Transgender health care is a growing interdisciplinary field with at least 30 academic medical centers that provide gender-affirming surgery programs for medical students in the US.
"There's no way I would teach what I do for that because [other doctors] would be killing people," Dr. Mayer says. "I see so much bad work because there is no board for facial feminization surgery . [Douglas K.] Ousterhout and I were the fathers of facial feminization and we did things very differently [from other practicing physicians at the time]," he explains.
Dr. Mayer says he does many revisions because so few doctors understand how to perform facial feminization surgery correctly. "A good part of my practice is revision surgery," he adds. "Because, unfortunately, there’s a lot of bad work out there." He says FFS can involve frontal orbital reduction, where the forehead bone is contoured for a more feminine appearance, hairline lowering, cheek implants, and possible chin reduction and contour.
At a time when trans health care is politicized, trans people are opening up about the lifesaving benefits of these procedures. Chase Strangio, a New York City-based lawyer and transgender rights activist, took to Twitter to discuss how his top surgery impacted his life. "I had top surgery 13 years ago. There is not a day that goes by that I don’t think about how it was the best thing I have ever done for my survival.
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