The long-term effects of facial feminization surgery (FFS) can include permanent changes in facial appearance, a more feminine facial structure, improved self-confidence, and alignment with one’s gender identity. FFS procedures such as bone contouring, forehead reduction, rhinoplasty, and chin reshaping are designed to create lasting results. However, it’s important to note that the natural aging process will still continue, and additional maintenance procedures or touch-ups may be desired in the future.