![Page 1: Olmec Trueshape Forehead Feminization surgery in Delhi India](https://reader030.vdocuments.net/reader030/viewer/2022021507/5a6574a07f8b9af13a8b4a95/html5/thumbnails/1.jpg)
Dr. Narendra KaushikPlastic Surgeon
MBBS; MS; MCh; DNB
JD- 3 b PITAMPURA (DELHI)(+91-1145028004)
True Shape Forehead
Feminization
![Page 2: Olmec Trueshape Forehead Feminization surgery in Delhi India](https://reader030.vdocuments.net/reader030/viewer/2022021507/5a6574a07f8b9af13a8b4a95/html5/thumbnails/2.jpg)
Forehead Gender differences
• Hair line
• Brow ridges
• Brow level
• Temporal crests
• Slope of forehead
• Overall contour
• Eyes
• Naso frontal angle
![Page 3: Olmec Trueshape Forehead Feminization surgery in Delhi India](https://reader030.vdocuments.net/reader030/viewer/2022021507/5a6574a07f8b9af13a8b4a95/html5/thumbnails/3.jpg)
Gender DifferencesHair line
“M” Pattern Inverted “U”
![Page 4: Olmec Trueshape Forehead Feminization surgery in Delhi India](https://reader030.vdocuments.net/reader030/viewer/2022021507/5a6574a07f8b9af13a8b4a95/html5/thumbnails/4.jpg)
Gender DifferencesBrow Ridges
Prominent Absent/ Flat
![Page 5: Olmec Trueshape Forehead Feminization surgery in Delhi India](https://reader030.vdocuments.net/reader030/viewer/2022021507/5a6574a07f8b9af13a8b4a95/html5/thumbnails/5.jpg)
Gender DifferencesBrow Level
Lower Higher
![Page 6: Olmec Trueshape Forehead Feminization surgery in Delhi India](https://reader030.vdocuments.net/reader030/viewer/2022021507/5a6574a07f8b9af13a8b4a95/html5/thumbnails/6.jpg)
Gender DifferencesTemporal crests
Prominent Absent / Flat
![Page 7: Olmec Trueshape Forehead Feminization surgery in Delhi India](https://reader030.vdocuments.net/reader030/viewer/2022021507/5a6574a07f8b9af13a8b4a95/html5/thumbnails/7.jpg)
Gender DifferencesSlope of forehead
Backward Vertical
![Page 8: Olmec Trueshape Forehead Feminization surgery in Delhi India](https://reader030.vdocuments.net/reader030/viewer/2022021507/5a6574a07f8b9af13a8b4a95/html5/thumbnails/8.jpg)
Gender DifferencesOverall contour
Irregular with bossings Smooth with mild glabellar dip
![Page 9: Olmec Trueshape Forehead Feminization surgery in Delhi India](https://reader030.vdocuments.net/reader030/viewer/2022021507/5a6574a07f8b9af13a8b4a95/html5/thumbnails/9.jpg)
Gender DifferencesEyes
Deep Seated Wide with open expression
![Page 10: Olmec Trueshape Forehead Feminization surgery in Delhi India](https://reader030.vdocuments.net/reader030/viewer/2022021507/5a6574a07f8b9af13a8b4a95/html5/thumbnails/10.jpg)
Gender DifferencesNaso frontal angle
More (36) Less(34)
![Page 11: Olmec Trueshape Forehead Feminization surgery in Delhi India](https://reader030.vdocuments.net/reader030/viewer/2022021507/5a6574a07f8b9af13a8b4a95/html5/thumbnails/11.jpg)
Facial Feminization Surgery- Forehead leads to striking change
• Nose
• Eyes
• Malar augmentation
• Lips
• Chin
• Jaw
• Adam’s apple
Ancillary feminizing procedures
![Page 12: Olmec Trueshape Forehead Feminization surgery in Delhi India](https://reader030.vdocuments.net/reader030/viewer/2022021507/5a6574a07f8b9af13a8b4a95/html5/thumbnails/12.jpg)
Aims of TrueShape Forehead Feminization – No shortcut
• Lowering of hairline with invisible scar by instant camouflage with small session of Hair transplant
• Smooth regular contour of forehead with vertical slope
• Smooth brow areas (no ridges)
• Smooth temporal areas (no temporal crests)
• Open expression of eyes
• Feminine naso frontal angle
• Subtle brow lift
• Subtle midline dip in lower central forehead.
![Page 13: Olmec Trueshape Forehead Feminization surgery in Delhi India](https://reader030.vdocuments.net/reader030/viewer/2022021507/5a6574a07f8b9af13a8b4a95/html5/thumbnails/13.jpg)
Aims of TrueShape Forehead Feminization – No shortcut
• We must explain to the patient that second session of hair transplant may be needed
– Either for reinforcement of density
– Or for further lowering of hair line
![Page 14: Olmec Trueshape Forehead Feminization surgery in Delhi India](https://reader030.vdocuments.net/reader030/viewer/2022021507/5a6574a07f8b9af13a8b4a95/html5/thumbnails/14.jpg)
Brow bossing correction
• Shaving with or without filling.
->Sinus wall thickness is 2.6 to 2.9 mm in most of the cases, hence only shaving is not sufficient.
• Forehead reconstruction(frontal wall setback) is needed in most of the cases.
