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Midfacial Bony Remodeling.

Kalle Conneryd Lundgren1, Maarten J Koudstaal1

  • 1Department of Craniofacial Diseases, Karolinska University Hospital, Stockholm 171 77, Sweden.

Facial Plastic Surgery Clinics of North America
|April 4, 2019
PubMed
Summary

Midface osteotomies are effective for facial feminization surgery in transgender patients. This complex procedure offers permanent, favorable aesthetic results that age well with careful planning.

Keywords:
Craniofacial surgeryFacial feminization surgeryGender reassignment surgeryMidface surgery

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Area of Science:

  • Plastic Surgery
  • Facial Feminization Surgery
  • Transgender Healthcare

Background:

  • Facial feminization surgery (FFS) aims to create a more feminine facial appearance.
  • Surgical interventions on the midface are crucial for significant feminization.
  • Previous FFS techniques may have limitations in achieving desired aesthetic outcomes.

Purpose of the Study:

  • To evaluate the efficacy and safety of craniofacial procedures to the midface for facial feminization.
  • To assess the long-term aesthetic outcomes of midface osteotomies in transgender patients.
  • To determine the suitability of midface surgery as a component of comprehensive FFS.

Main Methods:

  • Review of craniofacial surgical techniques involving the midface.
  • Integration of upper face, skull, and lower jaw procedures as needed.
  • Analysis of patient outcomes focusing on cosmesis and long-term results.

Main Results:

  • Midface osteotomies, combined with upper face and skull work, are permanent and effective for facial feminization.
  • The surgery, though complex, yields predictable and favorable long-term results.
  • Cosmetic improvements are not time-limited by the initial midface surgery.

Conclusions:

  • Craniofacial surgery to the midface is a safe and effective option for transgender patients seeking facial feminization.
  • Careful surgical planning ensures favorable and enduring aesthetic outcomes.
  • Midface osteotomies represent a significant advancement in achieving feminization of the face.