Full Facial Feminization Surgery

Raffaini, Mirco; Magri, Alice Sara; Agostini, Tommaso

doi:10.1097/01.prs.0000475754.71333.f6

Cited by 110 publications

(75 citation statements)

References 20 publications

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“…I recommend a top-to-down approach in FFS procedures as the swelling reduces in a top-to-down manner due to gravity. This is contrary to the article by Raffaini et al, 25 who recommend a down-to-up approach.…”

Section: Discussioncontrasting

confidence: 66%

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Facial Feminization Surgery: A Review of 220 Consecutive Patients

Telang

2020

Indian J Plast Surg

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Background Facial feminization surgery (FFS) is a combination of facial bony and soft tissue surgeries designed to modify and convert a masculine face to feminine. One’s face plays a very central role in gender incongruence and FFS helps patients overcome this. There are prominent differences between the male and the female facial anatomy (bony and soft tissue) which can be surgically altered to change the visual perception of the face. Methods The author presents the method used at his center for treating 220 patients of gender incongruence requesting FFS from June 2016 to June 2019. The alterations to known methods of forehead contouring, hairline lowering, and jaw shave adopted by his team are discussed. He also presents the logic of performing the entire FFS in two stages at an interval of 7 to 10 days. Results A total of 220 cases of FFS are presented, along with surgical details of techniques used, the sequence and staging of procedures performed, and the results obtained. A two-staged approach to FFS is proposed to maximize the recovery and minimize complications and promote faster healing. Different methods of forehead contouring are also explained in detail. Conclusions FFS is a very rewarding surgery for the plastic surgeon and has high patient satisfaction rate. With proper training in craniomaxillofacial and soft tissue surgery, it is possible for the plastic surgeon to be the main team leader for this procedure. A two-stage approach is highly recommended.

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Section: Discussioncontrasting

confidence: 66%

“…Most of the current publications 10 17 25 26 have reported complete FFS as a single surgery. This involves 8 to 9 hours of surgery under general anesthesia.…”

Section: Discussionmentioning

confidence: 99%

Facial Feminization Surgery: A Review of 220 Consecutive Patients

Telang

2020

Indian J Plast Surg

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“…Utilizing a validated QoL survey (SF-36v2), Ainsworth and Spiegel 1 found that transwomen without gender reassignment surgery or FFS had lower physical-, social-, and mental health-related QoL compared with the general female population, while the mental health QoL of transwomen after gender reassignment surgery, FFS, or both, was similar to the general population. These findings have since been corroborated by two follow-up studies 41 42 .…”

Section: Postoperative Outcomesmentioning

confidence: 53%

Evaluation and treatment of facial feminization surgery: part II. lips, midface, mandible, chin, and laryngeal prominence

Dang

Bertrand

et al. 2022

Arch Plast Surg

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Facial feminization surgery (FFS) refers to a set of procedures aimed at altering the features of a masculine face to achieve a more feminine appearance. In the second part of this twopart series, assessment and operations involving the midface, mandible, and chin, as well as soft tissue modification of the nasolabial complex and chondrolaryngoplasty, are discussed. Finally, we provide a review of the literature on patient-reported outcomes in this population following FFS and suggest a path forward to optimize care for FFS patients.

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“…It is frequently used with other facial surgical procedures owing to many reasons, such as its easy application, low cost, and high patient satisfaction. Furthermore, it is becoming more and more important in facial feminization surgeries (17). The evaluation stage of the patients, the treatment plan, the surgical procedure to be performed, the possible complications, and the patient's followup are current issues for mentoplasty.…”

Section: Discussionmentioning

confidence: 99%

Our Outcomes of Augmentation Mentoplasty with Solid Silicone

Altıntaş¹,

Yeğin²,

Çelik³

et al. 2018

Bezmialem Science

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Objective: To evaluate our outcomes of augmentation mentoplasty with solid silicone in patients with retrognathia. Methods: In total, 17 patients (14 females, 3 males; average age 30.2 years; range 24-37 years) who underwent augmentation mentoplasty with solid silicone combined by septorhinoplasty were included in this study. Submental or gingivobuccal incision was performed in all the patients. The post-operative results of the augmentation mentoplasty were evaluated with reference to 3 criteria, i.e., patient satisfaction, physician aesthetic evaluation, and complications. The evaluation of the surgical results was formulated by adding scores from all 3 criteria. Results: The mean follow-up was 18.5 months with the shortest and the longest being 4 and 33 months, respectively. Gingivolabial incision was performed in 4 patients (23.5%) and submental incision was performed in 13 patients (76.5%), respectively. There were no permanent complications in any patient. Overall, 15 patients (88.2%) were extremely pleased with the procedure. In total, 16 patients (94.12%) showed a significant improvement after augmentation mentoplasty with solid silicone according to the aesthetic evaluation by the physician. Revision mentoplasty was not performed in any patient. Conclusion: Augmentation mentoplasty with solid silicone is a safe and effective means of creating a beautiful and balanced facial profile by producing alterations in the chin morphology with excellent and stable long-term results. Increased experience in augmentation mentoplasty will contribute to the further development of this surgery.

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Full Facial Feminization Surgery

Abstract: Therapeutic, IV.

Cited by 110 publications

References 20 publications

Facial Feminization Surgery: A Review of 220 Consecutive Patients

Facial Feminization Surgery: A Review of 220 Consecutive Patients

Evaluation and treatment of facial feminization surgery: part II. lips, midface, mandible, chin, and laryngeal prominence

Our Outcomes of Augmentation Mentoplasty with Solid Silicone

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