Facial Feminization Surgery (FFS) by Dr. Carlos Mendez

Facial Reconstruction & Feminization

Face & Neck Lift Surgery

Dr. Mendez utilizes the 2 layer rhytidectomy which includes the combination of skin rejuvenation and also SMAS lift, this is a more reliable method of skin rejuvenation that mainly works by eliminating the saggy skin and creases and tightens the muscles and tissues underneath it to achieve a more youthful look and longer result compared with only traditional skin lifting procedure.

Upper and lower Blepharoplasty & Double eyelid surgery, which consist in the surgical removal of fats and excess skin on the upper and lower eyelid, is a procedure that can be done at the same time (for an extra cost). Apart from its aesthetic effect, the upper eyelid surgery is beneficial for older people who have droopy skin that interferes or blocks their vision. An attractive & natural fold with long lasting result will be achieved.

Otoplasty

Surgery of the ear is a minor operation to correct the protruding ear by skin and/or cartilage reshaping. A linear incision made during the surgery will be well hidden and unnoticeable when viewed from the back to bring the ear closer to the head.

Rhinoplasty

We offer various nose surgeries which includes feminizing, reshaping and reduction rhinoplasty depending on the individual’s need or preference. In many cases, the incisions are made via what’s referred to as a “closed rhinoplasty.” This means that the incisions are made on the inside of the nose with access via the nostrils. However, there are some cases where an “open rhinoplasty” is preferred in order to provide greater surgical access. In these cases, an incision is discreetly placed on the strip of skin which separates the two nostrils; we also recommend nose tip refinement or bulbous nose correction without bone reshaping.

Forehead / Brow Bone Contouring

This procedure reduces the prominence of the supraorbital rim using the most common bone burring method. In men, the eyebrows are usually set lower than those of a woman. It is for this reason that many Facial Feminization patients undergo a brow lift, sometimes called a forehead lift, in order to raise the eyebrows to a more feminine level.

When performed reconstruction, this approach is more invasive but may be recommended in some cases. It involves the removal and remodeling of a portion of the forehead bone structure which is then put back in place. This bone reshaping method is not only recommended for feminization but it is also suitable for those men and women who are born with largely protruding brow bone structure. The degree of reduction will depend on the patient’s anticipated end-result.

Cheekbone Contouring

With this procedure the zygomatic bones are being manipulated to restructure and reposition the protruding parts to narrow the middle part of the face to achieve a soft and feminine face profile that is appropriately proportional with the other parts of the face.

We can also recommend a cheek implant for those patients in which the cheekbone is flat, and we want to achieve a more prominent and feminine facial look. This procedure is intended to provide more volume and projection to the cheekbone and the area underneath the cheek bone to provide elegance to the mid-face area.

Jaw and Chin Contouring

This procedure is suitable for both men and women who wish to achieve a narrower and a “V” shape face. Dr. Mendez’s technique is a one-line reduction carried out through an intra-oral approach so it does not create any incision or scar on the face.

Trachea Shave

This is also called “Adam’s apple reduction” and “Chondrolaryngoplasty” and it aims to reduce the size of the thyroid cartilage to achieve a feminine neck area.

Chin Implant

Dr. Mendez performs chin implant surgery to enhance the projection of chin in order to attain a more proportionate upper and lower facial structure. This procedure can be done intra-orally either under local anesthesia for standalone procedure or general anesthesia if done together with jaw / chin contouring surgery or complete facial feminization.

Hairline Advancement

The hairline is undoubtedly an area where the difference between the sexes is quite noticeable. Genetically born males typically have higher hairlines than do genetically born females. In addition, it is common for the male hairline to recede, especially in the areas just above the temples.

The hair advancement surgery is performed by an incision in the hair implantation area and the hairline is advanced towards the eyebrow. The incision will be concealed in the hairline for better aesthetic results. We can also perform Follicular Unit Extraction (FUE) Hair Transplant for our patients with substantial male pattern baldness.

Chin & Jaw Shaping

The main goal for jaw surgery is to achieve the V shape of the face. The male jaw is a square area which provides a masculine and dominant face pattern; eliminating this area and bringing it into a V shape will provide a successful facial feminization. We usually recommend the chin implant in this surgery to enhance the V shape into a more feminine look.

Lip Lift & Filler

Dr. Mendez performs a lip lift in order to reduce the distance between the bottom of the nose and the top lip. An incision is made under the nose and a portion of skin is removed in order to raise the lip up and shorten the area, to provide a more feminine look.

