Face / FFS
Your face tells your story — and every procedure here is performed by a surgeon who specializes exclusively in gender-affirming care.

Facial feminization surgery is one of the most personal and visible expressions of gender alignment — and it demands a surgeon who understands trans anatomy with precision, not one who occasionally performs these procedures between other cases. At Chrysalis Surgery, every surgeon on our team focuses exclusively on gender-affirming care. That means when Dr. David N. Sayah, MD — board-certified by the American Board of Plastic Surgery, FACS-credentialed, and carrying 26 years of surgical experience — evaluates your face, he is reading it through a lens that is specifically trained for this work. You are never an afterthought on a generalist's schedule.
FFS at Chrysalis addresses the structural features most associated with facial gender perception: the forehead and brow ridge, the hairline, the nose, the jaw, and the chin. These procedures can be approached individually or in combination, depending on your anatomy and your goals. Because full-spectrum care lives under one discreet Beverly Hills roof, your plan is built cohesively — not fragmented across multiple providers who have never spoken to one another. Every recommendation is honest, grounded in what your anatomy can achieve, and communicated clearly before you commit to anything.
The result you are working toward is a face that feels like yours. That outcome depends entirely on the surgeon understanding what you are asking for — and having the specialist depth to deliver it safely and consistently. At Chrysalis, that specialist focus is not a marketing claim. It is the only kind of practice we have ever been.
Why choose us
- Specialist team — every surgeon focuses specifically on gender affirming procedures, not a generalist who also does GAS
- Beverly Hills boutique setting — private and discreet, never an assembly line clinic
- Dr. David N. Sayah, MD — 26+ years experience, board certified (ABPS), FACS, published researcher
- Full — spectrum care under one roof face, top, bottom, body, and spa with no fragmented referrals
Frequently asked questions
Facial Feminization Surgery is a collection of surgical procedures designed to reshape the face's bone structure, soft tissue, and features to align with feminine or non-binary facial aesthetics — and at Chrysalis Surgery, every aspect of your FFS plan is developed by a specialist who performs these procedures exclusively, not a generalist fitting you between other cases. Dr. David N. Sayah, board-certified by the American Board of Plastic Surgery, FACS-credentialed, and with 26 years of surgical experience, may address the forehead, brow, nose, cheeks, jaw, chin, and hairline — tailoring each element precisely to your facial anatomy and your vision of yourself. Because our entire practice is devoted exclusively to gender-affirming care, your FFS consultation is never a detour from someone's general plastic surgery schedule — it is exactly what we do.
The cost of facial feminization surgery at Chrysalis Surgery varies based on your specific combination of procedures — because Dr. David N. Sayah, a board-certified, FACS-credentialed specialist with 26+ years of surgical experience, builds every treatment plan around your individual anatomy and goals, not a one-size-fits-all package. Some insurance plans do cover FFS when properly documented, and our team will work with you to understand your coverage and the full financial picture before you commit to anything. We invite you to schedule a private consultation so you can receive an honest, transparent cost estimate tailored to exactly what you need — nothing more, nothing less.
Facial feminization surgery is highly individual — the procedures Dr. Sayah recommends depend entirely on your anatomy and goals, so surgical time varies based on your personalized plan. Because every surgeon at Chrysalis focuses exclusively on gender-affirming surgery, your consultation is designed to give you an honest, precise picture of what your procedure will involve and how long it will take — no guesswork, no generalist assumptions. You'll know exactly what to expect before you ever commit.