BackTable / ENT / Podcast / Episode #27
with Dr. Sarah Saxon
We talk with Dr. Sarah Saxon about Facial Feminization Surgery, including the range of procedures, patient selection, and technique.
BackTable, LLC (Producer). (2021, July 20). Ep. 27 – Facial Feminization [Audio podcast]. Retrieved from https://www.backtable.com
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Dr. Sarah Saxon
Dr. Saxon is a Facial Plastic Surgeon at Saxon MD Facial Plastic Surgery in Austin Texas.
Dr. Gopi Shah
Dr. Gopi Shah is a practicing ENT at UT Southwestern Medical Center in Dallas, TX.
Dr. Ashley Agan
Dr. Ashley Agan is a practicing ENT and assistant professor at UT Southwestern Medical Center in Dallas, TX.
In this episode, Dr. Sarah Saxon joins Dr. Gopi Shah and Dr. Ashley Agan to discuss the variety of facial feminization surgeries and important considerations for treating transgender patients.
Dr. Saxon defines “facial feminization surgeries” as a group of procedures that are geared towards feminizing the face. She highlights the fact that feminizing a patient’s appearance often aligns with striving for a more youthful appearance. Therefore, feminizing procedures can include facelifts, skin resurfacing, and skin tightening with radiofrequency. Additionally, Dr. Saxon describes her techniques for chondrolaryngoplasty (also known as tracheal shave), mandibular contouring, and type 3 cranioplasty. She also discusses post-operative care with exosome injections at incision sites and steroids.
Throughout this episode, Dr. Saxon offers advice for providers who treat transgender patients. From a pre-operative standpoint, she advises surgeons to ensure that their patients are off of hormone therapy during the two weeks prior to surgery in order to reduce the risk of DVT. She also encourages providers to ask about patients’ preferred pronouns and avoid making assumptions about their patients. Above all, she emphasizes that providers should be open-minded and recognize that patient care is a dynamic learning process throughout their entire careers.
Dr. Saxon’s Website: https://saxonmd.com/
Dr. Saxon’s Instagram: @saxonmd, @breathe_atx, @breathe_dallas
[Dr. Sarah Saxon]
It mainly makes a difference to know, I usually ask, do you want to look as feminine as possible? If they're transgender versus gender fluid, or non-binary, I always ask as I never want to assume. Even if they come in identifying as female to me, they may not want to do that every day. If they're cisgender coming in, I still want to know do you want to look more feminine. Oftentimes, they'll come in asking me, "I just want to look good, I can't really put my finger on it, but I need your input because I've seen the work you do on transgender patients. I feel like I look very masculine, and I'm open to whatever procedure you would recommend." For those patients, oftentimes I'll recommend, cranioplasty, or jaw contouring, even rhinoplasty is a very feminizing procedure. In general, I think of everybody kind of the same, as far as structure and soft tissue, whether they're transgender or cisgender, and I'm bringing them to the same point.
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