Virtual Surgical Planning for Facial Masculinization Surgery

Area of Science:

• Plastic Surgery
• Gender Affirming Care
• Biomaterials

Background:

• Facial masculinization surgery (FMS) aims to create masculine facial features for transmasculine individuals.
• Poly (ether-ether ketone) (PEEK) implants offer a biocompatible option for craniofacial reconstruction.
• Virtual surgical planning (VSP) enables precise customization of implants based on patient anatomy.

Purpose of the Study:

• To evaluate the outcomes and complications of FMS using VSP-guided PEEK implants in transmasculine patients.
• To assess patient satisfaction with the aesthetic results of FMS.
• To determine the safety and efficacy of this approach for gender affirmation.

Main Methods:

• Retrospective analysis of 6 transmasculine patients undergoing FMS with PEEK implants.
• Utilized VSP for personalized design of chin and mandibular angle implants.
• Recorded demographic data, surgical procedures, complications, and patient satisfaction.

Main Results:

• A total of 12 procedures were performed, including mandible augmentation (6/6), chin augmentation (3/6), and tracheal augmentation (3/6).
• All patients reported high satisfaction with their surgical outcomes.
• One patient developed a chin abscess, successfully treated with antibiotics and drainage; no revisionary surgeries were required.

Conclusions:

• VSP-guided PEEK implants are effective for achieving desired masculine facial proportions in FMS.
• This approach enhances patient satisfaction in gender-affirming care.
• The technique demonstrates a favorable safety profile with a low complication rate.