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Paper · arXiv

AutoFFS: Adversarial Deformations for Facial Feminization Surgery Planning

Facial feminization surgery (FFS) is a key component of gender affirmation for transgender and gender diverse patients, aiming to reshape craniofacial structures toward a female morphology. Current surgical planning procedures largely rely on subjective clinical assessment, lacking quantitative and reproducible anatomical guidance. We therefore propose AutoFFS, a novel data-driven framework that generates counterfactual skull morphologies through adversarial free-form deformations. Our method performs a deformation-based targeted adversarial attack on an ensemble of pre-trained binary sex classifiers that learned sexual dimorphism, effectively transforming individual skull shapes toward t...

AuthorsPaul Friedrich, Florentin Bieder, Florian M. Thieringer et al.
Primary categorycs.CV
Published2 March 2026
Last updated at source1 June 2026
cs.CVeess.IV
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