Effect of Duration of Feminizing Hormone Therapy on Facial Fat Volumes (Q28127)

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  • Effect of Duration of Feminizing Hormone Therapy on Facial Fat Volumes.
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English
Effect of Duration of Feminizing Hormone Therapy on Facial Fat Volumes
No description defined
  • Effect of Duration of Feminizing Hormone Therapy on Facial Fat Volumes.

Statements

Effect of Duration of Feminizing Hormone Therapy on Facial Fat Volumes. (English)
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Gender-affirming feminizing hormone therapy induces body fat redistribution. (English)
BACKGROUND (English)
Copyright © 2023 by the American Society of Plastic Surgeons. (English)
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However, the amount and timing of facial fat changes in response to feminizing hormone therapy are unknown, despite being relevant to counseling and surgical planning for facial gender-affirming surgery. (English)
BACKGROUND (English)
Copyright © 2023 by the American Society of Plastic Surgeons. (English)
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The authors assessed the influence of feminizing hormone therapy duration on malar and temporal fat volume. (English)
BACKGROUND (English)
Copyright © 2023 by the American Society of Plastic Surgeons. (English)
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Malar and temporal fat volumes were compared using computed tomography in transfeminine patients (age, 20 to 29 years; body mass index, 18.5 to 24.9) treated with feminizing hormone therapy for less than 2 years versus 2 years or longer. (English)
METHODS (English)
Copyright © 2023 by the American Society of Plastic Surgeons. (English)
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Patients with previous surgical or nonsurgical facial soft-tissue interventions were excluded. (English)
METHODS (English)
Copyright © 2023 by the American Society of Plastic Surgeons. (English)
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Multivariable linear regressions evaluated the contribution of hormone therapy duration to malar and temporal fat volumes. (English)
METHODS (English)
Copyright © 2023 by the American Society of Plastic Surgeons. (English)
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A total of 45 patients were included, 30 (66.7%) treated with feminizing hormone therapy for 2 years or longer and 15 (33.3%) treated for less than 2 years (median [interquartile range], 44.5 [33.5 to 65.6] versus 15.0 [11.0 to 18.0] months; P < 0.001). (English)
RESULTS (English)
Copyright © 2023 by the American Society of Plastic Surgeons. (English)
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Patients treated with hormone therapy for 2 years or longer demonstrated a 1.6-fold greater malar fat volume (5.5 [4.2 to 6.3] versus 3.4 [2.3 to 4.2] cm 3 ; P < 0.001) and 1.4-fold greater temporal fat volume (2.8 [2.4 to 3.6] cm 3 versus 2.0 [1.7 to 2.4] cm 3 ; P = 0.01) compared with those treated for less than 2 years. (English)
RESULTS (English)
Copyright © 2023 by the American Society of Plastic Surgeons. (English)
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When accounting for other contributory variables, such as body mass index, skull size, and total soft-tissue depth, in multivariable linear regression models, hormone therapy duration of 2 years or longer independently predicted higher malar (β = 0.51, P < 0.001) and temporal (β = 0.32, P = 0.02) fat volumes. (English)
RESULTS (English)
Copyright © 2023 by the American Society of Plastic Surgeons. (English)
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Feminizing hormone therapy increases malar and temporal fat volumes by approximately 2 cm 3 and 0.8 cm 3 for each area, respectively, after 2 years of treatment. (English)
CONCLUSION (English)
Copyright © 2023 by the American Society of Plastic Surgeons. (English)
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Therapeutic, III. (English)
CLINICAL QUESTION/LEVEL OF EVIDENCE (English)
Copyright © 2023 by the American Society of Plastic Surgeons. (English)
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1 November 2024
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1 November 2024
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154
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5
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1081-1088
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1081
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1088
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