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Facial Feminization Surgery: Key CT Findings for Preoperative Planning and Postoperative Evaluation
Andrew L Callen1, Ryan K Badiee2, Andrew Phelps3
1Department of Radiology, University of Colorado, Anschutz Medical Campus, 12401 E 17th Ave, Mail Stop L954, Aurora, CO 80045.
AJR. American Journal of Roentgenology
|December 30, 2020
Summary
Facial feminization surgery uses preoperative CT scans to guide surgical planning for transgender women. Radiologists must identify key anatomical landmarks to ensure safe and effective facial gender affirmation procedures.
Area of Science:
- Medical Imaging
- Plastic Surgery
- Radiology
Background:
- Facial feminization surgery (FFS) is a key component of gender affirmation for transgender women.
- Preoperative computed tomography (CT) is essential for surgical planning.
Purpose of the Study:
- To outline the critical radiological findings for FFS planning.
- To enhance communication between radiologists and surgeons.
Main Methods:
- Review of CT imaging protocols and anatomical considerations for FFS.
- Identification of key landmarks in the upper, mid, and lower face relevant to surgical feminization.
Main Results:
- Upper face: Frontal sinus and supraorbital foramen anatomy.
- Midface: Dorsal hump, septal deviation/spurring.
- Lower face: Inferior alveolar nerve, mental foramina, dental abnormalities.
Conclusions:
- Radiology reports should detail specific anatomical variations crucial for FFS.
- Accurate preoperative imaging and reporting improve surgical outcomes and patient care.
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