F-Chin/Feminizing the Chin: A Genioplasty Technique with Virtual Planning for Male-to-Female Transgender Patients.

Chin repositioning Feminization Gender reassignment procedure Genioplasty Transgenders

Journal

Aesthetic plastic surgery
ISSN: 1432-5241
Titre abrégé: Aesthetic Plast Surg
Pays: United States
ID NLM: 7701756

Informations de publication

Date de publication:
06 Mar 2024
Historique:
received: 21 11 2023
accepted: 26 01 2024
medline: 7 3 2024
pubmed: 7 3 2024
entrez: 6 3 2024
Statut: aheadofprint

Résumé

The chin is an essential structure in facial harmony and an important gender marker. Advancing a receding chin is fundamental to improve the facial appearance, particularly in male-to-female transgender patients. However, in patients with microgenia and/or retrognathia, desiring a more feminine appearance, a chin advancement can result in a wider, square shape; an undesirable effect. Genioplasty is a versatile procedure used in facial feminization surgery that allows modifying the natural anatomy of the chin in all three spatial dimensions. The technique herein described proposes a simple genioplasty procedure for feminizing the chin (F-chin genioplasty) in transgender patients where anteroposterior advance is required. Virtual planning was used to establish the landmarks for an anteroposterior advancement with transverse reduction in the chin. A perpendicular line to the Frankfurt plane passing through the incisal edge of the upper central incisor was used to plan the anteroposterior movement, and two vertical lines on the outer wall of the nasal cavity  for the chin transverse measurement. The authors present three case reports with the F-chin genioplasty transgender technique with satisfactory results, ensuring a more feminine facial appearance.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 www.springer.com/00266 .

Identifiants

pubmed: 38448601
doi: 10.1007/s00266-024-03880-y
pii: 10.1007/s00266-024-03880-y
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024. Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery.

