Secondary Facial Gender Surgery: Causes of Poor Outcomes and Strategies for Avoidance and Correction

Plast Reconstr Surg. 2023 Aug 1;152(2):347e-357e. doi: 10.1097/PRS.0000000000010324. Epub 2023 Feb 27.

Abstract

Facial feminization surgery covers a broad spectrum of procedures across both hard and soft tissues. Despite the fact that this is a decidedly predictable surgery, because of the high demand for the procedures, a growing number of patients are requiring revision surgery, whether to correct unexpected results or to treat mid-term to long-term functional and aesthetic complications. This Special Topic article categorizes unsatisfactory outcomes encountered after forehead surgery, lower jaw surgery, and thyroid chondroplasty; key steps to avoid these pitfalls; and strategies for structured analysis and operative planning in revision cases.

MeSH terms

  • Face / surgery
  • Facial Bones / surgery
  • Feminization / surgery
  • Forehead / surgery
  • Humans
  • Male
  • Plastic Surgery Procedures*