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List of contents
Introduction.- Primary Care Considerations for Transgender and Gender Diverse (TGD) Individuals Seeking Facial Feminization.- Navigating the Pre-Operative Consultation.- Navigating the Pre-Operative Consultation.- Virtual Surgical Planning in Facial Feminization Surgery.- Feminizing the Upper Third of the Face: Forehead, Orbits, and Brows.- Approaching Rhinoplasty for Feminization.- Performing Genioplasty for Feminization.- Orthognathic Considerations in Facial Feminization.- Performing Chondrolaryngoplasty for Facial Feminization.- Understanding the Soft Tissue in Facial Feminization.- Ethnicity Considerations in Facial Feminization.- Addressing Facial Feminization in the Non-Binary Population.- Managing Anesthesia During Facial Feminization.- The Operating Room.- Hospital Course and the Post-Operative Period.- Discussing Outcomes and Evidence-Based Research in Facial Feminization Surgery.- Access to Care in Facial Feminization.- Patient Perspectives.- Concluding Remarks.
About the author
Justine C. Lee, MD, PhD, FACS is the Bernard G. Sarnat Endowed Chair in Craniofacial Biology and Associate Chief of the Division of Plastic and Reconstructive Surgery at the the University of California- Los Angeles (UCLA) David Geffen School of Medicine. Clinically, Dr. Lee is a craniofacial plastic and reconstructive surgeon who developed the facial gender affirmation surgery program at UCLA. Her work on simplifying facial feminization surgery via precision virtual modeling as well as outcomes following facial gender-affirming surgery has led to numerous invited lectures at plastic surgery departments nationally and internationally, the American Society of Plastic Surgeons, the American Society for Aesthetic Plastic Surgery, the United States Professional Association for Transgender Health, the Japan Society of Plastic and Reconstructive Surgeons, the Korean Society of Plastic and Reconstructive Surgery, the Argentina Society of Plastic, Aesthetic, and Reconstructive Surgery, as well as multiple journal publications. Academically, Dr. Lee’s basic research program is focused on regenerative technologies for skeletal defects and her clinical research program is dedicated to understanding and improving outcomes of craniofacial reconstruction. Her research is currently funded by the National Institutes of Health/National Institute of Dental and Craniofacial Research, the Jean Perkins Foundation, and the Bernard G. Sarnat Endowment.
Sumun Khetpal, MD is a resident physician in plastic and reconstructive surgery at the University of California- Los Angeles (UCLA) David Geffen School of Medicine. During her residency training, Dr. Khetpal has published on multiple topics of pediatric craniofacial surgery, rhinoplasty, facial feminization, and health innovation in Plastic and Reconstructive Surgery, Annals of Plastic Surgery, Aesthetic Surgery Journal, and Journal of Craniofacial Surgery. She has been invited to present her research findings at various national and regional meetings including the American Society of Plastic Surgeons, the American Association of Plastic Surgeons and The Aesthetic Society. She is a graduate of the Yale University School of Medicine the Life Sciences and Management (LSM) Program at the University of Pennsylvania and the Wharton School, and Phillips Exeter Academy.
Summary
This book examines facial feminization surgery (FFS), which encompasses a myriad of procedures that are performed in order to alleviate gender dysphoria among transgender and non-binary populations. Demand for FFS has risen significantly, thus warranting greater discussion and education of such procedures among the plastic surgery community. To date, there has not been a standardized text for plastic surgeons and trainees to refer to when performing FFS.
Chapters address key issues, such as: 1) anatomic differences between cis-masculine and cis-feminine faces; 2) discuss operative techniques and considerations among respective procedures performed for facial feminization (i.e. forehead reduction, hairline advancement, brow lift, rhinoplasty, lip lift, genioplasty, facial fat grafting); 3) operating room setup, anesthesia considerations, as well the post-operative protocols for hospitalization among patients undergoing FFS; 4) navigate the process of pre-operative consultation among transgender and non-binary patients; 5) the advent and role of virtual surgical planning (VSP) within FFS; 6) the challenges of promoting access, lowering cost, and enhancing delivery of FFS care.
Facial Feminization Surgery: Operative Techniques and Clinical Considerations is an essential resource for physicians, residents, fellows, and medical students in physicians, residents, fellows, and medical students in plastic surgery, otolaryngology, and oral-maxillofacial surgery.
