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New scientific article by Facialteam on facial feminization surgery with rhinoplasty

March 17, 2017
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Facial feminization surgery with rhinoplasty is key to feminising the overall facial expression.


Facialteam is proud to announce a new scientific publication by our surgical team. The article, which is entitled: Technical and clinical considerations for facial feminization surgery with rhinoplasty and related procedures, has been published in the journal JAMA Facial Plastic Surgery on December 15, 2016 and will be available in print in May 2017.

This new scientific work from the group sums up their experience with 200 patients who underwent a rhinoplasty and related procedures to feminize their nose and improve facial harmony in the context of their Facial Feminization Surgery (FFS).


The role of rhinoplasty in facial feminization


The nose plays a critical role in Facial Feminization Surgery (FFS) for the middle third of the face. Along with reconstruction of the forehead, jaw and chin, the nose is one of the main areas that determines facial gender identification.

JAMA Facial Plastic Surgery is a specialized journal whose goal is to provide facial plastic surgeons with the most accurate and innovative information available in order to improve their patients’ quality of life. This is done through the publication of relevant peer-reviewed articles about all aspects of reconstructive and cosmetic surgery of the head and neck. The journal’s impact factor, a measure of how important a scientific journal, is among the highest according to Journal Citation Reports. The rating places it in the top 10% of more than 60 scientific journals dedicated exclusively to the field of plastic surgery.

You can read the abstract of Facialteam’s new article below:

Facialteam, World Leader in Facial Feminization Surgery



Technical and clinical considerations for FFS with rhinoplasty and related procedures



Raúl J. Bellinga, MD, FEBOMS; Luis Capitán, MD, PhD; Daniel Simon, DDS, MSc; Thiago Tenório, MD.





Together with the forehead reconstruction, feminization of the nose is one of the most common procedures in Facial Feminization Surgery. Rhinoplasty surgical techniques, which provide a correct support and stability in the mid- to long-term are essential for obtaining a predictable result.


To report on the technical and clinical considerations of rhinoplasty and related procedures to feminize the nose, harmonize the nose in relation to the other modified structures (mainly the forehead and maxillomandibular complex), and achieve an aesthetic result beyond gender differences.

Design, setting and participants

Case series study of feminization rhinoplasties, in combination with lip-lift techniques, forehead reconstruction, and other procedures, were performed at a private practice between January 11, 2010, and May 29, 2015, in 200 consecutive male-to-female transgender patients. The mean (SD) medical follow-up for patients was 32 (18.84) months (range, 12-77 months). Frontonasal angles were objectively measured. Postoperative and long-term patient satisfaction were assessed.

Main outcomes and measures

Clinical analysis and evaluation using the 5-point Nose Feminization Scale, with 1 indicating very masculine or nose is worse and 5 indicating very feminine or exceptional result.


In these 200 patients, the mean (SD) age was 40.2 (12.2) years (range, 18-70 years). The mean (SE) frontonasal angle changed from 133.64º (0.63º) to 149.08º (0.57º)

Level of Evidence: 4