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Zukowski Center for Cosmetic Surgery Zukowski Center for Cosmetic Surgery
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Patients Under 20
Patients Age 21 to 30
Patients Age 31 to 40
Patients Age 41 to 50
Patients Age 51 to 60
Patients Age 61 to 70
Patients Age Over 70
Family Photos
Gender Variant
Breast and Body
Large Volume Electrolysis
Micrograft Hair Restoration
Pre-Op Patient in her 30s
Pre-Op Patient in her 30s
Pre-Op Patient in her 30s
Post-Op Patient in her 30s after FFS
Post-Op Patient in her 30s after FFS
Post-Op Patient in her 30s after FFS
Pre-Op Patient in her 20s
Pre-Op Patient in her 20s
Pre-Op Patient in her 20s
Post-Op Patient in her 20s after FFS
Post-Op Patient in her 20s after FFS
Post-Op Patient in her 20s after FFS
Mark Zukowski FFS Surgery
Before
Pre Op 28 Years Old and 5 Months Post Op after Full FFS
Mark Zukowski FFS Surgery
After
Pre Op 28 Years Old and 5 Months Post Op after Full FFS
Before
Before
Pre Op and 4 Months Post Op after Full FFS
After
After
Pre Op and 4 Months Post Op after Full FFS
Before
Before
Pre Op and 4 Months Post Op after Full FFS
After
After
Pre Op and 4 Months Post Op after Full FFS
Before
Before
Pre Op and 4 Months Post Op after Full FFS
After
After
Pre Op and 4 Months Post Op after Full FFS
Pre Op and 9 Months Post Op after Full FFS
Pre Op and 9 Months Post Op after Full FFS
Pre Op and 9 Months Post Op after Full FFS
Pre Op and 2 Months Post Op after Full FFS
Pre Op and 2 Months Post Op after Full FFS
Pre Op and 2 Months Post Op after Full FFS
Pre Op and 14 Months Post Op after Full FFS
Pre Op and 14 Months Post Op after Full FFS
Pre Op and 14 Months Post Op after Full FFS
Pre Op
Pre Op
Pre Op
5 months post-op after full FFS
5 months post-op after full FFS
5 months post-op after full FFS
Before
Before
Before
1 Year Post Strip Graft
1 Year Post Strip Graft
1 Year Post Strip Graft
Before
Before
Before
1 Year Post Op
1 Year Post Op
1 Year Post Op
Before
Before
Before
1 Year after Artas computer system
1 Year after Artas computer system
1 Year after Artas computer system
1 Year after Strip Graft
1 Year after Strip Graft
1 Year after Strip Graft
Patient 1 - Before
Patient 1 - Before
Before treatment
Patient 1 - After
Patient 1 - After
After 1 Treatment
Patient 1 - After
Patient 1 - After
After 3 Months Treatment
Patient 2 - Before
Patient 2 - Before
Before First 30 Hour Treatment
Patient 2 - Before
Patient 2 - Before
Before First 30 Hour Treatment
Patient 2 -  Before
Patient 2 - Before
Before First 30 Hour Treatment
Patient 2 - After
Patient 2 - After
After 5 Months and 2 Treatments
Patient 2 - After
Patient 2 - After
After 5 Months and 2 Treatments
Patient 2 - After
Patient 2 - After
After 5 Months and 2 Treatments
Patient 3 - Before
Patient 3 - Before
Before First 30 Hour Treatment
Patient 3 - Before
Patient 3 - Before
Before First 30 Hour Treatment
Patient 3 - Before
Patient 3 - Before
Before First 30 Hour Treatment
Patient 3 - After
Patient 3 - After
2 Months Later, did not complete neck
Patient 4 - Before
Patient 4 - Before
Before treatment
Patient 4 - Before
Patient 4 - Before
Before treatment
Patient 4 - After
Patient 4 - After
9 Weeks after 1st Appointment
Patient 4 - After
Patient 4 - After
9 Weeks after 1st Appointment
Before
Before
This patient is in her late twenties and underwent breast augmentation as well as selective feminization of the forehead, nose, cheeks, chin and trachea.
After 4 Months
After 4 Months
This picture she sent is 4 month postoperative.
After 6 Months
After 6 Months
This picture she sent is 6 months postoperative.
Before
Before
This patient is in her early twenties. She did not do a lip lift and did a variant of browlift that does not reduce the forehead height. In addition, she had selective feminization of the nose, cheeks, chin, trachea and jaw angle with masseter muscle debulking.
