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Forehead reduction and orbital contouring are important for satisfactory facial feminization in transgender females, with high satisfaction and low long-term problems.

Hair loss might be due to nerve issues, treatable with electric stimulation or acupuncture.

Adding a zygomaticotemporal nerve block reduces pain more effectively during hair regrowth treatments.

Scalp pain should be classified as a type of headache.

The document concludes that the endoscopic brow lift is a less invasive cosmetic surgery that requires careful technique and patient selection to achieve lasting, aesthetically pleasing results.