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Effect of Facial Feminization Surgery (FFS) on Eyelid Anatomic Features

Facial Plastic Surgery, ISSN: 1098-8793
2024
  • 0
    Citations
  • 0
    Usage
  • 5
    Captures
  • 1
    Mentions
  • 0
    Social Media
Metric Options:   Counts1 Year3 Year

Metrics Details

  • Captures
    5
  • Mentions
    1
    • News Mentions
      1
      • 1

Most Recent News

Mayo Clinic Alix School of Medicine Researcher Has Published New Study Findings on Facial Plastic Surgery [Effect of Facial Feminization Surgery (FFS) on Eyelid Anatomic Features]

2024 MAY 15 (NewsRx) -- By a News Reporter-Staff News Editor at NewsRx Medical Devices Daily -- Investigators publish new report on facial plastic surgery.

Article Description

Facial feminization surgery (FFS) improves gender dysphoria. The brows and eyes are crucial in perceived gender, yet brow and eyelid surgeries are relatively under-utilized. This study aimed to determine rates of brow and eyelid surgeries as part of FFS and characterize pre- and postoperative periocular features. We conducted a retrospective review to identify all patients with the diagnosis of gender dysphoria who underwent FFS at a single academic institution from 2019-2022. Thirty-four patients comprising 38 surgical cases were included. Twelve (35%) eyelid surgeries and 27 (79%) brow lifts were performed. Baseline eyelid measurements did not differ between brow lift and non-brow lift cases. Those undergoing brow lift and eyelid surgery were older in age (p=0.022), had a higher rate of negative canthal tilt (p=0.050), and smaller baseline margin-reflex distance 1 (p=0.014) than patients who had brow lift alone. Brow lift increased tarsal platform show (p=<0.001) and lash-to-brow distance (p=< 0.001), and upper blepharoplasty increased tarsal platform show (p=0.01). Rates of brow lift are high at our institution, and patients are appropriately selected for eyelid surgery in FFS. Brow lift and upper blepharoplasty can feminize anatomical features when using standards described for cisgender cohorts. The impact of periocular features on gender perception in transgender patients warrants further study.

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