Pansritum Kamol
Kamol Cosmetic Hospital, Kwaeng Plabpla, Khet Wangthonglang, Bangkok, Thailand.
Plast Reconstr Surg Glob Open. 2021 Mar 22;9(3):e3486. doi: 10.1097/GOX.0000000000003486. eCollection 2021 Mar.
With the improvement of the results of surgical treatment for facial transformation globally, many female transgender individuals seek surgical management for their faces, especially the forehead and hairline. These are critical aspects in the surgical management of the frontonasal-orbital area because the anatomy of the frontal sinuses is complicated and shows a high variation.
The author presents a grid method to measure the boundary of the frontal sinus in the female transgender forehead contouring and reconstruction. The surgical technique of forehead set back and simultaneous hairline advancement is described.
Between January 2015 and December 2017, there were 23 cases of forehead and hairline feminization procedures by the author. Patient age was between 20 and 74 years (mean 32.56). There were 11 Asians and 12 White patients. Eleven patients underwent supraorbital ridge contouring, and 12 underwent forehead reconstruction. Hairline advancement was simultaneously performed in 9 patients, and 3 underwent forehead augmentation at the supraorbital ridge. The postoperative follow-up time ranged from 3 weeks to 18 months.
The key to the success of forehead contouring surgery in female transgender patients is the precise measurement of the boundary of the frontal sinus. This technique offers a practical way to estimate the frontal sinus sizes and shapes to avoid intraoperative complications and reduces the possibility of surface irregularity.
随着全球面部整形手术治疗效果的改善，许多女性跨性别者寻求对面部，尤其是额头和发际线进行手术治疗。这些是鼻眶前部手术治疗的关键方面，因为额窦的解剖结构复杂且变异较大。
作者提出一种网格法，用于测量女性跨性别者额头轮廓塑造和重建中额窦的边界。描述了额头后缩和发际线同时前移的手术技术。
2015年1月至2017年12月，作者共进行了23例额头和发际线女性化手术。患者年龄在20至74岁之间（平均32.56岁）。其中有11名亚洲患者和12名白人患者。11例患者进行了眶上嵴轮廓塑造，12例进行了额头重建。9例患者同时进行了发际线前移，3例在眶上嵴进行了额头增高。术后随访时间为3周至18个月。
女性跨性别患者额头轮廓塑造手术成功的关键在于精确测量额窦的边界。该技术提供了一种实用的方法来估计额窦的大小和形状，以避免术中并发症，并减少表面不平整的可能性。
