Breast reduction or amputation in
female-to-male surgery presents a specific surgical problem: obtaining a
good breast shape of the masculine type. Over a 2-year period, 17 patients
(12 female-to-male transsexuals and 5 extreme gynecomastias) were operated
on using the circumareolar approach for subcutaneous mastectomy.
The nipple-areola complex was left on a
very wide deepithelialized dermal pedicle, and the final closure of the
wound was performed using a round-block technique followed by numerous fine
sutures to reduce wrinkling. This technique provides naturally flat
masculine breasts, leaving sufficient dermal vascularization for the
nipple-areola complex which is of the utmost importance.
All the patients were very satisfied with
the result because of the periareolar scar only. Two areolar necroses
occurred due to perforation of the thin vascular dermal pedicle: one
superficial which epithelialized spontaneously in a short period of time and
one deeper which required skin grafting.
Citation:
Aesthetic Plast Surg 2000 Nov-Dec;24(6):450-4 an article published on the
Internet by PubMed <http://www.ncbi.nlm.nih.gov/>
