Lower Jaw Recontouring in Facial Gender-Affirming Surgery

Facial Plast Surg Clin North Am. 2019 May;27(2):233-242. doi: 10.1016/j.fsc.2019.01.001. Epub 2019 Mar 2.


Facial gender-affirming surgery can have significant impact on patient quality of life for some gender-dysphoric patients. Lower jaw contouring can be used to harmonize the face during facial gender-affirming surgery through masculinization or feminization. During feminization, the mandibular angle and body and chin are reduced in width and size. During masculinization, augmentation of the mandibular angle and body and chin are completed with alloplastic implants, fat, or bone. Complications are minimal. Further research is needed on outcomes of these procedures.

Keywords: Jaw implants; Lower jaw augmentation; Mandible contouring; Osteotomies; Transgender.

Publication types

  • Review

MeSH terms

  • Bone Transplantation
  • Cephalometry
  • Chin / surgery
  • Female
  • Gender Dysphoria / surgery*
  • Humans
  • Male
  • Mandible / surgery*
  • Osteotomy
  • Prostheses and Implants
  • Prosthesis Implantation
  • Reconstructive Surgical Procedures / methods*
  • Sex Characteristics
  • Sex Reassignment Procedures / methods*
  • Transgender Persons