Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for evaluation of facial feminization surgery (FFS) to address gender dysphoria. Patient reports significant distress regarding masculine facial features. Goals include softening of the brow, reduction of the thyroid cartilage, and refinement of the jawline/chin to achieve a more feminine aesthetic profile. Patient has been on hormone replacement therapy (HRT) for [Duration] with stable mental health status. No contraindications to elective surgery noted.
Clinical Examination Findings
Facial analysis reveals prominent supraorbital ridges, square mandibular angles, and a wide chin. Thyroid cartilage is prominent. Skin quality is [Good/Fair/Poor]. Midface shows [Volume deficit/excess]. Nasal profile exhibits [Dorsal hump/wide base]. No evidence of facial nerve palsy or significant asymmetry. Craniofacial proportions assessed via cephalometric analysis.
Treatment Protocol
Proposed surgical plan: 1. Type III forehead reconstruction (brow bone contouring). 2. Rhinoplasty for refinement of nasal tip and dorsum. 3. Mandibular angle reduction and genioplasty. 4. Thyroid cartilage reduction (tracheal shave). 5. Potential fat grafting to malar/temporal regions. Patient counseled on risks including nerve injury, hematoma, infection, and dissatisfaction with aesthetic outcomes.