Yes, absolutely! Our doctors are available for private consultations via WhatsApp (up to 15–20 minutes per patient, Please see schedule and instructions on how to join).

IMPORTANT: All patients will also have a private consultation with our doctors one day before surgery.

Schedule Your Private Consultation Today!

We encourage you to be extremely detailed. FFS is highly individualized. During your consultation with our surgeons, bring reference photos and be highly specific about your goals for bone contouring (forehead, jaw, and chin). Our surgical team favors a natural, harmonious approach, but if you desire more aggressive contouring, this must be clearly communicated and agreed upon during your pre-op planning.

Facial Feminization Surgery (FFS)
Before & After

"My experience was top of the line from the first contact, to the surgery and my recovery!" - Sandy (USA)
5/5

Finance 100% of your surgery + Plus all travel costs! 

Click here to apply Today!

Looking to connect with our past patients who received a similar surgery at Mexico Transgender Center?
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Body Feminization Surgery by Dr. Carlos Mendez

Body Contouring & Feminization

Liposuction

Liposuction slims and reshapes specific areas of the body by removing excess fat deposits and improving your body contours and proportion.

We also offer 360-degree high-def liposuction with Vaser and J-Plasma, a technique that yields the most dramatic results for body feminization. So, if you are seeking that hour-glass body shape, ask us today about the 360-degree high-def liposuction package. Rib narrowing surgery is also available for those seeking to make their waist more narrow and feminine!

RibXcar

Getting that narrow feminine waist has never been this affordable!

RibXcar is an advanced form of rib remodeling designed to enhance your natural waistline by reshaping specific ribs—without the need for removing full ribs. Unlike traditional liposuction, which only removes subcutaneous fat, RibXCar addresses the underlying skeletal framework by safely modifying the lower floating ribs (the 11th and 12th pairs).

Here’s what makes it different from traditional rib removal:

  • Minimally invasive: Instead of removing ribs for a smaller waist, the technique modifies their shape for a more natural result.
  • Tiny, nearly invisible scars: The procedure uses a pinhole incision, making it discreet and easy to hide.
  • Faster recovery: Less trauma to your body means a smoother healing process.

Many patients choose RibXcar as a standalone procedure, but it can also be the perfect add-on to a tummy tuck or 360-degree Lipo for an even more dramatic transformation.

Click here to learn more about special RibXCar +BBL + 360 Lipo Package

Tummy Tuck

Tummy tuck surgery, also known as abdominoplasty, removes excess fat and skin and, in most cases, restores weakened or separated muscles creating an abdominal profile that is smoother and firmer.

Breast Augmentation via Implants

Breast augmentation is the surgical placement of breast implants to increase fullness and improve symmetry of the breasts.

Fat Transfer

Also known as fat grafting or fat injection. A fat grafting procedure transfers fat from areas in which you have excess fat, such as the outer thighs, and injects it into areas that may be lacking in volume, such as your face, hands, breasts or buttocks. This safe, long-lasting, well-tolerated procedure produces natural-looking results. Every year, thousands of people undergo successful fat grafting and are pleased with the results.

Brazilian Butt Lift (BBL)

The brazilian butt lift (BBL) is a type of butt augmentation procedure which results in youthful, prominent, perky buttocks and a more sensual body profile.

The surgical procedure uses your own fat, so it is the most natural way to augment your buttocks. Over the last few years, the buttocks have received more press coverage than ever before. People of all ages and body types are having the Brazilian Butt Lift procedure.

Buttocks (Gluteal) Implants

For those with insufficient fat deposits to qualify for brazilian butt lift (BBL), we offer anatomical gluteal implants. Unlike with BBL, where fat can eventually start moving around your body due to natural internal processes, implants produce beautiful permanent results.

1. Standard “Off-the-Shelf” Maximums (500cc – 560cc)

The most common, high-quality, and COFEPRIS-approved implant brands used by board-certified plastic surgeons in Mexico include Silimed (Brazil), Sebbin (France), and Polytech (Germany).

  • Across these major brands, the largest standard catalog sizes typically max out between 500cc and 560cc.

  • For example, Sebbin’s biconvex gluteal line generally caps at around 530cc, and Polytech offers round/planar implants up to 560cc.