![Page 15: Olmec Trueshape Forehead Feminization surgery in Delhi India](https://reader030.vdocuments.net/reader030/viewer/2022021507/5a6574a07f8b9af13a8b4a95/html5/thumbnails/15.jpg)
Brow bossing:- only shaving won’t do
More Common (95%) Less Common (5%)
![Page 16: Olmec Trueshape Forehead Feminization surgery in Delhi India](https://reader030.vdocuments.net/reader030/viewer/2022021507/5a6574a07f8b9af13a8b4a95/html5/thumbnails/16.jpg)
Brow bossing:- only shaving won’t do
• Shaving is sufficient if anterior wall of frontal sinus is thick, and shaving leads to smooth contour without breaking through into the sinus
• This is true in few cases (5% cases)
• Just shaving and filling around makes the forehead more prominent and masculine (DOLPHIN FOREHEAD)
• Usually this is the shortcut- because either the surgeon don’t want to do or is scared to open the sinus
![Page 18: Olmec Trueshape Forehead Feminization surgery in Delhi India](https://reader030.vdocuments.net/reader030/viewer/2022021507/5a6574a07f8b9af13a8b4a95/html5/thumbnails/18.jpg)
Usual Shortcuts (Must be avoided)
• No Temporal crest shaving
• No Lateral brow rim shaving
• Leftover forehead bossings
• Only shaving of brow ridges (No Reconstruction)
• Left over prominent brow soft tissues, procerus and superciliimuscle
• No camouflage of the scar
![Page 19: Olmec Trueshape Forehead Feminization surgery in Delhi India](https://reader030.vdocuments.net/reader030/viewer/2022021507/5a6574a07f8b9af13a8b4a95/html5/thumbnails/19.jpg)
![Page 20: Olmec Trueshape Forehead Feminization surgery in Delhi India](https://reader030.vdocuments.net/reader030/viewer/2022021507/5a6574a07f8b9af13a8b4a95/html5/thumbnails/20.jpg)
![Page 21: Olmec Trueshape Forehead Feminization surgery in Delhi India](https://reader030.vdocuments.net/reader030/viewer/2022021507/5a6574a07f8b9af13a8b4a95/html5/thumbnails/21.jpg)
![Page 22: Olmec Trueshape Forehead Feminization surgery in Delhi India](https://reader030.vdocuments.net/reader030/viewer/2022021507/5a6574a07f8b9af13a8b4a95/html5/thumbnails/22.jpg)
![Page 23: Olmec Trueshape Forehead Feminization surgery in Delhi India](https://reader030.vdocuments.net/reader030/viewer/2022021507/5a6574a07f8b9af13a8b4a95/html5/thumbnails/23.jpg)
![Page 24: Olmec Trueshape Forehead Feminization surgery in Delhi India](https://reader030.vdocuments.net/reader030/viewer/2022021507/5a6574a07f8b9af13a8b4a95/html5/thumbnails/24.jpg)
![Page 25: Olmec Trueshape Forehead Feminization surgery in Delhi India](https://reader030.vdocuments.net/reader030/viewer/2022021507/5a6574a07f8b9af13a8b4a95/html5/thumbnails/25.jpg)
![Page 26: Olmec Trueshape Forehead Feminization surgery in Delhi India](https://reader030.vdocuments.net/reader030/viewer/2022021507/5a6574a07f8b9af13a8b4a95/html5/thumbnails/26.jpg)
![Page 27: Olmec Trueshape Forehead Feminization surgery in Delhi India](https://reader030.vdocuments.net/reader030/viewer/2022021507/5a6574a07f8b9af13a8b4a95/html5/thumbnails/27.jpg)
![Page 28: Olmec Trueshape Forehead Feminization surgery in Delhi India](https://reader030.vdocuments.net/reader030/viewer/2022021507/5a6574a07f8b9af13a8b4a95/html5/thumbnails/28.jpg)
![Page 29: Olmec Trueshape Forehead Feminization surgery in Delhi India](https://reader030.vdocuments.net/reader030/viewer/2022021507/5a6574a07f8b9af13a8b4a95/html5/thumbnails/29.jpg)
![Page 30: Olmec Trueshape Forehead Feminization surgery in Delhi India](https://reader030.vdocuments.net/reader030/viewer/2022021507/5a6574a07f8b9af13a8b4a95/html5/thumbnails/30.jpg)
![Page 31: Olmec Trueshape Forehead Feminization surgery in Delhi India](https://reader030.vdocuments.net/reader030/viewer/2022021507/5a6574a07f8b9af13a8b4a95/html5/thumbnails/31.jpg)
![Page 32: Olmec Trueshape Forehead Feminization surgery in Delhi India](https://reader030.vdocuments.net/reader030/viewer/2022021507/5a6574a07f8b9af13a8b4a95/html5/thumbnails/32.jpg)
![Page 33: Olmec Trueshape Forehead Feminization surgery in Delhi India](https://reader030.vdocuments.net/reader030/viewer/2022021507/5a6574a07f8b9af13a8b4a95/html5/thumbnails/33.jpg)
![Page 34: Olmec Trueshape Forehead Feminization surgery in Delhi India](https://reader030.vdocuments.net/reader030/viewer/2022021507/5a6574a07f8b9af13a8b4a95/html5/thumbnails/34.jpg)
![Page 35: Olmec Trueshape Forehead Feminization surgery in Delhi India](https://reader030.vdocuments.net/reader030/viewer/2022021507/5a6574a07f8b9af13a8b4a95/html5/thumbnails/35.jpg)
![Page 36: Olmec Trueshape Forehead Feminization surgery in Delhi India](https://reader030.vdocuments.net/reader030/viewer/2022021507/5a6574a07f8b9af13a8b4a95/html5/thumbnails/36.jpg)
Thank you!