Thorax masculinization in a transsexual patient: Inferior pedicle mastectomy without an inverted T scar
- Author:
Adriana Marcela Gonzalez CELY
1
;
Carlos Enrique TRIANA
;
Lina Maria TRIANA
Author Information
- Publication Type:Case Report
- Keywords: Transsexualism; Gender dysphoria; Gynecomastia; Mastectomy
- MeSH: Body Image; Breast; Cicatrix; Feminization; Gender Dysphoria; Gender Identity; Gynecomastia; Humans; Hypopigmentation; Male; Mastectomy; Prevalence; Thorax; Transplants; Transsexualism
- From:Archives of Plastic Surgery 2019;46(3):262-266
- CountryRepublic of Korea
- Language:English
- 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.
