Honestly, I've never liked most of Dr. S's work and I feel like many of his patients either look the same, look plastic, look odd, or look even more masculine than before. I prefer Dr. O's (when he's not off leaving people's jaws dislocated) and Dr. Mayer's, who is my favorite FFS surgeon so far by far. Really, FFS is a serious change, a doctor has to spend time studying the aesthetic of the patient's face, and then the anatomy, to make sure it can change. You can't just go in and do whatever. Even on a very masculine face, you have to do the perfect changes in order to get that person to resemble a woman, and it's never textbook.
Like on my own morphs, I worked on them forever, and even millimeters of various changes made the difference from "haggard man" and "I could at least look like a woman if I tried hard/I look a feminine, young looking boy.", which would change my entire life, my entire career, and my entire inner self. My morphs didn't follow exact FFS rules, and if a surgeon did the typical ski slope forhead and nose on me, or didn't do enough, I'd look so horrible it's unreal. The surgeries have to be specific and natural, they really do. The goal shouldn't always be to shave away and make someone look plastic, or to be so conservative it's unreal. The surgeons have to do what is seriously specific to the person's face and should think less about typical rules learned in textbooks, though they are a start for the surgeons out there who are clueless to what girls and guys really look like (many have no clue.)
Like, I believe in the method of small perfections. I believe in doing small touches to literally whatever you need until it looks perfect. For some people, one surgery changes everything. Others need small changes all over, maybe a little Juviderm for a stubborn butt-chin, maybe a little bump taken off the nose, maybe a little change in the forehead contour, maybe a little skin treatment. Some folks just require hormones and that it. I believe in finding a perfect harmony in the face, and that doesn't mean perfect model features, that means finding the perfect harmony that aligns and represents your personality. Even in the world of womanhood, a Transperson who is a slutty stripper doesn't want a look that comes together and paints them as a mature, aged, haggard person. A mature, intelligent Transperson doesn't want features that make her look plastic or too fake. A very collected, perfectionist person doesn't want features that make them look like a cage wrestler. Even beyond what a doctor may label as symmetry, the features have to represent who you are, past gender, and that's what's so tough with surgery.
*However, in today's time, 99% of the people out there prefer symmetry over unorthodox features so as long as the doctor has some sense about him, symmetry should satisfy most folks anyway.