Dr Supporn is too expensive for me, but I sent him my photo's anyways. They did a wonderful job of analyzing my face. They quoted me $35,000 US and it took them a month to write back to me. Here is what I got back:

QuoteSTRUCTURAL FEMINISATION OBSERVATIONS



General Comment



Overall, your face presents a number of already feminine characteristics, along with a small number that would benefit from correction to give an overall excellent female appearance.



UPPER FACE REGION



Forehead Recontouring



In general, forehead and supraorbital rim prominence is far less present in a female than it is in a male. The general appearance for a female is a rounded, open-eyed appearance with no apparent prominence of bone over the sinus cavity where it integrates smoothly with the nasal bone. Over the eyes, the supraorbital rims in a genetic female tend again not to be prominent, and give a more open-eyed appearance without being deep set.



In profile your forehead shows considerable evidence of typically male-like prominence, which would indicate the need for some forehead recontouring surgery.



Supraorbital Rims



The supraorbital rims over your eyes are very prominent. This is a typical characteristic found less in females than in males. We would recommend removal of the prominence to open up your eyes, and give a much more pleasant, female and younger appearance. The prominence is particularly visible when seen in the oblique pictures you sent.



Indication



The need for forehead recontouring is indicated to re-profile your forehead and supraorbital rims and remove the evident prominence, resulting in a smoother, more gently rounded and pleasingly feminine appearance. The amount of prominence you display can be almost eliminated to create a flowing profile which will run smoothly into your upper nose area, giving characteristics more usually found in a female than in a male. In addition, removal of the prominent supraorbital rims will 'open up' the eyes giving them a more feminine and younger appearance.



Dr Suporn uses 3 degrees of surgical procedure to remove this bossing, and it is most likely that he will need to perform either a technique known as 'resetting' (which he developed), or - more likely in your case - by a reconstructive forehead surgery. It is not possible to determine whether this is the case for certain without being able to see X-Rays of the head to see the thickness of the anterior wall (forehead) over the sinus cavity (above the top of your nose). There is no need for you to send any radiographs to assist with this analysis. Occasionally even X-rays are inadequate to determine the thickness of the anterior wall for certain, and it is not unusual that the thickness cannot be determined until the patient is actually undergoing surgery. Dr Suporn is always prepared for the most extensive case, but equally always performs the least extensive case actually necessary on his patients. He can determine this contemporaneously if necessary.



He is confident in your case that he can remove all evidence - or mostly all - of the bossing you currently display, and leave an extremely female and pleasing shape to your forehead and supraorbital rims.



Brow Level



The ideal position for the eyebrows is to be positioned a little above the supraorbital rims, and lifted a little higher at the outer third than in the inner two thirds.



Your eyebrows sit low on the orbital rims at the inner region close to your sinus cavity, but are well shaped and open in the centre and outer one third. They are already finely arched, and well shaped. They already appear to be very feminine, and we do not feel you need their shape changing in any significant way. Overall, they appear to be symmetrical.



Because of their low positioning, we suggest you would benefit from a brow lift. This will open up your eyes, and give your mid and upper face a much more pleasingly feminine appearance.



We feel you would gain a very beneficial effect from a brow lift. To enhance the typically female 'open eye' appearance that will be created by removal of orbital rim bossing, we would recommend a lift of the eye brows by some 5-8 mm evenly across their length to bring them superior (above) the new supraorbital ridge.



Hair and Hair Line



Your head hair is mostly good, and the prognosis would be that you would show a very full head of hair following recovery after surgery.



It is showing some evidence of recession - particularly at the temples. This is a feature that is rarely found in a woman, and we suggest correction would be very beneficial.



Your hairline is higher than would normally be found in a natal female, and more in proportion with a typical male hair line. We believe you would show a better and more female appearance by bringing the whole hairline forwards. We recommend a scalp advance.



Based on the evidence in your photographs a scalp advance would bring forward the hair by some 2-3 cm at the front, and proportionally further forward in the temporal region to define a more typically curved female hair line.



Frown Lines



Your forehead appears to be smooth and free of any vertical or horizontal frown lines that might need attention.



Upper Eye Lid



Removal of the orbital rims tends to increase the effect of 'bagginess' around the upper eye-lids and to considerably open up the eyes to give them a youthful appearance. Dr Suporn normally removes this by performing an upper blepharoplasty (UB) during the same upper face procedure.  In your own case there is already some evidence from the photographs that you would benefit from a UB, and we recommend undertaking the procedure.



