Contents

The document provides an overview of various surgical and non-surgical procedures involved in facial gender affirmation surgery, which is a component of treatment for gender dysphoria. It discusses the anthropometric differences between male and female facial features and the importance of analyzing these differences for preoperative planning and setting postoperative expectations. The document covers hormonal, medical, and nonsurgical aspects of gender affirmation, emphasizing the unique health needs of transgender individuals and the importance of creating a welcoming clinical environment. It also addresses the timing of facial feminization surgery, recommending at least 12 months of hormonal therapy and living in a gender-congruent role before surgery. Various techniques for facial feminization, such as cheek augmentation, forehead and orbital rim remodeling, midfacial bony remodeling, hair transplantation, lower jaw recontouring, genioplasty, rhinoplasty, lip lift, and chondrolaryngoplasty, are detailed, highlighting the procedures' potential to improve patient quality of life and the importance of careful planning and execution to achieve desired aesthetic outcomes.