![allie]()
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allie
術前症狀男性特徵的方大額頭及後移的髮際線中臉凹陷、下眼眶骨支撐不足臉有輕度的歪斜，屬於偏長臉、下巴後縮、嘴唇閉合困難手術計畫髮際線前移前額及中臉拉提3D客製化下眼眶骨重建3D客製化正顎手術這是一個高難度的case，而這個挑戰來自於很多面向。第一個挑戰是，當愛里走進診間時，她說她想詢問臉部女性柔化手術，但當時我對她的第一印象是，她其實已經很漂亮了，我心裡想，我要怎麼讓她更漂亮、更有女人味。第二個挑戰是，她之前在臉部已經做過了一些手術，可以說在外科學理上是一個重修的case。第三，愛里本來就是一位高人氣的漂亮網紅，深受大家喜愛，我能讓她變得更漂亮、更受歡迎嗎？經過電腦斷層的診斷以及非常仔細的溝通，我們還是達到了共識，決定進行一系列的“微調”手術。首先，從電腦斷層上看的出來，她的臉有輕度的歪斜，並且是屬於偏長臉、下巴後縮臉型，所以導致她有些許嘴唇閉合困難(平時會不自主用力閉唇)。再來是她很在意她的中臉凹陷，雖然臨床上並不會很明顯，但確實女生的中臉應該比男生要膨潤。額頭部分有兩大重點，一是外眼角的下垂讓她看起來沒精神，二來是具有男性特徵的方大額頭及後移的髮際線。我們計畫用一次性的複合式手術來做全臉的調整(柔化)。正顎手術來縮短臉型、讓臉更對稱以及改善嘴唇的閉合不全，搭配客製化下眼眶骨(蘋果肌)手術打造飽滿的中臉，額頭的部分則是用眼尾提拉、髮際線前移及圓弧化，讓她散發女性的自信美。雖然手術步驟眾多，但都不是為了大改，目的只是讓跨性別者的臉型基底變得更細緻、柔化。This is a challenging case, and the challenge comes from many aspects. The first challenge was that when Allie walked into our office, she wanted to inquire about facial feminization surgery（FFS）. My first impression of her, however, was that she was already very beautiful. I wondered if I could make her even more feminine. The second challenge is that she had quite a few previously done facial surgeries, making this technically a revision case from a surgical perspective. The third challenge is that Allie is already a popular and beautiful influencer loved by many. Can I make her more attractive and more popular?After CT scan diagnosis and detailed communication, we reached a consensus with a series of "fine-tuning" procedures. First, the CT scan showed that her face had a slight asymmetry and a relatively long face with a retruded chin, which caused her some difficulty in closing her lips (she unconsciously applied force to close her lips). Next, she was very concerned about the hollowness of her midface. Although it is not very noticeable clinically, it is true that women usually have plumper midface than men. There are two main points regarding her forehead: one is the drooping eyes, making her look tired, and the other is the masculine features of a broad forehead and a receding hairline.We plan to use a all-in-once combined procedures to adjust her entire face: orthognathic surgery to shorten the face, make it more symmetrical, and improve the incomplete closure of her lips, combined with a customized implant of cheek augmentation to create a fuller midface. For her forehead, we did a forehead lift (more on the tails of the brows), and hairline advancement. Although these involved multiple procedures, none were made for major changes.
手術成效因人而異，需由專業醫師評估手術成效因人而異，需由專業醫師評估手術成效因人而異，需由專業醫師評估手術成效因人而異，需由專業醫師評估手術成效因人而異，需由專業醫師評估手術成效因人而異，需由專業醫師評估手術成效因人而異，需由專業醫師評估