Lower Blepharoplasty



There is no evidence below your eyes of any excess skin folds or "bagginess". A lower blepharoplasty is not indicated.



Upper Face - Summary



To summarise, we feel your upper face would benefit most from the following feminising procedures:



·      Forehead and Supraorbital Rim Recontouring to remove prominence.



·      Scalp Advance



·      Brow Lift



·      Upper Blepharoplasty



Upper Face Procedure



Dr Suporn's technique for the upper face is such that he performs it as a complete set of procedures, and there is no reduction in price for eliminating one aspect or another. A scalp advance will always involve some degree of brow lift, and vice versa. There is very little difference in surgery time between the various forehead and supraorbital rim contouring techniques, so the price is the same regardless of technique applied.



Undergoing forehead contouring almost invariably introduces surplus skin on the upper eye lid, and Dr Suporn removes this during the same set of procedures. In rare cases this is not necessary, however, and an allowance is made for not doing so.



The suture line is always covered with hair transplants taken from surplus material removed during the scalp advance. It is important to understand that these transplants should not be confused with a full hair transplant operation intended for area coverage. The transplants done during the upper face procedure are done solely to cover as far as possible the suture line, and hide the scar line within the new hair line. As a result, they are quite limited in coverage because they depend solely on the amount of hair-bearing tissue that was removed during the scalp advance procedure. As far as we know, Dr Suporn is the only surgeon who applies this additional detail.



MID FACE REGION



Your nose appears to be quite heavy and large in comparison with the rest of the proportions of your face. It would seem that it would benefit considerably from a reduction in size, and an alteration in shape to improve your feminine appearance..



In your case, after removal of the brow bossing, the line of your upper nose will integrate smoothly with the forehead.



In profile your nose shows some evidence of a convex 'hump' along the nasal dorsum, which Dr Suporn would flatten, or introduce a degree of concavity. The amount you wish to introduce a concave effect is really a matter of your personal taste, and you can finalise that in discussion with Dr Suporn. We feel the tip of your nose needs some refinement to give it more gentle, female curves and overall shape.



Face On



At the mid region, when seen face on, your nose widens, and then reduces again, before widening yet again at the tip. Dr Suporn would remove this unevenness, and introduce a smooth transitional line from upper to lower nose regions.



In the lower region Dr Suporn recommends an alarplasty to narrow the distance across the nostrils and to reduce as far as possible the broadness of the nose in the lower region.



Please be aware, however, that the flesh surrounding your nostrils is quite thick, and this will limit the amount of reduction that can be made. A major reduction would not be possible, and if you wished to proceed we advise it would be on the basis that you accepted some limitation to the degree of reduction that could be made.



When seen face on, your nose appears to be quite symmetrical



Indication



From the evidence shown, it would appear that you would benefit from a rhinoplasty to enhance the shape, appearance and overall femininity. Dr Suporn would include all the features discussed (unless you indicate to the contrary). This would ensure as closely as possible that your nose is better in proportion with the rest of your face, would ensure symmetry as far as practicable.



In front-view, we believe it will be possible by alarplasty to substantially reduce the broadness you currently display, and are confident that a significant reduction and improvement can be made with which you would be very satisfied and pleased.



Upper Lip Lift



The distance between the lowest part of your nose (columella) and the upper lip is quite long. Typically, this distance is much shorter in females, longer in males. You would benefit from an Upper Lip Lift (ULL) to decrease the distance between the nose and your upper lip. This procedure is normally carried out in conjunction with the recommended rhinoplasty, and is effected from a small incision made immediately beneath your nose, which will subjectively disappear a few weeks after surgery.



The lift will expose your upper teeth a little when you smile, giving a more pleasingly feminine and juvenile appearance. Additionally, it will have the effect of slightly opening up the upper lip, and making it appear a little less thin.



Mid Face - Summary



From the foregoing observations, the following procedures are recommended in the mid-face area:



·      Feminizing rhinoplasty



·      Alarplasty (to reduce width across nostrils)



·      Upper Lip Lift



Lips



Your upper lip is a pleasing feminine shape and size, and requires no alteration. Similarly,  your lower lip is also perfectly proportional, and requires no surgical alteration.



