Facial Feminization Surgery: Key CT Findings for Preoperative Planning and Postoperative Evaluation

Area of Science:

• Radiology
• Plastic Surgery
• Gender Affirmation Surgery

Background:

• Facial feminization surgery (FFS) is a key component of gender affirmation for transgender women.
• Preoperative computed tomography (CT) is crucial for surgical planning and navigation.

Purpose of the Study:

• To outline essential radiological findings for FFS planning.
• To enhance communication between radiologists and surgeons for improved patient care.

Main Methods:

• Review of CT imaging protocols for FFS.
• Identification of critical anatomical landmarks in the upper, mid, and lower face relevant to FFS procedures.
• Consideration of potential postoperative complications detectable by CT.

Main Results:

• Upper face: Brow reduction, nasofrontal angle increase; report should detail frontal sinus and supraorbital foramen.
• Midface: Rhinoplasty considerations; report should note dorsal hump, septal deviation/spurring.
• Lower face: Genioplasty/mandible contouring; report must describe inferior alveolar nerve, mental foramina, and dental abnormalities.

Conclusions:

• Detailed radiological reporting of specific facial anatomy is vital for successful FFS.
• Radiologist familiarity with FFS planning needs improves surgical outcomes and patient care for transgender women.