AI Article Synopsis
- Gender-affirming mastectomy is a common surgical procedure for transgender and nonbinary patients, and the study compares two techniques: periareolar and double incision.
- A retrospective review of 490 patients from 2017 to 2020 shows similar demographics and postoperative outcomes between the two surgical methods.
- The findings indicate no significant differences in complication rates or revision needs, suggesting that both techniques can be safely performed by experienced surgeons with good patient selection.
Article Abstract
Background: Gender-affirming mastectomy has become one of the most frequently performed procedures for transgender and nonbinary patients. Although there are a variety of potential surgical approaches available, the impact of technique on outcomes remains unclear. Here we present our experience performing periareolar and double incision mastectomies, with a focus on comparing patient demographics, preoperative risk factors, and surgical outcomes and complication rates between techniques.
Methods: Retrospective review identified patients undergoing gender-affirming mastectomy by the senior author between 2017 and 2020. Patients were stratified according to surgical technique, with demographics and postoperative outcomes compared between groups.
Results: In total, 490 patients underwent gender-affirming mastectomy during the study period. An estimated 96 patients underwent periareolar mastectomy, whereas 390 underwent double incision mastectomy. Demographics were similar between groups, and there were no differences in rates of hematoma (3.1% versus 5.6%, respectively; = 0.90), seroma (33.3% versus 36.4%; = 0.52), or revision procedures (14.6% versus 15.8% = 0.84) based on technique.
Conclusions: Our results demonstrate no difference in the rates of postoperative complications or revision procedures based on surgical technique. These results also suggest that with an experienced surgeon and proper patient selection, both techniques of gender-affirming mastectomy can be performed safely and with comparable outcomes.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9132529 | PMC |
| http://dx.doi.org/10.1097/GOX.0000000000004356 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Chest Feminization and Masculinization Surgery: Part Two of the Plastic Surgeon's Perspective of Gender-Affirming Surgery.
Plast Aesthet Nurs (Phila)
December 2024
Eva S. Hale, MS, is an MD/MBA candidate at the University of Miami Miller School of Medicine, Miami, FL.
Transgender individuals commonly feel significant distress and discomfort, termed gender dysphoria, as a result of the discrepancy between their gender assigned at birth and their gender identity. A major source of gender dysphoria stems from distinct anatomical differences between the male and female chest. Gender-affirming mastectomy of transmasculine patients and breast augmentation for chest feminization of transfeminine patients, also referred to as top surgery, are often the first surgical interventions and most commonly pursued physical modifications for the treatment of gender dysphoria among this patient population.
View Article and Find Full Text PDFDefining a danger zone for iatrogenic long thoracic nerve injury in gender-affirming mastectomy.
J Plast Reconstr Aesthet Surg
November 2024
Oregon Health and Science University, Division of Plastic and Reconstructive Surgery, Portland, OR, USA; Oregon Health and Science University, Transgender Health Program, Portland, OR, USA. Electronic address:
The long thoracic nerve's (LTN) superficial location on the chest wall renders it vulnerable to iatrogenic injury. Plastic surgeons' gender-affirming mastectomy volumes are rapidly increasing. This operation involves lateral chest contouring placing the distal LTN at risk of injury along the chest wall.
View Article and Find Full Text PDFGender-affirming Chest Surgery: A Prospective Series of 155 Consecutive Cases of Double Incision Mastectomy.
Plast Reconstr Surg Glob Open
December 2024
From the Faculté de Médecine, Université Libre de Bruxelles, Brussels, Belgium.
Background: Mastectomy is the first single surgery that transgender men and nonbinary people frequently undergo. We present a prospective series of 155 cases of double incision mastectomy (DIM) with nipple-areolar complex (NAC) graft.
Methods: From January 2019 to December 2022, 165 outpatients were operated on, and 155 are included in the study.
Targeted Nipple-Areola Complex Reinnervation for Sensory Restoration in Gender-Affirming Mastectomy.
JAMA Netw Open
November 2024
Department of Surgery, Oregon Health and Science University, Portland.
Targeted Reinnervation During Gender-Affirming Mastectomy and Restoration of Sensation.
JAMA Netw Open
November 2024
Division of Plastic and Reconstructive Surgery, Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston.
Importance: During gender-affirming mastectomy, nerves are transected, resulting in sensory loss. Nerve preservation using targeted nipple-areola complex (NAC) reinnervation (TNR) may restore sensation.
Objective: To determine the quantitative and patient-reported sensory outcomes of TNR.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!