Conservative approach to facial upper third feminisation: a retrospective study.

The aim of this study was to assess patient satisfaction and postoperative quality of life following the combined procedure of frontal eminence milling and hairline advancement in the upper third feminisation. This study is based on the assessment of satisfaction data of Transgender adult patients. Postoperative patient quality of life was assessed by the Facial feminisation surgery outcomes evaluation and patient satisfaction was assessed by the Face-Q™. Forty eight patients were included. The age of the patients ranged from 20 to 63 years. According to the Facial feminisation surgery outcomes evaluation, 67.2% of patients were satisfied with the outcomes. 56.3% of the patients found the appearance of their faces "very much" and "completely" feminine. According to the Face-Q™, 79% of patients were satisfied or very satisfied with the position of their eyebrows post-operatively. 83.4% found their foreheads natural, 81.3% found their foreheads younger and 77.1% were satisfied or very satisfied with the smoothness of their forehead. Within the limitations of the study it seems that a combined procedure of frontal eminence milling and hairline advancement is an adequate treatment option forpatients with typically masculine features of the forehead and moderate to slight frontal eminences.

Surgical techniques used in chin feminization: Literature review and knowledge update.

Genioplasty is commonly performed as part of facial feminization surgery. Commonly addressed areas in facial feminization surgery include the chin. According to some authors, 100% of patients request genioplasty surgery in order to feminize their faces. Specific genioplasty techniques (involving generally reduction surgery) applied to transgender patients have been rarely described in the literature. Objective: We aimed to carry out a review of the literature to update the current knowledge on this subject while achieving a comprehensive synthesis of the available surgical techniques for reduction genioplasty in trans Male to Female patients. Conclusion: Reduction genioplasty is frequently performed in facial feminization surgery. Multiple surgical techniques for chin feminization have been described in the existing literature. Reduction genioplasty requires combined work in the sagittal and transverse planes so as to obtain a harmonious result. However, no comparative study on the different surgical techniques has as yet been conducted. Patient satisfaction or surgical complications (which tend to be rare) cannot be related to any specific surgical technique.