Advertisement

Feminizing Frontal Cranioplasty

Published:January 18, 2023DOI:https://doi.org/10.1016/j.otot.2023.01.003

      Abstract

      Feminizing frontal cranioplasty (FFC) is perhaps the most significant, single gender-affirming surgical procedure. It consists of forehead/glabella bone contouring and/or frontal sinus set back, orbital osteoplasty, anterior hairline rounding, hairline or scalp advancement, and brow lifting. The feminizing frontal cranioplasty is a safe and effective means to produce ideal patient results for gender-affirming facial surgery. Herein we describe an open approach to the frontal cranioplasty useful for facial feminization surgery.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Operative Techniques in Otolaryngology-Head and Neck Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Spiegel JH.
        Facial Determinants of Female Gender and Feminizing Forehead Cranioplasty.
        Laryngoscope. 2010; 121: 250-261
        • Sadr J
        • Jarudi I
        • Sinha P.
        The role of eyebrows in face recognition.
        Perception. 2003; 32: 285-293
        • Brown E
        • Perrett DI.
        What gives a face its gender?.
        Perception. 1993; 22: 829-840
        • Sirinturk S
        • Bagheri H
        • Govsa F
        • Pinar Y
        • Ozer MA.
        Study of frontal hairline patterns for natural design and restoration.
        Surg Radiol Anat. 2017; 29: 679-684
        • Nusbaum BP
        • Fuentefria S.
        Naturally occurring female hairline patterns.
        Dermatol Surg. 2009; 35: 907-913
        • Lee MK
        • Sakai O
        • Spiegel JH.
        CT measurement of the frontal sinus- Gender Differences and implications for frontal cranioplasty.
        J Cranio Maxill Surg. 2010; 38: 494-500
        • Kleinberger AJ
        • Jumaily J
        • Spiegel JH.
        Safety of modified coronal approach with dissection deep to temporalis fascia for facial nerve preservation.
        Otolaryngol Head Neck Surg. 2015; 152: 655-660
        • Garcia-Rodrquez L
        • Thain LM
        • Spiegel JH.
        Scalp advancement for transgender women: Closing the gap.
        Laryngoscope. 2019 Dec 4; ([Epub ahead of print])https://doi.org/10.1002/lary.28370
        • Guyuron B
        • Gatherwright J
        • Totonchi A
        • Ahmadian R
        • Farajipour N.
        Cessation of hairline recession following open forehead rejuvenation.
        Plast Reconstr Surg. 2014; 133: 1e-6e
        • Kabaker SS
        • Champagne JP.
        Hairline lowering.
        Facial Plast Surg Clin North Am. 2013; 21: 479-486