Facial Feminization Surgery: A Review of 220 Consecutive Patients

Background Facial feminization surgery (FFS) is a combination of facial bony and soft tissue surgeries designed to modify and convert a masculine face to feminine. One’s face plays a very central role in gender incongruence and FFS helps patients overcome this. There are prominent differences betwee...

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Main Author: Parag Shashank Telang
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2020-08-01
Series:Indian Journal of Plastic Surgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1716440
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author Parag Shashank Telang
author_facet Parag Shashank Telang
author_sort Parag Shashank Telang
collection DOAJ
description Background Facial feminization surgery (FFS) is a combination of facial bony and soft tissue surgeries designed to modify and convert a masculine face to feminine. One’s face plays a very central role in gender incongruence and FFS helps patients overcome this. There are prominent differences between the male and the female facial anatomy (bony and soft tissue) which can be surgically altered to change the visual perception of the face. Methods The author presents the method used at his center for treating 220 patients of gender incongruence requesting FFS from June 2016 to June 2019. The alterations to known methods of forehead contouring, hairline lowering, and jaw shave adopted by his team are discussed. He also presents the logic of performing the entire FFS in two stages at an interval of 7 to 10 days. Results A total of 220 cases of FFS are presented, along with surgical details of techniques used, the sequence and staging of procedures performed, and the results obtained. A two-staged approach to FFS is proposed to maximize the recovery and minimize complications and promote faster healing. Different methods of forehead contouring are also explained in detail. Conclusions FFS is a very rewarding surgery for the plastic surgeon and has high patient satisfaction rate. With proper training in craniomaxillofacial and soft tissue surgery, it is possible for the plastic surgeon to be the main team leader for this procedure. A two-stage approach is highly recommended.
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spelling doaj-art-4bd0d9edf20e4e0dbd63e87ed4cf38f62025-08-20T01:56:38ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2020-08-01530224425310.1055/s-0040-1716440Facial Feminization Surgery: A Review of 220 Consecutive PatientsParag Shashank Telang0Designer Bodyz, Centre for Advanced Cosmetic Surgery, Mumbai, IndiaBackground Facial feminization surgery (FFS) is a combination of facial bony and soft tissue surgeries designed to modify and convert a masculine face to feminine. One’s face plays a very central role in gender incongruence and FFS helps patients overcome this. There are prominent differences between the male and the female facial anatomy (bony and soft tissue) which can be surgically altered to change the visual perception of the face. Methods The author presents the method used at his center for treating 220 patients of gender incongruence requesting FFS from June 2016 to June 2019. The alterations to known methods of forehead contouring, hairline lowering, and jaw shave adopted by his team are discussed. He also presents the logic of performing the entire FFS in two stages at an interval of 7 to 10 days. Results A total of 220 cases of FFS are presented, along with surgical details of techniques used, the sequence and staging of procedures performed, and the results obtained. A two-staged approach to FFS is proposed to maximize the recovery and minimize complications and promote faster healing. Different methods of forehead contouring are also explained in detail. Conclusions FFS is a very rewarding surgery for the plastic surgeon and has high patient satisfaction rate. With proper training in craniomaxillofacial and soft tissue surgery, it is possible for the plastic surgeon to be the main team leader for this procedure. A two-stage approach is highly recommended.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1716440type 3 forehead contouringorbital shavev-line jaw shave
spellingShingle Parag Shashank Telang
Facial Feminization Surgery: A Review of 220 Consecutive Patients
Indian Journal of Plastic Surgery
type 3 forehead contouring
orbital shave
v-line jaw shave
title Facial Feminization Surgery: A Review of 220 Consecutive Patients
title_full Facial Feminization Surgery: A Review of 220 Consecutive Patients
title_fullStr Facial Feminization Surgery: A Review of 220 Consecutive Patients
title_full_unstemmed Facial Feminization Surgery: A Review of 220 Consecutive Patients
title_short Facial Feminization Surgery: A Review of 220 Consecutive Patients
title_sort facial feminization surgery a review of 220 consecutive patients
topic type 3 forehead contouring
orbital shave
v-line jaw shave
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1716440
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