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    The 10 hour operation was performed by Douglas Ousterhout, M. Doug Ousterhout is the surgeon who pioneered this highly aggressive form of facial-bone reconstructive surgery for transsexual women. The aim of FFS surgery is to eliminate or reduce many of the cross-gender-related deformities of the facial bones caused by late-pubertal testosterone masculinization in MtF transsexuals. Ousterhout, Jessica's page about surgery with Dr.
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    Talk:Facial feminization surgery/Archive 1

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