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BackTable / ENT / Podcast / Episode #27

Facial Feminization

with Dr. Sarah Saxon

We talk with Dr. Sarah Saxon about Facial Feminization Surgery, including the range of procedures, patient selection, and technique.

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Facial Feminization with Dr. Sarah Saxon on the BackTable ENT Podcast)
Ep 27 Facial Feminization with Dr. Sarah Saxon
00:00 / 01:04

BackTable, LLC (Producer). (2021, July 20). Ep. 27 – Facial Feminization [Audio podcast]. Retrieved from

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Podcast Contributors

Dr. Sarah Saxon discusses Facial Feminization on the BackTable 27 Podcast

Dr. Sarah Saxon

Dr. Saxon is a Facial Plastic Surgeon at Saxon MD Facial Plastic Surgery in Austin Texas.

Dr. Gopi Shah discusses Facial Feminization on the BackTable 27 Podcast

Dr. Gopi Shah

Dr. Gopi Shah is a pediatric otolaryngologist and the co-host of BackTable ENT.

Dr. Ashley Agan discusses Facial Feminization on the BackTable 27 Podcast

Dr. Ashley Agan

Dr. Ashley Agan is an otolaryngologist in Dallas, TX.


In this episode, Dr. Sarah Saxon joins Dr. Gopi Shah and Dr. Ashley Agan to discuss the variety of facial feminization surgeries and important considerations for treating transgender patients.

Dr. Saxon defines “facial feminization surgeries” as a group of procedures that are geared towards feminizing the face. She highlights the fact that feminizing a patient’s appearance often aligns with striving for a more youthful appearance. Therefore, feminizing procedures can include facelifts, skin resurfacing, and skin tightening with radiofrequency. Additionally, Dr. Saxon describes her techniques for chondrolaryngoplasty (also known as tracheal shave), mandibular contouring, and type 3 cranioplasty. She also discusses post-operative care with exosome injections at incision sites and steroids.

Throughout this episode, Dr. Saxon offers advice for providers who treat transgender patients. From a pre-operative standpoint, she advises surgeons to ensure that their patients are off of hormone therapy during the two weeks prior to surgery in order to reduce the risk of DVT. She also encourages providers to ask about patients’ preferred pronouns and avoid making assumptions about their patients. Above all, she emphasizes that providers should be open-minded and recognize that patient care is a dynamic learning process throughout their entire careers.


Dr. Saxon’s Website:
Dr. Saxon’s Instagram: @saxonmd, @breathe_atx, @breathe_dallas

Transcript Preview

[Dr. Sarah Saxon]
It mainly makes a difference to know, I usually ask, do you want to look as feminine as possible? If they're transgender versus gender fluid, or non-binary, I always ask as I never want to assume. Even if they come in identifying as female to me, they may not want to do that every day. If they're cisgender coming in, I still want to know do you want to look more feminine. Oftentimes, they'll come in asking me, "I just want to look good, I can't really put my finger on it, but I need your input because I've seen the work you do on transgender patients. I feel like I look very masculine, and I'm open to whatever procedure you would recommend." For those patients, oftentimes I'll recommend, cranioplasty, or jaw contouring, even rhinoplasty is a very feminizing procedure. In general, I think of everybody kind of the same, as far as structure and soft tissue, whether they're transgender or cisgender, and I'm bringing them to the same point.

Disclaimer: The Materials available on are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.

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A plastic surgeon performing facial feminization surgery

Facial Feminization Surgery Options

A pride flag with a stethoscope promoting gender affirming care

Providing Gender-Affirming Care with Facial Feminization Surgery


Learn about Facial Plastics on BackTable ENT

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