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Abstract：
UNASSIGNED: Although facial feminizing rhinoplasty can reduce gender dysphoria, there is limited evidence on approaches to maximize transgender patient satisfaction. In a retrospective cohort of transfeminine patients who underwent feminizing rhinoplasty, we compare pre- and postoperative nasal metrics and postoperative satisfaction.
UNASSIGNED: Records were retrospectively reviewed to identify transfeminine patients who had feminizing rhinoplasty and cisgender females who had aesthetic rhinoplasty at least 8 weeks post-rhinoplasty. Transgender patients were contacted to rate their aesthetic and functional rhinoplasty satisfaction. Patients with 75% or greater of the total survey score were \"very satisfied,\" those between 50% and 75% were \"satisfied,\" and those below 50% were \"less satisfied.\" The Vectra 3D imaging software was utilized to measure each patient\'s pre- and post-rhinoplasty dorsal lengths; tip projection ratios; and nasolabial, nasofrontal, and nasofacial angles. Relative percent changes for each patient between pre- and post-rhinoplasty measurements were compared between transgender and cisgender females using descriptive statistics.
UNASSIGNED: Twenty-five transgender patients met the inclusion criteria; 19 answered the survey with 12 very satisfied, 7 satisfied, and 0 less satisfied patients. The median age of surveyed patients was 35, and 42.1% identified as Hispanic. Between very satisfied and satisfied patients, median relative percent changes in dorsal length (-1.2% vs 5.7%, P = .043), tip projection ratio (2.4% vs 8.1%, P = .038), and nasolabial angle (-2.5% vs 9.7%, P = .026) significantly differed; median relative changes in nasofrontal angles (4.2% vs -0.6%, P = .071) and nasofacial angles (-0.7% vs -3.6%, P = .703) were insignificantly different. Satisfied transgender patients and cisgender patients (n = 5) had significant differences in median relative changes in dorsal length (5.7% vs 0.7%, P = .047), tip projection ratio (8.1% vs -3.5%, P = .033), and nasolabial angles (9.7% vs -5.4%, P = .042). Very satisfied transgender and cisgender females had no significant differences in relative metric changes.
UNASSIGNED: Very satisfied transgender patients had decreases in dorsal length, smaller increases in tip projection ratio, and decreases in the nasolabial angle compared with satisfied patients. These data can help focus feminizing rhinoplasty approaches to maximize satisfaction. Further, very satisfied transgender patients had similar changes as cisgender females, reaffirming the utility of applying cisgender female rhinoplasty considerations to feminizing rhinoplasty.
UNASSIGNED: Records were retrospectively reviewed to identify transfeminine patients who had feminizing rhinoplasty and cisgender females who had aesthetic rhinoplasty at least 8 weeks post-rhinoplasty. Transgender patients were contacted to rate their aesthetic and functional rhinoplasty satisfaction. Patients with 75% or greater of the total survey score were \"very satisfied,\" those between 50% and 75% were \"satisfied,\" and those below 50% were \"less satisfied.\" The Vectra 3D imaging software was utilized to measure each patient\'s pre- and post-rhinoplasty dorsal lengths; tip projection ratios; and nasolabial, nasofrontal, and nasofacial angles. Relative percent changes for each patient between pre- and post-rhinoplasty measurements were compared between transgender and cisgender females using descriptive statistics.
UNASSIGNED: Twenty-five transgender patients met the inclusion criteria; 19 answered the survey with 12 very satisfied, 7 satisfied, and 0 less satisfied patients. The median age of surveyed patients was 35, and 42.1% identified as Hispanic. Between very satisfied and satisfied patients, median relative percent changes in dorsal length (-1.2% vs 5.7%, P = .043), tip projection ratio (2.4% vs 8.1%, P = .038), and nasolabial angle (-2.5% vs 9.7%, P = .026) significantly differed; median relative changes in nasofrontal angles (4.2% vs -0.6%, P = .071) and nasofacial angles (-0.7% vs -3.6%, P = .703) were insignificantly different. Satisfied transgender patients and cisgender patients (n = 5) had significant differences in median relative changes in dorsal length (5.7% vs 0.7%, P = .047), tip projection ratio (8.1% vs -3.5%, P = .033), and nasolabial angles (9.7% vs -5.4%, P = .042). Very satisfied transgender and cisgender females had no significant differences in relative metric changes.
