Facial Feminization Surgery: Simultaneous Hair Transplant during Forehead Reconstruction
Facial Feminization Surgery: Simultaneous Hair Transplant during Forehead Reconstruction
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DOI：
10.1097/prs.0000000000003149
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发表时间：
2017-03-01
影响因子：
3.6
通讯作者：
Capitan-Canadas, Fermin
中科院分区：
文献类型：
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作者：
Capitan, Luis;Simon, Daniel;Capitan-Canadas, Fermin
背景资料：额鼻眶复合体的重建是面部女性化手术领域中描述最好和最常用的手术之一。在很大程度上，这种复合体决定了面部表情，在面部性别的视觉识别中起着关键作用。在前额之后，发际线图案是面部上三分之一内的第二个最重要的性别识别特征。对这两个特征的综合评价应是面部女性化手术的基本前提。方法：作者提出了一种新的手术顺序，其中额鼻眶复合体的重建和通过自体毛发移植重新定义发际线在同一手术中进行：前额重建和同时毛发移植。结果：我们沿着介绍了65例接受前额重建和同时毛发移植治疗的男变女变性患者的手术技术、使用的顺序和获得的结果。基于对492例男变女跨性别者的观察，提出了一种男变女跨性别者发际线的分类方法。一个修改temporoparietocipital冠状面（后冠状面）的方法也described.Conclusion：前额重建和同时头发移植技术，使它能够解决整个上三分之一的脸在一个单一的面部女性化操作。（Plast。重建139：573，2017.）
Background: Reconstruction of the frontonaso-orbital complex is one of the best-described and most commonly used procedures in the field of facial feminization surgery. To a large extent, this complex determines the facial expression and plays a key role in the visual identification of facial gender. After the forehead, the hairline pattern is the second most important feature of gender identification within the upper third of the face. The combined evaluation of these two features should be a basic premise of facial feminization surgery.Methods: The authors present a new surgical sequence developed by their group in which reconstruction of the frontonaso-orbital complex and redefinition of the hairline by means of an autologous hair transplant are carried out during the same operation: forehead reconstruction and simultaneous hair transplantation.Results: Sixty-five male-to-female transgender patients treated with forehead reconstruction and simultaneous hair transplantation are presented along with the surgical technique, sequence used, and the results obtained. A classification method for hairlines in male-to-female transgender patients is proposed based on the observation of 492 patients. A modified temporoparietooccipital coronal (posterior coronal) approach is also described.Conclusion: The forehead reconstruction and simultaneous hair transplant technique makes it possible to address the entire upper third of the face in a single facial feminization operation. (Plast. Reconstr. Surg. 139: 573, 2017.)