Conejo Valley Pride

The Executive Board of Conejo Valley Pride would like to announce our first ever LGBTQ+ PRIDE festival, coming to the Thousand Oaks Civic Arts Plaza Park on Saturday, September 22, 2018, from 11:00 a.m. to 6:00 p.m.

Please visit for more information.

World Expert Dr. Toby Mayer Featured In People Magazine

peoplecover416Facial Feminization Surgery For TG and lntersex Community Singer Ali J Completes Her Journey

Although singer Alex Jinkinson (known as Ali J) was clearly marked “male” on her birth certificate, she suffered a life-long gender identity crisis that has finally been resolved. Alex was born with PAIS (partial androgen insensitivity syndrome), a rare genetic condition where the male hormones do not have the full capacity to develop a masculine body, which was diagnosed when she was in elementary school.

After years of struggle, Alex recently completed her journey by undergoing Facial Feminization surgery with world renowned Facial Plastic Surgeon, and Facial Feminization expert Dr. Toby Mayer, co-director of the Beverly Hills Institute of Aesthetic & Reconstructive Surgery.

“Facial Feminization is a term that covers a broad range of procedures, but the ultimate goal of this process is for patients to look on the outside, like the woman they feel on the inside”, said Dr. Mayer. “Each patient we are presented with has different needs based on their facial anatomy but the goal of surgery is to make their face as feminine looking as their anatomy allows.”
Dr. Mayer has been performing and perfecting the art and science of Facial Feminization surgery on Transgender and lntergender patients like Ali J for over 35 years. Patients travel from all over the world to see Dr. Mayer because they want a naturally pretty, feminine face without the unnatural results often seen in other TG and IG surgeries performed by doctors with less precision and aesthetic skill when it comes to this type of surgery. He comments that he has seen a large increase in male-to-female Facial Feminization surgical patients in recent years, as well as an increase in revision surgery in this community of patients.

He is also the pioneer of the Voice Feminization procedure wherein, Dr. Mayer is able to perform a voice modification procedure that has proven to be effective in over 90% of his TG patients.

Click here to read the full story Becoming the Girl I Always Was

  • Before
  • After

Facial Feminization, Hairline forehead lift, Hairline lowering with orbital bony contour, Rhinoplasty revision, Chin contour, Submental liposuction, Fat augmentation to lips, Cheek implants

Reader Comments


Firstly, a huge huge congrats to Alex and an even bigger thanks to her for sharing her success story in such a public way. It helps so many people (as it would have helped me if I was not already through transition) to have success stories like this visible to the world in any way. Slowly but surely, the public eye is being transformed to allow trans people their equal place in society- as I think we deserve. It is especially helpful for people who are perhaps too ashamed of their trans-ness and live in a state of fear about taking the leap. Hopefully this story helps those people, and gives them another glimmer of hope when they find themselves struggling with the pain of living with a body that doesn’t match the mind.

Secondly (in my opinion and speaking from my own experience with him as one of his transgender patients 2 years ago), Dr. Mayer is one of the [somewhat often] unsung heroes of his field as a reconstructive surgeon who specializes in helping transgender people. I’m always happy to see an article including him and showcasing another stellar example of the effect that pride, confidence, and experience in one’s work transfers into great care for a patient’s trust in someone who can change their life for the better. Congrats to both Alex and Dr. Mayer. Cheers 🙂 – Jenny G

Dr. Mayer truly saved my life. Before having surgery with him, I could not ‘pass’ as a woman and was often ridiculed. Afterwards, I was able to really begin my life as Karissa. His results were flawless and undetectable. He said he wanted to ‘make you look more like you’. His administrative staff and nursing team were incredibly supportive, which makes all the difference. I was able to continue my career as a scientist in epigenetics at Los Alamos National Laboratory and my team is on it’s way to fully understanding some of these conditions. – Karissa Sanbonmatsu

