CURRENT CONCEPTS IN GENDER AFFIRMING SURGERY FOR WOMEN IN TRANSITION 2020

European Association for Craneo Maxillo Facial Surgery

Asociación Andaluza de Cirugía Oral y Maxilofacial

TOP

PROGRAM

OPENING AND WELCOME
Dr. Marci L. Bowers

TRANSGENDER HEALTH

Moderator: Prof. Dr. Loren S. Schechter

TRANSGENDER HEALTH 1:
Transgender rights and access to care
Dr. Jamison Green

TRANSGENDER HEALTH 2:
Assessment of adults with gender incongruence or dysphoria
Prof. Dr. Christina Richards

TRANSGENDER HEALTH 3:
The role of social support networks and social acceptance in the mental health of transgender people
Prof. Dr. Joz Motmans

TRANSGENDER HEALTH 4:
Hormonal treatment
Prof. Dr. Guy T’Sjoen

TRANSGENDER HEALTH DEBATE

GENITAL SURGERY

Moderator: Dr. Marci L. Bowers

GENITAL SURGERY 1:
Vaginoplasty, what is new?
Prof. Dr. Stan Monstrey

GENITAL SURGERY 2:
20 years of surgery. What have we learned and where are we going?
Dr. Iván Mañero

GENITAL SURGERY 3:
Montreal vaginoplasty: steps and pearls
Dr. Pierre Brassard

GENITAL SURGERY 4:
Failed vaginoplasty: surgical options
Prof. Dr. Miroslav Djordjevic

GENITAL SURGERY DEBATE

FACIAL SURGERY I

Moderator: Dr. Shane D. Morrison

FACIAL SURGERY 1:
Facial Gender Confirmation Surgery – state of the art
Dr. Daniel Simon

FACIAL SURGERY 2:
Forehead reconstruction and simultaneous hair transplant
Dr. Luis Capitán

FACIAL SURGERY 3:
My approach to upper face feminization
Dr. Christopher Inglefield

FACIAL SURGERY I DEBATE

FACIAL SURGERY II

Moderator: Dr. Devin Coon

FACIAL SURGERY 4:
Rhinoplasty and lip lift
Dr. Raúl J. Bellinga

FACIAL SURGERY 5:
Lower jaw contouring and surgical guides
Dr. Javier Gutiérrez-Santamaría

FACIAL SURGERY 6:
Meeting the need – expectations in FGCS
Dr. Jens U. Berli

FACIAL SURGERY II DEBATE

TOP

SPEAKERS

Raúl J. Bellinga, MD, FEBOMS

Facialteam, Marbella, Málaga, Spain

Dr. Bellinga earned a degree in oral & maxillofacial surgery at the University Hospital Ramón y Cajal, later gaining a master’s degree from the University Hospital Alcalá de Henares in Madrid (Spain). He also has achieved specialization in aesthetic & cosmetic

Read more

medicine from the prestigious Universidad Complutense de Madrid. Dr. Bellinga continued his training in Mexico and Dallas (USA), focusing entirely on rhinoplasties. In 2012, he was awarded a Facial Cosmetic Surgery grant in Brussels (Belgium), where he acquired the highest level of training in the techniques of orthognathic surgery, face and neck lifts and blepharoplasty. Thereafter he joined Facialteam where he principally performs feminizing rhinoplasties.

Jens U. Berli, MD

Division of Plastic and Reconstructive Surgery, School of Medicine, Oregon Health & Science University, Portland, OR, USA

Dr. Berli received his medical degree from the University of Zurich. His residency was spent in general surgery/ortho-trauma in Switzerland, and in plastic surgery at the Johns Hopkins Hospital. Dr. Berli has been a visiting physician at

Read more

the premier centers for transgender health and, since 2016, he is an assistant professor at Oregon Health & Science University with gender surgery as his sole focus. He has been an invited lecturer at numerous national and international conferences and is currently on the WPATH Standards of Care 8 Surgical Chapter Committee. In 2020 he started a fellowship at OHSU with focus on gender surgery.

