I would just note that with extended duration testosterone exposure, some changes for some of us have accumulated to the point that HRT has a minimal effect on our faces.
A year of HRT after a half century of testosterone delivery has had some impact on my body, and essentially none on my face.
All the changes you may see in my face are the result of improving skills in cosmetics slight of hand, the illusion that my bones and cartilage have a different shape from what they actually have.
With some older people the drop in hormone levels with age combined with stretching of skin and connective tissue and weight gain produces a sort of senior androgyny, reducing the older persons visible gender differences.
I did not gain weight. At 135 lbs my skull's shape, the forehead, orbital ridges, dorsal cartilage of the nose, and thickened jaw and torii are all too obvious.
Some additional work is needed to be passable without a half hour makeup session before running out the door:
*Type 3 forehead reconstruction
*Orbital reduction
*Elevate the eyebrows
* Upper blepharoplasty on the right eye
* Dorsal reduction and slight rotation of the nose
* "Lip lift"
* Jaw reduction
* "tracheal shave"
* lower face and neck "facelift" with liposuction to adjust fat placement
(List courtesy of an evaluation yesterday by Dr Klineberger, an excellent maxillofacial reconstruction specialist, i.e. a darn good plastic surgeon.)
Then I can consider hair transplants and other cosmetic niceties.
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