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  • Presentation

Gender Affirming Facial Aesthetics

Description

The presentation on gender affirming facial aesthetics emphasizes the critical role aesthetic procedures play in improving the quality of life for gender diverse patients. These procedures can alleviate gender dysphoria, enhance mental health, and should not merely be viewed as cosmetic but rather as essential for mental and emotional well-being. The speaker advocates for dermatologists, who are often seen as less involved in gender affirming care, to utilize their skills in this area, noting that many practitioners already provide such care unconsciously through treatments like jawline fillers or hair loss therapies. A significant aspect of care involves listening to patients and understanding their unique gender expressions, as priorities vary across different populations within the gender diverse community. For example, trans feminine patients may prioritize facial aesthetics, while trans masculine patients often focus more on other body features. The speaker outlines a range of aesthetic treatments, including surgeries and injectables, emphasizing that while these treatments can enhance the effects of hormone therapy, they cannot replace surgical interventions. Aesthetic practices can involve altering facial features to align more closely with a patient's gender identity through various methods, such as botulinum toxin and fillers. Additionally, the importance of considering ethnic differences in aesthetics and collaborative care within broader therapeutic teams is highlighted, reinforcing that aesthetic procedures are invaluable tools that, when approached thoughtfully, can significantly enhance the lives of gender diverse individuals.

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Conclusions

  • Aesthetic procedures can significantly reduce gender dysphoria and enhance quality of life for gender diverse patients.
  • Such procedures have been linked to reductions in anxiety, depression, and anger while improving overall mental health.
  • Gender affirming facial aesthetics should be viewed as life-changing rather than purely cosmetic enhancements.
  • These procedures can complement hormone therapies and gender affirming surgeries, forming a comprehensive care approach.
  • Dermatologists are well positioned to provide valuable aesthetic services to gender diverse individuals.
  • A personalized approach is crucial; practitioners should actively listen to their patients' specific aesthetic concerns and preferences.
  • Transfeminine patients often prioritize facial aesthetics, while transmasculine patients tend to focus more on chest aesthetics.
  • Not all patients seek to 'pass' as their chosen gender, necessitating tailored treatment options.
  • Injectables can offer favorable outcomes, acting as an alternative to surgical options, and should respect ethnic differences in aesthetic needs.
  • Realistic expectations about the limitations of injectables versus surgical interventions must be communicated to patients.
  • Caprini et al, Annals of Surgery, 2023
  • Mastroluca et al, JCD, 2021
  • Bazargan et al, JCD, 2023
  • Ginsberg et al, International Journal of Women's Dermatology, 2016
  • Keaney et al, JDD, 2018
  • Ascha et al, Aesthetic Surgery Journal, 2019
  • Dhingra et al, JAAD, 2018