Feminization Surgery of the Upper Face as the Crucial Factor in Gender Confirmation—Pearls and Pitfalls

The study on upper-face feminization surgery in 20 transfeminine patients highlights the critical role of procedures like orbital shaving, hairline advancement, and browlift in gender confirmation. Common issues necessitating revision surgeries included insufficient frontal sinus reduction, inadequate orbital rim widening, and unsatisfactory hairline modification. The research underscores the complexity of these surgeries and their impact on self-esteem and social life. Despite a low complication rate, issues like biomaterial-associated infection and shock-induced alopecia were noted. The study advocates for a comprehensive approach and specialized training to enhance patient safety, aesthetic results, and satisfaction, emphasizing the importance of proper planning and execution to avoid complications.