Abstract
Facial feminization surgery (FFS) is a group of surgical procedures; the objectives
of which are to change the features of a male face to that of a female face. This
surgery does not aim to rejuvenate the face. FFS is carried out almost exclusively
on transsexual women (males who are transitioning into females) and who have gender
dysphoria. Some non-transsexual women may undergo some feminizing surgical procedures
if they feel that they have male facial characteristics. Most transsexual women will
have lived in role for sometime and they often undergo FFS before any other form of
gender reassignment surgery as it assists them in passing as a female and integrating
into everyday society. Various specific facial surgical procedures are utilized to
feminize the face, often involving sculpture and contouring of the facial skeleton.
These include correction of the hairline by scalp advance, contouring the forehead,
brow lift, rhinoplasty, cheek implants, resection of the buccal fat pads of Bichat,
lip lift and lip augmentation with dermis graft, mandible angle reduction and taper,
genioplasty and thyroid shave. This article discusses the current state of the art
in facial feminization surgery.
Keywords
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References
- Feminization of the forehead: contour changing to improve female aesthetics.Plast Reconstr Surg. 1987; 79: 701-711
- Anthropological guidelines for aesthetic craniofacial surgery.in: Ousterhout D.K. Aesthetic contouring of the craniofacial skeleton. Little, Brown and Company, Boston/Toronto/London1991: 20-21
- Feminization of the chin: a review of 485 consecutive cases.in: Craniofacial surgery. vol. 10. Medimond International Proceedings, Bologna, Italy2003: 461-463
- Gray's anatomy.35th ed. Longman, Edinburgh1973 (p. 1174)
- Aesthetic improvement of the forehead utilizing methylmethacrylate onlay implants.Aesth Plast Surg. 1990; 14: 281-286
- Hairline lowering during foreheadoplasty.Plast Reconstr Surg. 1999; 103: 224-236
- Correction of the high female hairline.Arch Facial Plast Surg. 2009; 11: 84-90
- Orbital rim contouring.in: Ousterhout D.K. Aesthetic contouring of the craniofacial skeleton. Little, Brown and Company, Boston/Toronto/London1991: 243-256
- Combined frontal bone reshaping and forehead lift for frontal sinus hypertrophy.Aesth Plast Surg. 1999; 23: 361-363
- Management of the giant frontal sinus – a simple method to improve cosmesis.Br J Oral Maxillofac Surg. 2009; 47: 54-55
- The open coronal approach to forehead rejuvenation.Clin Plast Surg. 2008; 35: 331-351
- Simple manoeuvre to help stabilize drains when closing a coronal flap.Br J Oral Maxillofac Surg. 2009; 47: 162
- Submalar augmentation: An alloplastic method for aesthetic contouring of the midface.in: Ousterhout D.K. Aesthetic contouring of the craniofacial skeleton. Little, Brown and Company, Boston/Toronto/London1991: 347-370
- Feminization of the mandibular body: a review of 688 consecutive cases.in: Craniofacial surgery. vol. 11. Medimond International Proceedings, Bologna, Italy2005: 135-137
- Modification of square face in men.Arch Facial Plast Surg. 2011; 13: 244-246
- Facial bone sculpturing.in: Maxillofacial Surgery. Vol. I. Churchill Livingstone, London1999: 1441-1456
- Evaluation of dynamic morphologic changes in the masseter muscle in patients undergoing mandibular angle sagittal split osteotomy: a report of 130 cases.Arch Facial Plast Surg. 2011; 13: 301-304
- Chondrolaryngoplasty for appearance.Plast Reconstr Surg. 1990; 86: 464-469
Article info
Publication history
Published online: June 08, 2012
Accepted:
April 26,
2012
Identification
Copyright
© 2012 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.