Face Contouring

Facial contouring surgery is generally utilised for making changes to the nature of face. Masculine facial features can be adjusted surgically to well accepted feminine features with these techniques.  Commonly utilised for transgender women, Mr Tekeli may apply these techniques to anyone in order to improve harmonisation of facial features by using an aesthetic perspective.   

In Mr Tekeli's practice, the set of procedures providing hard tissue changes are the main pillars of this kind of surgery. The soft tissue procedures generally compliment the hard tissues ones.  He does not believe in 'one size fits all' set of procedures. Instead, he thinks every face is different and requires a tailored treatment plan for ultimate results. 

Importance of Lower Jaw

Lower jaw generally dictates the overall shape for the face and it is not unusual the shape of lower jaw is overlooked. Mr Tekeli puts special emphasis on the shape of lower jaw and he believes that the altered shape of the lower jaw should be able to fit in with the rest of the procedures and create a harmony among the facial structures. 

Forehead Shaping

The forehead region is one of the most important areas determining the facial gender. Frontal bossing is very common in masculine faces and the glabella area (middle part of the forehead) joining the root of the nose has a wider angle in female face compared the narrow angle in male face. The combination of procedures to correct this area should be tailored for individuals depending on the shape of the forehead and the root of the nose. 

The main procedure to correct this area is osteotomising (cutting) the anterior wall of frontal sinus (forehead) and setting it back within acceptable limits. This procedure will require an incision over the top of the head which also gives the surgeon opportunity to adjust the hairline. The additional procedure of sculpting the forehead bone with eye sockets compliments the forehead procedure.  

Mr Tekeli utilises the latest technological advancements in facial surgery to carry out the forehead procedures safely. He has special interest in 3D imaging enabling him designing patient specific cutting guide. This technology will require every patient to be scanned in an imaging centre and Mr Tekeli works with engineers to design the forehead cuts. Therefore the surgery is not only based on artistry and craft, but also on precise measurements done in 3D computer modelling.

Nose Reduction (Reduction Rhinoplasty)

Reduction of the nose is a very important gender confirming procedure. The typical masculine male nose would have a wide bridge and a bulbous tip. This appearance will be literally feminised with the nose procedure which is generally carried out in conjunction with other procedures. Mr Tekeli has a special interest in nasal cosmetic and plastic surgery. His aim during nasal reduction is not only to feminise the nose but also to create an aesthetically pleasing nose which blends in the harmony of the face. He will explain your design before the procedure and will ensure the highest quality craftsmanship will be utilised for the surgery.

Jaw Line Contouring & Genioplasty

These two procedures should be considered together as they compliment each other. A masculine jaw would be wider and more rectangular (chiselled). With this procedure, the chin point can be reshaped as more triangular which may aid the transformation of the face into a feminine heart shape. However, this should be complimented by sculpturing the jaw line to ensure the new chin blends in with the rest of the lower jaw.  

Cheek & Chin Implants 

Mr Tekeli may opt to use chin implants occasionally depending on facial features of his patients.He firmly believes any chin procedure should be carried out in conjunction with assessment of neck and cervico- mental neck angle in order to prevent any unexpected outcomes. 

Cheek bones (zygoma) attribute to the attractiveness of male and female faces. Prominent cheek bones make the eyes even more appealing and the increased width of the cheek bones would contribute to the feminine heart shaped face. There are differences between male and female cheek bones structurally. However, Mr Tekeli does not believe in reduction of cheek bones which may give the false impression of an ageing face. His emphasis regarding the cheek bones is mainly around augmenting them if they are inadequate size and this is not always done for feminisation. Both masculine and feminine facial types will benefit from prominent cheek bones. If the cheek bone size is inadequate, he uses Medpore implants to augment the cheek bones via an incision through the mouth. He likes minimal augmentation which would compliment the current cheek bones enabling slightly increased prominency harmonising with the other facial structures. 

Scar Revision

Facial scars can be very debilitating for patients. Mr Tekeli regularly does scar revisions on the face and lips in order to improve the appearance and the quality of life for his patients. Especially Z plasty techniques are utilised in complex scar revisions. These procedures should be only undertaken after multiple consultations with patients in order to match the expectations of the patients if possible at all.  

Facial Feminisation Surgery in London carried out by Consultant Facial Surgeon Specialist in Maxillo Facial Surgery
  • Forehead shaping

  • Nose reduction

  • Jaw line contouring

  • Genioplasty (chin)

  • Cheek implants

  • Chin implants

  • Scar revision