1.Thorax masculinization in a transsexual patient: Inferior pedicle mastectomy without an inverted T scar
Adriana Marcela Gonzalez CELY ; Carlos Enrique TRIANA ; Lina Maria TRIANA
Archives of Plastic Surgery 2019;46(3):262-266
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.
Body Image
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Breast
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Cicatrix
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Feminization
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Gender Dysphoria
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Gender Identity
;
Gynecomastia
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Humans
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Hypopigmentation
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Male
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Mastectomy
;
Prevalence
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Thorax
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Transplants
;
Transsexualism