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Case report reports transient scalp ulceration in a patient after facial feminization surgery, highlighting trigeminal trophic syndrome recovery.
This case report describes a 31-year-old patient with gender incongruence who developed Trigeminal Trophic Syndrome (TTS), presenting as non-healing scalp ulcerations in the V1 distribution, following facial feminization surgery. This is the first reported case of TTS after gender affirming surgery and is unique because the ulceration occurring on the scalp (V1 distribution) and was transient, resolving completely with return of normal sensation to the affected area.
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Bloom et al. (2026) studied this question.
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