Thorax masculinization in a transsexual patient: Inferior pedicle mastectomy without an inverted T scar
Archives of Plastic Surgery
;
: 262-266, 2019.
Artigo
em Inglês
| WPRIM
| ID: wpr-762823
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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Tórax
/
Transexualidade
/
Imagem Corporal
/
Mama
/
Prevalência
/
Cicatriz
/
Hipopigmentação
/
Transplantes
/
Feminização
/
Disforia de Gênero
Tipo de estudo:
Estudo de prevalência
Limite:
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Archives of Plastic Surgery
Ano de publicação:
2019
Tipo de documento:
Artigo
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