China
Africa
Explore chapters and articles related to this topic
Breast Cancer
Published in Andrew Stevens, James Raftery, Breast Cancer Health Care Needs Assessment, 2018
Prophylactic mastectomy is reserved for women with high risk of breast cancer but its psychological morbidity is unknown. Subcutaneous mastectomy leaves the overlying skin and nipple intact. It may give better cosmetic results but residual breast tissue can potentially undergo malignant change.
Breasts
Published in James Barrett, Transsexual and Other Disorders of Gender Identity, 2017
Management of the complications of injected breasts, by subcutaneous mastectomy with excision of involved parts of the underlying pectoralis muscle, has been reported in multiple patients. Subsequent formal breast augmentation in these patients has had poor results.2,3,5
Double-incision mastectomy after reduction mammaplasty for persistent gender dysphoria: a case report
Published in Case Reports in Plastic Surgery and Hand Surgery, 2023
Mastectomy after a Wise-pattern mammaplasty for gender dysphoria was described in a case series of five patients who had a history of either a concentric circular or Wise-pattern reduction mammaplasty who later underwent subsequent mastectomy [7]. The reasons for undergoing the initial reduction mammaplasty included prior gender identification as nonbinary that later changed to male with desire for a more masculine chest, not being aware of a subcutaneous mastectomy as an option, and desire to preserve nipple sensation [7]. There were no hematomas, seromas, or NAC necrosis after an average of 12 months of follow-up. One patient required revision for a painful right nipple at 11 months postoperatively. Although postoperative outcomes for the various mastectomy incision types were discussed, little surgical guidance was provided for the conversion of reduction mammaplasty to subcutaneous mastectomy.
Mastectomy is a safe procedure in transgender men with a history of breast reduction
Published in Journal of Plastic Surgery and Hand Surgery, 2023
Floyd W. Timmermans, Lian Elfering, Thomas D. Steensma, Mark-Bram Bouman, Wouter B. van der Sluis
The aspect of gender dysphoria, or more specifically the presence of breast dysphoria is worthwhile discussing. Unfortunately, no records were present regarding the initial motivation for breast reduction surgery. However, we understand that breast reduction surgery in transgender individuals can result from several different motives. While breast dysphoria might not be actively linked to gender identity, it may be the first step into gender self-exploration and expression. This especially holds true for individuals with large breasts with only limited binding options for “passability”. Nevertheless, the sequential approach to a full subcutaneous mastectomy increases the likelihood of breast reduction scars that are difficult or impossible to remove with the current mastectomy techniques. This greatly emphasizes the need for proper expectation management on scarring and counseling on possible additional interventions required to achieve an envisioned result.
The ideal location of the male nipple-areolar complex: A pinpointing algorithm
Published in International Journal of Transgender Health, 2021
F. W. Timmermans, B. A. M. Jansen, S. E. Mokken, M. H. de Heer, K. M. Veen, M. B. Bouman, M. Mullender, T. C. van de Grift
Subcutaneous mastectomy is the foremost surgical treatment option for masculinizing the chest wall and is performed as part of gender-affirming surgeries for transgender men. The outcomes of subcutaneous mastectomies can vary greatly depending on patient habitus, surgical technique and the preferred practice of the surgeon. A mastectomy often calls for the repositioning of the nipple-areola complex (NAC) (Cregten-Escobar et al., 2012; Monstrey et al., 2008; Wolter et al., 2015). It is essential to position the nipples appropriately to achieve a male chest appearance. Up to quite recently, only few studies have asked critical questions about the NAC position in men. This has led to the standard practice of eyeballing the approximate location of the NAC during mastectomies, resulting in the NAC’s often being placed too high or too wide on the chest (Beckenstein et al., 1996; Berry et al., 2012; Hage & van Kesteren, 1995). The negative impact this can have on the experienced outcome emphasizes the necessity to develop strategies and standards that allow for the best possible result (Agarwal et al., 2017; van de Grift et al., 2016; 2018).