Female-to-Male Gender-Affirming Chest Reconstruction Surgery

Abstract There is an increased demand for gender affirmation surgery. Chest contouring, or "top" surgery, is especially important in the female-to-male (FtM) transgender population. This Continuing Medical Education (CME) article critically appraises the available literature on top surgery...

Full description

Saved in:
Bibliographic Details
Published in:Aesthetic surgery journal 2019-01, Vol.39 (2), p.150-163
Main Authors: Ammari, Tareq, Sluiter, Emily C, Gast, Katherine, Kuzon, William M
Format: Article
Language:English
Subjects:
Clinical Decision-Making
Female
Gender Dysphoria - surgery
Humans
Informed Consent
Male
Mammaplasty - legislation & jurisprudence
Mammaplasty - methods
Mastectomy - legislation & jurisprudence
Mastectomy - methods
Patient Satisfaction
Sex Reassignment Surgery - legislation & jurisprudence
Sex Reassignment Surgery - methods
Transgender Persons
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract There is an increased demand for gender affirmation surgery. Chest contouring, or "top" surgery, is especially important in the female-to-male (FtM) transgender population. This Continuing Medical Education (CME) article critically appraises the available literature on top surgery to allow plastic surgeons to understand current practices and determine the best surgical technique using a decision algorithm and the patient's preoperative anatomy and characteristics. Because a single best surgical approach does not exist due to significant variance in preoperative patient anatomy, and in order to provide a useful framework for decision making, surgical approaches described are categorized as: approach 1-remote incision procedures without skin excision; approach 2-procedures with periareolar skin excision; and approach 3-mastectomy procedures with skin excision other than periareolar skin excision. Decision algorithms that help determine the most suitable surgical technique for individual patients are reviewed. Data on complication rates and patient satisfaction will improve informed consent discussions and create realistic patient expectations.
ISSN:1090-820X
1527-330X
DOI:10.1093/asj/sjy098