[Body contouring surgery after massive weight loss].

Estimates purport, that the vast majority of patients who have undergone massive weight loss (MWL) desire body contouring surgery. In Denmark, public healthcare-financed MWL plastic surgery is to be granted, if the sequelae apply to criteria stated in the national specialist guidelines. Surgery is confined to MWL changes of moderate to high severity, if there is additional functional and psychosocial impairment, or if the changes are severe or abnormal compared to age.

Dermal nipple-areola complex flap method in female to male gender affirming surgery.

Subcutaneous mastectomy plays a major role in female to male (FtM) gender affirming surgery, and obtaining a flattering chest contour remains a challenge to the surgeon. We present an operative method using a dermal nipple-areola complex (NAC) flap, with the aim to create a naturally masculine appearance, while reducing the risk of NAC complications by maintaining sufficient neurovascularisation. This case report describes how the novel approach may potentially be applied as an alternative to the traditionally performed free nipple graft technique in FtM gender confirming surgery.