Abstract：
Facial feminization surgery (FFS) is often the first procedure requested by patients wishing to undergo gender-affirming surgery. This study aims to evaluate the applicability and effectiveness of deep plane facelifts in FFS. The authors conducted a prospective study that included patients who requested a deep plane facelift as a standalone procedure to achieve a more feminine facial appearance as the only procedure of FFS. These patients underwent deep plane facelifts to achieve a more feminine oval face shape and increased tissue projection of the zygomatic-malar region. To assess the effectiveness of the procedure and patient satisfaction, the Face-Q scales, Face and Neck lift Objective Photo-Numerical Assessment Scale, the Satisfaction With Life Scale, and the Subjective Happiness Scale were applied preoperatively and one year after surgery. Thirty-six patients were included in the study. A statistically significant difference (p < 0.005) was observed between pre and postoperative scores. The repositioning of the malar fat pads increased the malar volume, providing a more oval overall shape of the face, which is typically feminine. No major complications were observed. Despite our encouraging results, new studies with a larger sample of patients are needed to support the benefits of the deep plane facelift as part of FFS to elevate this technique from an ancillary to a routine procedure for patients undergoing gender affirmation surgery.
摘要：
面部女性化手术（FFS）通常是希望进行性别确认手术的患者所要求的第一个程序。本研究旨在评估深平面整修在FFS中的适用性和有效性。作者进行了一项前瞻性研究，其中包括要求进行深层平面整容作为独立手术的患者，以实现更女性化的面部外观作为FFS的唯一手术。这些患者进行了深平面整容，以实现更女性的椭圆形面部形状，并增加了zy骨区域的组织投影。为了评估程序的有效性和患者满意度，Face-Q量表,面部和颈部抬举客观照片-数值评估量表，对生活的满意度量表，术前和术后1年应用主观幸福感量表。36名患者被纳入研究。在术前和术后评分之间观察到统计学上的显著差异(p<0.005)。重新定位的马来人脂肪垫增加了马来人的体积，提供更椭圆形的面部整体形状，这是典型的女性。未观察到重大并发症。尽管我们取得了令人鼓舞的结果,需要有更多患者样本的新研究来支持作为FFS一部分的深平面整容的益处,以将该技术从辅助手术提升到接受性别确认手术的患者的常规手术.
