GENDER-CONFIRMING FACIAL SURGERY - CONSIDERATIONS ON THE MASCULINITY AND FEMININITY OF FACES

While aesthetic facial surgery performed for reasons of undesired faci al masculinity or femininity has had some attention in the literature, there is a lack of information on gender-confirming facial surgery as part of an overall surgical sex reassignment program. In this paper w e try to capture some of the sex differences, respectively, of skeleto n, musculature and other subcutaneous soft tissues, integument, and fr ame of the face. From this, we come to a description of some general d ifferences of facial appearance between the sexes. In restructuring th e skeletal architecture and facial proportions to match the desired ge nder, these factors should be taken into account.