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In this group of patients rejuvenation procedures, similar to facelift, neck carry, and blepharoplasty, contribute as much to the feminization process as do frontal bossing correction, tracheal discount, and T-osteotomy genioplasty. Every artist is conscious of that before making use of the brushstrokes that will create the masterpiece, the canvas must first be “prepped.” The identical applies to the face. Aggressive rejuvenation of the male face will produce a feminized look; this was the goal of a transgender decathlon winner, but it actually was not that o