A: Indeed high potency feminizing HRT can fuel generous facial feminization (FF) when used consistently, & this kind of facial softening may be enough in many trans women.  There's a lot more to facial femininity than the facial bones.  The eyes are the most important source of feminine beauty, and surgery doesn't change them.  Hormones on the other hand powerfully beautify the eyes, make them larger & glowing.  Hormones also complement & polish the results of surgical FFS, giving it a more natural, finely defined finish.  Less aggressive surgery complemented by HRT is far better than ending up with the lizard look that so many patients, both transgender & otherwise, end up with these days.  More is less & less is more.  The more natural appearing your face is, the better especially when the surgeon belongs in the top tier.