Publications
Intervenciones quirúrgicas: la Cirugía de Feminización Facial
Publicada en español en 2016 y traducida al francés en 2019, esta obra introduce el método Astudillo de feminización de la voz y conceptos esenciales sobre transgeneridad. Dirigida a profesionales de la salud y pacientes, cuenta con la colaboración de los doctores Luis Capitán y Daniel Simón, de Facialteam, así como de Iván Mañero y Pablo Ruiz Voz mediano.
Facial Feminization – Hopper RA, ed. Plastic Surgery, 5th ed. Philadelphia, USA: Elsevier
Includes evidence-based guidance, new treatment algorithms, and editor-narrated video presentations providing a step-by-step walkthrough of craniofacial techniques.
Advanced Surgical Techniques in Forehead Feminization and Hairline Redefinition
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.
Telescopic Genioplasty: A novel technique for chin feminization in facial feminization surgery
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.
Facial feminization surgery: surgical techniques and analysis of results in 200 patients
This work presents the team’s experience with 200 facial feminization surgeries performed between January 2008 and December 2012. It describes techniques used to soften facial features generally perceived as masculine, including frontonasal-orbital reconstruction, chin and jaw recontouring, mandibular angle reduction, and thyroid cartilage reduction. It also presents the team’s main surgical results.
Rinoplastia abierta estructurada en cirugía de feminización facial. Lecciones aprendidas tras 1422 casos consecutivos
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.
Facial Gender-Affirming Surgery: A State-of-the-Art Overview Based on 18 Years of Specialised Practice
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.
Reply: Facial Feminization Surgery: The Forehead. Surgical Techniques and Analysis of Results
The team details their standardized protocol involving forehead recontouring with osteotomy of the anterior wall of the frontal sinus. They advocate maintaining this technique even in cases of frontal sinus agenesis to preserve anatomical integrity, avoid excessive bone cortex wear, and maintain natural frontonasal transitions.
Chapter 8. Facial Feminization Surgery: A Global Approach
A comprehensive analysis of Facial Feminization Surgery (FFS) or Facial Gender Confirmation Surgery, covering diagnostic evaluation, surgical techniques across facial regions, and postoperative management.
Capítulo 4. Cirugía de Feminización Facial. Feminización de la voz: abordaje multidisciplinar de la mujer transgénero. Hospitales Quirón salud
Describir los procedimientos quirúrgicos y técnicos orientados a la armonización, suavización y modificación de los rasgos faciales masculinos para la confirmación de género o la suavización del rostro.
Reply: Facial Gender Confirmation Surgery: A Protocol for Diagnosis, Surgical Planning, and Postoperative Management
Surgical Protocols and Consensus: The authors discuss the importance of establishing a standardized multidisciplinary protocol for facial gender confirmation surgery (FGCS), noting that expert opinions and techniques may vary.
Soft-tissue complications after facial feminization bone surgery
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.