Transsexual Mastectomy: Selection of Appropriate Technique According to Breast Characteristics

Transsexual Mastectomy: Selection of Appropriate Technique According to Breast Characteristics

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Background: Subcutaneous mastectomy for female- to-male transsexuals is usually the first surgical pro- cedure in sexual reassignment.The main objective of subcutaneous mastectomy is to create an aesthetically pleasing male chest contour by removing all glandular tissue while minimizing chest wall scars.Aims: In this paper, we present our experience with subcutaneous mastectomy performed in female-to- male transsexual patients.

The authors recommend their point of view to aid in selecting the most suitable subcutaneous mastectomy technique depending on breast characteristics.Study Design: Retrospective cross-sectional study.Methods: Tumbler Between March 2011 and December 2014, 52 patients underwent bilateral subcutaneous mastec- tomies (total of 104 mastectomies), performed using the following four techniques: Webster semicircular, concentric circular, vertical, and apron flap.

The tech- nique decision depended on the breast size, degree of skin excess, skin elasticity, chest width, nipple areolar 2 Layers Wooden Ornament complex size and position.Results: Seventeen patients (32.7%) were operated with Webster semicircular, 7 patients (13.

5%) with con- centric periareolar, 12 patients with vertical (23%); and 16 patients (30.8%) with the apron flap technique.The overall postoperative complication rate was 13.

4%.All patients were satisfied with the aesthetic results of their subcutaneous mastectomies within the follow-up period.Conclusion: To obtain higher patient satisfaction with aesthetic results and lower postoperative complication rates, breast characteristics are evaluated in a detailed fashion, while choosing the ideal technique of Female-to-Male (FtM) subcutaneous mastectomy.

The presented surgical new algorithm facilitates the selection of the most reliable surgical technique.