|
KMID : 1038220190460030262
|
|
Archives of Plastic Surgery
2019 Volume.46 No. 3 p.262 ~ p.266
|
|
|
Thorax masculinization in a transsexual patient: Inferior pedicle mastectomy without an inverted T scar
|
|
Cely Adriana Marcela Gonzalez
Triana Carlos Enrique
Triana Lina Maria
|
|
|
Abstract
|
|
|
|
Transsexual individuals with gender dysphoria or gender identity disorder are rare, with a prevalence reported to range from 0.002% to 0.014%. Studies have shown that mastectomy yields significant improvements in body image and self-esteem in female-to-male transsexual patients. In patients with grade III breast ptosis, mastectomy with a nipple-areolar complex (NAC) graft is the most commonly used technique, although it has several disadvantages. In the case described herein, a bilateral mastectomy preserving the NAC in an inferior pedicle was performed. Additionally, a thin superior thoracic dermal-fat flap was preserved and eventually sutured at the previous inframammary fold, preventing an inverted T scar. This case shows the advantage of this technique for preserving the blood supply and innervation of the NAC, with a low hypopigmentation risk. Furthermore, in this technique, the patch effect does not impair the results of the NAC graft, and there is no need to use an inverted T scar that may result in thoracic feminization.
|
|
|
KEYWORD
|
|
|
ranssexualism, Gender dysphoria, Gynecomastia, Mastectomy
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
  
|
|