Facial Gender-Affirming Surgery: Upper and Middle Face Feminization

Area of Science:

• Plastic Surgery
• Gender Affirming Care
• Facial Aesthetics

Background:

• Facial feminization surgery (FFS) is crucial for aligning facial features with a female gender identity.
• The upper and middle thirds of the face significantly influence perceived gender and facial harmony.
• Gender dysphoria can be substantially alleviated through feminizing facial procedures.

Purpose of the Study:

• To review the anatomical considerations, surgical techniques, and outcomes of FFS for the upper and middle face.
• To explore key procedures including hairline, forehead, midface, and nasal modifications.
• To discuss ancillary techniques like blepharoplasty and their role in feminization.

Main Methods:

• Review of current literature and established surgical techniques for FFS.
• Emphasis on individualized treatment planning based on patient anatomy and goals.
• Utilization of advanced tools such as virtual surgical planning and 3D photography for precision.

Main Results:

• FFS procedures in the upper and middle face can create a more feminine and harmonious appearance.
• Tailored surgical approaches, including forehead contouring, rhinoplasty, and midface augmentation, yield positive aesthetic outcomes.
• Ancillary procedures like hairline redefinition and blepharoplasty further enhance feminization.

Conclusions:

• Individualized surgical planning is paramount for successful FFS outcomes.
• A comprehensive approach addressing the upper and middle face is essential for effective feminization.
• FFS plays a vital role in improving quality of life and reducing gender dysphoria.