Virtual Surgical Planning for Facial Feminization Surgery: Correlation between 3-Dimensional Plans and Results Varies across Procedures

The current study represents the largest and most comprehensive evaluation of facial feminization surgery virtual surgical planning accuracy in living patients to date. Forehead procedures demonstrated the highest degree of conformity to the plan, followed by genioplasty and gonial angle reduction. Deviations from the plan represent opportunities for improvement in gender-affirming surgery.