One-step facial feminization surgery: The importance of a custom-made preoperative planning and patient satisfaction assessment

Padula, Simone La; Hersant, Barbara; Chatel, H.; Aguilar, Paola; Bosc, Romain; Roccaro, Giovanni; Ruiz, Robin; Meningaud, Jean Paul

doi:10.1016/j.bjps.2019.06.014

Cited by 49 publications

(36 citation statements)

References 19 publications

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“…Similarly, Tawa et al 27 utilized preoperative CT DICOM data to generate a 3D model of the skull and simulate frontal bone and mandibular osteotomies. In addition to 3D simulation, La Padula et al 20 used the Morpheus Photograph Warper photoediting software to generate 2D modeling of full FSS outcomes. Custom-made surgical guides were only described by two studies.…”

Section: Resultsmentioning

confidence: 99%

“…Custom-made surgical guides were only described by two studies. 20 , 27 Tawa et al 27 incorporated 3-matic software to generate custom titanium guides for forehead and chin reconstruction and polyamide guides for mandibular angles. La Padula et al 20 3D printed two models, a bone and soft tissue renderings, both used to explain the surgery to patients and as a physical guide intraoperatively.…”

Section: Resultsmentioning

confidence: 99%

“…Major complications were exceedingly rare, and multiple studies described no postoperative complications at all. 9 , 16 , 17 , 20 , 24 , 26 Only four studies discussed the management of complications, with intervention in 15 (5.6%) patients including hematoma aspiration and revision rhinoplasty. 8 , 11 , 28 Seven studies that described inpatient stay of patients reported that most stayed through postoperative day 1; however, Chou et al 14 reported that five (4.0%) patients were discharged the same day as their FFS.…”

Section: Resultsmentioning

confidence: 99%

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Facial Feminization Surgery: A Systematic Review of Perioperative Surgical Planning and Outcomes

Tirrell

Hawa

Bekeny

et al. 2022

Plastic and Reconstructive Surgery - Global Open

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Background: Facial feminization is a critical step in a transfeminine patient's surgical transition. However, the existing literature on the various types of feminization surgeries suffers from inadequate reporting on perioperative aspects of care, such as preoperative evaluation and postoperative outcomes. The aim of this study is to evaluate facial feminization surgery (FFS), preoperative planning, and patient reported outcomes after various types of procedures. Methods: An electronic database search of Ovid MEDLINE was completed according to PRISMA guidelines for articles pertaining to FFS. Study characteristics, operative information, and patient demographics were collected. Data concerning preoperative imaging, virtual simulation, postoperative complications, and patientreported outcome measures (PROMs) were collected and analyzed for patterns. Results: A total of 22 papers representing 1302 patients were included for analysis. The most commonly discussed operations included upper face procedures, particularly of the forehead (17 studies, 77%). When discussed, preoperative planning for FFS included standard photography in 19 (86%) studies, advanced imaging, such as cephalometry or computed tomography, in 12 (55%) studies, and virtual simulation of surgical outcomes in four (18%) studies. Patient-centered outcomes, such as postoperative satisfaction, were described in 17 (77%) studies. Standardized PROMs were heterogenous across included studies with only 11 (50%) including at least one PROM. Conclusions: FFS is common, safe, and highly satisfying for transfeminine patients seeking surgical intervention for identity actualization. Future research concerning transgender care must evaluate advanced surgical planning and 3D simulation combined with more standardized assessment of PROMs to ensure high-quality analysis of patient satisfaction.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Facial Feminization Surgery: A Systematic Review of Perioperative Surgical Planning and Outcomes

Tirrell

Hawa

Bekeny

et al. 2022

Plastic and Reconstructive Surgery - Global Open

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“…For facial feminization procedures, a series of 192 cases using templated virtual models helped reduce preoperative planning by up to 75% by the time of the last case. 105 As in the previously discussed genioplasty case series, the 3D-printed materials included guides and, in some cases, prostheses to safely augment facial volume. Specific procedures augmented by this process included grinding of the frontal bone and basilar rims, advancement of the hairline, rhinoplasty, and genioplasty.…”

Section: Facial Feminizationmentioning

confidence: 99%

Implications of Applying New Technology in Cosmetic and Reconstructive Facial Plastic Surgery

et al. 2020

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The field of facial plastic and reconstructive surgery is privy to a myriad of technological advancements. As innovation in areas such as imaging, computer applications, and biomaterials progresses at breakneck speed, the potential for clinical application is endless. This review of recent progress in the implementation of new technologies in facial plastic surgery highlights some of the most innovative and impactful developments in the past few years of literature. Patient-specific surgical modeling has become the gold standard for oncologic and posttraumatic reconstructive surgery, with demonstrated improvements in operative times, restoration of anatomical structure, and patient satisfaction. Similarly, reductions in revision rates with improvements in learner technical proficiency have been noted with the use of patient-specific models in free flap reconstruction. In the cosmetic realm, simulation-based rhinoplasty implants have drastically reduced operative times while concurrently raising patient postoperative ratings of cosmetic appearance. Intraoperative imaging has also seen recent expansion in its adoption driven largely by reports of eradication of postoperative imaging and secondary—often complicated—revision reconstructions. A burgeoning area likely to deliver many advances in years to come is the integration of bioprinting into reconstructive surgery. Although yet to clearly make the translational leap, the implications of easily generatable induced pluripotent stem cells in replacing autologous, cadaveric, or synthetic tissues in surgical reconstruction are remarkable.

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“…[3] Medicare coverage has been available for gender affirming surgery since 2014, and utilization of such surgeries is increasing. [4,5] Facial feminization surgery (FFS) is a component of gender affirming surgery and includes facial procedures designed to adjust masculine facial secondary sex characteristics. Secondary sex characteristics of the face represent part of the complex pattern of visual cues that humans use to ascribe gender.…”

Section: Introductionmentioning

confidence: 99%

Facial Feminization Surgery: Key CT Findings for Preoperative Planning and Postoperative Evaluation

Callen

Badiee

Phelps

et al. 2021

American Journal of Roentgenology

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The publication of this Accepted Manuscript is provided to give early visibility to the contents of the article, which will undergo additional copyediting, typesetting, and review before it is published in its final form. During the production process, errors may be discovered that could affect the content of the Accepted Manuscript. All legal disclaimers that apply to the journal pertain. The reader is cautioned to consult the definitive version of record before relying on the contents of this document.

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One-step facial feminization surgery: The importance of a custom-made preoperative planning and patient satisfaction assessment

Cited by 49 publications

References 19 publications

Facial Feminization Surgery: A Systematic Review of Perioperative Surgical Planning and Outcomes

Facial Feminization Surgery: A Systematic Review of Perioperative Surgical Planning and Outcomes

Implications of Applying New Technology in Cosmetic and Reconstructive Facial Plastic Surgery

Facial Feminization Surgery: Key CT Findings for Preoperative Planning and Postoperative Evaluation

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