Browse > Article

Mastectomy Method according to the Breast Size in the Female to Male Transgenders  

Yang, Jin-Il (Department of Plastic & Reconstructive Surgery, College of Medicine, Dong A University)
Park, Su-Sung (Department of Plastic & Reconstructive Surgery, College of Medicine, Dong A University)
Lee, Keun-Cheol (Department of Plastic & Reconstructive Surgery, College of Medicine, Dong A University)
Kim, Seok-Kwun (Department of Plastic & Reconstructive Surgery, College of Medicine, Dong A University)
Publication Information
Archives of Plastic Surgery / v.38, no.1, 2011 , pp. 63-68 More about this Journal
Abstract
Purpose: Mastectomy is one of the operative procedures of female to male transsexuals. It is aimed to excise all of breast tissues and to reconstruct male chest wall, areola, and nipple. Breast sizes are varied by developmental status and their hormonal therapy. There are several approaches for mastectomy. This study is aimed to suggest appropriate mastectomy methods according to breast size in the female to male transgenders. Methods: We retrospectively analysed 46 patients of female to male transgenders. Breast size was categorized by their inner wear size. In A cup size, mastectomy was done with periareolar approach. In C cup size, inframammary fold approach subcutaneous mastectomy was performed. In B cup size, periareolar approach was used for grade A or B ptosis patient, and inframammary fold approach was choosen for the patient with grade C ptosis. Results: Subcutaneous mastectomy was done through semicircular periareolar approach for 26 patients. There were 2 cases of major complications that should be corrected by hematoma evacuation. Circumareolar approach was used for 5 patients, and a case of nipple-areolar complex necrosis was observed. Two cases of another complications which were irregularity of breast and wound disruption could be corrected. Inframammary fold approach was selected for 15 patients. There was a case of wound disruption, so revision surgery whould be done. Four cases of breast irregularity was corrected spontaneously, and 2 cases of partial necrosis of nipple-areolar complex were corrected with secondary healing. Patient satisfaction score for periareolar, cicumareolar, and inframmammary fold approach were 4.5, 4.2 and 4.1, respectively. Some major and minor complications were observed, but satisfactory results could be secured. Conclusion: Semicircular periareolar incision looked adequate for A cup size patient, circumareolar incision was suitable for B cup size with grade A or B ptosis. In B cup size with grade C ptosis patient and C cup patients, inframammary fold incision looked suitable for optimal results.
Keywords
Mastectomy; Transsexuals;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Regnault P: Breast ptosis. definition and treatment. Clin Plast Surg 3: 193, 1976
2 Rohrich RJ, Ha RY, Kenkel JM, Adams WP Jr: Classification and management of gynecomastia: defining the role of ultrasound-assisted liposuction. Plast Reconstr Surg 111: 909, 2003   DOI   ScienceOn
3 Tremolada C, Blandini D, Beretta M, Mascetti M: The "round block" purse-string suture: a simple method to close skin defect with minimal carring. Plast Reconstr Surg 100: 126, 1997   DOI   ScienceOn
4 Monstrey S, Selvaggi G, Ceulemans P, Van Landuyt K, Bowman C, Blondeel P, Hamdi M, De Cuypere G: Chestwall contouring surgery in female-to-male transsexuals: a new algorithm. Plast Reconstr Surg 121: 849, 2008   DOI   ScienceOn
5 Dolsky RL: Gynecomastia. treatment by liposuction subcutaneous mastectomy. Dermatol Clin 8: 469, 1990
6 Pitanguy I: Transareolar incision for gynecomastia. Plast Reconstr Surg 38: 414, 1966   DOI   ScienceOn
7 Tu LC, Tung KY, Chen HC, Huang WC, Hsiao HT: Eccentric mastectomy and zigzag periareolar incision for gynecomastia. Aesthetic Plast Surg 33: 549, 2009   DOI   ScienceOn
8 Lindsay WR: Creation creation of a male chest in female transsexuals. Ann Plast Surg 3: 39, 1979   DOI
9 Hage JJ, Bloem JJ: Chest wall contouring for female-to-male transsexuals: amsterdam experience. Ann Plast Surg 34: 59, 1995   DOI   ScienceOn
10 Hage JJ, van Kesteren PJ: Chest wall contouring in femaleto- male transsexuals: basic considerations and review of the literature. Plast Reconstr Surg 96: 386, 1995   DOI   ScienceOn
11 Colic MM, Colic MM: Circumareolar mastectomy in femaleto- male transsexuals and large gynecomastias: a personal approach. Aesthetic Plast Surg 24: 450, 2000   DOI   ScienceOn
12 Monstrey S, Selvaggi G, Ceulemans P, Van Landuyt K, Bowman C, Blondeel P, Hamdi M, De Cuypere G: Chest wall contouring surgery in female-to-male transsexuals: a new algorithm. Plast Reconstr Surg 121: 849, 2008   DOI   ScienceOn
13 Takayanagi S, Nakagawa C: Chest wall contouring for female-to-male transsexuals. Aesthetic Plast Surg 30: 206, 2006   DOI   ScienceOn