Feminization of the forehead in a transgender: frontal sinus reshaping combined with brow lift and hairline lowering.

UNLABELLED: The case of a 39-year-old male-to-female transgender patient who underwent feminization of his masculine forehead is presented. Surgical techniques to feminize his forehead were as follows. The outer table of the frontal sinus was removed and divided into four pieces with an oscillation saw. These pieces were reshaped, regrafted, and fixed back along with two microplates. The bilateral supraorbital ridges were shaved with a surgical bur. Brow lifting and lowering of the frontolateral hairline were performed simultaneously. There were no complications during the 1-year follow-up. The patient is satisfied with the more feminine forehead.

LEVEL OF EVIDENCE V: This journal requires that authors assign a level of evidence to each article.