Facial feminization surgery (FFS) is composed of a broad spectrum of gender-affirming surgical procedures with the goal of modifying specific facial features to create a more feminine appearance. As FFS continues to evolve as a subspecialty of transgender care, it is important to consider the psychosocial evaluation, evolving aesthetic tastes, nonoperative facial feminization care, preoperative virtual planning, specialized instrumentation, and potential complications/sequelae when performing these procedures. Computed tomographic imaging and virtual preoperative planning may be used to assist the surgeon with morphologic typing of the brow, supraorbital rim, chin, and lateral mandible regions and aid in performing safer, more efficient procedures. The increasing number of FFS procedures performed on transwomen annually has been supported by objective outcome studies that demonstrate progress in minimizing both misgendering in social environments and reducing dysphoric feelings.

Intended Audience
This educational activity is intended for all CME-related persons including plastic surgery practitioners, residents, and other healthcare professionals.

Learning Objectives
After viewing this course, the participant should be able to:

1. Understand the regional anatomy involved in facial feminization surgery, the key differences between the male and female face, and surgical approaches for modification.
2. Appreciate the integration of preoperative virtual planning and nonoperative approaches for facial feminization care.
3.  Understand the perioperative process and potential complications and sequela.
4.  Understand the importance of transgender care acceptance as it pertains to clinical outcomes.

Marco Ellis, MD; Joshua Choe, MS; Sarah L. Barnett, BA; Kevin Chen, MD; James P. Bradley, MD

Plastic and Reconstruction Surgery® Editors:
Editor-in-Chief: Kevin Chung, MD
Co-Editor: Amy Colwell, MD
Section Editor: John Kim, MD

The following ABMS core competencies will be addressed:

• Medical Knowledge
• Patient Care

The American Society of Plastic Surgeons (ASPS) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Designation
The ASPS designates this enduring material for a maximum of1.0 AMA PRA Category 1 Credit. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Recognition Statement
The Continuing Medical Education (CME) credits offered by this activity are enhanced by ASPS Learner Credit Reportingfor learners who have opted into this reporting. Successful completion of this CME activity enables active American Board of Surgery (ABS) members the opportunity to earn credit toward the CME requirement of the ABS's Continuous Certification program when claimed within 30 days of completion of the activity.

Participants in ASPS-accredited education who want their CME credits reported to certifying and state licensing boards must opt-into reporting and add their NPI as well as state license ID and/or collaborating board ID(s) before claiming credit.

AMA PRA Category 1 CreditTM: 1.0
Patient Safety Credit: 0.5
Media:Journal Article, video
Release Date: 1/01/2024
Expiration Date: 1/01/2027
Estimated time to complete this course: 1 hour
*Course access ends on course expiration date

Directly provided by the American Society of Plastic Surgeons® (ASPS®)

The following planners/faculty members/reviewers have no relevant financial relationships or affiliations to disclose:
Marco Ellis, MD; Joshua Choe, MS; Sarah L. Barnett, BA; Kevin Chen, MD; James P. Bradley, MD

The Accreditation Council for Continuing Medical Education (ACCME) accredits ASPS to provide educational activities and material with Category 1 CME credits. As an official CME provider, ASPS must comply with all ACCME standards, as outlined in the ACCME Standards for Integrity and Independence in Accredited Continuing Education