25-34 year old transfemale who was interested in facial feminization. The patient’s main concerns were her nose, chin, jawline, and thyroid cartilage. The patient underwent a feminizing rhinoplasty, reduction genioplasty, jawline contouring, and tracheal shave. In the post-operative photos, you can visualize improvement in the contour of the nose specifically the dorsal hump, symmetry, and refinement of the tip. The chin was advanced forward, lowered, and narrowed. The jawline was contoured to appear less square and angular. The thyroid cartilage was contoured and is now not evident.