@ Susan Kay, I believe that being an older aged transsexual gives one an advantage in the looks department. Oftentimes when men get much more advanced in years, the skin becomes loose, the features become less gender specific, and it's almost as though the looks become much more "equal", much like they often are in prepubescent years. Many advanced-aged men can seem to pull off a "grandma" appearance very beautifully! Plus the advantage of no longer being (as) sexually active, active in the career, socially active, and being "out of the spotlight" so to speak, can give someone the peace of mind that a young transgender may not receive during her process of balancing a young adult, "fashion/party/sex" life. We just all have to admit that as we get much older, the social pressures become less extreme; just as a last positive, being older gives a person the advantage of being around equally-mature minded adults that may not judge (or are able to even see more than a foot from their own eyeballs lol!) as often as a young, narrow-minded adult may - especially on the dating scene.
(Especially if hormone treatments was enough to give you the exact passability you hoped for, no surgery required.)
The truth is that operating on the genitals is no different that operating on the face, morally wise, and it simply depends on what the transgender values most in her life. Usually each trans will have specific reasons for wanting this or that, and I find that it usually has a patten that depends on the trans' age and stage in life. Young trans tend to realize that their face matters more to a workforce and dating environment, where they feel that the genitals will be a step that they'll undergo once they are settled in their finances or lifestyle. Some trans people become so happy with their female facial appearance (wether natural, hormonal, or surgical) that their confidence (or hotness) radiates and they meet a man who values them even with their penis. Quite frankly, I know many men personally who say they would have certain sexual activities with someone who looked like a hot girl, even if they had a penis. The rate of this is surprising! I know that many trans tend to be asexual and that "finding a man/passing" is not everything, that "feeling whole" is way more important to them - I have nothing against this concept either and like I said, I believe that it both can be down to innate feelings, preference, and that sometimes even age or sociological culture is involved with just what the trans feels like is important to her.
Let's all face it, a vagina may help someone feel "you" or help your sex life enter completion, but passability is what helps us keep jobs, meet friends, flirt, possibly date (aka date a man and have fun pleasuring him until you break his heart with your secret penis - hey, we all gotta do something to keep ourselves from going insane), and anything else we want to accomplish that directly involves our outside appearance. A manly looking man who has a vagina is a hermaphrodite! To me, it's always been about the full picture, and with that full picture, I sort of take a "the real-world steps come first" approach - some here are lucky enough not to have to think in that manner!
I must say that @ Susan Kay, I include you in my jealousy; I feel like you pass very well, the second I saw your avatar, I instantly thought of a caring, mature, experienced woman that holds beauty in advanced age - I've had so many past teachers, professors, and co-workers who looked so masculine and grumpy compared to your soft, warm aesthetic. I'm so glad that you were able to feel you (and look you) without FFS or Hormones! (or did you say you underwent Hormones?)
And anyway, back to FSS and the OP, there are actually quite a few body modifications for trans - there's leg fat lipo designed for Asian women who tend to store too much muscle, volume, and fat in the lower leg muscles. Basically, all the lipo techniques ever invented can be used on transpeople, and even things like using filler to reduce hand wrinkles could potentially make a man's hands look softer. I would believe that certain lasers can be applied to practically anywhere to improve the look of the skin, and such and forth. However, it's really the bone work like you said, that I've never seen information on in all my years of studying plastic surgery. I'm especially surprised at the ankles, they're such an important trans identity feature (wearing heels) and I don't believe the ankles are very complex bones. At least, when it comes to shaving a part of it down, I'm not sure it would sever anything.
Mainly, back to the face topic, my life motto is "cover it up if you can", which is why I'm so passionate about facial features; they just can't be hidden!