Marci L. Bowers, MD

Bay Area Reproductive Healthcare, San Mateo, CA, USA

Marci L. Bowers, MD, of Burlingame, California, is acknowledged as a pioneer in the field of genital reassignment surgery and is the first woman worldwide to hold a personal transgender history while performing transgender surgery.

Read more

She is also the first US surgeon to learn the technique of functional clitoral restoration after female genital mutilation (FGM). She is a University of Minnesota Medical School graduate and former class and student body president. After Ob/Gyn residency at the University of Washington, she continued in Seattle as an obstetrician/gynecologist at the Polyclinic and Swedish Medical Center. She then apprenticed with Dr. Stanley Biber in Trinidad, Colorado in 2003, eventually redefining US transgender surgery. Dr. Bowers relocated her surgical practice to the San Francisco Bay Area in 2010. Dr. Bowers has now completed more than 500 clitoral restorations and is sought after as a speaker and worldwide surgical educator on FGM and clitoral restoration. Her work has been featured in numerous documentaries and news features including the Guardian, BBC, Times of London, Esquire and many others. Dr. Bowers is the interim and president elect of WPATH, and has served on the board of directors for both GLAAD and the Transgender Law Center. In 2016, she joined the faculty at Mt. Sinai-Beth Israel in New York to establish the first transgender surgical educational program in the US and performed the first live surgical vaginoplasty in a WPATH-sponsored surgical educational program in 2018. Her transgender work has been highlighted by appearances on Oprah, CBS Sunday Morning, Discovery Health and more.

Pierre Brassard, MD, FRCS

Complexe Chirurgical CMC, Montreal, Canada

Dr. Pierre Brassard is a fellow of the Royal College of Surgeons of Canada in plastic and reconstructive surgery. In private practice, he is the director of the Gender Affirming Surgeries Program at the Centre Métropolitain de Chirurgie (CMC), where more than 1000 gender

Read more

procedures are done annually by him and a team of colleagues. He leads a team of 125 employees at the CMC, which is the only hospital dedicated to gender affirming surgeries in Canada. Gender affirming surgeries are his main practice interest since 1994. He participates in multiple didactic activities and teaches visiting physicians, surgical and non-surgical, on a weekly basis.

Luis Capitán, MD, PhD

Facialteam, Marbella, Málaga, Spain

With an undergraduate degree in medicine and surgery from the University of Granada (2000), he obtained the title of specialist in oral and maxillofacial surgery via the exclusive MIR system (2006) after 5 years of residency at the University Hospital Virgen de las Nieves

Read more

of Granada. Later he continued studies in tissue engineering, receiving his master’s degree in 2006. Dr. Capitán then focused his specialization in orthognathic and craniofacial surgery, completing fellowship at the Institute of Maxillofacial Surgery and Implantology of Centro Médico Teknon in Barcelona, as well as in the Unit of Craniofacial Surgery and Dentofacial Deformities at the Morriston University Hospital of Wales (UK). In 2008, together with Dr. Daniel Simon, Facialteam is founded, surgical group specialized in facial feminization surgery and facial gender confirmation surgery.

Devin Coon, MD, MSE

Johns Hopkins Center for Transgender Health, Baltimore, MD, USA

Dr. Devin O’Brien Coon is an assistant professor of plastic and reconstructive surgery, and biomedical engineering at the Johns Hopkins University School of Medicine. He completed his general surgery and plastic surgery training at the Johns Hopkins/University of Maryland integrated

Read more

residency program, and then gained additional experience in advanced gender-affirming surgery at programs in the United States, Spain, and the United Kingdom. He is an invited lecturer both at national conferences and academic institutions, as well as invited collaborator at Facialteam. His primary clinical interests include gender affirmation surgery for transgender patients, as well as cosmetic surgery, facial trauma and complex surgical reconstruction including reconstructive microsurgery. He is the medical director of the Johns Hopkins Center for Transgender Health and leads a multidisciplinary team dedicated to providing comprehensive, gender affirming care to transgender patients, and a board-certified plastic surgeon. His clinical research focuses on studies to improve delivery and outcomes of transgender health care. He directs a basic science research laboratory within the Translational Tissue Engineering Center that focuses on materials science and tissue engineering for surgical applications. He has established the first transgender surgical fellowship, which started in 2019.

