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I imagine FFS is very common among trans people. I know I say it a lot whenever I hear certain people talk about the trans community.
I'm not sure of the rates although I know a huge number, probably a very large majority, of transfems only take E and sometimes a T blocker. I can also tell you that after a while on E, facial fat and muscle will redistribute to create a more feminine face. Many people are happy at that but some more want additional feminization and that's where FFS comes in!
(statistics are very poor because us trans folks are an extremely under-studied minority as well as a moving target because of changing culture and treatment modalities, so I wouldn't trust most studies purporting to know statistics on things like how many transfems get FFS besides being a ballpark range)
I'll add on as someone that works with trans folks preparing for hormones/surgery, FFS is usually less common compared to other procedures, and is itself a cluster of surgeries that people may choose to do any combination of. Some of those surgeries are less drastic some are pretty intense (graphic warning: basically peeling back a portion of your face from your skull, changing bone and slapping that face back on). The more intense options are understandably not for everyone. FFS (and most other surgeries) usually comes into play after people give hormones a few years to do their thing and see where things end up. Let the canvas stabilize before working on it.
Sorry, your post is very informative and I was just making a dumb joke. I find that very interesting and I would imagine, especially based on the other person's response, that FFS is significantly less common.
OHH lmao that's what I get for trying to focus on three things at once, no that's actually hilarious now that I actually read it correctly without my brain doing word swaps