Clinical, Cosmetic and Investigational Dermatology (May 2021)
Considerations for the Use of Minimally Invasive Aesthetic Procedures for Facial Remodeling in Transgender Individuals
Abstract
Koenraad De Boulle,1 Nobutaka Furuyama,2 Izolda Heydenrych,3,4 Terrence Keaney,5 Alexander Rivkin,6 Vincent Wong,7 Michael Silberberg8 1Aalst Dermatology Clinic, Aalst, Belgium; 2Jiyugaoka Clinic, Medical Corporation, Tokyo, Japan; 3Cape Town Cosmetic Dermatology Centre, Cape Town, South Africa; 4Division of Dermatology, Faculty of Health Sciences, University of Stellenbosch, Stellenbosch, South Africa; 5SkinDC, Arlington, VA, USA; 6Westside Aesthetics, Los Angeles, CA, USA; 7Vindoc Aesthetics, London, UK; 8Allergan Aesthetics, an AbbVie Company, Marlow, Buckinghamshire, UKCorrespondence: Koenraad De BoulleAalst Dermatology Clinic, 43 Leopoldlaan, Aalst, 9300, BelgiumTel +3253781899Fax +3253771915Email [email protected]: There is increasing demand among transgender individuals for minimally invasive aesthetic procedures, such as injectable facial fillers and neurotoxins, for facial remodeling and transformation. These procedures may increase transgender individuals’ satisfaction with their appearance and allow them to more effectively harmonize their physical appearance with their perception of self. There is currently a lack of information in the medical literature regarding guidelines for the use of these products in transgender patients. In this report, the authors provide experience-based treatment considerations and recommendations for use of minimally invasive facial aesthetic procedures in transgender patients, including case studies illustrating the use of these procedures for both male-to-female and female-to-male transitioning patients. This report highlights the success of minimally invasive methods for assisting transgender patients in achieving their facial remodeling goals. Clinicians play an integral role in the transitioning process for transgender patients, and facial transformation is a key element of this process. When conducted with sensitivity and attention to individual patient goals at varying stages of transition, facial procedures can be of great benefit in enhancing patients’ self-perception and overall quality of life.Keywords: transgender persons, hyaluronic acid, neurotoxins