25-34 year old trans female who underwent gender affirming facial feminization. The patient underwent anterior hairline advancement, type 3 forehead and brow contouring, brow lift, feminizing rhinoplasty, facial fat transfer, reduction genioplasty, jawline contouring and tracheal shave. In the post-operative photos, you can visualize a softer, more youthful, more feminine, heart-shaped and happier facial appearance.