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Nipple reduction in sex reassignment surgery: The four triangles technique

Published:October 16, 2022DOI:https://doi.org/10.1016/j.bjps.2022.10.032
      Patients suffering from gender identity disorder commonly consider partial mastectomy an important step in the female-to-male (FTM) transition. While the volume and the shape of the female breast are well corrected with gender-confirming mastectomy, little has been published about nipple reduction in gender-confirming surgery. Unlike the mammary gland, the nipple responds poorly to hormone therapy administered during transition, and a female-shaped nipple often persists even after bilateral mastectomy.
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