Références

Bell WH, Gallagher DM (1983) The versatility of genioplasty using a broad pedicle. J Oral Maxillofac Surg 41(12):763–769
doi: 10.1016/S0278-2391(83)80041-X pubmed: 6361222
Deschamps-Braly J (2019) Feminization of the chin: genioplasty using osteotomies. Facial Plast Surg Clin North Am 27(2):243–250
doi: 10.1016/j.fsc.2019.01.002 pubmed: 30940390
Toma AM, Zhurov A, Playle R, Richmond S (2008) A three-dimensional look for facial differences between males and females in a British-Caucasian sample aged 15½ years old. Orthod Craniofac Res 11(3):180–185
doi: 10.1111/j.1601-6343.2008.00428.x pubmed: 18713155
Hohman MH, Teixeira J (2023) Transgender surgery of the head and neck. StatPearls Publishing LLC, Florida
Guyuron B, Michelow BJ, Willis L (1995) Practical classification of chin deformities. Aesthetic Plast Surg 19(3):257–264
doi: 10.1007/BF00451101 pubmed: 7668174
Gray R, Nguyen K, Lee JC, Deschamps-Braly J, Bastidas N, Tanna N, Bradley JP (2019) Osseous transformation with facial feminization surgery: improved anatomical accuracy with virtual planning. Plast Reconstr Surg 144(5):1159–1168
doi: 10.1097/PRS.0000000000006166 pubmed: 31397786
Tawa P, Brault N, Luca-Pozner V, Ganry L, Chebbi G, Atlan M, Qassemyar Q (2021) Three-dimensional custom-made surgical guides in facial feminization surgery: prospective study on safety and accuracy. Aesthet Surg J 41(11):NP1368–NP1378
doi: 10.1093/asj/sjab032 pubmed: 33480977
Reyneke JP, Sullivan SM (2001) A simplified technique of genioplasty with simultaneous widening or narrowing of the chin. J Oral Maxillofac Surg 59(10):1244–1245
doi: 10.1053/joms.2001.26740 pubmed: 11573194
Glorion A, Perrillat A, Foletti JM, Cristofari S (2022) Surgical techniques used in chin feminization: Literature review and knowledge update. J Stomatol Oral Maxillofac Surg 123(6):e883–e887
doi: 10.1016/j.jormas.2022.07.015 pubmed: 35870794
Lagos OAV, Montenegro L, Colucci G, Amarista FJ (2022) Sagittal reduction genioplasty: technical note. J Stomatol Oral Maxillofac Surg 123(5):576–580
doi: 10.1016/j.jormas.2022.02.015 pubmed: 35240341
Mommaerts MY, Voisin C, Joshi Otero J, Loomans NAJ (2019) Mandibular feminization osteotomy-preliminary results. Int J Oral Maxillofac Surg 48(5):597–600
doi: 10.1016/j.ijom.2018.10.003 pubmed: 30342756
Lee TS, Kim HY, Kim T, Lee JH, Park S (2014) Importance of the chin in achieving a feminine lower face: narrowing the chin by the “mini V-line” surgery. J Craniofac Surg 25(6):2180–2183
doi: 10.1097/SCS.0000000000001096 pubmed: 25329849
Ramieri V, Maffìa F, Vellone V, Marianetti S, Marianetti TM (2021) The pyramid chin augmentation: a new technique. J Craniofac Surg 32(2):738–739
doi: 10.1097/SCS.0000000000007074 pubmed: 33705023
Borzabadi-Farahani A (2023) Systematic review and meta-analysis of the index of orthognathic functional treatment need for detecting subjects with great need for orthognathic surgery. Cleft Palate Craniofac J https://doi.org/10.1177/10556656231216833
doi: 10.1177/10556656231216833 pubmed: 38037271
Borzabadi-Farahani A, Eslamipour F, Shahmoradi M (2016) Functional needs of subjects with dentofacial deformities: a study using the index of orthognathic functional treatment need (IOFTN). J Plast Reconstr Aesthet Surg 69(6):796–801
doi: 10.1016/j.bjps.2016.03.008 pubmed: 27068664
Eslamian L, Borzabadi-Farahani A, Badiee MR, Le BT (2019) An objective assessment of orthognathic surgery patients. J Craniofac Surg 30(8):2479–2482
doi: 10.1097/SCS.0000000000005916 pubmed: 31689730
Ireland AJ, Cunningham SJ, Petrie A, Cobourne MT, Acharya P, Sandy JR, Hunt NP (2014) An index of orthognathic functional treatment need (IOFTN). J Orthod 41(2):77–83
doi: 10.1179/1465313314Y.0000000100 pubmed: 24951095 pmcid: 4063315
Cordier G, Sigaux N, Carlier A, Ibrahim B, Cresseaux P (2020) Mini wing osteotomy: a variant of chin wing osteotomy. J Stomatol Oral Maxillofac Surg 121(3):282–285
doi: 10.1016/j.jormas.2019.10.010 pubmed: 31676424
Raffaini M, Magri AS, Agostini T (2016) Full facial feminization surgery: patient satisfaction assessment based on 180 procedures involving 33 consecutive patients. Plast Reconstr Surg 137(2):438–448
doi: 10.1097/01.prs.0000475754.71333.f6 pubmed: 26818277
Hofer O (1942) Die operative Behandlung der alveolare Retraktion des Unterkiefers und ihre Anwendungsmoglichkeit fur Prognathic und Mikrogenic. Disch Z Mund Kieferheilk 9:130
Trauner R, Obwegeser H (1957) The surgical correction of mandibular prognathism and retrognathia with consideration of genioplasty: part I. Surgical procedures to correct mandibular prognathism and reshaping of the chin. Oral Surg Oral Med Oral Pathol 10(7):677–689
doi: 10.1016/S0030-4220(57)80063-2 pubmed: 13441284
Wolfe SA (1987) Shortening and lenthening the chin. J Cranio-Maxillofac Surg 15:223–230
doi: 10.1016/S1010-5182(87)80056-2
González-Ulloa M (1962) Quantitative principles in cosmetic surgery of the face (profileplasty). Plast Reconstr Surg 29(2):186–198
doi: 10.1097/00006534-196202000-00006
Gibson FB, Calhoun KH (1992) Chin position in profile analysis: comparison of techniques and introduction of the lower facial triangle. Arch Otolaryngol Head Neck Surg 118(3):273–276
doi: 10.1001/archotol.1992.01880030057013 pubmed: 1554447
Legan HL, Burstone CJ (1980) Soft tissue cephalometric analysis for orthognathic surgery. J Oral Surg 38(10):744–751
pubmed: 6932485
Silver WE, Agarwal A (2006) Chin and malar augmentation. In: Bailey BJ, Johnson TJ (eds) Head and neck surgery—otolaryngology, 4th edn. Lippincott Williams & Wilkins, Philadelphia, pp 2701–2715

Auteurs

David Sanz (D)

Instituto Português da Face, Lisbon, Portugal.

David Faustino Ângelo (DF)

Instituto Português da Face, Lisbon, Portugal.
Centre for Rapid and Sustainable Product Development, Polytechnic Institute of Leiria, Marinha Grande, Portugal.
Faculdade de Medicina da Universidade de Lisboa, Lisbon, Portugal.

Rute Marques (R)

Instituto Português da Face, Lisbon, Portugal.

Francesco Maffia (F)

Instituto Português da Face, Lisbon, Portugal.
Maxillofacial Surgery Unit, Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples "Federico II", Via Sergio Pansini 5, 80131, Naples, Italy.

Henrique José Cardoso (HJ)

Instituto Português da Face, Lisbon, Portugal. henrique.cardoso@ipface.pt.

Classifications MeSH