Reply: Facial Gender Confirmation Surgery: A Protocol for Diagnosis, Surgical Planning, and Postoperative Management

Capitán, Luis Pérez; Gutiérrez-Santamaría, Javier; Simón, Daniel; Coon, Devin; Bailón, Carlos; Bellinga, Raúl J.; Tenório, Thiago; Capitán-Cañadas, Fermín

doi:10.1097/prs.0000000000007754

Cited by 13 publications

(17 citation statements)

References 5 publications

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“…At the time of consultation, a discussion about the patient's ideal features and goals as well as the risks, benefits, expectations, and limitations of surgery must be carried out [10]. A thorough physical examination should be performed, including assessment of facial anthropometrics, ascertaining baseline neuromuscular function, and obtaining standardized preoperative photographs.…”

Section: General Preoperative Evaluationmentioning

confidence: 99%

Evaluation and treatment of facial feminization surgery: part I. forehead, orbits, eyebrows, eyes, and nose

Dang

Bertrand

et al. 2021

Arch Plast Surg

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Facial feminization surgery (FFS) incorporates aesthetic and craniofacial surgical principles and techniques to feminize masculine facial features and facilitate gender transitioning. A detailed understanding of the defining male and female facial characteristics is essential for success. In this first part of a two-part series, we discuss key aspects of the general preoperative consultation that should be considered when evaluating the prospective facial feminization patient. Assessment of the forehead, orbits, hairline, eyebrows, eyes, and nose and the associated procedures, including scalp advancement, supraorbital rim reduction, setback of the anterior table of the frontal sinus, rhinoplasty, and soft tissue modifications of the upper and midface are discussed. In the second part of this series, bony manipulation of the midface, mandible, and chin, as well as soft tissue modification of the nasolabial complex and chondrolaryngoplasty are discussed. Finally, a review of the literature on patient-reported outcomes in this population following FFS is provided.

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Section: General Preoperative Evaluationmentioning

confidence: 99%

Evaluation and treatment of facial feminization surgery: part I. forehead, orbits, eyebrows, eyes, and nose

Dang

Bertrand

et al. 2021

Arch Plast Surg

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“…Over the years, many centers have found that frontal sinus setback along with osteoplasty is the most appropriate intervention except for patients with frontal sinus agenesis and the four-part classification scheme is mostly of historical interest. 5,10 Traditionally, surgeries addressing the frontal sinus have been safely executed without the use of CAS; however, we are routinely operating on the midface and jaw as well and find time savings and greater simplicity with cutting guides for the forehead once a planning session is deemed necessary for the case.…”

Section: Upper Third: Foreheadmentioning

confidence: 99%

Computer-aided Planning and Execution in Facial Gender Surgery: Approaches, Concepts, and Implementation

Louis

Qiu

Travieso

et al. 2022

Plastic and Reconstructive Surgery - Global Open

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“…The expectations for the results will be more real if the initial anticipation, both psychological and physical, is realistic. 158 Adjustments of the frontonasal-orbital complex, the nose, the lower jaw and the thyroid cartilage are elements of Facial Feminization Surgery (FFS). 159−163 .…”

Section: Facial Feminization Surgery (Ffs)mentioning

confidence: 99%

ESSM Position Statement “Sexual Wellbeing After Gender Affirming Surgery”

et al. 2021

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Introduction: Much has been published on the surgical and functional results following Gender Affirming Surgery ('GAS') in trans individuals. Comprehensive results regarding sexual wellbeing following GAS, however, are generally lacking. Aim: To review the impact of various GAS on sexual wellbeing in treatment seeking trans individuals, and provide a comprehensive list of clinical recommendations regarding the various surgical options of GAS on behalf of the European Society for Sexual Medicine. Methods: The Medline, Cochrane Library and Embase databases were reviewed on the results of sexual wellbeing after GAS. Main Outcomes Measure: The task force established consensus statements regarding the somatic and general requirements before GAS and of GAS: orchiectomy-only, vaginoplasty, breast augmentation, vocal feminization surgery, facial feminization surgery, mastectomy, removal of the female sexual organs, metaidoioplasty, and phalloplasty. Outcomes pertaining to sexual wellbeing-sexual satisfaction, sexual relationship, sexual response, sexual activity, enacted sexual script, sexuality, sexual function, genital function, quality of sex life and sexual pleasureare provided for each statement separately. Results: The present position paper provides clinicians with statements and recommendations for clinical practice, regarding GAS and their effects on sexual wellbeing in trans individuals. These data, are limited and may not be sufficient to make evidence-based recommendations for every surgical option. Findings regarding sexual wellbeing following GAS were mainly positive. There was no data on sexual wellbeing following orchiectomyonly, vocal feminization surgery, facial feminization surgery or the removal of the female sexual organs. The choice for GAS is dependent on patient preference, anatomy and health status, and the surgeon's skills. Trans individuals may benefit from studies focusing exclusively on the effects of GAS on sexual wellbeing. Conclusion:The available evidence suggests positive results regarding sexual wellbeing following GAS. We advise more studies that underline the evidence regarding sexual wellbeing following GAS. This position statement may aid both clinicians and patients in decision-making process regarding the choice for GAS. M€ ujde € Ozer, Sahaand Poor Toulabi, Alessandra D. Fisher, et al. ESSM Position Statement "Sexual Wellbeing After Gender Affirming Surgery". Sex Med 2021;XX:XXXXXX.

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Reply: Facial Gender Confirmation Surgery: A Protocol for Diagnosis, Surgical Planning, and Postoperative Management

Cited by 13 publications

References 5 publications

Evaluation and treatment of facial feminization surgery: part I. forehead, orbits, eyebrows, eyes, and nose

Evaluation and treatment of facial feminization surgery: part I. forehead, orbits, eyebrows, eyes, and nose

Computer-aided Planning and Execution in Facial Gender Surgery: Approaches, Concepts, and Implementation

ESSM Position Statement “Sexual Wellbeing After Gender Affirming Surgery”

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