02/28/2026
Ava’s journey shown here from pre op to 9 months and then 1 year post op highlights how facial feminization evolves with time.
Her initial surgery in August 2023 included a modified coronal forehead lift with supraorbital bone reduction and contouring, chin reduction, thyroid cartilage shave, septorhinoplasty with cartilage grafts, fascia to the lips, and micrografts to the fronto temporal recessions. In February 2025, she underwent a revision septorhinoplasty to further refine the nasal result.
At 9 months, the structural changes are clear. By 1 year, the results look fully integrated and natural. The forehead contour is smoother, the profile softer, and the overall balance more harmonious.
Revision work is not a setback. It is often a sign of meticulous attention to detail. Subtle refinements can elevate a good result into an exceptional one.
To learn more about facial feminization surgery:
https://www.drtobymayer.com/