背景:胸壁轮廓手术是女性对男性(FtM)变性者性重新分配的第一步,有助于增强自我形象并促进新的性别角色生活。主要目标是通过去除女性轮廓来使胸部男性化。胸部轮廓,疤痕放置,疤痕形状,疤痕长度,乳头-乳晕位置,乳头大小和乳晕大小是关键点。
方法:在2013年7月至2016年6月之间,25名FtM变性患者接受了外科手术以创建男性胸壁轮廓。在我们的研究中,我们只考虑了16例接受了双切口手术的患者。
结果:患者调查显示,患者对美学结果的满意度很高。在我们组,无并发症发生,两名患者接受了腋下犬耳翻修和乳头重建的补充手术。
结论:作者提出了FtM变性患者手术的新技术方法和适应症。强调胸肌的较长的疤痕,一个较小的乳头和一个调整大小和重新修饰的乳晕是我们的技术的关键点,以使男性外观的胸部。伤疤是永久性的,但他们中的大多数会褪色,病人对他们新的“男性”胸部外观充满热情。高水平的满意度,良好的美学效果和较低的并发症发生率建议我们在中、大型乳房中使用该技术。
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BACKGROUND: Chest-wall contouring surgery is one of the first steps in sexual reassignment in female-to-male (FtM) transsexuals that contributes to strengthening of the self-image and facilitates living in the new gender role. The main goal is to masculinize the chest by removing the female contour. Chest contour, scar placement, scar shape, scar length, nipple-areola position, nipple size and the areola size are the key points.
METHODS: Between July 2013 and June 2016, 25 FtM transgender patients underwent surgical procedures to create a masculine chest-wall contour. In our study, we just considered 16 patients who have undergone chest surgery with the double incision method.
RESULTS: The patients\' survey revealed a high satisfaction rate with the aesthetic result. In our group, no complications occurred, and two patients have undergone supplementary surgery for axillary dog-ear revision and nipple reconstruction.
CONCLUSIONS: The authors propose a new technical approach and indications for FtM transgender patients\' surgery. A longer scar that emphasizes the pectoralis muscle, a smaller nipple and a resized and refaced areola are the key points of our technique to give a masculine appearance to the chest. The scars are permanent, but most of them will fade and the patients are enthusiastic with their new \"male\" chest appearance. The high level of satisfaction, the great aesthetic result and the low rate of complications suggest to us the use of this technique in medium- and large-size breasts.
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