Perception of femininity and attractiveness in Facial Feminization Surgery.

Autor:	Ching AH; Division of Plastic Surgery, Yale School of Medicine, New Haven, CT, USA.; Yong Loo Lin School of Medicine, National University of Singapore, Singapore., Hirschman A; Division of General Surgery, Yale School of Medicine, New Haven, CT, USA., Lu X; Division of Plastic Surgery, Yale School of Medicine, New Haven, CT, USA., Maniskas S; Division of Plastic Surgery, Yale School of Medicine, New Haven, CT, USA.; Netter School of Medicine, Quinnipiac University, North Haven, CT, USA., Forte AJ; Division of Plastic and Reconstructive Surgery, Mayo Clinic Florida, Jacksonville, Florida, USA., Alperovich M; Division of Plastic Surgery, Yale School of Medicine, New Haven, CT, USA., Persing JA; Division of Plastic Surgery, Yale School of Medicine, New Haven, CT, USA.
Jazyk:	angličtina
Zdroj:	Annals of translational medicine [Ann Transl Med] 2021 Apr; Vol. 9 (7), pp. 602.
DOI:	10.21037/atm-20-3376
Abstrakt:	Background: Facial Feminization Surgery (FFS) alters bone and soft tissue to feminize facial features of transgender females. This study aims to evaluate perceptions of femininity, attractiveness, and ideal surgical outcomes in transgender females, non-transgender females and plastic surgeons. Methods: The data was extracted from a survey of transgender females (n=104), non-transgender females (n=192) (completion rate of 48.4%) and plastic surgeons who performed FFS (n=23) (survey response rate of 31.5%). Five virtually-modified forms of three facial features, the nasal tip width, supratip break, mandibular gonial angles, and the composite images of the above features of an individual, assigned male at birth, were used. Respondents were requested to select and rank images based on personal perceptions of femininity and attractiveness. Results: Transgender females chose a narrower nasal tip width as more attractive (P≤0.001), and evaluated a more acute supratip angle, and more obtuse mandibular gonial angle as both more feminine and attractive (all P≤0.023) compared to non-transgender females. Plastic surgeons chose a more obtuse mandibular gonial angle as more feminine (P=0.007) and a more ideal surgical outcome (P=0.046), compared to transgender female respondents. In the assessment of composite images, non-transgender female ranked the options with more obtuse mandibular gonial angle as more feminine (all P≤0.036) than transgender females. Conclusions: Acknowledging the difference in transgender females' perceptions of facial femininity and attractiveness from non-transgender females and plastic surgeons could assist plastic surgeons in managing expectations of surgical outcomes. Competing Interests: Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at http://dx.doi.org/10.21037/atm-20-3376). The series “Transgender Surgery” was commissioned by the editorial office without any funding or sponsorship. XNL and JAP served as the unpaid Guest Editor of the series. The authors have no other conflicts of interest to declare. (2021 Annals of Translational Medicine. All rights reserved.)
Databáze:	MEDLINE
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