Posted by: Dr. Amir Dorafshar, M.D., FACS
The three zones facial feminization surgery framework guides every treatment plan our Chicago, IL surgeons design. Surgeons who specialize in facial feminization surgery approach the face as three distinct architectural zones, each of which contributes differently to how gender is perceived. At Evolve Your Life in Chicago, IL, Dr. Amir Dorafshar applies this three-zone framework to create personalized surgical plans for patients traveling from across the United States.
Upper, Middle, and Lower Third: How the Zones Differ
The upper third of the face — the forehead, brow bone, and hairline — is the most dominant zone for gender recognition. Forehead contouring, brow bone reduction, hairline lowering, brow lift, and orbital rim work form the foundation of upper third feminization. The middle third includes the nose, cheeks, and upper lip, addressed through rhinoplasty, cheek augmentation via fat transfer, and lip lift surgery.
The lower third of the face encompasses the jaw, chin, and structural frame of the lower face. Mandibular angle reduction, V-line contouring, and sliding genioplasty redefine this zone. Neck procedures including tracheal shave extend the feminization through the throat. Understanding how these zones interact helps patients — no matter where in the USA they’re coming from — make informed decisions about their care.
Build Your Personalized Plan in Chicago, IL
Not every patient needs all three zones addressed in a single session. Dr. Dorafshar prioritizes based on each patient’s anatomy and goals. Read Understanding Facial Feminization Surgery: A Guide, or book a consultation at our Chicago, IL practice — proudly serving patients from coast to coast.
