Pittman Troy A, Economides James M
Advanced Plastic Surgery, 2440 M Street NW, Suite 507, Washington, DC 20037, USA.
Department of Plastic and Reconstructive Surgery, MedStar Georgetown University Hospital, Pasquerilla Health Center, 1st Floor, 3800 Reservoir Road Northwest, Washington, DC 20037, USA.
Facial Plast Surg Clin North Am. 2019 May;27(2):191-197. doi: 10.1016/j.fsc.2018.12.002. Epub 2019 Mar 2.
Facial feminization surgery may be a part of a treatment plan for gender dysphoria. Initial mental health assessment must occur. Referrals for hormonal therapy may then be made if appropriate. No guidelines exist for timing of facial feminization surgery. Generally, recommendations are for individuals to undergo hormonal therapy and live in a gender-congruent role for at least 12 months before surgical intervention. Referral letters meeting World Professional Association of Transgender Health guidelines must be made regarding the treatment course and goals. Informed consent must be obtained; patient should understand how surgical alteration fits into their overall treatment goals.
面部女性化手术可能是性别焦虑症治疗计划的一部分。必须进行初步的心理健康评估。如果合适，随后可转诊进行激素治疗。目前尚无面部女性化手术时机的指南。一般来说，建议个体在手术干预前至少接受12个月的激素治疗并以符合其性别认同的角色生活。必须出具符合世界跨性别健康专业协会指南的转诊信，说明治疗过程和目标。必须获得知情同意；患者应了解手术改变如何符合其整体治疗目标。
