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Facial Feminization: Middle Third of the Face
Mona Ascha1, Bashar Hassan1, Fan Liang1
1Department of Plastic and Reconstructive Surgery, Center for Transgender and Gender Expansive Health, Johns Hopkins Hospital, 600 North Wolfe Street, Baltimore, MD 21287, USA.
Oral and Maxillofacial Surgery Clinics of North America
|February 15, 2024
Summary
Facial feminization surgery (FFS) enhances midfacial aesthetics through nasal and malar complex modifications. Procedures like rhinoplasty and malar augmentation create harmonious facial features.
Area of Science:
- Plastic Surgery
- Facial Aesthetics
- Gender Affirming Care
Background:
- Facial feminization surgery (FFS) aims to create typically feminine facial characteristics.
- The midface, including the nose and cheekbones, significantly influences overall facial perception.
- Previous FFS techniques often focused on the upper and lower facial thirds.
Purpose of the Study:
- To detail surgical modifications of the midfacial region in FFS.
- To outline techniques for nasal and malar feminization.
- To discuss adjunctive procedures for comprehensive facial rejuvenation.
Main Methods:
- Reductive rhinoplasty for nasal feminization.
- Bony and soft tissue augmentation for malar feminization.
- Rhytidectomy as an adjunct for aging patients.
Main Results:
- Nasal feminization typically involves reductive rhinoplasty.
- Malar feminization often requires bony and soft tissue augmentation.
- Combined midfacial procedures enhance overall facial harmony.
Conclusions:
- Midfacial feminization is crucial for comprehensive FFS outcomes.
- Nasal and malar modifications, alongside potential rhytidectomy, achieve aesthetic goals.
- The overarching aim is to enhance facial harmony and beauty through complementary surgical interventions.
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