Chest Masculinization Technique and Outcomes in 72 Double-incision Chest-contouring Procedures with Free Nipple Grafting

被引:20
作者
Naides, Alexandra I. [1 ]
Schultz, Jerette J. [1 ]
Shulzhenko, Nikita O. [1 ]
Keith, Jonathan D. [1 ,2 ]
机构
[1] Rutgers New Jersey Med Sch, Dept Surg, Div Plast & Reconstruct Surg, Newark, NJ USA
[2] East Coast Adv Plast Surg, 200 South Orange Ave,Suite 295, Livingston, NJ 07039 USA
关键词
SPARING MASTECTOMY; TRANSGENDER; SURGERY; RECONSTRUCTION; NECROSIS; SMOKING;
D O I
10.1097/GOX.0000000000003459
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background: Chest masculinization for gender affirmation is the removal of breast tissue and excess skin, often with repositioning of the nipple areola complexes to achieve a male-appearing chest. A double-incision technique with free nipple grafting (FNG) is the preferred method for trans men with large, ptotic breasts. The authors present the outcomes of 72 consecutive chest masculinization cases using this technique. Methods: A retrospective chart review was performed between 2015 and 2020 on all patients who underwent chest masculinization surgery for gender dysphoria by the senior author (JDK). Patients who underwent masculinization by concentric circle or liposuction-only techniques were excluded. Potential risk factors for complications were analyzed with Chi-square and logistic regression techniques. P < 0.05 was considered significant. Results: Seventy-two patients underwent bilateral mastectomy with free nipple grafting. There were 6 major complications resulting in return to operating room, re-admission, or need for interventional procedure. These included 4 hematomas, 1 infection, and 1 hospital admission for shortness of breath and pain. Minor complications treated conservatively included 3 seromas, 1 instance of delayed wound healing, 1 case of superficial thrombophlebitis, and 4 hypertrophic scars. Eleven patients experienced nipple areolar complex complications. Four patients underwent revision surgery. Nicotine use was associated with a higher rate of hematoma (chi(2): 9.95, P = 0.007). Later operative date, a surrogate for experience, was associated with decreased return to the operating room (Odds ratio: 0.99, P = 0.025). Conclusion: Double-incision chest contouring with free nipple grafting provides good chest contour for transgender men, with low complication rates.
引用
收藏
页数:8
相关论文
共 25 条
[1]   Female-to-Male Gender-Affirming Chest Reconstruction Surgery [J].
Ammari, Tareq ;
Sluiter, Emily C. ;
Gast, Katherine ;
Kuzon Jr, William M. .
AESTHETIC SURGERY JOURNAL, 2019, 39 (02) :150-163
[2]   A Three-Step Technique for Optimal Nipple Position in Transgender Chest Masculinization [J].
Ayyala, Haripriya S. ;
Mukherjee, Thayer J. ;
Thuy-My Le ;
Cohen, Wess A. ;
Luthringer, Margaret ;
Keith, Jonathan D. .
AESTHETIC SURGERY JOURNAL, 2020, 40 (11) :NP619-NP625
[3]   Nipple-Areola Complex Necrosis after Nipple-Sparing Mastectomy with Immediate Autologous Breast Reconstruction [J].
Cho, Jin-Woo ;
Yoon, Eul-Sik ;
You, Hi-Jin ;
Kim, Hyon-Surk ;
Lee, Byung-Il ;
Park, Seung-Ha .
ARCHIVES OF PLASTIC SURGERY-APS, 2015, 42 (05) :601-607
[4]   Female-to-Male Transgender Chest Contouring A Systematic Review of Outcomes and Knowledge Gaps [J].
Cohen, Wess A. ;
Shah, Nikhil R. ;
Iwanicki, Margaret ;
Therattil, Paul J. ;
Keith, Jonathan D. .
ANNALS OF PLASTIC SURGERY, 2019, 83 (05) :589-593
[5]   Masculinizing Chest Reconstruction in Transgender and Nonbinary Individuals: An Analysis of Epidemiology, Surgical Technique, and Postoperative Outcomes [J].
Cuccolo, Nicholas G. ;
Kang, Christine O. ;
Boskey, Elizabeth R. ;
Ibrahim, Ahmed M. S. ;
Blankensteijn, Louise L. ;
Taghinia, Amir ;
Lee, Bernard T. ;
Lin, Samuel J. ;
Ganor, Oren .
AESTHETIC PLASTIC SURGERY, 2019, 43 (06) :1575-1585
[6]   Mastectomy in Transgender and Cisgender Patients: A Comparative Analysis of Epidemiology and Postoperative Outcomes [J].
Cuccolo, Nicholas G. ;
Kang, Christine O. ;
Boskey, Elizabeth R. ;
Ibrahim, Ahmed M. S. ;
Blankensteijn, Louise L. ;
Taghinia, Amir ;
Lee, Bernard T. ;
Lin, Samuel J. ;
Ganor, Oren .
PLASTIC AND RECONSTRUCTIVE SURGERY-GLOBAL OPEN, 2019, 7 (06) :E2316
[7]   Factors affecting post-operative complications following skin sparing mastectomy with immediate breast reconstruction [J].
Davies, Kerry ;
Allan, Lyra ;
Roblin, Paul ;
Ross, David ;
Farhadi, Jian .
BREAST, 2011, 20 (01) :21-25
[8]   Female-to-Male Chest Reconstruction A Review of Technique and Outcomes [J].
Donato, Daniel P. ;
Walzer, Norelle K. ;
Rivera, Andy ;
Wright, Lindsey ;
Agarwal, Cori A. .
ANNALS OF PLASTIC SURGERY, 2017, 79 (03) :259-263
[9]   Chest Surgery in Female to Male Transgender Individuals [J].
Frederick, Michael J. ;
Berhanu, Aaron E. ;
Bartlett, Richard .
ANNALS OF PLASTIC SURGERY, 2017, 78 (03) :249-253
[10]   Modified Nipple Flap with Free Areolar Graft for Component Nipple-Areola Complex Construction: Outcomes with a Novel Technique for Chest Wall Reconstruction in Transgender Men [J].
Frey, Jordan D. ;
Yu, Jessie Z. ;
Poudrier, Grace ;
Motosko, Catherine C. ;
Saia, Whitney V. ;
Wilson, Stelios C. ;
Hazen, Alexes .
PLASTIC AND RECONSTRUCTIVE SURGERY, 2018, 142 (02) :331-336