Facial Gender-Affirming Surgery: Facial Analysis and Procedures for Facial Masculinization

Area of Science:

• Plastic Surgery
• Gender Affirmation Surgery
• Facial Anatomy

Background:

• Feminine facial features can cause gender dysphoria.
• Masculine facial features include specific characteristics like an M-shaped hairline, broader jaw, and prominent brow ridge.
• A systematic approach is needed for facial analysis before gender-affirming surgery.

Purpose of the Study:

• To describe a standardized method for facial analysis in preparation for facial masculinization surgery.
• To review the anatomical sexual dimorphism of the face.
• To outline surgical and nonsurgical techniques for facial masculinization.

Main Methods:

• Systematic facial analysis.
• Review of anatomical sexual dimorphism.
• Evaluation of surgical and nonsurgical techniques for facial masculinization.

Main Results:

• A standardized method for facial analysis was developed.
• Key differences between masculine and feminine facial features were reviewed.
• Techniques for facial masculinization were discussed.

Conclusions:

• A systematic approach to facial analysis is crucial for successful facial masculinization surgery.
• Facial analysis helps create a harmonious appearance aligned with gender identity.
• Both surgical and nonsurgical options can achieve desired masculinization outcomes.