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Facial Feminization: Perioperative Care and Surgical Approaches
Marco Ellis1, Joshua Choe2, Sarah L Barnett2
1From Northwestern Plastic Surgery.
Plastic and Reconstructive Surgery
|December 21, 2023
Summary
Facial feminization surgery (FFS) enhances appearance for transgender women by modifying facial features. This gender-affirming care improves social integration and reduces dysphoria, supported by evolving surgical techniques and virtual planning.
Area of Science:
- Plastic Surgery
- Gender-Affirming Care
- Anatomy
Background:
- Facial feminization surgery (FFS) encompasses various procedures to create a more feminine facial appearance.
- It is an evolving subspecialty within transgender care, requiring consideration of psychosocial factors, aesthetics, and surgical planning.
Purpose of the Study:
- To provide a comprehensive overview of facial feminization surgery.
- To highlight the integration of modern techniques like virtual planning in FFS.
- To discuss the importance of patient care and outcomes in FFS.
Main Methods:
- Review of anatomical considerations for FFS.
- Discussion of preoperative virtual planning using computed tomographic imaging.
- Exploration of perioperative processes and potential complications.
Main Results:
- Objective outcome studies demonstrate reduced misgendering and dysphoria in patients undergoing FFS.
- Virtual planning aids in precise morphologic typing for safer and more efficient procedures.
- FFS contributes to improved clinical outcomes and patient well-being.
Conclusions:
- FFS is a critical component of gender-affirming care for transgender women.
- Advancements in surgical techniques and preoperative planning enhance safety and efficacy.
- Acceptance of transgender care is crucial for positive clinical outcomes.
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