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Dr. Paul Tessier and Facial Skeletal Masculinization

Ousterhout, Douglas K. MD, DDS

doi: 10.1097/SAP.0b013e31821835cb
Aesthetic Surgery

The male facial skeleton is larger and more angular than that of the female. The male skull has bossing in the area of the frontal sinuses (there is bossing even without presence of the sinuses—5% of people do not have a frontal sinus) and a small flat spot in the mid forehead between the areas of bossing and usually slightly above them. Also there is bossing in the superior lateral orbital angle. The chin on an average basis is 17% vertically higher in the male and there is more fullness laterally. The angle of the mandible is larger inferioro-posteriorly and generally flares out more laterally. The oblique line is fuller in the male. To date 6 males who have wanted to have a more masculine face have been operated on forehead, chin, and mandible. All 6 have done well and without complications. Their acceptance of this surgery has been great.

Received April 29, 2010, and accepted for publication, after revision, March 1, 2011.

Conflicts of interest and sources of funding: none declared.

Reprints: Douglas K. Ousterhout, MD, DDS, Suite 150, 45 Castro Street, San Francisco, CA 94114. E-mail:

© 2011 Lippincott Williams & Wilkins, Inc.