What frequently gets overshadowed in articles such as this, is the deadliness of untreated gender dysphoria. It is associated with alarmingly high rates of serious comorbid conditions such as depression (4x the national avg.), alcohol/drug abuse (3x the national avg.), self-mutilation (10x the national avg.), and suicide attempts (220x the national avg.). Hormone therapy alone goes a long way toward treating the condition, yet for many trans/intersex women, the dysphoria cannot be resolved with facial features incongruent to their gender identity. The mention of Alex’s depression, the bullying she experienced and her suicide attempt gives a brief glimpse into the living nightmare experienced by someone whose gender identity does not match their physical gender. It is no understatement to say the facial feminization procedures she received are lifesaving.

My personal experience as a trans woman who underwent similar procedures from Dr. Mayer is that I experience a quality of life beyond all expectation. For example: last week I attended a House Committee hearing on an anti-transgender bill in the Minnesota State legislature. I sat between two people wearing anti-transgender propaganda badges. After I clapped when a moving argument was made against the bill, the man sitting next to me asked: “Are you pro… these… these transgenders?”

“I am transgender”

The man tapped on his hearing aid, leaned closer and asked me to repeat myself.


Being free of gender dysphoria, plus the ability to be stealth while sitting among proponents of anti-transgender legislation, and then to evoke a simultaneous look of disbelief, disillusionment and amazement from one such transphobic individual is a true testament to what Dr. Mayer has done for my life. As Alex’s says: “I fought for so long, I can finally live. And I feel more alive than ever.”

Congratulations Alex! Enjoy your new life being your authentic self! – Christina Ginther

Great story of courage and family love. Congrats to Alex and her family. And one more to add to the long list of persons touched by Dr Mayer in his continuous effort of changing and improving people lives. I also had ffs with him and couldn’t have made a better choice. He delivered exactly what I wanted and helped me finally find my inner peace. It truly made a huge difference in my life. You can’ t go wrong with him. He posses a blend of technical mastery, expertise and artistry that truly makes a difference. And can’t tell the whole story without mentioning his staff who are all awesome. Thanks to Dr Mayer and all his staff for touching and making a difference on trans people lives. – Priscilla Herdez

Congratulations Alex your lucky you choose one of the greats. Without Dr. Mayer the last 15 years would of been a living hell. He is not only a great surgeon, but an amazing man. Like Picasso he is an artist, I owe him so much… thank you and love you Dr. Mayer. – Wendy102

Sometimes I wonder why anyone is surprised by cruel and cowardly comments after a video like this. Cowards always try to attack the vulnerable. But who gives 2 cents for their opinion?Congratulations for having the courage to follow through and be yourself girl! Toby changed my life dramatically and I will be forever grateful. I know it’s not easy and it takes all you’ve got to stand up and be a role model for others so I say, Brava! – Genivieve LeDuc

My experience with Dr. Toby Mayer was wonderful. It not only has taught me to learn to accept myself as a transwoman, but it also helped me come a step closer to progress on my transition. I recommend him for ffs to other trans women to achieve a natural and female like appearance. Thank you doctor for changing the lives of many trans women! – Ysabela Gomez

I don’t know why people are making fun of this persons life journey unless you are a trans person you have no idea how hard it is to feel like your body does not match who you are inside Dr Mayer is an amazing Person with a very special gift to help people who need help matching their soul to how they look in the outside. He did my facial feminisation and changed my life for ever I will for ever be grateful to him for helping me. People we all need to be kind to others and we may not understand but we all deserve respect.
Thank you Dr. Mayer for all that you do for the trans community ❤️❤️❤️❤️ – Gia Darling

Jaw Surgery In Transgender Patients based on 35 years of experience.

“My jaw is too big” is a frequent expression of transgender plastic surgery patients who want the angle of the lower jaw made smaller. There are several surgeons who do this surgery but I am not one of them! Why not? I have had several patients who had surgery by another surgeon who demonstrates the fallacy of this procedure. If you make the mandibular angle smaller it makes the rest of the cheeks and head look over sized and unbalanced. You can see from the pictures below that the facial proportions are not in harmony.

