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Published on: March 1, 2015
[Facial feminization surgery - middle and inferior thirds]
F Boucher1, A Gleizal2, A Mojallal1
1Service de chirurgie plastique, reconstructrice et esthétique, hôpital de la Croix-Rousse, hospices civils de Lyon, 103, grande rue de la Croix-Rousse, 69004 Lyon, France.
Facial feminization surgery (FFS) techniques reshape the middle and lower face for male-to-female patients. Procedures include malar augmentation, rhinoplasty, lip lift, jaw contouring, and tracheal shave to feminize facial features.
Area of Science:
- Plastic Surgery
- Facial Surgery
- Gender Affirming Care
Background:
- Masculine facial features can present challenges for male-to-female (MTF) individuals undergoing gender transition.
- Facial feminization surgery (FFS) aims to alter facial structure to align with a more feminine appearance.
Purpose of the Study:
- To detail surgical techniques for feminizing the middle and inferior thirds of the face in MTF patients.
- To address specific masculine facial characteristics through targeted surgical interventions.
Main Methods:
- Middle third techniques involve malar region remodeling (fat grafting) and rhinoseptoplasty/upper lip surgery for refinement.
- Inferior third techniques include mandibular angle reduction, genioplasty, and chondrolaryngoplasty (tracheal shave).
Main Results:
- The presented techniques offer a comprehensive approach to feminizing the midface and lower face.
- Surgical modifications address prominent masculine features in the malar, nasal, lip, mandibular, and laryngeal areas.
Conclusions:
- These surgical methods provide effective options for facial feminization in the middle and inferior facial thirds.
- The described procedures contribute to achieving a more congruent and desired feminine appearance for transgender women.
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