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Doctor insights on: High Cheek Bones

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Can a doctor tell if a person has had a sex change just by looking at them? Most people see a strong woman with high cheek bones and strong hands and they assume that that person has had a sex change why do certain women have high cheek bones and strong

Can a doctor tell if a person has had a  sex change just by looking at them? Most people see a strong woman with high cheek bones and strong hands and they assume that that person has had a sex change why do certain women have high cheek bones and strong

Hello : Hello in houston- you’re right, people do make assumptions, and they shouldn’t. Sometimes the woman with the big hands and roman nose is transgender, and sometimes she is…a genetic woman with big hands and a roman nose. And the short guy with small hands and delicate features usually is just a short guy with delicate features that he inherited from his short, delicate-featured parents. Why is it anyone else’s business, anyway? Why do you care what they think? There is a strong inherited (genetic, blood line, family) component to appearance. There is also a strong hormonal component. Picture twins, a boy and girl. Same age, similar genes, although not identical genes — identical twins are always he same sex. When the twins are young, if their hair and clothes are similar, it’s hard to tell which one is male and which one is female. Now imagine them at ages 10, 20, 30, up to age 80. They start to look more different from each other in their teens, and this becomes more and more apparent as they age, until about age 60, when they begin to look more alike again. What’s going on? It’s hormones. In their early teens, the boy’s testicles start producing testosterone and the girl’s ovaries make estrogen. The estrogen adds a layer of fat under the skin, making the girl’s facial features seem softer and the bones and veins in her hands and feet less visible. The boy’s testosterone has much more dramatic effects. Everyone knows that testosterone causes voice deepening and growth of facial and body hair. However, you might not know that testosterone also triggers the growth of facial cartilage. This is why, over the years, men develop larger chins, noses, and ears, and develop more prominent eyebrow ridges. If you think about the shape of a skull, you can see that most of the face is cartilage. The nose and ears have almost no structural bones at all. The hormonal effect on cartilage is what makes a man’s face look masculine. You can see from this why it is so much easier for transwomen to “pass” if they transition young, in their teens or twenties. Before age 30-35, there have usually been only mild testosterone effects on facial cartilage and appearance. When transwomen transition at older ages, especially after age 45, many cannot “pass” well without facial feminization surgery. In this type of plastic surgery, cartilage is removed from the brow ridge, nose, chin, and adam’s apple, resulting in a more feminine appearing face and neck. Because very few insurance plans cover any type of transgender surgery, many transwomen — if they can afford any surgery at all — have to choose between genital and facial surgery. The older a transwoman is, the likelier it is that facial surgery is more critical to her successful transition than genital surgery. Now the last part: why is it anyone else’s business, anyway? Why do you care what they think? Gender is the first thing most people feel they need to know when they encounter another person. If they are not certain of the other person’s gender, many people become anxious and agitated, and can become violent. That is why transpeople have to care if others notice, and what they may be thinking. If you are transgender, passing well is not just a matter of self-esteem; it’s also a safety issue. If you are not transgender, and you notice someone around you whom you think may be transgender or any sort of gender-different, keep an extra eye out for that person’s safety. Even if they are just a genetic woman with strong features or a man with small hands, those small differences can compromise their safety. Dr. Eva eva hersh is chief medical officer at chase brexton health services. Send your comments and questions to her by email at editor@ baltimoreoutloud.Com, or by surface mail to eva hersh md, chase brexton health services, 1001 cathedral st., baltimore, md 21201. ...Read more

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Bone (Definition)

Bone is a living growing tissue made mostly of collagen (protein that provides soft framework) & the mineral calcium phosphate that adds strength & hardens the framework. Two types of bone are found in the body; cortical (dense compact outer layer) & trabecular (makes up inner layer, ...Read more


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I'm experiencing pain directly under my cheek bones ?

I'm experiencing pain directly under my cheek bones ?

Also..: It could be muscular, a tendon, a tooth, or something more serious. I would suggest seeing a facial pain specialist or ENT physician for an evaluation if it does not go away in a few days. ...Read more

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I was just wondering how can I make my cheek bones thinner?

Thinner cheek bones: You can achieve thinner cheekbones with strategic placement of blush. For a more permanent solution, you would do best to consult with a facial plastic surgeon who can evaluate your facial bone and soft tissue structures and speak to you about options to achieve your goal for thinner cheekbones. ...Read more

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I was just wondering how can I make my cheek bones stand out more?

Implants or...: Cheek regions can be enhanced with cheek implants or, in some cases, injectable fillers. See a facial plastic surgeon for further advice and recommendations. ...Read more

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I have pain directly under my facial cheek bones. It comes sporatically. What might be the cause?

I have pain directly under my facial cheek bones. It comes sporatically.  What might be the cause?

Sinus: There are sinuses under your facial cheek bones. Pain doesn't mean they're infected, although that might be the problem. Have it checked out by a medical professional. Drink plenty of water. Consider anti-inflammatories like Aspirin or ibuprofen. ...Read more

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How can I get higher cheek bones and a more defined face without surgery?

How can I get higher cheek bones and a more defined face without surgery?

Unclear : Facial structure is a function of how you are formed and cannot be manipulated to change. You cannot take some medicine or exercise to change your facial structure. If there are certain features you want to change, I would recommend to see a dermatologist . It is also to note that one factor is to take into consideration that you may note have completed growth and dental changes. ...Read more

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What can I do to get strong jaw line and strong cheek bones?

What can I do to get strong jaw line and strong cheek bones?

Facial Contouring: This is a very common request, routinely performed by cosmetic orthognathic surgeons. Females tend to prefer a slimming of the facial skeleton. Males tend to request a bulking of the facial skeleton. Visit FACESNY.com for more information. ...Read more

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Will cheek implants help my sagging cheek bones?

Will cheek implants help my sagging cheek bones?

They can.: A cardinal sign of aging is loss of facial volume. Replacing the lost volume can restore support to the skin. With the advent of longer lasting injectable fillers (perlane, juvederm, restylane, (dermal fillers) radiesse, etc...), it is possible to maintain cheek fullness without surgery. It requires repeated treatments to maintain the results. Cheek implants can provide a more permanent increase in volume. ...Read more

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Are toddler cheek bones more fragile than an adults? Why is that?

Are toddler cheek bones more fragile than an adults? Why is that?

Yes: Children's bones are thinner until puberty when the hormones in puberty cause more deposition of calcium and thicker bones. Because they are thinner, they are more fragile. ...Read more