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Exploring the Application of Sculptural Techniques in Understanding Gender-Affirming Facial Surgery: A Hands-On
Antoinette T Nguyen1, Kasey L Wood Matabele1, Siderah Pryce2
1Department of Plastic Surgery, University of Rochester Medical Center, Rochester, NY, USA.
Objective:
To evaluate the effectiveness of a hands-on sculpture workshop in enhancing participants' comprehension of gender-affirming facial surgery (GAFS) by integrating artistic and surgical techniques.
Design:
A pre- and postworkshop study design was implemented, assessing participants' knowledge in 4 domains: aesthetic differences, surgical techniques, patient-reported outcomes (PROs), and artistic techniques. Data were analyzed using Welch's t-tests and linear regression.
Setting:
The workshop was conducted at an academic medical center as part of a plastic surgery educational initiative.
Participants:
A total of 23 participants, including 14 medical students and 9 plastic surgery residents (PGY 1-6), were included. All participants completed both pre- and postworkshop assessments.
Results:
Significant improvements were observed across all domains, with mean scores increasing from pre- to postworkshop evaluations: aesthetic differences (2.52-3.83, p < 0.0001), surgical techniques (1.91-3.35, p < 0.0001), PROs (1.87-3.04, p = 0.0003), and artistic techniques (1.78-4.04, p < 0.0001). Among residents, a significant preworkshop relationship was observed between training year and surgical techniques knowledge (R² = 0.71, p = 0.001), which diminished postworkshop. All participants (100%) found the workshop valuable and would recommend it.
Conclusions:
This study supports the integration of interdisciplinary, art-based workshops in GAFS education. By bridging technical precision with artistic perception, sculptural methods provide a promising, low-cost model for improving surgical training in gender-affirming care.

