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Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
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Preparing for Facial Feminization Surgery.

Lane Donaldson1, Fejiro Okifo1, Laura Garcia-Rodriguez1

  • 1Department of Otolaryngology, Henry Ford Health, Detroit, MI 48202, USA.

Facial Plastic Surgery Clinics of North America
|June 22, 2023
PubMed
Summary

Preparing for facial feminization surgery (FFS) involves understanding its meaning and obtaining a therapy letter, which supports the need for this gender-affirming procedure. Patients often guide physicians through this process, which includes addressing mental health needs.

Keywords:
Facial feminization surgery (FFS)Gender dysphoriaGender-affirming facial surgery (GAS)HormonesLetterWorld Professional Association for Transgender Health (WPATH)

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Area of Science:

  • Medical research
  • Gender studies
  • Psychiatry

Background:

  • Facial feminization surgery (FFS) is a critical component of gender-affirming care.
  • Patients frequently undertake significant online research to understand FFS procedures and requirements.
  • There is a notable trend of patients educating their physicians regarding surgical clearance and necessary documentation, such as the therapy letter.

Purpose of the Study:

  • To elucidate the essential components of preparing for facial feminization surgery.
  • To highlight the role and significance of the therapy letter in the FFS process.
  • To emphasize the importance of addressing concurrent mental health conditions in patients seeking FFS.

Main Methods:

  • Literature review of current FFS preparation protocols.
  • Analysis of patient educational resources and physician-patient interactions.
  • Examination of World Professional Association for Transgender Health (WPATH) standards of care.

Main Results:

  • The therapy letter, confirming support for FFS in individuals with gender dysphoria, is a key document.
  • Patient-led education is common in navigating the medical clearance process for FFS.
  • Comprehensive mental health counseling is a necessary adjunct to FFS preparation.

Conclusions:

  • Thorough preparation for FFS requires understanding the procedure, securing a supportive therapy letter, and managing mental health.
  • Physicians should be well-versed in FFS requirements to better support patients.
  • Adherence to WPATH guidelines is crucial for effective gender-affirming surgical care.