RESUMO
In male-to-female gender transition, individuals request a number of interventions, including hormonal therapy, to promote feminizing characteristics. Estrogen-based medication is prescribed to increase breast development, decrease facial hair, promote feminine adipose tissue deposition, and soften skin. Surgical breast augmentation to supplement unsatisfying breast growth after hormonal therapy is a common and well-studied course of management for such transgender patients. In a departure from convention, the authors present a case of symptomatic macromastia requiring surgical breast reduction in a transgender woman following 24 years of hormonal therapy and illicit silicone injections in multiple areas of her body, including the breasts.
Assuntos
Mama/anormalidades , Terapia de Reposição de Estrogênios/efeitos adversos , Hipertrofia/induzido quimicamente , Hipertrofia/cirurgia , Mamoplastia/métodos , Pessoas Transgênero , Adulto , Mama/cirurgia , Estética , Terapia de Reposição de Estrogênios/métodos , Feminino , Humanos , Masculino , Mastectomia/métodos , Satisfação do Paciente , Medição de Risco , Resultado do TratamentoRESUMO
Increasingly, facial feminization and masculinization techniques are being employed in the treatment of gender dysphoria. For the facial surgeon, knowledge of the anatomical differences between masculine and feminine facial skeletal structures is of utmost importance. Combining this knowledge with the various surgical and non-techniques that may be employed in order to achieve each patient's goals will allow the facial surgeon to greatly impact the lives of persons of transgender and gender diverse experience. Below, this article discusses these anatomical differences as well as current surgical practices employed in order to masculinize or feminize the face.