2. Extra-Large & Custom Implants (700cc – 800cc)

While less common, some manufacturers produce extra-large or custom-ordered gluteal implants that reach 712cc up to 800cc. These are generally the absolute maximum sizes produced globally for cosmetic augmentation. However, these are rarely kept in standard stock at Mexican clinics and usually require a special order.

The Surgical Reality: Anatomical Limitations

Even if an 800cc implant is technically available to order, most specialized surgeons in Mexico will restrict the maximum size based on surgical safety and the patient’s anatomy:

  • Intramuscular Placement (The Gold Standard): Placing the implant inside the gluteus maximus muscle yields the safest and most natural-looking results with the lowest risk of shifting or visible edges. However, the muscle can only stretch so much without tearing or compressing the sciatic nerve. Because of this, the maximum volume that can safely fit inside the muscle is usually between 350cc and 450cc for most patients.

  • Going Bigger: Patients who demand implants larger than 450cc–500cc often do not have the muscular capacity to hold them. Attempting to place extra-large (600cc+) implants usually forces the surgeon to place them subfascial (above the muscle), which drastically increases the risk of complications, implant palpability (feeling the edges), and shifting over time.

For patients seeking extreme gluteal enlargement beyond the 500cc implant limit, we typically recommend a “Composite” or “Hybrid” Augmentation, which combines a safely sized intramuscular implant (e.g., 350cc – 400cc) with a large volume fat transfer (BBL) layered over the top to reach the desired projection.

Plastic and reconstructive surgery does carry some risk, like with any surgical intervention. Body feminization procedures are considered safe when performed by a Board Certified plastic surgeon. We operate at CHG Hospitales, a fully equipped and fully staffed private hospital. Rest assured that you are in good hands and that your safety is our top priority.

Brazilian Butt Lift (BBL) requires a patient to have sufficient fat deposits to be harvested and transferred into buttocks area. About 40% of harvested fat will be lost during purification process, therefore many patients may end up with not enough fat to be injected into buttocks area. For these patients, we recommend gluteal implants that will provide permanent and beautiful results. Our doctors will evaluate each specific case and make appropriate recommendations.

Recovery time will vary by procedure, from 1-2 weeks for breast augmentation to up to 2 months for gluteal implants and fat transfer.

Yes, absolutely! Our doctors are available for private consultations via WhatsApp (up to 15-20 minutes per patient, Please see schedule and instructions on how to join).

IMPORTANT: All patients will also have a private consultation with our doctors one day before surgery.

Schedule Your Private Consultation Today!

"I can't believe my results! Dr. Mendez has vastly surpassed my expectations - Monica Sanchez"
5/5

Finance 100% of your surgery + Plus all travel costs! 

Click here to apply Today!

Looking to connect with our past patients who received a similar surgery at Mexico Transgender Center?
Ask us to join our friendly WhatsApp group TODAY!
Read more

Kim Phalloplasty, Metoidioplasty & Hysterectomy

Mexico Transgender Center FTM SRS
dr-kim-with-dr-aguilar

Mexico Transgender Center is the ultimate destination for Female-to-Male transgender community. Dr. Ivan Aguilar specializes in Conjoined Bilateral Pedicled Groin Flap Phalloplasty, also known as Kim FTM Phalloplasty.

  • Certified by Dr. Kim
  • Many successful surgeries completed with extremely satisfied patients
  • 3-stage procedure
  • About 35% less expensive than other phalloplasty types
  • Preferred method by many FTM patients

Gender-Affirming Surgical Procedures

Understanding Hysterectomy Options

At the Mexico Transgender Center, we understand that knowing exactly what happens during your procedure is vital for your peace of mind. A hysterectomy is the surgical removal of the uterus, but the specifics of what else is removed depend entirely on the type of procedure being performed.

Here is the breakdown of what is removed in each variation:

1. Total Hysterectomy (Most Common)

In this procedure, we remove the entire uterus and the cervix. This is the standard for most gender-affirming surgeries and many medical conditions.

  • Removed: Uterus, Cervix.
  • Remaining: Ovaries and Fallopian tubes (unless specified otherwise).

2. Partial (Supracervical) Hysterectomy

In some cases, a patient may choose to keep the cervix.

  • Removed: Only the upper part of the uterus.
  • Remaining: The cervix, ovaries, and fallopian tubes.

3. Radical Hysterectomy

This is typically performed in cases of cancer rather than gender-affirming care.

  • Removed: The uterus, cervix, the upper part of the vagina, and the surrounding support tissues (parametrium).

