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Gender-Affirming Facial Surgery: Experiences and Outcomes at an Academic Center
Madeleine Salesky1, Aaron L Zebolsky2, Tania Benjamin2
1University of California San Francisco, School of Medicine, San Francisco, California, USA.
Facial Plastic Surgery & Aesthetic Medicine
|September 27, 2021
Summary
Gender-affirming facial surgery (GFS) involves unique approaches with low complication rates. This study highlights surgical outcomes, informing patient consultations and clinical decisions for transgender individuals undergoing GFS.
Area of Science:
- Plastic Surgery
- Transgender Health
- Surgical Outcomes
Background:
- Gender-affirming facial surgery (GFS) is increasingly accessible for transgender individuals.
- Limited data exists on GFS surgical techniques and patient outcomes.
Purpose of the Study:
- To analyze surgical approaches and outcomes of GFS.
- To evaluate complication and readmission rates associated with GFS.
Main Methods:
- Retrospective analysis of GFS cases from March 2016 to August 2020.
- Involved 77 patients undergoing 109 surgeries and 478 procedures.
- Data collected on patient demographics, surgical stages, hospital stay, follow-up, and complications.
Main Results:
- A two-stage approach was common, particularly in older patients.
- Mean hospital stay after first-stage GFS was 1.2 days.
- Low rates of minor complications (5% surgical site infection, 3% dehiscence, 3% seroma, 6% medical complications) and a 1.5% 30-day readmission rate were observed.
Conclusions:
- Unique surgical strategies are employed in GFS.
- GFS demonstrates favorable safety profiles with low complication and readmission rates.
- Findings can guide preoperative consultations and clinical decision-making for GFS.
