The facial surgery you deserve
Facial feminization, minimally invasive orthognathic surgery, rhinoplasty, masculinization and more. One team, one price, all-inclusive.
+1,050 surgeries performed
Surgical portfolio
Real prices, all-inclusive. No small print, no hidden costs later on.
Every procedure. Every price.
FACIAL GENDER AFFIRMING SURGERY (FFS)
Forehead feminization
Frontal bone reconstruction, bossing reduction, supraorbital rim reshaping and eyebrow repositioning. The most technically complex procedure in facial plastic surgery. It involves an overnight stay.
–> €8,500
Jaw and Chin Feminization
Surgery to reshape the jawline and chin to reduce facial squareness and refine the lower third of the face. May be carried out on an outpatient basis, depending on the individual case.
–> €7,000
Feminizing Rhinoplasty
Functional and aesthetic reshaping of the bridge, tip and base of the nose. Performed by Dr. Ramón Tarragona, a specialist in rhinoplasty. Outpatient procedure or with an overnight stay, depending on the complexity of the case.
–> €7,000
Trachea / Adam’s Apple Feminization
Reduction of the thyroid cartilage via an incision barely 1 cm long beneath the chin. A highly complex procedure which, when performed by experts, delivers immediate results and recovery. Outpatient procedure.
–> €4,500
Lip Lift
Shortening of the distance between the nose and the upper lip via an incision concealed beneath the nose. Immediate and permanent results. Outpatient procedure.
–> €2,500
3 FFS Major Procedures Pack
A combination of three main procedures in a single surgical session, excluding rhinoplasty. This minimizes the total duration compared with having the procedures carried out individually, as well as recovery times and the overall cost. It includes a one-night stay in hospital.
–> €16,000
MINIMALLY INVASIVE ORTHOGNATHIC SURGERY (MIOS)
Single-jaw Osteotomy
Surgical correction of the upper jaw or lower jaw, where clinically appropriate. The minimally invasive approach repositions the bone, prioritizing facial balance. Orthodontic treatment is required in many cases.
–> €6,500
Bimaxillary Osteotomy
Simultaneous repositioning of the upper and lower jaws in cases of facial asymmetry. We treat occlusion and facial projection in a single procedure, without separating function from aesthetics. High precision, requiring a one-night hospital stay.
–> €12,000
Trimaxillary Osteotomy
Bimaxillary correction with integrated genioplasty to treat the overall facial profile in cases of severe retrognathia with a lack of chin projection. The chin is corrected in the same plane as the occlusion, without the need for additional procedures. Includes a one-night stay.
–> €13,500
Mentoplasty
Repositioning of the chin bone via osteotomy to correct microgenia, a receding chin or asymmetry of the chin axis. The bone segment is advanced, retracted or levelled according to the treatment plan and fixed in place with a titanium plate. The procedure is performed on the patient’s own bone, without implants, using an intraoral approach and leaving no visible scar.
–> €6,000
SARPE
Palatal expansion via osteotomy to correct transverse maxillary compression. This requires orthodontic appliances and combined follow-up.
–> €4,000
Facial Masculinization
Mandibular Angles Masculinization
Customized PEEK implants to define and mark the angles of the jaw. A biocompatible material with high tolerance, providing a permanent result.
–> €5,000
Chin Masculinization
Bespoke chin implant to enhance projection, lengthen or define the lower third of the face. Can be combined with bone genioplasty where indicated.
–> €4,000
Cheekbones Masculinization
Malar implants to enhance the zygomatic projection or restore volume in the midface. Recommended for malar hypoplasia or changes in volume.
–> €4,000
Male-oriented Rhinoplasty
Functional and cosmetic reshaping of the bridge, tip and base of the nose. Performed by Dr. Ramón Tarragona, a specialist in rhinoplasty. Outpatient procedure or with an overnight stay, depending on the complexity of the case.
–> €7,000
HAIR TRANSPLANT
FUE Hair Transplant
Extraction of individual follicles from the donor area and reimplantation in areas affected by alopecia or to reshape the hairline. A technique that leaves no linear scar, with a quick recovery and permanent results.
–> €6,000
FUS Hair Transplant (Simultaneous)
Follicular reimplantation carried out during the same surgical session as forehead feminization, making use of the coronal approach to optimize the redesign of the hairline. This eliminates the need for a second operation and a second anaesthetic.
–> €6,000
other procedures
Deep Plane Lifting (Face & Neck)
Unlike superficial facelifts, the deep-plane approach offers more natural, long-lasting results without the tight appearance characteristic of older techniques. It includes an overnight stay.
