Publications

Based on 3,582 patients treated between 2008 and 2025, this article reviews contemporary facial gender-affirming surgery (FGAS). Organised by facial and cervical regions, it explores anatomical planning, bone-driven feminisation, and advanced technologies that support predictable outcomes. It emphasises thorough preoperative assessment, realistic expectations, and ethical responsibility as foundations for safe, patient-centred care.

This study explores telescopic genioplasty, alone or combined with chin feminization, in 22 transgender women treated during 2023. The technique reduces chin dimensions, adjusts its forward position, and creates a more tapered appearance. Using virtual surgical planning, 3D-printed cutting guides, and customized titanium miniplates, the authors report favorable aesthetic outcomes and low complication rates.

Article on using 3D virtual planning and patient-specific guides for mandibular contouring and osteotomies to reduce facial height and achieve harmonic results.

The technique achieves simultaneous cervical feminization and aesthetic improvement without additional morbidity to the neck region.

This international cross-sectional study was conducted among TGD adults aged 18 years and older who were seeking or had received gender-affirming care within the past 5 years at 21 clinical sites across Canada, the United States, the Netherlands, and Spain; participants were also recruited through community groups (eg, crowdsourcing platform, social media). The study was conducted between February 2022 and March 2024. Participants had to be capable of completing the instrument in English, Danish, Dutch, or French-Canadian. Eligible participants accessed an online REDCap survey to complete sociodemographic questions and questions about gender-affirming care they had received or sought (ie, to look, function, or feel masculine, feminine, gender fluid, or another way).

This article reviews forehead feminization and hairline redefinition techniques within Facial Gender-Affirming Surgery (FGAS). Drawing on over 2,300 forehead feminization surgeries performed across 16 years, it describes approaches to modifying facial features in line with patients’ gender identity and goals. It provides practical insights for surgeons and other professionals involved in gender-affirming care.

Identify soft-tissue complications and suboptimal outcomes that can occur after facial feminization bone surgery (forehead reconstruction, lower-jaw surgery, and thyroid chondroplasty), along with prevention strategies and treatment alternatives.

Three-dimensional planning software is not standardized in facial gender-affirming surgery. This article develops and validates surgical planning software to create cutting guides to contour the lower jaw border.

Este estudio retrospectivo describe una técnica de rinoplastia abierta feminizante y sus resultados en 1.422 pacientes intervenidos entre 2013 y 2023. Combina instrumental piezoeléctrico, plasma rico en fibrina y planificación 3D con guías de corte personalizadas. Con un seguimiento de entre 2 y 109 meses, no hubo reintervenciones de urgencia y la tasa de revisión fue del 3,14 %. Los autores concluyen que estas herramientas y las técnicas de estructuración mejoran la predictibilidad y estabilidad de los resultados, manteniendo o mejorando la función nasal.

Includes evidence-based guidance, new treatment algorithms, and editor-narrated video presentations providing a step-by-step walkthrough of craniofacial techniques.

This Special Topic categorizes unsatisfactory outcomes encountered after forehead surgery, lower jaw surgery, and thyroid chondroplasty, key steps to avoid these pitfalls, and strategies for structured analysis and operative planning in revision cases.

As transgender and gender non-binary individuals are a growing demographic, the number of patients seeking gender confirmation surgery is increasing. Atlas of Operative Techniques in Gender Affirmation Surgery is a highly illustrated and practical guide to the different types of gender affirmation surgery.