Feminization Rhinoplasty - 21/06/23

Doi : 10.1016/j.fsc.2023.04.005

A.J. Flaherty, MD ^a,^⁎ , Ari M. Stone, MD ^b, Jeffrey C. Teixeira, MD, MBA ^c, Michael J. Nuara, MD ^a,^d
^a Facial Plastic & Reconstructive Surgery, Division of Otolaryngology - Head & Neck Surgery, Virginia Mason Medical Center, 1100 9th Avenue, Seattle, WA 98101, USA
^b Department of Otolaryngology - Head and Neck Surgery, Southern Illinois University, 720 North Bond Street, Springfield, IL 62702, USA
^c Uniformed Services University of the Health Science, 4301 Jones Bridge Road, Bethesda, MD 20814, USA
^d University of Washington Department of Otolaryngology

^∗Corresponding author.

Résumé

This article provides a brief cross-cultural history of transgender, nonbinary, and other diverse gender identities, before exploring the background of gender-affirming care and facial feminization surgery in the United States. A variety of techniques for feminization rhinoplasty are discussed in detail. The authors provide insight into assessment and counseling of this unique patient population, timing of surgery, functional nasal considerations, and performing rhinoplasty in the context of other facial feminization procedures. Finally, complications of feminization rhinoplasty are identified and methods to prevent and treat such complications are enumerated.

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Keywords : Rhinoplasty, Transgender, Facial feminization surgery, Gender affirmation, Gender-affirming surgery, Gender-affirming facial surgery