Medical and aesthetic procedural dermatology recommendations for transgender patients undergoing transition - 16/05/19

Doi : 10.1016/j.jaad.2018.05.1259

Nikhil Dhingra, MD ^a,^b, Lauren Meshkov Bonati, MD ^c, Erica B. Wang, MD ^d,^e, Margaret Chou, BA ^a, Jared Jagdeo, MD, MS ^d,^e,^f,^⁎
^a Department of Dermatology, Icahn School of Medicine at Mount Sinai, New York, New York
^b Spring Street Dermatology, New York, New York
^c SkinCare Physicians, Chestnut Hill, Massachusetts
^d Department of Dermatology, University of California at Davis, Sacramento, California
^e Dermatology Service, Sacramento VA Medical Center, Mather, California
^f Department of Dermatology, State University of New York, Downstate Medical Center, Brooklyn, New York

^∗Reprint requests: Jared Jagdeo, MD, MS, 3301 C Street. Suite 1400, Sacramento, California, 95816.3301 C Street. Suite 1400SacramentoCalifornia95816

Abstract

Transgender individuals may transition to their identified gender through social, hormonal, and procedural methods by using a multidisciplinary team of health care providers, including dermatologists. In this review, we discuss the medical and aesthetic dermatologic needs related to the transitioning of transgender patients and provide therapeutic and procedural recommendations. In addition to routine cutaneous conditions, dermatologists may need to treat hormonal therapy–related complications. Acumen for genital dermatology and familiarity with gender reassignment surgery is important for the dermatologist caring for a transgender patient. From a structural standpoint, transgender beauty poses a unique aesthetic task. We identify key differences in the facial structure and physique of males versus those of females. Dermatologists may have a tremendous impact on the lives of transgender individuals who seek to realize their gender identity.

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Key words : aesthetic dermatology, affirmation, gender, injectable filler, neurotoxin, transgender, transgender dermatology

Abbreviations used : AGA, FTM, LHR, MTF

Plan

Medical dermatologic needs of the transgender patient

Hormonal therapy

Procedural dermatologic needs of the transgender patient

Gender reassignment surgery

Injection of foreign material

Aesthetic dermatology beyond the gender binary

Facial differences between males and females

Upper part of the face

Midface

Lower part of the face

	Funding sources: None.
	Conflicts of interest: None disclosed.
	The contents do not represent the views of the US Department of Veterans Affairs or the US Government.

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Vol 80 - N° 6

P. 1712-1721 - juin 2019 Retour au numéro

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Medical and aesthetic procedural dermatology recommendations for transgender patients undergoing transition - 16/05/19

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