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Conservative approach to facial upper third feminisation: a retrospective study
Ambre Perrillat1, Edoardo Coiante2, Mounia SidAhmed2
1Department of Maxillofacial and Plastic & Reconstructive Surgery, Henri Mondor Hospital, 51 avenue du Maréchal de Lattre de Tassigny, Créteil, 94010, France; Aix Marseille Univ, APHM, Conception University Hospital, Department of Oral and Maxillofacial Surgery, 147 bd Baille, 13005, Marseille, France.
This study found that combining frontal eminence milling and hairline advancement surgery significantly improved patient satisfaction and quality of life for transgender individuals undergoing facial feminization. Most patients reported positive outcomes and a more feminine appearance after the procedure.
Area of Science:
- Plastic Surgery
- Gender Affirming Care
- Facial Feminization Surgery
Background:
- Facial feminization surgery (FFS) aims to feminize facial features.
- The upper third of the face, including the forehead and hairline, is crucial for facial aesthetics.
- Masculine forehead features can be addressed through surgical interventions.
Purpose of the Study:
- To evaluate patient satisfaction and postoperative quality of life after combined frontal eminence milling and hairline advancement.
- To assess the effectiveness of this combined procedure in feminizing the upper face for transgender adults.
Main Methods:
- A study involving 48 transgender adult patients undergoing combined frontal eminence milling and hairline advancement.
- Patient-reported outcomes were assessed using the Facial Feminization Surgery Outcomes Evaluation and Face-Q™ questionnaires.
- Data collected included satisfaction with overall outcomes, facial femininity, and specific forehead/eyebrow aesthetics.
Main Results:
- 67.2% of patients were satisfied with the surgical outcomes.
- 56.3% perceived their faces as "very much" or "completely" feminine.
- High satisfaction rates were reported for eyebrow position (79%), forehead naturalness (83.4%), forehead youthfulness (81.3%), and forehead smoothness (77.1%).
Conclusions:
- The combined procedure of frontal eminence milling and hairline advancement appears to be an effective treatment for feminizing masculine forehead features.
- This surgical approach can adequately address moderate to slight frontal eminences and typically masculine forehead characteristics.
- The study indicates positive patient-reported satisfaction and quality of life improvements following the procedure.
