Point of Care Virtual Surgical Planning and 3D Printing in Facial Feminization Surgery

Abstract

The use of virtual surgical planning (VSP) and three-dimensional printing (3DP) technologies in the routine facial feminization surgery practice has gained a significant popularity over the past few years. The clinical applications of them are claimed to improve safety, accuracy, and efficiency of facial feminization surgeries. In this article, we review and discuss the current applications of VSP and 3DP in different facial feminization procedures.

Keywords

facial gender affirming surgery - facial feminization - forehead contouring - three-dimensional printing - virtual surgical planning

Publication History

Article published online:
07 December 2022

• References

• 1 Coleman E, Bockting W, Botzer M. et al. Standards of care for the health of transsexual, transgender, and gender-nonconforming people, Version 7. Int J Transgenderism Published online 2012.
• 2 James SE, Herman JL, Rankin S, Keisling M, Mottet L, Anafi M. The Report of the 2015 U.S. Transgender Survey. Washington, DC: National Center for Transgender Equality; 2016
• 3 Chaya BF, Berman ZP, Boczar D. et al. Current trends in facial feminization surgery: an assessment of safety and style. J Craniofac Surg 2021; 32 (07) 2366-2369
• 4 Winter S, Diamond M, Green J. et al. Transgender people: health at the margins of society. Lancet 2016; 388 (10042): 390-400
• 5 O'Toole AJ, Deffenbacher KA, Valentin D, McKee K, Huff D, Abdi H. The perception of face gender: the role of stimulus structure in recognition and classification. Mem Cognit 1998; 26 (01) 146-160
• 6 Brown E, Perrett DI. What gives a face its gender?. Perception 1993; 22 (07) 829-840
• 7 Ainsworth TA, Spiegel JH. Quality of life of individuals with and without facial feminization surgery or gender reassignment surgery. Qual Life Res 2010; 19 (07) 1019-1024
• 8 Fisher M, Lu SM, Chen K, Zhang B, Di Maggio M, Bradley JP. Facial feminization surgery changes perception of patient gender. Aesthet Surg J 2020; 40 (07) 703-709
• 9 Chen K, Lu SM, Cheng R. et al. Facial recognition neural networks confirm success of facial feminization surgery. Plast Reconstr Surg 2020; 145 (01) 203-209
• 10 Morrison SD, Capitán-Cañadas F, Sánchez-García A. et al. Prospective quality-of-life outcomes after facial feminization surgery: an international multicenter study. Plast Reconstr Surg 2020; 145 (06) 1499-1509
• 11 American Society of Plastic Surgeons (ASPS). Plastic Surgery Statistics Report- 2020. Accessed September 20, 2021 at: https://www.plasticsurgery.org/documents/News/Statistics/2020/plastic-surgery-statistics-full-report-2020.pdf
• 12 Lynn AQ, Pflibsen LR, Smith AA, Rebecca AM, Teven CM. Three-dimensional printing in plastic surgery: current applications, future directions, and ethical implications. Plast Reconstr Surg Glob Open 2021; 9 (03) e3465
• 13 Kyzas P. Patient-specific three-dimensional planning for head and neck reconstruction: paradigm shift and refuted myths. Plast Reconstr Surg 2022; 149 (02) 359e-361e
• 14 Maniskas S, Chandler L, Bruckman K, Pourtaheri N, DiLuna M, Steinbacher DM. Three-dimensional analysis and surgical planning for open correction of trigonocephaly. Plast Reconstr Surg 2021; 147 (02) 265e-267e
• 15 Chang EI, Boukovalas S, Liu J, Largo RD, Hanasono MM, Garvey PB. Reconstruction of posterior mandibulectomy defects in the modern era of virtual planning and three-dimensional modeling. Plast Reconstr Surg 2019; 144 (03) 453e-462e
• 16 Suszynski TM, Serra JM, Weissler JM, Amirlak B. Three-dimensional printing in rhinoplasty. Plast Reconstr Surg 2018; 141 (06) 1383-1385
