Dermatology’s Status Quo
Dermatology has fallen behind many industries in recognizing human gender fluidity. Many fashion models and actors are scouted and celebrated for their unique and different aesthetic presentation. We routinely see fashion campaigns that blur gender lines and celebrate striking androgynous features as something to be desired (Figures 1, 2, and 3).
Dermatologists, as increasingly important healthcare providers to transgender and gender nonbinary individuals, are in a position to modernize the way physicians conceive of gender and to improve the experience of gender-diverse patients.2 There is ample evidence that minimally invasive aesthetic procedures can improve the psychological well-being of cisgender patients.8,9 Limited data from a recent pilot study demonstrates that transgender individuals also gain quality of life improvement following aesthetic injectable enhancements, even if the cosmetic change is subtle and the patient's perceived gender is unchanged.10 People routinely report that small and subtle enhancements, often termed “tweaks” or “tweakments” have a profound impact on their mood, confidence, and general outlook.11 Unlike surgical interventions, outpatient treatments such as lasers, tightening modalities, injectable fillers, threads, and neurotoxins do not require pretreatment psychologica