Commentary on Nonsurgical Management of Facial Masculinization and Feminization

Dr. Jordan C. Deschamps-Braly critiqued an article on nonsurgical management of facial masculinization and feminization, arguing that it misrepresented the effectiveness of nonsurgical techniques. He emphasized that significant facial gender transformation requires altering the facial skeleton, which nonsurgical methods like injectables cannot achieve. While injectables may enhance appearance and youthfulness, they fall short in providing the dramatic changes needed for gender transition. Deschamps-Braly highlighted inaccuracies in the article, such as the claim that fillers can feminize the face by enhancing eyebrow contour and volume, which he argued is contrary to the desired effect. He acknowledged that some nonsurgical methods, like Botox for masseter reduction, have limited value but maintained that surgical procedures are essential for effective facial gender affirmation.