Miroslav Djordjevic, MD, PhD

University of Belgrade, Serbia / Icahn School of Medicine, Mount Sinai, New York, USA

Dr. Miroslav L. Djordjevic is a professor of urology and surgery at the School of Medicine, University of Belgrade, Serbia. The main field of his multidisciplinary work is urogenital reconstructive surgery, encompassing treatment of all anomalies of the genital system, regardless of

Read more

gender or age. Professor Djordjevic has been multiply awarded for his comprehensive scientific work. He is the editor of many leading journals and books, and a member of all relevant international associations in the field of urology and genital reconstructive surgery. Professor Djordjevic has been an invited lecturer and visiting professor at many universities all around the world. As a member of humanitarian societies, he actively participated in humanitarian missions over the world. Last but not least, he is the founder and leader of the Belgrade Center for Genital Reconstructive Surgery, which is chosen as a fellowship program center by 20-30 foreign colleagues every year. In 2019, Professor Djordjevic joined the Urology Department at the Icahn School of Medicine, Mount Sinai, New York, USA.

Jamison Green, PhD

Independent scholar/author

Dr. Jamison Green is an internationally-respected author, educator, and advocate for transgender health, civil rights, and social safety. He holds B.A. and M.F.A. degrees in English/Creative Writing from the University of Oregon (1970, 1972), and a PhD in law specializing in transgender

Read more

and transsexual issues from Manchester Metropolitan University, England (2011). His work on non-discrimination laws, equality principles, and removal of health insurance exclusions has earned him numerous awards for advocacy and inspirational leadership and has influenced civil society and governments around the world. He was elected three times to the board of directors of the World Professional Association for Transgender Health, including as the organization’s first American transgender president. He is the author of the prize-winning classic text Becoming a Visible Man (2004 & 2020), has contributed to several academic anthologies, and is a co-author of the WPATH Standards of Care for the Health of Transsexual, Transgender and Gender Nonconforming People (versions 7 and 8).

Christopher Inglefield, BSc, MBBS, FRCS(Plast)

The London Transgender Clinic, London, UK

As a highly experienced plastic, reconstructive and aesthetic surgeon, Dr. Inglefield has performed thousands of procedures. Over the years, he has gained vast experience in a wide range of specialities, including gender confirmation surgery, facial and body feminization surgery, and body

Read more

masculinization surgery. To ensure the service that he offers his patients is constantly evolving to embrace the latest technological and surgical developments, he regularly attends and is asked to speak at many national and international conferences and workshops. Dr. Inglefield has also written several papers and contributed to many specialist books and journals within the field of plastic and reconstructive surgery. In 2012 Dr. Inglefield was accredited with a Lifetime Achievement Award at the Aesthetic Awards for his work and dedication to innovation within the field.

Iván Mañero, MD

IM Clinic, Barcelona, Spain

Dr. Mañero is one of the most highly reputed aesthetic and reconstructive plastic surgeons outside Europe. With extensive experience and training in some of the leading hospitals in the United States, Brazil, the United Kingdom and Spain, he has become an indispensable authority on plastic,

Read more

genital and gender surgery. Member of SECPRE and the Global Network of the University of Alabama in Birmingham, among other professional associations, he is an assiduous collaborator with the media as a result of his ability to clearly and simply communicate the more human side of aesthetic surgery. Since 2009, Ivan Mañero was in charge of organizing and creating the new surgical protocols of the Gender Disorders Unit of Hospital Clínic of Barcelona, where he was director and taught to the medical team.

