PURPOSE: Facial feminization surgery (FFS) for transgender and nonbinary patients typically addresses masculine characteristics of the brows, nose, mandible, chin, and thyroid cartilage, as these facial areas are most influential to gender perception. Because multiple facial areas are involved, FFS often includes multiple concurrent or staged procedures. Therefore, secondary and/or revisionary FFS are important considerations. Patients may present for completion of a planned second stage procedure, to augment their prior feminization with changes to additional facial areas not addressed in their initial FFS (both of these scenarios will be considered “secondary” if carried out in facial areas not addressed in primary FFS), or to revise an unsatisfactory surgery (revisionary FFS). This study aims to report prospective outcomes of secondary and revisionary FFS.
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