Masculinization of the Chest in Transmen with Large Breasts.

Indian J Plast Surg

Department of Plastic, Reconstructive, Facio-maxillary, Aesthetic Surgery, Madras Medical College, Chennai, Tamil Nadu, India.

Published: April 2024

 Surgery to masculinize the chest is a frequently sought-after procedure by transmen who wish to conform their physical appearance to their gender identity. In our study, the outcomes of surgical masculinization comprising subcutaneous mastectomy through a modified elliptical incision, liposuction, reduced inert nipple-areola grafting, and quilting stitches were analyzed.  Thirty-two transmen with large breasts and hypertrophied nipples and areolae underwent the above-mentioned masculinizing procedure in this prospective cohort study. Our statistically validated institutional aesthetic outcome assessment score (IAOAS) was used to analyze the outcomes at the end of the follow-up period.  The average period of follow-up was 24.5 months. The average final IAOAS was 23.1. The rate of complications was found to be associated with using breast binders. In all, 22 of 32 patients (68.75%) had an excellent outcome score, while 10 patients (31.25%) had a good outcome score (  = 0.025).  Top surgery is crucial for transmasculine patients to achieve their desired gender identity as males. It is imperative that this procedure is performed to their complete satisfaction. Our single-staged comprehensive approach of subcutaneous mastectomy and liposuction with reduced inert nipple and areola grafts, which aids in a swift transition to a male role, is a prerequisite for bottom surgery at our institute.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11105816PMC
http://dx.doi.org/10.1055/s-0044-1779481DOI Listing

Publication Analysis

Top Keywords

transmen large
8
large breasts
8
gender identity
8
subcutaneous mastectomy
8
liposuction reduced
8
reduced inert
8
outcome score
8
masculinization chest
4
chest transmen
4
breasts  surgery
4

Similar Publications

Access to transition-related health care among transmasculine people in India: A mixed-methods investigation.

PLOS Glob Public Health

October 2024

Department of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, Philadelphia, PA, United States of America.

Article Synopsis
  • Research on the healthcare experiences of transmasculine individuals in India is limited, despite recent government efforts to improve access to gender-affirmative care.
  • A study involving 40 qualitative interviews and a survey of 377 transmasculine people highlighted challenges in accessing care, including financial barriers and varying quality between public and private healthcare systems.
  • While many faced stigma and disempowerment during psychological assessments, those who accessed care reported improved well-being; however, a notable percentage still expressed dissatisfaction with surgical outcomes.
View Article and Find Full Text PDF

Masculinization of the Chest in Transmen with Large Breasts.

Indian J Plast Surg

April 2024

Department of Plastic, Reconstructive, Facio-maxillary, Aesthetic Surgery, Madras Medical College, Chennai, Tamil Nadu, India.

 Surgery to masculinize the chest is a frequently sought-after procedure by transmen who wish to conform their physical appearance to their gender identity. In our study, the outcomes of surgical masculinization comprising subcutaneous mastectomy through a modified elliptical incision, liposuction, reduced inert nipple-areola grafting, and quilting stitches were analyzed.  Thirty-two transmen with large breasts and hypertrophied nipples and areolae underwent the above-mentioned masculinizing procedure in this prospective cohort study.

View Article and Find Full Text PDF

Background: Acne often worsens in transmasculine patients who are on prolonged testosterone therapy. Isotretinoin is an oral retinoid used in the treatment of severe or refractory cases of acne, but it has the potential to cause delayed wound healing. Transmasculine patients may potentially be prescribed treatment for acne with isotretinoin while also planning to undergo chest masculinization surgery.

View Article and Find Full Text PDF

Background: Gender-affirming mastectomy is a fundamental step in the transition process of transmasculine patients following the initiation of hormone replacement therapy. Its perioperative management, however, remains underreported and controversial. In this study, a large series of mastectomies in transmen maintaining hormonal therapy is presented.

View Article and Find Full Text PDF

Background: Several treatment options for urethral complications following metoidioplasty in transmen are described in the literature, yet little is known with regard to the surgical outcomes.

Aim: The aim of this study was to analyze the surgical outcomes after treatment of urethral strictures and urethral fistulas following metoidioplasty.

Methods: A multicenter retrospective cohort study was conducted with transmen treated for strictures and fistulas after metoidioplasty in 3 tertiary referral centers.

View Article and Find Full Text PDF

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!