Summary
Aim
To evaluate the outcome of reduction mammaplasty in female-to-male transgender patients.
Method
A 5-year retrospective review was conducted on all female-to-male transgender patients
who underwent reduction mammaplasty. A postal questionnaire was devised to assess
patient satisfaction, surgical outcome and psychological morbidity.
Results
Seventeen patients were identified. The senior author performed bilateral reduction
mammaplasties and free nipple grafts in 16 patients and one patient had a Benelli
technique reduction. Complications included two haematomas, one wound infection, one
wound dehiscence and three patients had hypertrophic scars. Secondary surgery was
performed in seven patients and included scar revision, nipple reduction/realignment,
dog-ear correction and nipple tattooing. The mean follow-up period after surgery was
10 months (range 2–23 months). Twelve postal questionnaires were completed (response
rate 70%). All respondents expressed satisfaction with their result and no regret.
Seven patients had nipple sensation and nine patients were satisfied with nipple position.
All patients thought their scars were reasonable and felt that surgery had improved
their self-confidence and social interactions.
Conclusion
Reduction mammaplasty for female-to-male gender reassignment is associated with high
patient satisfaction and a positive impact on the lives of these patients.
Keywords
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References
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Article info
Publication history
Published online: December 17, 2007
Accepted:
October 31,
2007
Received:
January 8,
2007
Footnotes
☆This work has been presented at the British Association of Aesthetic Plastic Surgeons Annual Meeting, September 2006, Bath, and the British Association of Plastic, Reconstructive & Aesthetic Surgeons Winter Meeting, December 2006, London.
Identification
Copyright
© 2007 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
