Sluiter Emily C, Lane Megan, Morrison Shane D, Kuzon William M, Gilman Robert H
From the Section of Plastic Surgery, Department of Surgery, University of Michigan, Ann Arbor, Mich.
Division of Plastic Surgery, Department of Surgery, University of Washington Medical Center, Seattle, Wash.
Plast Reconstr Surg Glob Open. 2024 Aug 16;12(8):e6073. doi: 10.1097/GOX.0000000000006073. eCollection 2024 Aug.
For gender-diverse individuals assigned male at birth, postpubertal estrogen and testosterone-lowering therapies alone are often inadequate to reverse the testosterone-related facial characteristics projecting a male sex identity. Facial feminization surgery significantly improves quality-of-life outcomes for gender-diverse patients by relieving this gender incongruence of the face. Because the shape of the forehead is so radically different between men and women, feminization of this area is critical for many individuals. Several techniques are typically used in combination, including hairline advancement, browlift, burring of the supraorbital rims, frontal bone contouring, and anterior table setback. This report describes the use of fat grafting as an adjuvant technique to forehead contouring as means to avoid frontal bone osteotomy, which carries a higher complication profile and often requires hardware placement.
对于出生时被指定为男性的性别多样化个体，青春期后单独使用降低雌激素和睾酮的疗法往往不足以逆转与睾酮相关的面部特征，这些特征显示出男性性别身份。面部女性化手术通过缓解面部的这种性别不一致，显著改善了性别多样化患者的生活质量。由于男性和女性的额头形状差异极大，对许多人来说，这个区域的女性化至关重要。通常会联合使用几种技术，包括发际线前移、提眉、眶上缘打磨、额骨轮廓塑形和前板后缩。本报告描述了使用脂肪移植作为额部轮廓塑形的辅助技术，以避免进行额骨截骨术，因为额骨截骨术并发症更多，且通常需要植入硬件。
