Feminizing the Face: Combination of Frontal Bone Reduction and Reduction Rhinoplasty
Gender affirmation surgeries in male-to-female patient transitioning include breast augmentation, genital construction, and facial feminization surgery (FFS). FFS improves mental health and quality of life in transgender patients. The nose and forehead are critical in facial attractiveness and gende...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2018/1947807 |
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| author | C. J. Salgado H. AlQattan A. Nugent D. Gerth W. Kassira C. S. McGee L. Wo |
| author_facet | C. J. Salgado H. AlQattan A. Nugent D. Gerth W. Kassira C. S. McGee L. Wo |
| author_sort | C. J. Salgado |
| collection | DOAJ |
| description | Gender affirmation surgeries in male-to-female patient transitioning include breast augmentation, genital construction, and facial feminization surgery (FFS). FFS improves mental health and quality of life in transgender patients. The nose and forehead are critical in facial attractiveness and gender identity; thus, frontal brow reduction and rhinoplasty are a mainstay of FFS. The open approach to reduction of the frontal brow is very successful in the feminization of the face; however, risks include alopecia and scarring. Endoscopic brow reduction, in properly selected patients, is minimally invasive with excellent outcomes avoiding these risks. Since both reduction rhinoplasty and frontal brow reduction are routinely performed in FFS, a combined approach provides superior control over the nasal radix and profile when performing surgery on the frontal bone region first followed by nose reduction. We present a case series of four transwomen undergoing frontal bone reduction in combination with a reduction rhinoplasty. All had excellent results with one DVT that resolved with treatment. Transgender patients frequently require multiple operations during their transition increasing their hospital stay and costs. This combined approach offers superior control over the nasofrontal angle and is not only safe but reduces hospitalizations and costs and is a novel indication to reduce gender dysphoria. |
| format | Article |
| id | doaj-art-31a798a1da5c41c988bf9a32b72907b1 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-31a798a1da5c41c988bf9a32b72907b12025-02-03T01:01:13ZengWileyCase Reports in Surgery2090-69002090-69192018-01-01201810.1155/2018/19478071947807Feminizing the Face: Combination of Frontal Bone Reduction and Reduction RhinoplastyC. J. Salgado0H. AlQattan1A. Nugent2D. Gerth3W. Kassira4C. S. McGee5L. Wo6Division of Plastic, Reconstructive, Transgender, and Aesthetic Surgery, University of Miami Leonard M. Miller School of Medicine, Miami, FL, USADivision of Plastic, Reconstructive, Transgender, and Aesthetic Surgery, University of Miami Leonard M. Miller School of Medicine, Miami, FL, USADivision of Plastic, Reconstructive, Transgender, and Aesthetic Surgery, University of Miami Leonard M. Miller School of Medicine, Miami, FL, USADivision of Plastic, Reconstructive, Transgender, and Aesthetic Surgery, University of Miami Leonard M. Miller School of Medicine, Miami, FL, USADivision of Plastic, Reconstructive, Transgender, and Aesthetic Surgery, University of Miami Leonard M. Miller School of Medicine, Miami, FL, USADivision of Plastic, Reconstructive, Transgender, and Aesthetic Surgery, University of Miami Leonard M. Miller School of Medicine, Miami, FL, USADivision of Plastic, Reconstructive, Transgender, and Aesthetic Surgery, University of Miami Leonard M. Miller School of Medicine, Miami, FL, USAGender affirmation surgeries in male-to-female patient transitioning include breast augmentation, genital construction, and facial feminization surgery (FFS). FFS improves mental health and quality of life in transgender patients. The nose and forehead are critical in facial attractiveness and gender identity; thus, frontal brow reduction and rhinoplasty are a mainstay of FFS. The open approach to reduction of the frontal brow is very successful in the feminization of the face; however, risks include alopecia and scarring. Endoscopic brow reduction, in properly selected patients, is minimally invasive with excellent outcomes avoiding these risks. Since both reduction rhinoplasty and frontal brow reduction are routinely performed in FFS, a combined approach provides superior control over the nasal radix and profile when performing surgery on the frontal bone region first followed by nose reduction. We present a case series of four transwomen undergoing frontal bone reduction in combination with a reduction rhinoplasty. All had excellent results with one DVT that resolved with treatment. Transgender patients frequently require multiple operations during their transition increasing their hospital stay and costs. This combined approach offers superior control over the nasofrontal angle and is not only safe but reduces hospitalizations and costs and is a novel indication to reduce gender dysphoria.http://dx.doi.org/10.1155/2018/1947807 |
| spellingShingle | C. J. Salgado H. AlQattan A. Nugent D. Gerth W. Kassira C. S. McGee L. Wo Feminizing the Face: Combination of Frontal Bone Reduction and Reduction Rhinoplasty Case Reports in Surgery |
| title | Feminizing the Face: Combination of Frontal Bone Reduction and Reduction Rhinoplasty |
| title_full | Feminizing the Face: Combination of Frontal Bone Reduction and Reduction Rhinoplasty |
| title_fullStr | Feminizing the Face: Combination of Frontal Bone Reduction and Reduction Rhinoplasty |
| title_full_unstemmed | Feminizing the Face: Combination of Frontal Bone Reduction and Reduction Rhinoplasty |
| title_short | Feminizing the Face: Combination of Frontal Bone Reduction and Reduction Rhinoplasty |
| title_sort | feminizing the face combination of frontal bone reduction and reduction rhinoplasty |
| url | http://dx.doi.org/10.1155/2018/1947807 |
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