Angelina Jolie and most cover models and Victoria Secret models have the balance facial proportion (as described approximately 500 years ago by Leonardo da Vinci) with a well formed angle of the mandible. Many Korean patients need the angle reduced because it sticks out FARTHER THAN THE CHEEKS.

Chin remodeling and or reduction with or without an implant is something that I do in most transgender patients to create a more feminine and balanced face.

Eliminating Male Supraorbital Rims | Removing Frontal Bone

Do you need to remove the frontal bone and replace it to get rid of male supraorbital rims?

In more than 35 years of doing facial feminization surgery this is almost never needed. Shaving the bones will accomplish this quite readily and without long scars across the scalp.

After Left Bone Shaved

After Right and Left Bone Shanved

Why do most surgeons have some dissatisfied patients?

The best plastic surgeons have few if any “bad results”. Rather, they are results that the patient may feel are not “perfect”. In 35 years performing plastic surgery, I have found that many patients who I could only get “good” results on were happier than some patients that got a fabulous result. Beauty is in the eye of the beholder and the object of the best surgeons is to try to find out what the PATIENT wants and not necessarily what the surgeon wants.

Feminizing the Upper-Third of the Face in Transgender Patients

1. BONEY ORBITAL CONTOURING —The male bone protrusions over the lower forehead can be smoothed flat without having to remove and reattach the bone. I have done this for more than 35 years without a problem.

2. CUTTING THE WRINKLE MUSCLES TO PREVENT AND LESSEN WRINKLES WITHOUT BOTOX–The muscles are carefully divided at the same surgery.

3. FOREHEAD LIFTING WITH THE IRREGULAR TRICHOPHYTIC FOREHEAD LIFT–This is a procedure that we developed to raise the brows and feminize and make a younger look WITHOUT removing any hair. The hair grows thru, not behind, the scar.

4. HAIRLINE LOWERING— The hairline can be lowered at the same time depending on the looseness of the scalp. If the scalp is tight, we use the Fleming-Mayer Tissue Expander to lower it up to 1-2 inches.

We create a natural, female look to a previous male face. Look at the photos and video of Jamie which were done on TV.

Schedule a Consultation today to see if any of these procedures may be right for you!

What to Do With Fat Bags in the Eyelids to Feminize and Look Less Tired Without Creating Hollow Eyelids

Lower eyelid transconjunctival blepharoplasty with fat augmentation will kill 2 birds with one stone. The fat is removed from the “mountain” and placed next to the bone in the “valley”. No fillers or secondary procedure. All of the incisions are on the inside of the eyelid so there is no scar seen. If there is too much wrinkly skin present then the scar has to be on the outside to remove the extra skin. See an experienced surgeon who is familiar with this technique so you do not end up with bumps!

Beverly Hills Institute Consumer Guide to Successful Cosmetic Surgery By Dr. Toby G. Mayer

There has been an explosion of doctors and paramedical personnel entering the lucrative world of cosmetic surgery. Unfortunately, consumers are paying the price in the form of bad results and deadly complications. Most of these are preventable if the consumer takes a few steps to prevent this. As evidenced by the recent death of Donda West, the mother of singer Kanye West, prospective patients are asking the question, “What can I do to prevent something like this from happening to me?”

With this in mind, these are my suggestions, based on 30 years of experience, to guide the consumer through to a successful cosmetic surgery outcome.

