If they will refer you to craniofacial surgeon, with experience in both aesthetical and reconstructive surgery, you've got nothing to worry about. He/she doesn't have to be a famous FFS name, to be a good surgeon. On the other hand, just an average plastic/cosmetic surgeon is another story. The biggest risk is you won't be happy with the results. Not only they don't have a clue on how to do a proper "type3" forehead reconstruction and orbital remodeling, even agressive jaw/chin work could be a problem. It hurts my brain that some trans women who pay for FFS with their hard earned money, choose to have their FFS with cosmetic-plastic surgeons like dr. Mayer or dr. Zukowski.. And they aren't any cheaper because of their lack of skills and knowledge. Quite the contrary, they even try to use their lack of skills as a marketing tool, such as "endoscopic shaving approach is better because it's better because we can do the same result"(<-Thats a lie)... While one of them basically doesn't have one single side profile photo on his page... and the other one who have a side profile of every presented patient, doesn't have one single good forehead result... Back to my point, wait to see what type of surgeons they work with, and hope for the proper surgeon.