4. Optional: Salpingo-Oophorectomy

While a hysterectomy technically only refers to the uterus, it is very common to perform a Salpingo-Oophorectomy at the same time.

  • Oophorectomy: Removal of the ovaries.
  • Salpingectomy: Removal of the fallopian tubes.

Hormonal Considerations

Note: If we remove your ovaries, your body will no longer produce estrogen or progesterone naturally, and you will enter surgical menopause. You will likely need to begin or adjust Hormone Replacement Therapy (HRT) immediately, as your primary source of natural hormone production is gone.

What stays behind?

Unless there is a specific medical reason or a radical surgery is performed, we do not remove the vagina. The top of the vaginal canal is surgically closed (creating a “vaginal cuff”), and the canal itself remains intact.

Why does the distinction matter?

If the cervix is removed, you no longer need routine Pap smears for cervical cancer screening.

Conjoined Bilateral Pedicled Groin Flap Phalloplasty (Kim Phalloplasty)

Conjoined Bilateral Pedicled Groin Flap Phalloplasty, also known as Kim FTM Phalloplasty, is a 3-stage procedure that serves as a less expensive alternative to microsurgical phalloplasties utilizing conjoined bilateral pedicled groin flaps.

The final penis size depends on the patient but averages just over 4 inches long by 1.75 inches wide. Scars are easily concealed by underwear or a swimsuit. Patients can stand to urinate, and sexual intercourse with a partner is also possible. Erotic sensation and orgasm continue to be provided by the clitoris preserved at the base of the neophallus. Patients report tactile sensation in the bottom half of the penis.

Implantation of a malleable erectile prothesis is optional, but inflatable devices are not possible.

The procedure is named for its founder, Dr. Kim of Seoul, Korea. Dr. Kim studied extensively with Professor Sava Perovic MD PhD (now deceased), who was a critical figure in the advancement of FTM surgeries. Before Dr. Rados Djinovic joined the Sava Perovic Team, Dr. Kim was the surgeon who accompanied and supported Professor Perovic when he demonstrated FTM genital surgeries in other countries.

Understanding the Procedure and Results

The Kim Phalloplasty is an excellent option that provides highly functional and aesthetic results. Because it is a more streamlined technique, it is typically about 35% more affordable than other phalloplasty methods (such as MLD or Radial Forearm), making it a great value without compromising quality.

  • Anatomy and Size: The resulting neophallus averages about 10.5 cm (4.1 inches) in length and 4.5 cm (1.8 inches) in diameter. While final dimensions are dictated by your unique body type rather than a selectable size, the results are well within the average range for natal males.
  • Functionality: The procedure allows for standing urination (STP) and provides a larger overall result than a metoidioplasty. It is also designed to comfortably accommodate a malleable penile prosthesis (though it is less suited for an inflatable one) to enable erections and sexual intercourse.
  • Scarring: One of the primary benefits of the Kim Phalloplasty is that donor site scarring is significantly less noticeable than with a Radial Forearm Phalloplasty. Scars are typically entirely concealed by underwear or a swimsuit.

Medical Requirement

Please note that for your safety and the best possible surgical outcome, your BMI must be under 32 to qualify for this procedure.

Staging and Costs

This is a three-stage procedure, uniquely sequenced to optimize your healing. The total base cost for all three stages is $28,999 USD. Please note that each stage must be separated by at least three months.

  • Stage One: Phalloplasty and Testicular Implants ($10,999 USD)
    Details: Bilateral groin flap phalloplasty and testicular prosthesis implantation.
    Timeline: 3 hours of surgery, 2 nights in the hospital, and a 10-day hotel stay.
  • Stage Two: Penile Prosthesis and Urethra Pre-fabrication ($10,000 – $22,000 USD)
    Details: Penile prosthesis implantation, vaginectomy, and penile urethra pre-fabrication using vaginal mucosa. (Please note: About 40% of patients choose to pursue this implant stage, and it often results in slight gains in overall size).
    Cost Variance: $10,000 for a malleable implant; $22,000 for an inflatable implant.
    Timeline: 4 hours of surgery, 2 days in the hospital, with a total recovery time of about two weeks.
  • Stage Three: Urethral Realignment and Glans Reconstruction ($8,000 USD)
    Details: Final urethral connection and cosmetic shaping of the glans.
    Timeline: 4 hours of surgery and 2 nights in the hospital. We highly recommend allocating at least two weeks for recovery before undertaking the physical challenges of air travel.

