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CC BY-NC 4.0 · Arch Plast Surg 2019; 46(03): 262-266
DOI: 10.5999/aps.2018.00108
Case Report

Thorax masculinization in a transsexual patient: Inferior pedicle mastectomy without an inverted T scar

Adriana Marcela Gonzalez Cely 
Department of Plastic Surgery, University Industrial of Santander, Bucaramanga, Colombia
,
Carlos Enrique Triana 
Department of Plastic Surgery, Corpus and Rostrum Clinic, Cali, Colombia
,
Lina Maria Triana 
Department of Plastic Surgery, Corpus and Rostrum Clinic, Cali, Colombia
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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.

Keywords

Transsexualism - Gender dysphoria - Gynecomastia - Mastectomy


Publication History

Received: 27 January 2018

Accepted: 17 May 2018

Article published online:
28 March 2022

© 2019. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)

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