–> €15,000
Upper and Lower Blepharoplasty
Correction of excess skin and/or fat in the upper or lower eyelids. Rejuvenates the eyes and can be combined with other procedures. Outpatient procedure. The individual cost of upper blepharoplasty is €1,800 and that of lower blepharoplasty is €2,400.
–> €3,500
Otoplasty
Correction of the position and shape of protruding ears through reshaping of the ear cartilage. Permanently improves the proportion between the ear and the head. Outpatient procedure.
–> €4,000
Eye Rejuvenation Package
Comprehensive periorbital rejuvenation package: endoscopic brow lift to raise the position of the eyebrows and smooth the forehead, combined with upper blepharoplasty during the same procedure. This simultaneously corrects sagging of the upper third of the face and excess skin on the eyelids. Outpatient procedure.
–> €7,500
Calculate your starting point
Select the procedures you’re interested in and get a rough estimate.
Remember, your final quote will always be provided in writing following your free consultation.
THE PROCESS
Your surgery at ARQÉA
4 clear steps from initial contact right through to the solid result you’re looking for. No black boxes, no surprises.
Free consultation
In person at IM Clinic Gournay or via video call. Dr. Gutiérrez will review your case, analyse the realistic options and answer all your questions. No obligation, no pressure, and no intermediaries involved.
Surgery at IM Clinic Gournay
Dr. Gutiérrez personally performs your procedure at IM Clinic Gournay in Sant Cugat del Vallès, Barcelona (rhinoplasty is performed by Dr. Ramón Tarragona, and hair and facial rejuvenation procedures by Dr. Juan Molina together with Dr. Gutiérrez). There are no trainees carrying out procedures, and there are no surprises. A planning process using bespoke cutting guides is employed for all maxillofacial surgery.
Surgical plan and written quote
Following your consultation, you will receive a detailed surgical plan and an all-inclusive quote. This covers fees, anaesthesia, the clinic, materials and follow-up appointments. What you see is what you pay.
Follow-up until the final result is achieved
Four check-ups included in the price: after 7 days, one month, three months and 12 months. In person or via video call. The follow-up does not end until your results are fully established.
Clarity before the consultation
Frequently Asked Questions
What exactly does the price of the FFS at ARQÉA include?
All ARQÉA prices include surgical fees, anaesthesia, use of the operating theatre at IM Clinic Gournay and clinical supplies. For procedures requiring an overnight stay (such as forehead feminization), the cost of the hospital stay is also included. There is no consultation fee: the medical assessment with Dr. Gutiérrez is free of charge in all cases. The final quote is always provided in writing following the consultation.
Can several FFS procedures be combined in a single operation?
Yes. Combining procedures in a single session is clinically safe, more cost-effective and reduces the overall recovery time. At ARQÉA, it is possible to carry out up to three major procedures in a single session: forehead, jaw/chin and trachea, for example, with a package available from €16,000. Dr. Gutiérrez determines which procedures to combine and in what order during the assessment consultation, based on each patient’s anatomical profile and objectives.
How much experience does the ARQÉA surgical team have in facial surgery?
Dr. Javier Gutiérrez, ARQÉA’s lead surgeon, has performed over 1,050 facial surgeries. His specialism covers FFS, orthognathic surgery and facial bone surgery. The clinic operates at IM Clinic Gournay in Sant Cugat del Vallès, a leading surgical centre that meets all the safety standards required by Spanish health regulations. The team also includes Dr. Ramón Tarragona and Dr. Juan Molina as collaborating specialists.
Do I need to have orthodontic treatment before undergoing orthognathic surgery?
In most cases of bimaxillary or monomaxillary orthognathic surgery, a period of prior orthodontic preparation is required (usually between 12 and 18 months). This phase serves to alter the position of the teeth and ensure that they fit correctly following the surgical repositioning of the jaws. At ARQÉA, surgical planning is coordinated from the outset with the patient’s orthodontist.
What is facial masculinization?
Facial masculinization (FMS) is the set of surgical procedures aimed at creating a facial morphology with conventionally masculine features: more pronounced jaw angles, a square and prominent chin, cheekbones with greater lateral projection, and an overall more angular volume. Unlike feminization, it focuses on structures that add volume, definition and contour, rather than reduction.
What happens if I need a follow-up operation after the surgery?
ARQÉA includes reoperation cover in all its procedures. Although the rate is minimal in percentage terms, if, for justified clinical reasons, the result requires correction, the costs associated with that second operation are covered. This is our guarantee that no patient is left to cope alone or faces financial hardship in the event of a genuine complication.