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Journal of the American Academy of Dermatology
Volume 74, n° 2
pages 303-308 (février 2016)
Doi : 10.1016/j.jaad.2015.10.013
accepted : 22 October 2015
Original Articles

A potential role for the dermatologist in the physical transformation of transgender people: A survey of attitudes and practices within the transgender community
 

Brian A. Ginsberg, MD a, , Marcus Calderon, BS b, Nicole M. Seminara, MD c, Doris Day, MD, MA a, d
a Ronald O. Perelman Department of Dermatology, New York University Langone Medical Center, New York, New York 
b New York University School of Medicine, New York 
c Department of Dermatology, Stanford University School of Medicine, Stanford, California 
d Day Dermatology and Aesthetics, New York, New York 

Reprint requests: Brian A. Ginsberg, MD, Ronald O. Perelman Department of Dermatology, New York University Langone Medical Center, 240 E 38 St, 11th Floor, New York, NY 10016.Perelman Department of DermatologyNew York University Langone Medical Center240 E 38 St, 11th FloorNew YorkNY 10016
Abstract
Background

There are an estimated 700,000 or more transgender people in the United States, however their dermatologic needs are not fully established in the medical literature. Unique needs relate to hormone therapy, prior surgeries, and other aspects of physical transitioning.

Objectives

By examining attitudes and practices of transgender individuals, we aimed to identify areas for which dermatologists could contribute to their physical transformation.

Methods

This cross-sectional study used an anonymous online survey, distributed via lesbian, gay, bisexual, and transgender organizations; social media; and at targeted locations and events.

Results

A total of 327 people completed the survey (63% men, 29% women, 9% other). Most transgender women indicated that their face was most imperative to have changed, whereas men noted their chest, in turn influencing procedures. Of women's facial procedures, hair removal predominated, followed by surgery then injectables, mostly performed by plastic surgeons. Hormone-induced facial effects varied, usually taking over 2 years for maximal effect. When choosing procedures, money was the major barrier and good aesthetic outcome the primary concern. Participants did not think that facial procedures necessitate the currently accepted prerequisites for chest and genital surgery.

Limitations

This study has limited size and convenience sampling.

Conclusion

Dermatologists could contribute to the physical transformation of transgender patients through noninvasive procedures.

The full text of this article is available in PDF format.

Key words : dermatology, filler, laser, LGBT, neurotoxin, procedures, skin, surgery, transgender



 The Ronald O. Perelman Department of Dermatology at New York University Langone Medical Center purchased the SurveyMonkey membership.
 Conflicts of interest: None declared.



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