Typical Itinerary (Stage One)

To make your trip as stress-free as possible, we handle your local logistics:

  • Day 1: Airport pickup, hotel registration, and an afternoon doctor’s consultation to finalize the surgical plan.
  • Day 2: Hospital admission and surgery.
  • Day 4: Discharge from the hospital and transportation back to your hotel for recovery.
  • Day 6: Follow-up doctor’s visit to safely remove drainage catheters.
  • Day 10: Airport drop-off for your journey home.

It will take at least 6 months to complete all 3 stages of Conjoined Bilateral Pedicled Groin Flap Phalloplasty, also known as Kim FTM Phalloplasty. Please be prepared to allocate time for each stage and the recovery.

Yes, absolutely! Our doctors are available for private consultations via WhatsApp (up to 30 minutes per patient, Please see schedule and instructions on how to join).

IMPORTANT: All patients will also have a private consultation with our doctors one day before surgery.

Schedule Your Private Consultation Today!

This video showcases actual Kim phalloplasty results delivered by the surgical team of Dr. Ivan Aguilar and Dr. Carlos Mendez.

Click here to schedule your online consultation today!

Metoidioplasty

At Mexico Transgender Center, we specialize in Metoidioplasty (often called a “Meta”), a gender-affirming genital surgery for transmasculine and non-binary individuals. Our goal with this procedure is to create a functional, sensitive, and aesthetically masculine neophallus using your existing tissue.

Here is a detailed description of how we approach this procedure and what you can expect:

How We Perform Metoidioplasty

The foundation of a metoidioplasty is the clitoral growth achieved through Testosterone Replacement Therapy (TRT). Once significant growth has occurred (usually after 1–2 years of HRT), we use that tissue to create the neophallus.

  • Clitoral Release: We surgically release the ligaments (suspensory ligaments) surrounding the enlarged clitoris. This allows the shaft to “drop” and extend forward, maximizing its visible length.
  • Urethral Lengthening (Optional): If your goal is to stand to urinate, we can lengthen the urethra. We use a combination of local tissue (from the labia minora or vaginal lining) to extend the urinary tract to the tip of the new phallus.
  • Scrotoplasty: We use the tissue from the labia majora to create a scrotum. In a secondary stage (usually 3–6 months later), we can insert silicone testicular implants to provide a natural look and feel.
  • Vaginectomy: If you choose urethral lengthening, we generally require a vaginectomy (removal and closure of the vaginal canal) to significantly reduce the risk of urinary complications like fistulas or strictures.

Why Choose Metoidioplasty?

Many of our patients prefer metoidioplasty over phalloplasty for several specific reasons:

  • Preserved Sensation: Because we use the original clitoral tissue, erotic and tactile sensation is fully preserved throughout the entire neophallus.
  • Natural Erections: The neophallus is capable of becoming erect on its own through natural arousal, without the need for an internal pump or rod.
  • No Large Donor Scars: Unlike phalloplasty, we do not need to take large grafts of skin from your arm or leg.
  • Lower Complication Rate: It is a less invasive surgery with a shorter overall recovery time.

Important Considerations

  • Size: The resulting phallus is typically between 4 and 6 cm (1.5 to 2.5 inches). While it creates a masculine profile, it is generally not large enough for penetrative intercourse.
  • Urination: While most patients can stand to urinate after urethral lengthening, success depends on your unique anatomy and the final positioning of the phallus.

Recovery and Aftercare

  • Hospital Stay: We typically require a 1 night stay in the hospital for monitoring.
  • Catheter Use: If we perform urethral lengthening, you will have a catheter (either a Foley or a suprapubic tube) for about 2–3 weeks to allow the new urethra to heal without being irritated by urine.
  • Downtime: You should plan for at least 4–6 weeks of light activity before returning to work or strenuous exercise.

At the Mexico Transgender Center, we work closely with you to tailor these surgical components to your specific goals and comfort level.

Metoidioplasty: actual surgery photos (click to enlarge)

"Metoidioplasty was the right choice for me and Dr. Aguilar has delivered on his promises!" - C.J. (UK)
5/5

Finance 100% of your surgery + Plus all travel costs! 

Click here to apply Today!

Looking to connect with our past patients who received a similar surgery at Mexico Transgender Center?
Ask us to join our friendly WhatsApp group TODAY!
Read more