Facial Feminization » FFS Surgeons
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Dr. Jonathan Keith
Facial Feminization Surgeon in New Jersey & New York City
Dr. Jonathan Keith, MD, FACS is a board-certified plastic and reconstructive surgeon recognized nationally for his expertise in Facial Feminization Surgery (FFS) and comprehensive gender-affirming procedures. A pioneer in the field, Dr. Keith was the first surgeon in New Jersey to provide the complete spectrum of gender-affirming surgical options, including facial, chest, and genital surgery. His practice reflects both surgical artistry and a commitment to the scientific advancement of gender-affirming surgery.
After establishing one of the region’s first gender-affirming surgery programs at East Coast Advanced Plastic Surgery, Dr. Keith partnered with Dr. Drew Marano to launch GAMMA (Gender Affirming Medical and Microsurgical Associates) in 2025. Through GAMMA’s offices in New Jersey and New York City, Dr. Keith continues to expand access to compassionate, state-of-the-art gender-affirming facial surgery for transgender and nonbinary individuals.
Education & Training
- Completed 7-year residency at the University of Pittsburgh;
- Awarded the Stephen S. Kroll Fellowship in microsurgery at the University Hospital of Gent, Belgium, where he gained experience in cutting edge techniques in gender-affirming surgery.
Memberships
- Diplomate of the American Board of Plastic Surgery
- American Society of Plastic Surgeons
- World Professional Association for Transgender Health (WPATH)
- Founding member of the Society of Gender Surgeons
FFS Procedures
Forehead Contouring: The male forehead, in addition to being overall larger, has thick bony ridges over the eyes known as "brow bossing" (more prominent orbital rims) and may slope forward. Forehead Contouring makes the forehead smaller and flatter. It is often done at the same time as Rhinoplasty and/or Hairline Correction.
Cheek Augmentation: Female cheeks tend to be fuller and rounder than male cheeks. Cheek implants or bone filler can be used to give the cheeks a more feminine appearance.
Rhinoplasty: Longer, wider noses can become more feminine looking by changing the underlying bone and cartilage, removing tissue from inside the nose to make it narrower, smoothing out the nose bridge, and raising and/or reducing the tip of the nose.
Lip Augmentation: Lips can be made to look more full with injections, and can also be lifted to reduce the distance between the top lip and nose.
Jaw Reduction/Contouring: The male jaw tends to be wider and larger, with a square mandible. To feminize the jaw, the angle of the jaw is cut or filed down. The jaw may be narrowed as well.
Chin Contouring: The male chin tends to be wide, flat and square. The shape of the chin can be feminized with bone contouring. Chin implants are also sometimes used.
Tracheal Shave: The thyroid cartilage ("Adam's apple") is shaved down to a more feminine size.
Surgery Requirements: Dr. Keith follows WPATH guidelines for surgery. You will need a letter from a qualified mental health professional.
Insurance: Dr. Keith is an in-network provider with Horizon Blue Cross Blue Shield of New Jersey and also accepts out-of-area BlueCard members. However, FFS is still one of the more difficult gender-affirming procedures to obtain coverage for. The policy for Horizon Blue Cross Blue Shield of New Jersey states that non-genital, non-breast "aesthetic" procedures are cosmetic even if part of gender-affirming surgery. Credit and debit cards are also accepted.
Consultations: Dr. Keith is available for in-person consultations.
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