There are a number of surgical options available for trans women who wish to further feminize their appearance during transition. Among these are a number of surgical procedures many people lump together in what is known as facial feminization surgery. Below are a number of specific surgeries. I have know some people who have had some of these procedures with varying results.
I cannot highlight enough the need to select a reputable surgeon. There are some great surgeons out there in this field. Regardless, for obvious reasons anyone should be very diligent when considering physically altering their face. Also there is a need to be aware of the possible psychological effects of drastically altering ones physical appearance. Make sure you discuss any surgical plan with your therapist as well as your doctor.
Here are a few procedures. I have listed what the procedure is and some of the specific risks are. All surgical procedures carry the risk of scaring, adverse reactions to medications and anesthesia infection, and even death in some rare cases so talk to your doctor and ask questions!