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Posted by: Dr. Amir Dorafshar, M.D., FACS

Lower third of the face surgery is among the most requested procedures at our Chicago, IL practice. The lower third of the face — comprising the jaw, chin, and overall facial frame — is often the most defining zone for gender perception. At Evolve Your Life in Chicago, IL, patients from across the United States travel to have this critical zone transformed by Dr. Amir Dorafshar, a nationally recognized expert in gender-affirming facial surgery.

Procedures Included in Lower Third FFS

Dr. Dorafshar performs lower third facial feminization surgery through incisions made entirely inside the mouth, leaving no visible external scars. Mandibular angle reduction rounds off the jaw’s corners, while V-line contouring removes bone along the lower jaw border to create a smooth, tapered silhouette. A sliding genioplasty repositions the chin bone to achieve ideal width, projection, and height.

These procedures work in coordination with neck feminization — including tracheal shave — to complete the lower face and neck profile. For patients who want non-surgical refinement post-surgery, injectables such as Botox can slim the masseter muscles and maintain the V-line result, and can often be arranged with a local provider near your home state after initial surgery in Chicago.

Book Your Lower Third FFS Consultation in Chicago, IL

View results in our before and after gallery, and book a consultation with Dr. Dorafshar to develop your personalized surgical plan. Virtual consultations are available for patients traveling from out of state.

Amir Dorafshar, MD, FACS is a globally recognized, board-certified plastic, aesthetic, and reconstructive surgeon specializing in aesthetic surgery, craniofacial reconstruction, microsurgery, and facial gender-affirming procedures.

He earned his medical degree from the University of Manchester, UK, and trained at UCLA, the University of Chicago, and Johns Hopkins Hospital. He previously held the Endowed Chair, Professorship, and Residency & Fellowship Program Director role at Rush University Medical Center.

A facial transplantation pioneer, he has co-authored 230+ peer-reviewed articles and co-edited major surgical textbooks. He is currently Chief of Plastic Surgery at OSF St. Francis Hospital and President & CEO of Evolve Your Life, Chicago.