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CC BY-NC-ND 4.0 · Indian J Plast Surg 2024; 57(02): 091-098
DOI: 10.1055/s-0044-1779481
Original Article

Masculinization of the Chest in Transmen with Large Breasts

Thalaivirithan Margabandu Balakrishnan
1   Department of Plastic, Reconstructive, Facio-maxillary, Aesthetic Surgery, Madras Medical College, Chennai, Tamil Nadu, India
,
Shramya Shodhan Kumar
1   Department of Plastic, Reconstructive, Facio-maxillary, Aesthetic Surgery, Madras Medical College, Chennai, Tamil Nadu, India
,
M. Aruchamy
2   Department of Plastic Surgery, PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu, India
,
U. Rasheedha Begum
1   Department of Plastic, Reconstructive, Facio-maxillary, Aesthetic Surgery, Madras Medical College, Chennai, Tamil Nadu, India
,
M. Sridharan
1   Department of Plastic, Reconstructive, Facio-maxillary, Aesthetic Surgery, Madras Medical College, Chennai, Tamil Nadu, India
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Abstract

Background and Objectives Surgery to masculinize the chest is a frequently sought-after procedure by transmen who wish to conform their physical appearance to their gender identity. In our study, the outcomes of surgical masculinization comprising subcutaneous mastectomy through a modified elliptical incision, liposuction, reduced inert nipple–areola grafting, and quilting stitches were analyzed.

Materials and Methods Thirty-two transmen with large breasts and hypertrophied nipples and areolae underwent the above-mentioned masculinizing procedure in this prospective cohort study. Our statistically validated institutional aesthetic outcome assessment score (IAOAS) was used to analyze the outcomes at the end of the follow-up period.

Results The average period of follow-up was 24.5 months. The average final IAOAS was 23.1. The rate of complications was found to be associated with using breast binders. In all, 22 of 32 patients (68.75%) had an excellent outcome score, while 10 patients (31.25%) had a good outcome score (p = 0.025).

Conclusion Top surgery is crucial for transmasculine patients to achieve their desired gender identity as males. It is imperative that this procedure is performed to their complete satisfaction. Our single-staged comprehensive approach of subcutaneous mastectomy and liposuction with reduced inert nipple and areola grafts, which aids in a swift transition to a male role, is a prerequisite for bottom surgery at our institute.

Keywords

transgender - transmen - free nipple–areola grafting - mastectomy - adjunctive liposuction - top surgery - masculinization


Publication History

Article published online:
06 February 2024

© 2024. Association of Plastic Surgeons of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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