This article discusses the aspects of facial feminine affirmation surgery including
forehead reconstruction, midface feminization, and lower face/neck feminization. We
will present a brief history of gender affirmation. We discuss the anatomical differences
between born XY males and XX females and discuss the subsequent procedures that aim
at feminizing the face. The effects of silicone injections are also discussed as this
was a trend in the past to feminize the face. Understandably so we discuss the anatomical
differences as being a fluid expression and differences based on ethnic background.
Keywords
facial affirmation - facial feminization surgery - forehead reconstruction - rhinoplasty
- cheeks - body dysmorphic disorder - gender dysphoria