Stan Monstrey, MD, PhD

Department of Plastic Surgery, Ghent University Hospital, Belgium

Prof. Dr. Stanislas Monstrey is one of the world’s foremost SRS surgeons. Based in Belgium, Dr. Monstrey is a professor in plastic surgery and a leading member of Ghent University Hospital’s Centre for Sexology and Gender, where both FTM and MTF surgeries are performed weekly.

Read more

Dr. Monstrey also served as the president of WPATH (in its earlier incarnation as the HBIGDA) from 2005 to 2007. Dr. Monstrey has co-authored numerous oft-cited journal articles related to transgender surgery, as well as the book Principles of Transgender Medicine and Surgery (2007), an authoritative text for health care professionals.

Shane D. Morrison, MD, MS

Department of Plastic Surgery, University of Michigan, MI, USA

Dr. Shane Morrison is a clinical instructor in plastic surgery at the University of Michigan. He received his medical degree from Stanford University School of Medicine and trained in plastic surgery at the University of Washington. At the University of Michigan,

Read more

he is part of the Comprehensive Gender Program, which is the one of longest running university programs offering gender affirmation surgery in the United States. He is the first gender affirmation surgery fellow at the University of Michigan. His research has spanned a variety of topics in surgical and patient-reported outcomes in gender-affirming surgery.

Joz Motmans, MSc, PhD

Ghent University & Ghent University Hospital, Belgium

Joz Motmans is guest professor in gender studies at the Centre for Research on Gender and Culture, where he teaches the course ‘Gender & Diversity’ in the linking course Master of Arts in gender and diversity. As senior expert & scientific staff member at the University Hospital of Ghent,

Read more

he coordinates the central information and expertise center on trans issues in Belgium (www.transinfo.be). His expertise includes LGBTIQ+ studies, new social movements, equality, emancipation, health, quality of life, and social attitude research (quantitative as well as qualitative methods). Prof. Motmans holds a MA in clinical psychology (Gent University, 1999), a postgraduate in women’s studies (Antwerp University, 2002), and a PhD in social sciences (Antwerp University, 2010). He is one of the co-founders of the European Professional Association for Transgender Health (EPATH), and currently president-elect of this association.

Christina Richards, MSc, DCPsych, CPsychol, EuroPsy, FBPsS

Tavistock and Portman NHS Foundation Trust and Regents University London, UK

Professor Christina Richards is a doctor of applied psychology and full fellow of the British Psychological Society; she is full professor of gender and mental health at Regent’s University London; and is lead consultant psychologist and head of research at the NHS Charing Cross Gender Identity Clinic,

Read more

where she assesses complex patients for eligibility for hormones and surgeries. Prof. Richards is clinical module lead for the Royal College of Physicians’ qualification in gender identity healthcare; past chair of the BPS Division of Counselling Psychology; committee member for Psychologist Prescribing; a lead national assessor; chair of the BPS Assessment, Diagnosis and Formulation guidelines; and chair of the guidelines for working therapeutically with sexual, gender, and relationship diverse clients. Prof. Richards is board member of the European Professional Association for Transgender Health (EPATH) and the World Professional Association for Transgender Health (WPATH); lead chapter author for adult assessment in the WPATH Standards of Care. She is listed on the BPS Gender Diversity Specialist Register and is recognized by HM Courts and Tribunals Service as a specialist in the field of gender dysphoria. Prof. Richards is a founder member of the British Association of Gender Identity Specialists (BAGIS).

Javier G. Santamaría, MD, PhD, FEBOMS

Facialteam, Marbella, Málaga, Spain

Dr. Javier Gutiérrez achieved the degree of medicine & surgery in the University of Navarra (Pamplona, Spain) in 2007. Afterwards, he obtained the medical specialization in oral & maxillofacial surgery at the Hospital Universitario Vall d’Hebron in Barcelona in 2013. During his specialization,