The shape of your lips is acceptably feminine already. The upper lip precedes the lower lip and in profile is angular, relative to the frontal facial plane. The lower lip is fuller than the upper. We do not recommend any surgical alteration or enhancement of your lips.



LOWER FACE REGION



The length of your face is amplified by a broad distance across the mandible, and a fairly heavy and deep chin. Coupled with the scalp advance suggested, which will reduce the exposure of forehead, we suggest reducing the height of the lower one third of your face to give it an overall shorter and more proportional appearance.



Chin



Front On



Your chin is a little wide at the lower extremity and would benefit from reprofiling to give it a more feminine appearance.



Seen from the front, your chin is quite rounded, and rather heavy-looking giving a non-feminine appearance to your lower face. We recommend a full re-profiling of your chin area to alter the shape to be closer to a classical "almond" shape.



The depth of your chin is a little longer than we would consider ideal, and at the same time as we would recommend shaving the frontal profile and width, we would recommend a reduction in depth would be advised.



In Profile



When seen in profile, your chin appears to be quite deep in proportion with the rest of your facial features. We recommend reducing this depth by removing some of the bone to bring the appearance more closely in line with female norms.



It is a generally held view that an attractive female face will have the following characteristic: if - when viewed in profile - one draws a straight line that just touches the foremost extremities of both the forehead and the chin, that line will pass behind or on the forward extremity of the lower lip, and usually somewhat further behind the outer extremity of the upper lip. This is not a rigid 'rule' of course, but it is a guideline that Dr Suporn uses to produce the most pleasingly female appearance in profile.



In your case, your profile already fits quite well this norm, so we do not recommend any change of profile in the anterior or posterior direction.



Jaw



Face On



Your jaw is quite wide at the upper reach, and this contributes to giving your face a wide appearance. To improve the proportions, and to lengthen your face proportionally, we would recommend a jaw reduction to the width across your mid face.



When seen face on, your jaw is quite wide at the mid jaw region, and we suggest that this be reduced by osteotomy to give a narrower and more feminine "almond" shaped appearance. Dr Suporn will be as surgically aggressive as safe preservation of essential nerves will allow.



In Profile



When seen in profile, the angle at your jaw (mandibular angle) is quite acute, as is more typical with a male than a female. We would propose to reduce this angle considerably through shaving the angle



Lower Face Summary



In the lower face region it would appear that the following procedures are indicated:



·      Chin Re-profiling and reduction



·      Jaw reduction



Thyroid Cartilage Reduction



Your "Adam's Apple" or thyroid cartilage is quite prominent, and this is often taken by observers as the most typically noticed of all male facial characteristics.



We recommend a Thyroid Cartilage Reduction (TCR) to remove this almost completely. The exact amount that can be removed cannot be determined until final examination.

Just reading a few posts.Just wanted to say that your information posted is always so helpful.
Oh and by the way you are gorgeous.
Hugs Collette

Thank you Collette. I had put up the long Dr Supporn post because I had send several doctors pictures, The Supporn clinic actually took the time to write a very detailed analysis of my face. I was very impressed, still I will never afford his fee but at least I could use his analysis as a template on how to improve my face.

So are you considering FFS as well Collette? Are did you have it done already?

Thank you, Colette!

I always thought Dr Suporn would be expensive but 35k...wow.
I think I either stay in Europe or travel to Dr Cardenas in Mexico for my FFS.

Hey Shauna........yes I am at that "i can't stand having to wait another day" period in my life.I just want to get on with it.I'm so looking forward to not having to think about me all the time.
I am getting the required photos done tomorrow and will send them to Femilife (Peru) and Dr DiMaggio.Then as I recently moved here to the bay area I will follow through with a consultation with Dr"O".
I'm not very comfortable with going out of country.But the cost difference is staggering as you know.Dr DiMaggio's staff seem to communicate well where as what I am hearing about Nikki at FemiLife is not so good.
You said this was the only surgeon to give feedback.Who else did you contact?
P.S. Your so terribly cute.It isn't fair.

I contacted Femilife - Poor communication but the price is right
Dr Cardenas - Still waiting for a price
Dr Supporn - Good but way to rich for my blood
Dr Phuket - Cheap but I have heard mixed things, (Poor SRS surgeon but I have that done already) and I have not heard from enough people to tell if his FFS is good. I figure that if he sucks at SRS, then do I really want him altering my face.

So I am still leaning towards femilife - FFS in the slums, it all sounds good unless I get shot 

Thank you for the compliment