Publication date: Available online 30 December 2016
Source:Annales de Chirurgie Plastique Esthétique
Author(s): F. Boucher, A. Gleizal, A. Mojallal, J.-T. Bachelet
Les auteurs présentent les techniques chirurgicales de féminisation du tiers moyen et du tiers inférieur du visage dans le cadre de la chirurgie de réassignation sexuelle. Ces techniques adaptées aux patientes transsexuelles homme vers femme sont proposées devant des caractéristiques masculines fortes du visage des patientes et reposent pour le tiers moyen sur le remodelage de la région malaire par transfert de tissu adipeux, rhinoseptoplastie de réduction et/ou de déprojection, chirurgie de la lèvre supérieure. Concernant le tiers inférieur, elles reposent sur la résection angulaire de la mandibule, la génioplastie ainsi que la chondrolaryngoplastie.The authors present the surgical techniques of facial feminization of the middle third and the inferior third in the context of sexual reassignment surgery. These techniques adapted to patients 'male to female' are proposed to strong masculine facial features of patients and are based in the middle third of the remodeling of the malar region by fat grafting, reduction and/or deprojection techniques in rhinoseptoplasty and upper lip surgery. Concerning the inferior third, remodeling of the mandibular angles, genioplasty and chondrolaryngoplasty are adapted.
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