
Zygomatic bone feminization, or cheekbone feminization, has become one of the most popular procedures in the feminization journey.
Many people embarking on the facial feminization journey first wonder how their facial contours will change. This is particularly important and requires sensitivity for individuals undergoing the MTF process. The face is the most visible aspect of gender perception. The midface structure is one of the points that most significantly influences this perception. Zygomatic bone feminization produces noticeable results in gender perception. This procedure helps the person feel more feminine and harmonious by making the midface appear softer, more balanced, and more refined.
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What is Zygomatic Bone Feminization?
Zygomatic bone feminization refers to the change in the cheekbones. It is a surgical procedure that aims to soften the masculine lines in this area and achieve a more feminine form. In a masculine facial structure, the cheekbones are usually flatter, more horizontal, and create a wide appearance along with the lower face. This broad appearance gives the face a harsh and masculine expression. In a feminine face, the cheekbones are positioned higher, rounder, and have a form that catches the light. Thanks to effective zygomatic bone feminization, it is possible to achieve a feminine appearance in MTF individuals.
This operation aims to:
- Move the bone line to a higher and more refined line,
- Create a feminine contour by slightly increasing the protrusion if necessary,
- Eliminate masculine angularity.
The result is a natural softness and feminine proportions for the face. For many patients, a natural appearance is as important as feminine proportions. At this point, this aesthetic touch emerges as an ideal solution.
Why is It One of The Fundamental Steps in Feminization?
One of the areas that undergoes the most change in the feminization process is the midface region. Many people focus on the cheekbones first in the feminization process. The change here is clearly visible to the eye. This is because the cheekbones directly determine how the face reflects light, how it shapes expression, and how we perceive overall posture.
There are several reasons why zygomatic feminization stands out:
- It makes the face appear slimmer and more refined.
- It provides soft shading, which enhances feminine expression.
- It lifts the midface upward, creating a youthful and vibrant appearance.
- It reduces the effect of masculine bone angles.
- It creates a softer and more aesthetic line in profile.
- Because the difference after surgery is significant, many MTF individuals see this procedure as an important milestone in their feminization journey.
In the hands of a professional surgeon, the results of this surgery create an artistic effect. Dr. MFO and his team have performed this surgery on many individuals, achieving satisfactory results.
Step-by-Step Process: How is the Procedure Performed?
The techniques used by each surgeon may differ, but the basic steps are generally similar:
1. Detailed facial analysis before surgery
Every face has a different structure. Therefore, pre-operative analysis is very important. Bone thickness, symmetry, soft tissue structure, and the person’s expectations are evaluated. Some people want a more pronounced cheekbone line, while others only request a slight softening.
2. Intervention through the mouth
One of the biggest advantages of zygomatic feminization is that most of the incisions are made inside the mouth. This ensures that no visible scar remains on the outside.
3. Giving the bone a feminine appearance
Depending on the individual’s needs, the surgeon:
- Thins the bone line,
- Slightly reposition it,
- Gives it a rounder angle with micro-movements when necessary,
- Corrects masculine protrusions.
The goal is to create a natural, understated, and proportionate feminine structure.
4. Adaptation of soft tissues to the new shape
Simply shaping the bone is not enough. The surrounding muscle and fat tissues must naturally adapt to the new form. This is a critical step in achieving a realistic result.
Recovery Process: What You Need to Know
The recovery period is the most sensitive time for individuals undergoing feminization. There are some important points to be aware of regarding this period. When these points are taken into consideration, zygomatic feminization generally offers a more comfortable recovery than anticipated.
- Swelling is noticeable for the first 3–7 days.
- The face begins to take shape after the first week.
- Returning to daily life is much easier within 2–3 weeks.
- The full settling-in process takes 3–6 months.
The most important thing during this process is to be patient and careful. Because the midface area is prone to swelling, the final result is not fully apparent in the first few weeks. However, over time, the new feminine facial contours emerge and settle into a more feminine line. Pain is usually mild and subsides quickly. In addition, most people can return to their routine in a short time.
Why is a Natural Appearance Important?
The sole purpose of zygomatic feminization is not just to feminize the face. The goal here is to take a holistic approach to the face and not lose naturalness during the change. This is where the surgeon’s skill comes into play. A skilled surgeon aims to achieve a more feminine balance and softness while remaining faithful to the person’s own face.
A successful result is:
- A change that is not exaggerated,
- Compatible with the natural proportions of the face,
- Does not create the perception of “having had surgery” from the outside.
- Therefore, the procedure provides a touch that enhances feminine lines while preserving the individual’s facial character.
Who is It Suitable for?
When it comes to surgery, many people wonder if this surgery is right for them. Most of the following individuals are ideal candidates for zygomatic feminization:
- Those who feel masculinity in the mid-face area,
- Those who think their cheekbones are flat or wide,
- Those who want a more feminine facial contour,
- Those seeking a complementary step in the facial feminization process,
- MTF individuals who want softening of the profile line.
This procedure alone can significantly change facial expression. However, many people report achieving much better results when combined with procedures such as brow lift, chin feminization, or rhinoplasty.
Creation of Feminine Balance in the Midface

MTF zygomatic bone feminization is one of the most effective and noticeable steps in facial feminization. Reshaping the cheekbones allows the person to appear more elegant, softer, and more feminine from both the front and profile.
With personalized planning, the right surgical approach, and a patient recovery process, zygomatic feminization is a transformation that makes the feminization journey more comprehensive, harmonious, and satisfying.
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.