Before
Before
This patient is in her early twenties. She had a full face feminization with all of its component parts.
After 3 Months
After 3 Months
This picture she sent is 3 months postoperative.
After 9 Months
After 9 Months
This is the same patient at 9 months postoperative.
After 14 Months
After 14 Months
This is the same patient at 14 months postoperative.
Before
Before
This patient is in her twenties.
This patient is in her twenties.
This patient is in her twenties.
This picture she sent is 4 months postoperative.
Before
Before
This patient is in her mid twenties.
After 8 Months
After 8 Months
This picture she sent is 8 months postoperative.
Before
Before
This same patient side profile is in her mid twenties.
Before
Before
This same patient side profile is in her mid twenties.
After 8 Months
After 8 Months
This picture she sent is 8 months postoperative.
With genetic sister, notice similarities.
With genetic sister, notice similarities.
With genetic sister, notice similarities.
Before & After
Before & After
This photo she sent shows the before and also after with sister. Notice the impressive family resemblance.
After 4 Months
After 4 Months
This picture she sent is with her cis sister. Note family resemblance.
Before
Before
This patient is in her late twenties.
Before
Before
This patient is in her late twenties.
After 18 Months
After 18 Months
This picture she sent is 18 months postoperative.
After 18 Months
After 18 Months
This picture she sent is 18 months postoperative.
Before
Before
This patient is in her mid twenties.
After 5 Months
After 5 Months
This picture she sent is five months postoperative.
Before
Before
This patient is under twenty and had FFS by another surgeon one year ago..
After 2.5 Months
After 2.5 Months
This picture she sent is two and half months postoperative.
Before & After
Before & After
This patient on the left is pre-op. The patient is mixed African-American, Latina, and Caucasian heritage and is one year post-op a feminizing rhinoplasty by another surgeon and was told by all her surgeons in her city that it could not be improved. On the right is 6 months post-op full FFS and secondary rhinoplasty note 50% of the healing is done at this point.
Before
Before
This patient is in her twenties. Nose feminised by other surgeon.
After 1 Months
After 1 Months
This picture she sent is 1 month postoperative. She had endoscopic feminization forehead, Rhino, Fat to cheeks and lips.
Before
Before
This patient is in her twenties.
After 7 Months
After 7 Months
This picture she sent is 7 month postoperative. She had full face feminization.
Before
Before
This patient is in her early thirties and has a mixed Hawaiian heritage. She underwent a full face feminization with all its component parts.
After 4.5 Months
After 4.5 Months
This picture she sent is of her getting ready for a Hhawaiian tribal ceremony. She has a heavy coat of makeup that covers the tribal tattoo on her chin.
After 6 Years
After 6 Years
This picture she sent is six years post operatively.
After 7 Years
After 7 Years
This picture she sent is seven years post operatively.
Before
Before
This patient is in her late thirties. She underwent a full face feminization with all its component parts.
After 4 Months
After 4 Months
This picture is 4 months postoperative.
Before
Before
This patient is in her thirties.
After 18 Months
After 18 Months
This picture she sent is 18 months postoperative.
Before
Before
This patient is in her thirties.
After 5 Months
After 5 Months
This picture she sent is 5 months postoperative on chin, jaw and trachea. 2 months postoperative on forehead and cheeks.
Before
Before
Side profile of this patient in her thirties.
After 4 Months
After 4 Months
No chin implant was used.
Before
Before
This patient is in her thirties.
After
After
After 5 months postoperative.
Before
Before
This patient is in her mid twenties.
After 2 Months
After 2 Months
This picture she sent is two months postoperative.
Before
Before
This patient is in her thirties.
After 1 Month
After 1 Month
This picture she sent is one month post-op had chin forehead nose and fat grafting.
Before
Before
This patient is in her thirties.
After
After
After 1 years postoperative.
Before
Before
This patient is in her thirties.
After
After
After 3 years postoperative.
Before
Before
This patient is in her thirties. This patient had full FFS performed by another surgeon 2 years earlier.
After 2 Weeks
After 2 Weeks
This picture she sent is two weeks postoperative.
After 2.5 Months
After 2.5 Months
This picture she sent is two and a half months after FFS.
Before
Before
This patient is in her late forties. She underwent a full face feminization with all its component parts.
After 2.5 Months
After 2.5 Months
This picture she sent is of her with her boyfriend in full makeup getting ready to walk down the runway at Fashion Week in New York.
Before
Before
This patient is in her fourties.
After 3 Months
After 3 Months
This picture she sent is 3 months postoperative.
