Transsexualism is a gender identity disorder (GID) in which there is a strong and ongoing desire to live and be accepted as a member of the opposite sex. The procedures described seem to be safe and reliable. We present a case of treatment of a 26-year-old male-to-female transsexual to demonstrate that contouring the forehead combined with a rhinoplasty can lead to significant feminization of the face. The female nose is regarded as attractive if it shows a straight or mildly concave dorsum and an accented tip. The glabellar and the nasolabial angle are less acute. The female nose is relatively smaller than the male nose. ![]() ![]() In the female, the supraorbital bossing is considerably less, often nonexistent, and above this the flattening is usually less marked and more of a continuous mild curvature. The male forehead has extensive supraorbital bossing, and above this there is often a flat area before the convex curvature of the upper forehead begins. In male-to-female transsexuals with strong masculine facial features facial feminization surgery can be performed as part of gender reassignment. ![]() Transsexualism is a gender identity disorder in which there is a strong and ongoing desire to live and be accepted as a member of the opposite sex.
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