Abstract
The case of a 39-year-old male-to-female transgender patient who underwent feminization of his masculine forehead is presented. Surgical techniques to feminize his forehead were as follows. The outer table of the frontal sinus was removed and divided into four pieces with an oscillation saw. These pieces were reshaped, regrafted, and fixed back along with two microplates. The bilateral supraorbital ridges were shaved with a surgical bur. Brow lifting and lowering of the frontolateral hairline were performed simultaneously. There were no complications during the 1-year follow-up. The patient is satisfied with the more feminine forehead.
Level of Evidence V
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors at www.springer.com/00266.
References
Becking AG, Tuinzing DB, Hage JJ, Gooren LJ (1996) Facial corrections in male to female transsexuals: a preliminary report on 16 patients. J Oral Maxillofac Surg 54:413–418
Becking AG, Tuinzing DB, Hage JJ, Gooren LJG (2007) Transgender feminization of the facial skeleton. Clin Plast Surg 34:557–564
Booth AJ, Murray A, Tyers AG (2004) The direct brow lift: efficacy, complications, and patient satisfaction. Br J Ophthalmol 88:688–691
Habal MB (1990) Aesthetics of feminizing male face by craniofacial contouring of the facial ridges. Aesthetic Plast Surg 14:143–150
Knize DM (2009) Anatomic concepts for brow lift procedures. Plast Reconstr Surg 124:2118–2126
Komuro Y, Nishida M, Imazawa T, Koga Y, Yanai A (1999) Combined frontal bone reshaping and forehead lift for frontal sinus hypertrophy. Aesthetic Plast Surg 23:361–363
Marten TJ (1999) Hairline lowering during foreheadplasty. Plast Reconstr Surg 103:224–236
Ramirez AL, Ende KH, Kabaker SS (2009) Correction of the high female hairline. Arch Facial Plastic Surg 11:84–90
Romo T 3rd, Zoumalan RA, Rafii BY (2010) Current concepts in the management of the aging forehead in facial plastic surgery. Curr Opin Otolaryngol Head Neck Surg 18:272–277
Spiegel JH (2011) Facial determinants of female gender and feminizing forehead cranioplasty. Laryngoscope 121:250–261
Whitaker LA, Morales L, Farkas LG (1986) Aesthetic surgery of the supraorbital ridge and forehead structures. Plast Reconstr Surg 78:23–32
Acknowledgments
This study was approved by the Institutional Review Board of the Clinical Research Institute at Boramae Medical Center.
Conflict of interest
The authors have no conflicts of interest to disclose.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Cho, SW., Jin, H.R. Feminization of the Forehead in a Transgender: Frontal Sinus Reshaping Combined with Brow Lift and Hairline Lowering. Aesth Plast Surg 36, 1207–1210 (2012). https://doi.org/10.1007/s00266-012-9939-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00266-012-9939-5