much more than that. This procedure is a much more comprehensive bone reshaping surgery.

In this technique, the surgeon carefully opens the forehead bone, cuts the protruding part, and places the bone plate a few millimeters back. This section is then secured with titanium plates.

The aim of this procedure is to soften the prominent and masculine protrusion in the forehead area to achieve a smoother, more elegant, and feminine line. This operation is usually performed using the trichophytic closure method (a fine incision along the hairline). This preserves the hairline and hides the surgical scar naturally. Considering the nature of this surgery, it is possible to say that the results are extremely permanent.

Who is This Method Suitable For?

Frontal sinus setback is ideal for individuals with a prominent forehead bone, where the protrusion above the eyebrows hardens facial expression and emphasizes masculinity. Transgender women, individuals seeking to soften masculine facial features, or women born with a prominent forehead structure can comfortably opt for this procedure.

This surgery is ideal for anyone who wants to have a feminine face, and many patients share that their feminine appearance has improved after this surgery.

For a Feminine Forehead: Steps of Frontal Sinus Setback Surgery

• Planning and 3D Imaging:
The surgeon analyzes the patient’s facial proportions in 3 dimensions.
The eyebrow position, hairline, and forehead height are carefully measured.
• Incision and Bone Access:
An incision is made along the hairline using a trichophytic closure technique.
This method allows for both forehead reduction and hairline advancement.
• Bone Setback Procedure:
The frontal sinus is opened, the bone plate is cut, moved backward, and reattached.
• Closure and Aesthetic Balance:
If necessary, it is supported by forehead lift or brow lift procedures.
Finally, the incision is closed with aesthetic sutures.

Recovery Process and Results

As with other surgeries, mild swelling and tightness occur for the first few days after frontal sinus setback. The following side effects may also be observed:

• Swelling is noticeable during the first week and rapidly subsides during the second week.
• Most patients can return to their social life within 2 weeks.
• The final forehead shape usually settles completely by the 3rd month.
• Cold compresses, elevated head position, and medication use as recommended by Dr. MFO make the process quite comfortable.

Why Is This Surgery So Effective?

This method changes not only the bone surface but the entire architecture of the forehead. As a result, the face gains a more harmonious upper frame with the eyes. The eyelids appear more open, the gaze becomes softer, and a naturally feminine expression emerges. While simple shaving techniques only create superficial differences, Frontal Sinus Setback provides a permanent and structural transformation to the face.

Procedures Combined with Frontal Sinus Setback

Frontal Sinus Setback is often performed in the same session as the following procedures:

• Trichophytic hairline reduction
• Brow lift
• Forehead lift
• Volume adjustment in the temporal region

This combination balances both the bone structure and the soft tissues of the face. This results in a natural yet distinct feminine effect.

Science and Aesthetics Meet for a Feminine Silhouette

Frontal sinus setback is one of the most advanced techniques in facial feminization and is ideal for individuals seeking a feminine appearance. Although the procedure may initially seem extensive and challenging, it is actually much more advantageous than perceived. Above all, the results are natural and permanent.

Contrary to fears, the recovery process is not as difficult as imagined; thanks to modern surgical approaches, patients quickly feel more comfortable and “like themselves” when they look in the mirror. If you desire a strong yet elegant forehead structure, this procedure could be one of the most effective and lasting options for you.

We hope that this article has provided you with useful information and solutions to your problems, and has inspired you to pursue your dreams and goals. If you have any questions, comments, or feedback, please feel free to contact us or leave a comment below. We would love to hear from you and to help you in any way we can. Thank you for reading and have a wonderful day!Follow our blog for more. You can also reach us on our contact page for any questions you may have. Ffs center is an LGBT community friendly organization.