  1. Have a complete physical examination by your family doctor or an internist prior to any surgical procedure. He is the one to make sure you are healthy enough to have the surgery you are contemplating.
  2. Have realistic expectations as to the usual results from the surgery. Faces are not made of clay to be molded to perfection. Each person heals and forms scar tissue differently and slight imperfections are to be expected.
  3. Only have surgery to please yourself, not a spouse, mother, or other person who wants you to have surgery for them! Also, remember that surgery won’t solve problems in your life such as a wandering mate, a job that you want, etc.
  4. Pick out the type of result you want in magazines — the general type of surgical result you like. This doesn’t mean you want a specific star’s nose, etc., but rather the type of results you do or do not want.
  5. Please yourself — not the surgeon — with the type of result you choose. You are the one who will look at this face for the rest of your life — not the surgeon! Choose a surgeon who specializes in a few procedures, has a good reputation in the community, and has been practicing for several years.
    Don’t pick a “TV doctor,” even if it is me. Television wants to entertain you — not make sure its doctors are board certified and competent.
  6. You get what you pay for. Excellent accredited facilities and medical support cost money and this is not the place to cut corners.
  7. Take time in deciding when and with whom to have your surgery. See the doctor more than once. If you are not comfortable with the first doctor, see another. This is elective surgery and you should not be rushed into surgery.
  8. Have a full discussion of the various ways to “fix” your problem, including the advantages and disadvantages of each. That way you can decide for yourself which procedure seems right for you. Even though I may feel a browlift will give the patient a better result, she may prefer eyelid surgery instead.
  9. It is the responsibility of a good surgeon to inform the patient as to the most common and most serious complications that can occur with the proposed surgery. Though with most facial cosmetic procedures these are rare, this is not true with tummy tucks and body contouring surgery, which can result in death.
  10. The anesthesia you will be given and by whom is most important. It should be a well-trained anesthetist or anesthesiologist in an accredited facility with the latest equipment.
  11. Where one goes after surgery and who will take care of them is equally important. For patients having major cosmetic procedures, we recommend that they go to a recovery center with trained personnel who can evaluate any potential problem and take appropriate action. For lesser surgical procedures such as nose, chin, and eyelid surgery, this is not necessary. However, we insist someone picks them up, takes them home, and stay with them until the next day.
  12. Plan for one to two weeks of downtime depending on the amount of bruising. Good surgeons are mainly worried about what patients do to themselves after surgery, not the surgery itself (falling, getting hit in the face accidently, etc.). Beware of claims of “minimally invasive” or “weekend” facelifts, or any other promoted procedure that appears to cut corners. There is a reason that only a few surgeons recommend these — if it sounds to good to be true, it probably is.
  13. Beware of “simple,” “easy,” or “quick” procedures. They don’t represent the total picture. As for computer imaging, my son can make a great nose or face on a computer screen but knows nothing about cosmetic surgery. Good results on live patients are the best proof of competence.
  14. Pick a surgeon that has your same aesthetics. If you and your surgeon like the “Joan Rivers look” then you have a match. But if you like a more natural look (i.e., not a “pulled” look), then select a surgeon who actually makes that look.
  15. Finally, on the day of surgery, have the doctor draw what he is going to do on your face and show it to you. He should not change his operative plan that the two of you have discussed.

In summary, the patient must be an informed “shopper”regarding plastic surgery. It’s like shopping for a new car, but this is your face! A natural look after plastic surgery with very low risk is possible if you do your homework. Good luck!

How is the male to female transgender rhinoplasty different from the female rhinoplasty?

Rhinoplasty for the male to female transgender patient is different than the average female rhinoplasty because the skull is larger in the male. This must be taken into account when doing the rhinoplasty for the harmony of the component parts of the face. Otherwise, as I’m sure many of you have noticed, the nose is too small and turned up and therefore, looks unnatural and not balanced. What I do is to make the tip more refined and give the nose a female shape without a bump but in proportion to the rest of the skull. If this is not done the eye perceives an abnormality in the way the “pieces of the face” fit together. This is the basis of the work of Leonardo da Vinci and it has not changed in 500 years!

Before and After Photos | Rhinoplasty

Male-to-Female Transgender Rhinoplasty vs. Female Rhinoplasty