Before
Before
This patient is in her fourties.
After 16 Months
After 16 Months
This picture she sent is 16 months postoperative.
Before
Before
This patient is in her late fourties.
After 2.5 Years
After 2.5 Years
This picture she sent is 2.5 years postoperative.
Before
Before
This is the same patient again.
After 2.5 Years
After 2.5 Years
This picture she sent is side profile 2.5 years postoperative.
Before
Before
This patient is in her early fourties.
After 5 Months
After 5 Months
This picture is 5 months postoperative.
Before
Before
This patient is in her early fourties.
After 2 Months
After 2 Months
This picture is 2 months postoperative.
Before
Before
This patient is in her early fourties.
After 3 Months
After 3 Months
No chin implant was used and note decrease in diameter of neck thru effective soft tissue tightening to create a feminine concavity.
Before
Before
This patient is in her mid fourties.
Before
Before
This same patient. Side view.
After 5 Years
After 5 Years
This picture she sent is 5 years postoperative.
Before and After
Before and After
Info included.
Before
Before
This patient is in her late fortys.
After 10 Months
After 10 Months
This picture she sent is 10 months postoperative.
Before
Before
This patient is in her fortys.
After 7 Weeks
After 7 Weeks
This picture is 7 weeks postoperative FFS with makeup and wig not professionally done and is not photoshopped.
Before
Before
This patient is in her mid fifties.
After 6 Weeks
After 6 Weeks
This picture she sent is six weeks postoperative. Please note family resemblance. She is with niece who is in her 20s.
Before
Before
This patient is preoperative.
After
After
This patient is 6 Months postoperative full FFS with 19 year old daughter.
Before
Before
This patient is preop and in her 50s.
After
After
This patient is 1 year post-op after full FSS and appears as the new sister. Cis-sister 2 years younger on the left and cis-sister 2 years older on the right. Both are jealous their new sister looks better than them.
Before
Before
This patient had FFS of nose, cheeks, chin and jaw.
Before & After
Before & After
This patient is in her forties, before in boy mode and 1.5 years after surgery.
After
After
This picture she sent is 1 year 6 months postoperative with mother on left.
After
After
This picture she sent is 1 year 6 months postoperative. This photo is with her wife.
Before
Before
This patient is in her early fifties. She underwent a full face feminization with all its component parts.
After 10 Months
After 10 Months
This picture she sent is ten months postoperatively with wig and full makeup.
Before
Before
This is the same patient is in her early fifties. She underwent a full face feminization with all its component parts.
After 4 Years
After 4 Years
This picture she sent is of her at four years postoperative FFS and three years postoperative BAM.
Before
Before
This is the same patient is in her early fifties. Side view.
After 10 Months
After 10 Months
This picture she sent is ten months postoperatively with wig and full makeup.Side view.
Before
Before
This patient is in her early fifties.
After 2.5 Months
After 2.5 Months
This picture she sent is two and a half months postoperative.
Before
Before
This patient is in her fifties.
After 3 Months
After 3 Months
This picture she sent is three months postoperative.
Before
Before
This patient is in her fifties.
After 2 Years
After 2 Years
This picture she sent is two years postoperative. She plays in a rock and roll band as a hobby.
Before
Before
This patient is in her fifties.
After 1 Year
After 1 Year
This picture she sent is one year postoperative.
Before
Before
This patient is in her mid fifties.
After 4 Months
After 4 Months
This picture she sent is two months postoperative after full FFS.
Before
Before
This patient is in her early fifties.
After 18 Months
After 18 Months
This picture she sent is eighteen months postoperative.
Before
Before
This same patient, side profile.
After 18 Months
After 18 Months
This picture she sent is eighteen months postoperative.
Before
Before
This patient is in her fifties.
After 8 Months
After 8 Months
This patient is eight months postoperative.
Before
Before
This patient is in her fifties.
After 2 Months
After 2 Months
This patient is two months postoperative.
Before
Before
This patient is in her fifties.
After 2 Months
After 2 Months
This patient is two months postoperative.
Before
Before
This patient is in her fifties.
After 2 Years
After 2 Years
This patient is two years postoperative.
Before
Before
This patient is in her fifties.
After 3.5 Months
After 3.5 Months
This patient is 3 and half months post-op having had full face feminization.
Before
Before
This patient is in her late sixties. She underwent a full face feminization with all its component parts.
After 2 Months
After 2 Months
This picture she sent is 2 months postoperatively.
Before
Before
This is the same patient is in her late sixties. Side View. She underwent a full face feminization with all its component parts.