Read more

he performed several observerships on different centers abroad: Saint Jean Hospital (Bruges, Belgium), R Adams Cowley Shock Trauma Center (Baltimore, USA), Clínica Teknon (Barcelona, Spain), Cosmetic Facial Surgery Clinic (Virginia, USA), Manhattan Eye, Ear & Throat Hospital (New York, USA) and RinoFast Polanco (México DF, Mexico). His whole medical education has been focused on orthognathics and facial aesthetic surgery. He has worked as a consultant in the Department of Oral & Maxillofacial Surgery in the Hospital Universitario Vall d’Hebron in Barcelona from 2013 to 2017, where he has been leading the Orthognathics and Craniofacial Deformities Unit. He also worked as a professor at the School of Medicine in Universitat Autònoma of Barcelona. Dr. Gutiérrez has accomplished a two-year period fellowship in facial feminization surgery with Facialteam and now he is a surgical member.

Loren S. Schechter, MD, FACS

The University of Illinois/Rush University Medical Center/The Center for Gender Confirmation Surgery, Weiss Memorial Hospital, USA

Dr. Schechter is a clinical professor of surgery at The University of Illinois at Chicago, attending surgeon at Rush University, and director of the Center for Gender Confirmation Surgery at Weiss Memorial Hospital. He serves on the executive committee of The World

Read more

Professional Association for Transgender Health (WPATH), helped to author the 7th Edition of The Standards of Care, and serves as co-lead for the Surgery and Post-Operative Care section of the 8th Edition of The Standards of Care. He authored the first surgical atlas concerning Surgical Management of Transgender Individuals and is a founding member and president-elect of The American Society for Gender Surgeons. Dr. Schechter is recognized by Castle Conolly as a “Top Doctor.” Dr. Schechter received his medical degree, with honors, from the University of Chicago Pritzker School of Medicine and completed his residency in general and plastic surgery as well as a fellowship in reconstructive microsurgery at the University of Chicago Hospitals. While at the University of Chicago, Dr. Schechter was elected to the Alpha Omega Alpha Honor Medical Society and graduated as The Outstanding Student in Surgery.

Daniel Simon, DMD

Facialteam, Marbella, Málaga, Spain

With an undergraduate degree in dental medicine and after specializing in surgical anatomy of the face, Dr. Daniel Simon began his residency in oral and maxillofacial surgery in Sao Paulo, in 2001, and finished it in 2004. From 2005 to 2007,

Read more

Dr. Simon completed a fellowship in Belgium for the Department of Oral and Craniomaxillofacial Surgery of the Eewfeestkliniek in Antwerp. In 2007, he received his master’s degree and DMD European degree from the University of Ghent (Belgium). In 2008, together with Dr. Luis Capitán, cofounded Facialteam, surgical group specialized in facial feminization surgery and facial gender confirmation surgery.

Guy T’Sjoen, MD, PhD

Department of Endocrinology, Ghent University Hospital, Belgium

Prof. Guy G. R. T’Sjoen obtained his medical degree at the Ghent University in 1995. From 1995 till 2000 he specialised in internal medicine (St.-Jan Ziekenhuis, Brugge; St.-Bartholomew’s, London; Ghent University Hospital). He obtained his specialist qualifications in

Read more

endocrinology-diabetology in 2001. He obtained the title of clinical andrologist from the European Academy of Andrology in 2002 (Malmö, Sweden) and fellow of the European Committee on Sexual Medicine (FECSM, Istanbul 2014). Currently he is working as head of department, clinical staff physician and clinical researcher at the Department of Endocrinology including the Center for Sexology and Gender, and the Center for Andrology at the Ghent University Hospital, Belgium. He is (interim) president of EPATH (European Professional Association for Transgender Health) since 2015. He publishes on androgen deficiency, transgender health, pituitary disease, sexual health and variations of sexual differentiation. His research line was recently covered in Nature. He is co-editor of the Journal of Sexual Medicine and the International Journal of Transgenderism. He is author of the Dutch books ‘Transgenderzorg’ (ACCO), ‘Onder de gordel’ (Van Halewyck), ‘Het Transgender Boek’ (Angèle) and co-editor of ‘Gender Dysphoria and Gender Incongruence’, published by Routledge.