UNASSIGNED: Very satisfied transgender patients had decreases in dorsal length, smaller increases in tip projection ratio, and decreases in the nasolabial angle compared with satisfied patients. These data can help focus feminizing rhinoplasty approaches to maximize satisfaction. Further, very satisfied transgender patients had similar changes as cisgender females, reaffirming the utility of applying cisgender female rhinoplasty considerations to feminizing rhinoplasty.
摘要：
■尽管面部女性化隆鼻可以减少性别烦躁不安，关于最大化跨性别患者满意度的方法的证据有限.在接受女性化隆鼻手术的女性患者的回顾性队列中，我们比较术前、术后鼻部指标和术后满意度.
■对记录进行回顾性审查，以确定在隆鼻手术后至少8周接受过女性化隆鼻手术的女性患者和顺性女性患者。与跨性别患者联系，以评估其美学和功能性鼻整形满意度。调查总分75%或更高的患者非常满意，“50%到75%的人感到满意，低于50%的人不太满意。“Vectra3D成像软件用于测量每位患者的鼻成形术前后的背侧长度；尖端投影比；和鼻唇，鼻额,和鼻面部角度。使用描述性统计方法，比较了变性女性和顺性女性在鼻成形术前后测量之间每位患者的相对百分比变化。
■25名变性患者符合纳入标准；19名回答调查，12名非常满意，7满意0个不满意的患者。接受调查的患者的中位年龄为35岁，其中42.1％为西班牙裔。在非常满意和满意的患者之间，背部长度的中位数相对百分比变化（-1.2%对5.7%，P=.043)，尖端突出率(2.4%对8.1%，P=.038)，和鼻唇沟角度(-2.5%vs9.7%，P=0.026）显着差异；鼻额角的中位数相对变化（4.2％vs-0.6％，P=0.071）和鼻面部角度（-0.7%vs-3.6%，P=.703）差异不显著。满意的跨性别患者和顺性患者（n=5）在背侧长度的中位数相对变化方面存在显着差异（5.7％vs0.7％，P=.047），尖端突出率(8.1%vs-3.5%，P=.033)，和鼻唇沟角度（9.7%vs-5.4%，P=.042）。非常满意的变性和顺性女性在相对度量变化方面没有显着差异。
■非常满意的跨性别患者背部长度减少，尖端突出率的增加较小，与满意的患者相比，鼻唇沟角度减小。这些数据可以帮助集中女性化隆鼻方法，以最大限度地提高满意度。Further,非常满意的变性患者与顺性女性有类似的变化，重申将顺式女性隆鼻术考虑因素应用于女性化隆鼻术的效用。
■对记录进行回顾性审查，以确定在隆鼻手术后至少8周接受过女性化隆鼻手术的女性患者和顺性女性患者。与跨性别患者联系，以评估其美学和功能性鼻整形满意度。调查总分75%或更高的患者非常满意，“50%到75%的人感到满意，低于50%的人不太满意。“Vectra3D成像软件用于测量每位患者的鼻成形术前后的背侧长度；尖端投影比；和鼻唇，鼻额,和鼻面部角度。使用描述性统计方法，比较了变性女性和顺性女性在鼻成形术前后测量之间每位患者的相对百分比变化。
■25名变性患者符合纳入标准；19名回答调查，12名非常满意，7满意0个不满意的患者。接受调查的患者的中位年龄为35岁，其中42.1％为西班牙裔。在非常满意和满意的患者之间，背部长度的中位数相对百分比变化（-1.2%对5.7%，P=.043)，尖端突出率(2.4%对8.1%，P=.038)，和鼻唇沟角度(-2.5%vs9.7%，P=0.026）显着差异；鼻额角的中位数相对变化（4.2％vs-0.6％，P=0.071）和鼻面部角度（-0.7%vs-3.6%，P=.703）差异不显著。满意的跨性别患者和顺性患者（n=5）在背侧长度的中位数相对变化方面存在显着差异（5.7％vs0.7％，P=.047），尖端突出率(8.1%vs-3.5%，P=.033)，和鼻唇沟角度（9.7%vs-5.4%，P=.042）。非常满意的变性和顺性女性在相对度量变化方面没有显着差异。
■非常满意的跨性别患者背部长度减少，尖端突出率的增加较小，与满意的患者相比，鼻唇沟角度减小。这些数据可以帮助集中女性化隆鼻方法，以最大限度地提高满意度。Further,非常满意的变性患者与顺性女性有类似的变化，重申将顺式女性隆鼻术考虑因素应用于女性化隆鼻术的效用。
