Blepharoplasty Approach to the Orbital Rim: A Novel Approach for Select Patients Presenting for Gender Affirming...

Area of Science:

• Plastic Surgery
• Gender Affirming Care

Background:

• Gender affirming facial surgery addresses gender dysphoria.
• Traditional upper face surgery uses large incisions for hairline and bony contouring.
• These methods involve extensive dissection, which many patients wish to avoid.

Purpose of the Study:

• To evaluate a less invasive surgical approach for upper facial contouring.
• To assess the efficacy of a blepharoplasty incision for orbital rim modification in gender affirming surgery.

Main Methods:

• Utilized a standard blepharoplasty approach.
• Accessed the superior orbital rim for isolated lateral orbital contouring.
• Applied to patients undergoing gender affirming facial surgery.

Main Results:

• A standard blepharoplasty incision provides safe and effective access to orbital rims.
• This approach is suitable for select patients requiring bony contouring.
• Achieved comparable results to traditional methods with decreased recovery.

Conclusions:

• A subset of patients benefit from a less invasive upper face approach.
• Blepharoplasty incision is a viable alternative for orbital rim contouring.
• This method offers reduced recovery and satisfactory outcomes in gender affirming surgery.