Quality of Life Outcomes After Facial Feminization Surgery.

Report a large single-institution cohort of quality of life (QOL) data before and after facial feminization surgery (FFS). Case series. Patients who underwent FFS at our institution between 2017 and 2019 and completed a pre- and postoperative QOL survey were included in this study. Responses were scored on a 5-point scale with 1 corresponding to least agreement and 5 corresponding to most agreement. Paired -test was used to compare pre- and postoperative mean scores for each response. Two-tailed -test was used to compare the mean postoperative delta for each response by demographics. One hundred seven of 341 patients completed a pre- and postoperative survey. The average age was 36 years (range 18-67). The mean time to postoperative survey completion was 96 days (interquartile range 43). Significant improvements in all aspects of QOL assessed on the survey were noted after surgery, including self-perceived facial femininity (2.1-3.8,  < 0.001) and publicly perceived facial femininity (2.0-3.6,  < 0.001). Patients also felt less limited in social activities (3.2-2.0,  < 0.001) and professional activities (2.7-1.7,  < 0.001). FFS improves self-perceived and externally perceived facial femininity and reduces limitations in social and professional activities.