Change of sex and facial feminization

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Background: The goal of facial feminization surgery FFS is to feminize the sexually dimorphic characteristics of the face and enable transwomen to be correctly gendered as female. Studies have demonstrated high patient satisfaction with FFS. However, the correct gendering of patients after FFS has never been objectively studied. Objectives: The aim of this study was to determine if FFS changed the perceived gender of patients in the public eye.
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Facial Feminization Surgery Changes Perception of Patient Gender

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History of Facial Feminization Surgery (FFS) and Facial Gender Confirmation

The goal of facial feminization surgery FFS is to feminize the sexually dimorphic characteristics of the face and enable transwomen to be correctly gendered as female. Studies have demonstrated high patient satisfaction with FFS. However, the correct gendering of patients after FFS has never been objectively studied. The aim of this study was to determine if FFS changed the perceived gender of patients in the public eye. An online survey platform with control photographs of cis-gender males and cis-gender females as well as preoperative and postoperative FFS patients was created. Preoperative FFS patients were gendered as female Postoperative FFS patients were gendered as female
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Facial feminization surgery

Facial feminization surgery FFS is a set of cosmetic surgical procedures that alter typically male facial features to bring them closer in shape and size to typical female facial features. FFS can include various bony and soft tissue procedures such as brow lift , rhinoplasty , cheek implantation , and lip augmentation. Faces contain secondary sex characteristics that make male and female faces readily distinguishable, including the shape of the forehead, nose, lips, cheeks, chin, and jawline; the features in the upper third of the face seem to be the most important, but subtle changes in the lips can have a strong effect. For some transgender women, FFS is medically necessary to treat gender dysphoria. While most FFS patients are transgender women, some cisgender women who feel that their faces are too masculine will also undergo FFS.
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Prior to the advent of gender confirmation and facial feminization surgery, individuals who suffered from gender dysphoria had no viable medical or surgical options. Transgender individuals often lived with a deep sense of dissatisfaction and feeling uncomfortable in their own skin — physically, emotionally and psychologically. Karl M Baer Geburtsregister Arolsen.
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