Transwomen satisfaction after nonsurgical management of large lower face with botulinum toxin injection of the masseter: A preliminary FACE-Q study.

Facial feminization can be considered as an essential element of gender-affirming care and overall well-being of transgender women. This study explores a nonsurgical approach to facial gender-affirming procedures (FGAP) by assessing the efficacy of botulinum toxin (BT) injection for lower face transversal reduction. This cosmetic procedure was evaluated by administering the FACE-Q survey to participants, both pre- and post-procedure and at the three-month follow-up visit. A significant improvement in satisfaction was observed concerning the lower face appearance after BT injection in the masseter (P<0.001). These findings raise awareness towards alternative nonsurgical options in achieving lower facial feminization.