Quality of Life Outcomes After Facial Feminization Surgery

Chou, David; Bruss, David M.; Tejani, Nizar; Brandstetter, K; Kleinberger, Andrew J.; Shih, Charles

doi:10.1089/fpsam.2021.0373

Cited by 21 publications

(13 citation statements)

References 5 publications

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“…7 In addition, these patients also reported decreased limitations in terms of social and professional activities. 7 FFS has been shown to improve mental health outcomes, with transgender patients reporting significantly reduced rates of anxiety, depression, anger, and social isolation. 5 Although FFS plays an important role in gender-affirmation, there remains limited accuracy and heterogenous methods of reporting the quality of surgical outcomes related to patient satisfaction of facial appearance.…”

Section: Introductionmentioning

confidence: 85%

Section: Introductionmentioning

confidence: 85%

“…[1][2][3] FFS is a gender-affirming surgery (GAS) and is believed to significantly improve quality of life (QoL) for transgender patients. [4][5][6][7] A recent study describes that transgender patients who underwent FFS experience a significantly greater public and self-perceived sense of femininity. 7 In addition, these patients also reported decreased limitations in terms of social and professional activities.…”

Section: Introductionmentioning

confidence: 99%

“…[4][5][6][7] A recent study describes that transgender patients who underwent FFS experience a significantly greater public and self-perceived sense of femininity. 7 In addition, these patients also reported decreased limitations in terms of social and professional activities. 7 FFS has been shown to improve mental health outcomes, with transgender patients reporting significantly reduced rates of anxiety, depression, anger, and social isolation.…”

Section: Introductionmentioning

confidence: 99%

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Quantifying Facial Feminization Surgery’s Impact: Focus on Patient Facial Satisfaction

Alper,

Almeida,

et al. 2023

Plastic and Reconstructive Surgery - Global Open

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Background: Facial feminization surgery (FFS) has been associated with improving gender dysphoria in transgender patients. This study aimed to quantify the impact of surgery on patient facial satisfaction, using the FACE-Q and a quality-of-life (QoL) survey. Methods: Transgender female patients were recruited to complete the FACE-Q and the World Health Organization’s QoL Scale-Short Form (WHOQOL-BREF) if they were planning to or had undergone FFS at our institution. FACE-Q modules completed included “Satisfaction with Facial Appearance Overall,” individual facial attributes (forehead/eyebrows, nose, cheeks, cheekbone, chin, jawline, and neck), and the WHOQOL-BREF, which assesses patient QoL through four domains (physical, psychological, social relations, and environment). Both matched and unmatched analyses of preoperative versus postoperative cohorts were performed. Results: Overall, 48 patients participated in our study and completed 31 FACE-Q surveys preoperatively and 37 postoperatively. On average, patients were 37.2 ± 12.5 years old. FACE-Q scores increased significantly for all facial attributes and for Satisfaction with Facial Appearance Overall between cohorts (P < 0.05). The facial attribute with the greatest increase in satisfaction was the jawline, followed by the nose. The WHOQOL-BREF’s psychological and physical domains both improved significantly (P < 0.05). Wait time for surgery of less than 6 months (b = 22.42, P = 0.02) was associated with higher overall facial satisfaction, whereas age at surgery (b = −1.04, P < 0.01) was associated with lower overall facial satisfaction. Conclusions: Transgender female patients experienced significant improvements in facial satisfaction and QoL after FFS. Undergoing surgery at a younger age and shorter wait times for surgery were associated with increased overall facial satisfaction.

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Section: Introductionmentioning

confidence: 85%

Section: Introductionmentioning

confidence: 85%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Quantifying Facial Feminization Surgery’s Impact: Focus on Patient Facial Satisfaction

Alper,

Almeida,

et al. 2023

Plastic and Reconstructive Surgery - Global Open

View full text Add to dashboard Cite

show abstract

“…15 Previous work has shown GAFS to improve patient satisfaction and quality of life as well as its ability to reduce patient-perceived limitations in social and professional settings. 16,17 Additionally, CSP has been demonstrated to be a safe and accurate tool in GAFS procedures involving bony structures. 18 Preoperative Applications GAFS can be a complex set of procedures with each patient desiring a different combination of changes to both bony and soft-tissue structures throughout the face.…”

mentioning

confidence: 99%

Computerized Surgical Planning in Gender Affirming Facial Surgery

Ihnat,

Aral,

Mukherjee

et al. 2024

Semin Plast Surg

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Computerized Surgical Planning (CSP) is a surgical tool that enables precise bony changes through the creation of custom cutting guides and/or custom plates. CSP has been shown to be a safe and effective tool in gender affirming facial surgery as well, specifically with regard to frontal sinus setback, zygomatic remodeling, genioplasty, and mandibular angle and body reshaping. CSP aids in trainee education, improves symmetry, reduces operative time, and can produce idealized results during complex revisions. Overall, CSP is a valuable tool in the field of gender affirming facial surgery that helps surgeons achieve optimal aesthetic and safety outcomes for patients.

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