Cárdenas-Camarena Lázaro, Guerrero-García María Teresa, Diaz-Barriga Julio César
From the INNOVARE, Plastic Surgery and Surgical Specialties, Zapopan, Jalisco, Mexico.
Mexican Association of Plastic Esthetic and Reconstructive Surgery, International Society of Aesthetic Plastic Surgery, Monterrey, Nuevo León, Mexico.
Plast Reconstr Surg Glob Open. 2024 Dec 5;12(12):e6345. doi: 10.1097/GOX.0000000000006345. eCollection 2024 Dec.
Despite the increasing demand, the combination of lip feminization and rejuvenation in patients assigned male at birth with gender dysphoria is rarely reported in the medical literature. We present our 27 years of experience performing these procedures in this patient population.
All patients assigned male at birth with gender dysphoria from 1997 to 2023 were included and grouped into 4 age categories. Combined surgical procedures were performed to achieve lip rejuvenation and feminization, with detailed descriptions of the techniques used. Results were evaluated three months postsurgery using the Global Aesthetic Improvement Scale and the Global Satisfaction Scale. Complications and outcomes were documented, and statistical analysis was conducted to compare the differences between the results obtained.
During a 27-year period, 988 patients underwent 1789 procedures. Of these, 79.8% were younger than 50 years, with the largest group being between 20 and 35 years (47.6%). However, patients older than 65 had the highest average number of procedures (2.4 per patient). The results showed a high degree of improvement and satisfaction on both evaluated scales. There were only 2 hematomas, both resolved without incident. The main issues were volume loss after fat infiltration (14.3%) and poorly positioned scars in lip lifts (13.2%).
Surgical procedures to feminize and rejuvenate lips can be combined in patients assigned male at birth with gender dysphoria, achieving highly satisfactory results, high patient satisfaction, and few complications.
尽管需求不断增加，但医学文献中很少报道为出生时被指定为男性的性别焦虑症患者进行唇部女性化和年轻化联合手术。我们介绍了我们在这一患者群体中进行这些手术27年的经验。
纳入1997年至2023年所有出生时被指定为男性的性别焦虑症患者，并将其分为4个年龄组。实施联合手术以实现唇部年轻化和女性化，并详细描述所使用的技术。术后三个月使用全球美学改善量表和全球满意度量表评估结果。记录并发症和结果，并进行统计分析以比较所得结果之间的差异。
在27年期间，988例患者接受了1789次手术。其中，79.8%的患者年龄小于50岁，最大的年龄组为20至35岁（47.6%）。然而，65岁以上的患者平均手术次数最多（每位患者2.4次）。结果显示，在两个评估量表上均有高度改善和满意度。仅出现2例血肿，均顺利解决。主要问题是脂肪注射后体积丢失（14.3%）和唇部提升术中瘢痕位置不佳（13.2%）。
为出生时被指定为男性的性别焦虑症患者进行唇部女性化和年轻化的手术可以联合进行，可取得高度满意的结果、较高的患者满意度且并发症较少。
