Surgical Therapy: Chest Wall Contouring for Female-to-Male Transsexuals View Full Text


Ontology type: schema:Chapter     


Chapter Info

DATE

2015

AUTHORS

Vittorio Ramella , Giovanni Papa , Zoran Marij Arnež

ABSTRACT

The contouring of the chest wall is usually the first surgical step in female-to-male transsexuals. Its aim is to transform the female chest in one with a male appearance. It is usually the most sought after procedure in female-to-male transsexuals and the one that is performed almost on every patient with this gender disorder, as it provides the most visible result and has major implications in daily social interactions. The goals of the ideal chest wall contouring are the removal of breast tissue and excessive skin, the repositioning and remodelling of the nipple-areola complex (NAC) and the minimization of chest wall scars. These goals can be achieved with different techniques: in patients with large breasts, the technique that gives the best result is the mastectomy with free nipple-areola complex grafting. For medium-sized breasts, there are two options, based on breast volume and NAC position relative to the inframammary fold. In young patients with elastic skin and a NAC positioned cranially to the inframammary fold, the semicircular technique is the best choice. If the NAC is positioned caudally to the inframammary fold, the concentric circular or free NAC grafting technique is preferred. More... »

PAGES

281-287

Book

TITLE

Management of Gender Dysphoria

ISBN

978-88-470-5695-4
978-88-470-5696-1

Author Affiliations

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/978-88-470-5696-1_32

DOI

http://dx.doi.org/10.1007/978-88-470-5696-1_32

DIMENSIONS

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