Assessment of quality of life in patients with congenital, genetic and endocrine disorders after feminizing operations in the middle third of the face

Introduction. The purpose of this study was to assess the quality of life, social adaptation and satisfaction with postoperative results of patients with congenital, genetic and endocrine disorders who underwent feminizing surgery
in the middle third of the face.
Material and methods. At the clinics of the Department of Oncology, Radiotherapy and Reconstructive Surgery of Sechenov University, we performed feminizing surgery on 2 groups of patients. The first group of patients,
which included 18 people, we performed feminizing rhinoplasty, the second group of patients, which included 10 individuals, underwent simultaneous open rhinoplasty and upper lip lift (bullhorn). The questionnaire consisted of 18
questions that addressed the level of satisfaction with their appearance, quality of life and evaluation of the results of feminization of the middle third of the face separately for patients who underwent open feminizing rhinoplasty
and for patients who underwent simultaneous feminizing open rhinoplasty and upper lip lift.
Results. The general trend shows that the level of satisfaction with their appearance increased in most patients after open feminizing rhinoplasty. According to the Wilcoxon test results, the level of satisfaction with appearance
statistically significantly increased after open feminizing rhinoplasty combined with upper lip lift across all domains.
Conclusions. This study provides information on postoperative outcomes and social satisfaction in patients with congenital, genetic and endocrine disorders who underwent surgical feminization of the middle third of the face.
Key words: quality of life, facial feminization, feminizing rhinoplasty, bullhorn
Conflicts of interest. The authors have no conflicts of interest to declare.
Funding. There was no funding for this study