After 2 Months
After 2 Months
This picture she sent is 2 months postoperatively.
Before
Before
She was a cross dresser who never intended to transition based upon the non-passability of her looks.
After 2 Years
After 2 Years
This picture she sent is 2 years postoperatively. She transitioned because "she looked so good".
Before
Before
This patient is preoperative.
After 6 Years
After 6 Years
This picture she sent is 6 years postoperatively.
Before
Before
This patient is preoperative.
After
After
This patient is 12 Months postoperative.
Before
Before
This patient is preoperative.
After
After
This patient is 6 Months postoperative.
Before
Before
After 1 Year
After 1 Year
This picture she sent is 1 year postoperatively.
Before
Before
After 1 Year
After 1 Year
This picture she sent is 1 year postoperatively.
Before
Before
This patient is in her late thirties. Hormone therapy over 1 year.
After 6 Months
After 6 Months
This picture she sent is 6 months postoperatively. 625cc Saline Implants.
Before
Before
This is the same patient is in her late Thirties.
After 6 Months
After 6 Months
This picture she sent is 6 months postoperatively after Brazilian butt lift. This involves traditional and ultrasonic liposuction of the abdomen, flanks and back with large volume fat injection into the buttocks / hips. Note lack of hollowing.
Before & 1 Year After
Before & 1 Year After
Breast Surgery with 350cc saline implants in a very petite Asian patient wanting to go to a full B cup. This patient could not take hormones due to medical reasons. Periaerolar incision / Submuscular placement.
Before & 2 Years After
Before & 2 Years After
Breast Surgery with 450cc saline implants. Periaerolar incision / Submuscular placement.
Before & 2 Weeks After
Before & 2 Weeks After
Breast Surgery with 450cc saline implants. Note biopsy of mole on patients right breast is more visible than the incisions. Periaerolar incision / Submuscular placement.
Before & 4 Months After
Before & 4 Months After
Breast Surgery with 800cc silicone implants. Despite good development pre-op these implants fit her frame with good symmetry and centralization. Periaerolar incision / Submuscular placement.
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Before & 4 Months After
Before & 4 Months After
53 year old patient having had body sculpting.
Before & 4 Months After
Before & 4 Months After
55 year old patient having had body sculpting.
Before & 8 Weeks After
Before & 8 Weeks After
31 year old patient having had body sculpting.
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Before & 3 Months After
Before & 3 Months After
45 year old patient having had body sculpting.
Before
Before
This patient is preoperative.
Before
Before
This patient is preoperative. Note how breasts move to the side with arms perpendicular.
After
After
This same patient is 6 months postoperative from 700cc saline implants.
After
After
This same patient is 6 months postoperatively having had 700cc saline implants and brazilian butt lift. Note the breasts move to the outside when your arms are lifted in a perpendicular position.
Before
Before
This patient is preoperative.
After
After
This same patient is 6 months postoperatively having had brazilian butt lift.
Before
Before
This patient is preoperatively with breast augmentation.
After
After
This same patient is 9.5 months postoperative.
Before
Before
This patient is preoperatively with breast augmentation.
After
After
This same patient is 9.5 months postoperative.
Before
Before
This patient is preoperatively with breast augmentation.
After
After
This same patient is 2 months postoperative.
Before
Before
This patient is preoperatively with breast augmentation.
After
After
This same patient is 12 months postoperative.
Before
Before
This patient is in her early seventies.
After
After
This picture she sent is 1 month postoperative.
Before and After
Before and After
This patient is on the left pre-op full FFS and on the right 4 months post-op with only 33% of the healing done at this point.
Before & After
Before & After
This patient on the left is an example of competition FFS done 2 years earlier in Northern California by another surgeon and on the right is my full revisions and patient is 3 months post-op or 25% of the way healed I build beauty not passability.
Before & After
Before & After
This patient is on the left pre-op full FFS note significant asymmetries. On the right is post-op full FFS 6 weeks on their job and only 15% of the swelling is gone.
Before & After
Before & After
This patient on the left pre-op full FFS and on the right is one year post-op FFS in “girl mode”.
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Patient 5 - Before & After
Patient 5 - Before & After
Untreated left arm and treated right arm 12 months later
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Some images of models have been used throughout this site for illustrative purposes of various procedures. For patient before and after photos, visit our patient gallery.
Copyright © 2026 Zukowski Center for Cosmetic Surgery. All rights reserved.

Copyright © 2026 Zukowski Center for Cosmetic Surgery. All rights reserved.