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Facial Feminization Surgery: Anatomical Differences, Preoperative Planning, Techniques, and Ethical Considerations
Sarah L Barnett1, Joshua Choe2, Christopher Aiello2
1Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
Medicina (Kaunas, Lithuania)
|December 23, 2023
Summary
Facial Feminization Surgery (FFS) enhances gender affirmation for transgender women by aligning facial features with identity. Advanced planning and AI tools improve surgical precision and patient outcomes, reducing gender dysphoria.
Area of Science:
- Plastic Surgery
- Gender Affirmation Surgery
- Medical Artificial Intelligence
Background:
- Facial Feminization Surgery (FFS) is crucial for transgender women's gender affirmation.
- Understanding skeletal differences between male and female faces is key for FFS.
- Current FFS techniques require detailed analysis and planning.
Purpose of the Study:
- To systematically analyze clinical differences in male and female facial skeletons.
- To review craniofacial techniques used in FFS.
- To explore the role of virtual planning and AI in FFS outcomes.
Main Methods:
- Systematic review of craniofacial differences and FFS techniques.
- Emphasis on virtual surgical planning and AI morphing for precision.
- Evaluation of clinical outcomes using patient-reported measures and AI gender-typing.
Main Results:
- FFS effectively aligns facial features with gender identity.
- AI-based assessments and patient outcomes confirm surgical efficacy.
- Virtual planning and AI enhance surgical precision and patient satisfaction.
Conclusions:
- FFS is a vital component of gender affirmation for transgender women.
- Artificial intelligence significantly enhances FFS planning and outcome evaluation.
- Further integration of AI promises improved patient care and satisfaction in FFS.