• 17 Mandelbaum M, Lakhiani C, Chao JW. A novel application of virtual surgical planning to facial feminization surgery. J Craniofac Surg 2019; 30 (05) 1347-1348
• 18 Sharaf B, Kuruoglu D, Cantwell SR, Alexander AE, Dickens HJ, Morris JM. EPPOCRATIS: expedited preoperative point-of-care reduction of fractures to normalized anatomy and three-dimensional printing to improve surgical outcomes. Plast Reconstr Surg 2022; 149 (03) 695-699
• 19 Sharaf B, Morris J, Vyas KS. Point of care virtual surgical planning and three-dimensional printing for feminizing foreheadplasty. Plast Reconstr Surg 2021; 148 (06) 1080e-1082e
• 20 Tawa P, Brault N, Luca-Pozner V. et al. Three-dimensional custom-made surgical guides in facial feminization surgery: prospective study on safety and accuracy. Aesthet Surg J 2021; 41 (11) NP1368-NP1378
• 21 Stranix JT, Stern CS, Rensberger M. et al. A virtual surgical planning algorithm for delayed maxillomandibular reconstruction. Plast Reconstr Surg 2019; 143 (04) 1197-1206
• 22 Fu X, Qiao J, Girod S. et al. Standardized protocol for virtual surgical plan and 3-dimensional surgical template-assisted single-stage mandible contour surgery. Ann Plast Surg 2017; 79 (03) 236-242
• 23 Khechoyan DY, Saber NR, Burge J. et al. Surgical outcomes in craniosynostosis reconstruction: the use of prefabricated templates in cranial vault remodelling. J Plast Reconstr Aesthet Surg 2014; 67 (01) 9-16
• 24 Arias E, Huang YH, Zhao L, Seelaus R, Patel P, Cohen M. Virtual surgical planning and three-dimensional printed guide for soft tissue correction in facial asymmetry. J Craniofac Surg 2019; 30 (03) 846-850
• 25 Gray R, Nguyen K, Lee JC. et al. Osseous transformation with facial feminization surgery: improved anatomical accuracy with virtual planning. Plast Reconstr Surg 2019; 144 (05) 1159-1168
• 26 Kuruoglu D, Yan M, Bustos SS, Morris JM, Alexander AE, Sharaf B. Point of care virtual surgical planning and 3D printing in facial gender confirmation surgery: a narrative review. Ann Transl Med 2021; 9 (07) 614-614
• 27 Hoang H, Bertrand AA, Hu AC, Lee JC. Simplifying facial feminization surgery using virtual modeling on the female skull. Plast Reconstr Surg Glob Open 2020; 8 (03) e2618
• 28 Ousterhout DK. Feminization of the forehead: contour changing to improve female aesthetics. Plast Reconstr Surg 1987; 79 (05) 701-713
• 29 Morrison SD, Vyas KS, Motakef S. et al. Facial feminization: systematic review of the literature. Plast Reconstr Surg 2016; 137 (06) 1759-1770
• 30 Altman K. Facial feminization surgery: current state of the art. Int J Oral Maxillofac Surg 2012; 41 (08) 885-894
• 31 Hage JJ, Becking AG, de Graaf FH, Tuinzing DB. Gender-confirming facial surgery: considerations on the masculinity and femininity of faces. Plast Reconstr Surg 1997; 99 (07) 1799-1807
• 32 Vasavada AN, Danaraj J, Siegmund GP. Head and neck anthropometry, vertebral geometry and neck strength in height-matched men and women. J Biomech 2008; 41 (01) 114-121
• 33 Capitán L, Simon D, Kaye K, Tenorio T. Facial feminization surgery: the forehead. Surgical techniques and analysis of results. Plast Reconstr Surg 2014; 134 (04) 609-619
• 34 Kane AA, Lo LJ, Chen YR, Hsu KH, Noordhoff MS. The course of the inferior alveolar nerve in the normal human mandibular ramus and in patients presenting for cosmetic reduction of the mandibular angles. Plast Reconstr Surg 2000; 106 (05) 1162-1174 , discussion 1175–1176
• 35 Rosado P, de Vicente JC, Villalaín L, Fernández S, Peña I. Posttraumatic frontal mucocele. J Craniofac Surg 2011; 22 (04) 1537-1539
• 36 Becking AG, Tuinzing DB, Hage JJ, Gooren LJG. Transgender feminization of the facial skeleton. Clin Plast Surg 2007; 34 (03) 557-564