Folsom, CA

Subtle refinements can make all the difference when aligning your appearance with your true identity. Facial Feminization Surgery (FFS) is a collection of advanced procedures designed to soften traditionally masculine features and create balance, harmony, and a more feminine aesthetic. For transgender women, nonbinary individuals, and cisgender patients alike, FFS offers a path toward greater confidence and self-expression.
At Bueno MD Facial Aesthetic Surgery in Folsom, CA, every procedure is performed by Dr. Scott Bueno — a fellowship-trained facial surgeon with dual expertise in maxillofacial and facial aesthetic surgery. By focusing exclusively on the face, Dr. Bueno combines advanced surgical skill with an artistic eye for proportion, ensuring results that look natural, refined, and authentically you.
Refines masculine facial features into softer, more feminine contours
2–4 weeks, depending on procedures performed
Varies; can range from 4–8 hours for combined procedures
General anesthesia
Long-lasting changes to facial structure that create harmony and femininity

Facial Feminization Surgery (FFS) is a series of procedures designed to transform traditionally masculine features into softer, more feminine contours. Often chosen by transgender women and nonbinary individuals, FFS is also sought by cisgender women who feel their features appear overly angular or strong.
At Scott Bueno MD Facial Aesthetic Surgery in Folsom, Dr. Bueno provides highly customized FFS treatment plans, tailoring each procedure to the individual’s unique features, goals, and identity. His expertise in maxillofacial surgery and facial plastic surgery allows him to achieve results that are natural, balanced, and affirming.
Each plan is fully individualized, and not all patients require every procedure. Many times, these treatments are broken up into multiple stages. Facial feminization surgery is not a single procedure but a combination of treatments, which may include:
Softening the brow bone, reducing protrusion, and refining forehead slope
Reducing forehead height for a more feminine frame
Elevating brows to create a softer, more open expression
Refining nasal shape, width, and tip for proportion and delicacy
Adding fullness with implants or fat grafting to enhance curves
Shortening the distance between the lip and nose, creating fuller lips
Narrowing, reshaping, or reducing projection for a refined profile

Benefits of Facial Feminization Surgery:
You may be a candidate for facial feminization surgery if you:
During your consultation, Dr. Bueno will carefully evaluate your goals, anatomy, and health history to design a treatment plan aligned with your vision.

Recovery varies depending on the procedures performed. Most patients experience swelling and bruising that gradually improve over 2–3 weeks, with final results developing over several months.
Patients typically return to work or school within 2–4 weeks, though strenuous activity should be avoided until cleared by Dr. Bueno. Follow-up visits are scheduled to monitor healing and ensure optimal results.

When can I see results?
Improvements are visible as swelling subsides, with the most significant results apparent within 1–3 months.
How long do results last?
FFS provides permanent structural changes, offering long-term alignment with feminine facial aesthetics.
What will my results look like?
Results vary depending on the procedures performed, but patients can expect softer, more feminine features that feel authentic, natural, and affirming.
Facial feminization requires more than surgical expertise — it demands artistry, precision, and empathy. Dr. Scott Bueno brings a rare combination of training in maxillofacial and facial plastic surgery, giving him the skill to address both bone and soft tissue with confidence.
At his boutique practice in Folsom, CA, patients receive personalized attention, advanced surgical techniques, and compassionate care. Dr. Bueno’s philosophy is rooted in balance, harmony, and authenticity, ensuring every patient’s results enhance not only appearance but also confidence and self-expression.

Yes, when performed by a board-certified, fellowship-trained facial surgeon. Risks depend on which procedures are included, and Dr. Bueno will review them in detail.
Many patients choose to combine procedures into a single surgery, though this depends on your goals and health.
Depending on the extent of surgery, most patients need 2–4 weeks before resuming normal activities, with full healing taking several months.
Some insurance plans cover gender-affirming procedures, though coverage varies. Our team can provide guidance.
Yes. Dr. Bueno’s goal is to achieve results that enhance femininity while maintaining balance and authenticity.