Gender Affirmation Surgery of the Face for the Transfeminine Patient

Donaldson, L; Wulu, Jacqueline A.; Garcia‐Rodriguez, Laura

doi:10.1055/a-2095-6292

Facial Plast Surg

2023

DOI: 10.1055/a-2095-6292

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Gender Affirmation Surgery of the Face for the Transfeminine Patient

L Donaldson¹,

Jacqueline A. Wulu

Laura Garcia‐Rodriguez³

Abstract: This article discusses the aspects of facial feminine affirmation surgery including forehead reconstruction, midface feminization, and lower face/neck feminization. We will present a brief history of gender affirmation. We discuss the anatomical differences between born XY males and XX females and discuss the subsequent procedures that aim at feminizing the face. The effects of silicone injections are also discussed as this was a trend in the past to feminize the face. Understandably so we discuss the anatomic… Show more

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Cited by 2 publications

References 27 publications

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Secondary Forehead Lift in Transgender Women

Patrocinio,

Patrocinio

2023

Facial Plast Surg

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Facial feminization surgery includes a series of procedures that aim to attenuate the masculine features of the face and make the face more feminine and harmonic. During the past few years, several feminization techniques have been developed or adapted to this discipline. The current intervention of the forehead for feminization is based on the setback of the anterior wall of the frontal sinus and the remodeling of the supraorbital and glabellar region, associated to brow lift and hairline advancement. Primary forehead feminization yields high patient satisfaction, quality of life, and aesthetic outcomes, with few complications. Despite this, secondary forehead lift in feminization surgery has grown rapidly in recents years due to two main reasons: 1) patients that had their primary forehead surgery five or more years ago kept aging; 2) there was also a great increase in the primary surgeries, which also comes along of increase of unsatisfied patients that want a revision. In the present study, we will present our current approach for secondary forehead lift in transgender women and tips to avoid a revision when performing the primary forehead reconstruction.

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Secondary Forehead Lift in Transgender Women

Patrocinio,

Patrocinio

2023

Facial Plast Surg

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From Selfies to Surgery: Unveiling Trends and Ethical Considerations in Facial Feminization on Instagram

Hoffman,

Laspro,

Chinta

et al. 2024

Journal of Craniofacial Surgery

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Facial feminization surgery (FFS) is a critical gender-affirming intervention utilized to alleviate gender dysphoria. This study investigates the role of Instagram in shaping public perceptions and disseminating information about FFS. The authors analyzed the most recent 500 Instagram posts using the hashtag "#facialfeminizationsurgery" through a nonbiased data scraping platform between June 1, 2023 and October 13, 2023. Posts were categorized, for example, by tone, author, hospital, practice location, and whether it was a patient or physician-reported outcome. Of the posts, 85% connoted a positive tone. Health care providers and organizations posted 65.4% of content. Geographic breakdown showed that of posts written in English, 55% of health care providers were from the United States. The top 3 most frequently cited locations outside of the United States were India (25.2%), England (19.1%), and South Korea (16.0%). Common themes among posts were perception of FFS and whether it be deemed cosmetic or reconstructive, ethical considerations, and insurance/funding. 36% of posts were advertisements, and 20% were educational, which emphasized the role of social media in disseminating information. This study emphasizes the dynamic nature of social media and its large impact on FFS with regard to disseminating accurate information, navigating the patient-physician relationship, and posting ethical content. The demographics of the users and posts show growing global interest in FFS, a largely positive tone from users, and a large presence of health care workers. Lastly, Instagram is an educational tool for FFS and spreads awareness of insurance and issues faced by patients through first-hand perspectives.

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Gender Affirmation Surgery of the Face for the Transfeminine Patient

Cited by 2 publications

References 27 publications

Secondary Forehead Lift in Transgender Women

Secondary Forehead Lift in Transgender Women

From Selfies to Surgery: Unveiling Trends and Ethical Considerations in Facial Feminization on Instagram

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