Gender-confirming Rhinoplasty - 31/03/19

Doi : 10.1016/j.fsc.2019.01.003

Jens Urs Berli, MD ^a,^⁎ , Myriam Loyo, MD ^b
^a Division of Plastic Surgery, Department of General Surgery, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, Mail Code L352A, Portland, OR 97201, USA
^b Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology–Head and Neck Surgery, Oregon Health & Science University, Center for Health and Healing, CH5E, 3303 Southwest Bond Avenue, Portland, OR 97201, USA

^∗Corresponding author.

Résumé

Most surgeons who are not routinely treating gender dysphoric patients are more likely to see an isolated rhinoplasty consultation rather than a request for full facial gender confirmation surgery (FGCS). Different from other aspects of FGCS, the surgical basis of rhinoplasty is almost the same as for the cisgender population. Despite technical overlap, the care for patients seeking rhinoplasty for the indication of gender dysphoria vastly differs from that for the cisgender population. This review includes comments on gender norms and outline considerations for the preoperative work-up and operative execution as well as a comprehensive literature review.

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Keywords : Rhinoplasty, Transgender, Facial feminization surgery, Gender confirmation surgery, Gender-affirming surgery